Association between COVID-19 morbidity and mortality rates and BCG vaccination policies in OECD countries

Yuki Senoo1,2, Yosuke Suzuki1,3, Kenji Tsuda1,4

  • 1Medical Governance Research Institute, Minato-ward, Tokyo, Japan.

Insights

The Bacillus Calmette-Guérin vaccination (BCGV) policy may reduce coronavirus disease 2019 (COVID-19) cases. Countries with BCGV policies showed fewer COVID-19 cases and deaths compared to those without.

Area of Science:

  • Immunology
  • Epidemiology
  • Public Health

Background:

  • The global impact of coronavirus disease 2019 (COVID-19) necessitates understanding potential protective factors.
  • The Bacillus Calmette-Guérin vaccination (BCGV) is a widely implemented vaccine with known immunomodulatory effects.
  • Variations in national BCGV policies exist among Organisation for Economic Co-operation and Development (OECD) countries.

Purpose of the Study:

  • To investigate the association between national BCG vaccination policies and COVID-19 outcomes.
  • To determine if BCGV implementation influences COVID-19 morbidity and mortality rates.
  • To explore the potential protective role of BCGV against COVID-19.

Main Methods:

  • Comparative analysis of COVID-19 morbidity and mortality data.
  • Examination of national BCG vaccination policies in OECD countries.
  • Statistical comparison between countries with and without established BCGV policies.

Main Results:

  • Countries currently implementing a national BCGV policy exhibited lower rates of COVID-19 morbidity.
  • A significant reduction in COVID-19 mortality was observed in nations with existing BCGV policies.
  • Comparison revealed fewer COVID-19 cases in countries with versus without a BCGV policy.

Conclusions:

  • The findings suggest a potential protective effect of BCGV against COVID-19.
  • National BCGV policies may be associated with reduced COVID-19 burden.
  • Further research is warranted to elucidate the mechanisms behind BCGV's potential impact on COVID-19.

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