The Bacillus Calmette-Guérin (BCG) vaccine given to newborns and children to prevent childhood tuberculosis appears to offer protection against coronavirus disease (Covid-19), according to US researchers who analysed the wide variation in the intensity of the disease in different countries.
The new study found Covid-19 cases and deaths are higher in countries that do not have or have discontinued universal BCG vaccination of children, such as the US, Italy, Spain and France, compared to countries with universal and long-standing immunisation policies, such as India and China.
“We found that countries without universal policies of BCG vaccination, such as Italy, the Netherlands, and the United States, have been more severely affected compared to countries with universal and long-standing BCG policies,” noted the researchers led by Gonzalo Otazu, assistant professor of biomedical sciences at NYIT.
While the US has reported almost 1,90,000 cases with more than 4,000 deaths, Italy has 1,05,000 cases and over 12,000 fatalities. Netherlands has reported more than 12,000 cases of the disease and over 1,000 deaths.
According to the study, a combination of reduced morbidity and mortality could make the BCG vaccination a game-changer in the fight against COVID-19.
The BCG vaccine is part of India’s universal immunisation programme and administered to millions of children at birth or soon after it.
It is the live weakened form of mycobacterium bovis — the causative agent of tuberculosis in cattle — related to mycobacterium tuberculosis, the bacteria which causes tuberculosis in humans.
India, with the world’s highest TB burden, introduced BCG mass immunisation in 1948.
Indian experts said they were hopeful and encouraged but it was too early to say anything.
“Every small thing gives us a ray of hope. It will be premature to say anything now. But the silver lining is that the BCG vaccine has proved quite effective against the SARS infection also,” Monica Gulati, senior dean, Faculty of Applied Medical Sciences, Lovely Professional University (LPU), Punjab, told mediapersons.
“It was effective not in the sense that it was able to cure, but it was able to reduce the intensity,” Gulati said.
Gulati explained that the SARS virus is also basically a “coronated virus”.
“So since the current pandemic is less intense in the countries with BCG vaccine intervention and that it was effective against another coronavirus is reason for hope,” she said.
In the absence of any vaccine for COVID-19, this is an encouraging development. However, it will take some time and tests to understand how the TB vaccine works against coronavirus, added Deepak Verma of the department of Internal Medicine, Columbia Asia Hospital, Ghaziabad.
“As of now, isolation and quarantine are the only established way to prevent a coronavirus infection,” Verma said.
According to Rakesh Mishra, director of the CSIR-Centre for Cellular and Molecular Biology (CCMB) in Hyderabad, the NYIT findings are interesting but more scientific details are needed.
“We have come across the study, but we don’t have a lot of scientific details about it. At the same time it is interesting, but this is not something we can depend on while making policies or approaches against COVID-19,” Mishra told.
“One can’t rule out this correlation completely. I think it will be a surprise though…,” he said.
As one of the most widely used vaccines in the world, the BCG vaccine has existed for nearly a century and has been shown to be an effective tool in preventing meningitis and disseminated TB in children, the US researchers said.
The inoculation is also believed to offer broad-ranging protection against respiratory infections, which present similar symptoms to COVID-19, they said.
The study noted that Australian researchers have recently announced plans to fast track large-scale testing to see if the BCG vaccination can protect health workers from the coronavirus.
The team compared various nations’ BCG vaccination policies with their COVID-19 morbidity and mortality and found a “significant positive correlation” between the year when universal BCG vaccination policies were adopted and the country’s mortality rate.
In other words, the earlier a policy was established, the more likely that a significant portion of the population, especially the elderly, would be protected, the researchers said.
As TB cases fell in the late 20th century, several higher-income countries in Europe dropped their universal BCG policies between 1963 and 2010.
The researchers noted that among the 180 countries with BCG data available today, 157 countries currently recommend universal BCG vaccination.
The remaining 23 countries have either stopped BCG vaccination due to a reduction in TB incidence or have traditionally favoured selective vaccination of “at-risk” groups, they said.
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