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CONCLUSIONS

1.

BCG is effective in preventing severe childhood TB in the majority of children

2.

BCG is a useful public health intervention in high-burden countries

3.

BCG poses a risk to HIV-infected infants but the magnitude of risk is small in a small subpopulation – risk in context

4.

Guidance: Management of the TB-exposed neonate

5.

Routine programmatic BCG at birth should continue in high-burden settings

6.

Pragmatic guidance being developed for use at program level: WHO EPI, DEWG Child Subgroup

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