Evidence map›Paper›PMID 33163696›Full record

ArticleClinical epidemiology and global health

Is BCG associated with reduced incidence of COVID-19? A meta-regression of global data from 160 countries.

Melvin Joy, B Malavika, Edwin Sam Asirvatham, Thambu David Sudarsanam, L Jeyaseelan

Open access · hybridAbstract read
In one paragraph

Article in Clinical epidemiology and global health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
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  4. The safety of BCG revaccination in the context of COVID-19.Human vaccines & immunotherapeutics · 2023
    Article
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  15. COVID-19 Severity and Neonatal BCG Vaccination among Young Population in Taiwan.International journal of environmental research and public health · 2021
    Article
  16. Article
  17. On BCG Vaccine Protection from COVID-19: A Review.SN comprehensive clinical medicine · 2021
    Review
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Melvin JoyDepartment of Biostatistics, Christian Medical College, Vellore, Tamil Nadu, 632 002, India.
B MalavikaDepartment of Biostatistics, Christian Medical College, Vellore, Tamil Nadu, 632 002, India.
Edwin Sam AsirvathamHealth Systems Research India Initiative (HSRII), Thiruvananthapuram, Kerala, India.
Thambu David SudarsanamDepartment of Medicine, and Clinical Epidemiology Unit, Christian Medical College, Vellore, Tamil Nadu, 632 004, India.
L JeyaseelanDepartment of Biostatistics, Christian Medical College, Vellore, Tamil Nadu, 632 002, India.
Christian Medical College, Vellore · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobal research is running towards to find a vaccine to stop the threat of the COVID-19. The Bacillus Calmette-Guérin (BCG) vaccine that prevents severe forms of tuberculosis is getting more attention in this scenario. The objective of our study was to determine the association between BCG vaccine coverage and incidence of COVID-19 at a national-level across the Globe.

methodsThe data of 160 countries were included in the study. Meta-regression was done to estimate the difference in the incidence of COVID-19 cases between countries with BCG vaccination coverage. BCG coverage was categorized as ≤70%, >70% and no vaccination. The analyses were carried out by adjusting for factors such as population density, income group, latitude, and percentage of the total population under age groups 15-64 and above 65 years of each country.

resultsThe countries that had ≤70% coverage of BCG vaccine reported 6.5 (95% CI: -8.4 to -4.5) less COVID-19 infections per 10,000 population as compared to countries that reported no coverage. Those that had >70% coverage reported 10.1 (95% CI: -11.4 to -8.7) less infections per 10,000 population compared to those with no BCG countries.

conclusionOur analysis suggests that BCG is associated with reduced COVID-19 infections if the BCG vaccine coverage is over 70%. The region-wise analyses also suggested similar findings, except the Middle East and North African region.

Indexed as

BCG VaccineCOVID-19Global burden of COVID-19Meta-regressionPandemic

Identifiers

PMID33163696
PMCPMC7597766
OpenAlexW3083540911

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.