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Genomics of the Mycobacterium tuberculosis Complex and BCG Vaccines

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Pathogen Genomics

Part of the book series: Infectious Disease ((ID))

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Abstract

Despite the existence of the M. bovis bacillus Calmette-Guerin (BCG) vaccine since the 1920’s (BCG) and the availability of effective antimicrobial therapy since the 1950s, tuberculosis (TB) remains a pathogen of major importance. Current estimates indicate that one-third of the world’s population is infected by M. tuberculosis with an estimated 8 million new cases and 1.9 million deaths attributable to tuberculosis each year (1). Although antimicrobial therapy should theoretically convert this deadly disease into a treatable bacterial infection, programmatic limitations prevent many of the victims from obtaining effective therapy. In regions where drugs have been available, inappropriate use has led to the selection of drug-resistant bacilli (2). Furthermore, the synergy between HIV/AIDS and TB and the added difficulties of treating both these diseases with complex multi-drug cocktails suggest that control of TB with antimicrobial agents alone may remain an elusive challenge. This paucity of chemotherapeutic options is compounded by the variable efficacy of the live attenuated M. bovis BCG vaccine strains in clinical settings (3).

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© 2002 Humana Press Inc., Totowa, NJ

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Behr, M.A., Gordon, S.V. (2002). Genomics of the Mycobacterium tuberculosis Complex and BCG Vaccines. In: Shaw, K.J. (eds) Pathogen Genomics. Infectious Disease. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-172-5_6

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  • DOI: https://doi.org/10.1007/978-1-59259-172-5_6

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4684-9683-3

  • Online ISBN: 978-1-59259-172-5

  • eBook Packages: Springer Book Archive

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