[BCG in Europe in 2004]

BCG immunization policies are somewhat uniform in eastern Europe. The incidence rates of tuberculosis are already very high, and are increasing. WHO recommendations, ie. BCG immunization by intradermal injection at birth or as soon as possible after birth are implemented. In western countries, the incidence rates of tuberculosis are not clearly related to the local immunization policy. Some countries still immunize all children at birth or later, while others only immunize at-risk groups. The definition of the risk also differs from one country to another Finally, some countries do not offer immunization at all. The reasons for these disparities are examined, together with their implications for future French policy