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BCG vaccine: when it's given around the world

What the BCG (tuberculosis) vaccine protects against, when each country gives it, and the side effects that are normal - explained simply.

5/14countries give it routinely
+ 5 more offer it outside the routine schedule
1 dosein childhood
Birthearliest first dose

What the BCG (tuberculosis) vaccine protects against

Given as a single injection, usually into the upper arm, leaving a small scar. It does not prevent all TB but strongly protects babies and young children against the most severe forms - TB meningitis and disseminated (miliary) TB.

Also known as: Bacille Calmette-Guerin

Why children are given it

Used routinely in countries where TB is common (South Africa, India, Brazil, Russia and others) and offered selectively elsewhere to babies with a higher chance of exposure.

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When each country gives it

From each country's official schedule, checked against its sources (last full check 2026-09-16). Tap a country for its whole schedule and a personalised timeline.

CountryRoutine doses
🇬🇧 United Kingdom Not on the routine schedule
Also offered: BCG (tuberculosis) vaccine - Around 28 days old. Babies more likely to come into contact with TB - for example those with a parent or grandparent from a country with high TB rates, or living in an area of the UK with higher TB levels.
🇺🇸 United States Not on the routine schedule
🇨🇦 Canada Not on the routine schedule
Also offered: BCG (tuberculosis) - Infancy. Offered to infants in some First Nations and Inuit communities with high rates of tuberculosis.
🇦🇺 Australia Not on the routine schedule
🇿🇦 South Africa
Birth (1 dose)
BCG
🇮🇳 India
Birth (1 dose)
BCG
🇷🇺 Russia
3 to 7 days (1 dose)
BCG-M (tuberculosis)
🇩🇪 Germany Not on the routine schedule
🇮🇪 Ireland Not on the routine schedule
Also offered: BCG (tuberculosis) - Infancy, if indicated. No longer routine in Ireland; offered to babies at higher risk of TB exposure.
🇳🇿 New Zealand Not on the routine schedule
Also offered: BCG (tuberculosis) - Infancy. Offered to babies at higher risk of TB, for example those living with or travelling to countries with high TB rates.
🇫🇷 France Not on the routine schedule
Also offered: BCG (tuberculosis) - From 1 month. Recommended (no longer mandatory) for children at higher risk of TB - for example those born in or with family from a high-incidence country, or living in Ile-de-France, Guyane or Mayotte.
🇳🇱 Netherlands Not on the routine schedule
🇧🇷 Brazil
Birth (1 dose)
BCG
🇸🇬 Singapore
Birth (1 dose)
BCG

Good to know

  • BCG mainly protects babies and young children against the most severe forms of TB, such as TB meningitis.
  • Countries where TB is common give it to every baby; others offer it only to babies more likely to be exposed.
  • It is given just once in childhood.

Side effects: what is normal

  • A small blister or sore forms where the injection was given a few weeks later. It can ooze a little before healing over several weeks and usually leaves a small scar - this is normal.
  • Keep it clean and dry and do not cover it with a plaster or put cream on it.
  • See your doctor if it becomes very large, very painful or the glands in the armpit swell.

Most side effects are mild and pass within a day or two. Get medical advice straight away if your child has trouble breathing, swelling of the face or mouth, a fit, a temperature of 38°C or more in a baby under 3 months, or you are worried in any way. In an emergency, call your local emergency number.

This page is general information, not medical advice. Your doctor, nurse, health visitor or pharmacist can advise on your own child.

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Common questions

It depends on the country. Across the 5 countries that include it on their routine schedule, the first dose is given from Birth to 3 to 7 days. The table on this page shows every country.

Routine schedules give 1 dose in childhood, depending on the country and the product used. Combination vaccines can mean one injection counts towards several diseases.

It is routine in 5 of the 14 countries on this site. United Kingdom, Canada, Ireland, New Zealand and France offer it to particular groups of children (for example by season, health condition or risk). We do not currently list it on the childhood schedule for United States, Australia, Germany and Netherlands - some countries run separate regional, seasonal or risk-group programmes, so ask your local clinic.

Yes. Vaccines on the childhood schedule are given by age, not by sex - girls and boys receive the same doses at the same ages.

It is almost never too late to catch up, and a missed dose rarely means starting again - your doctor or nurse will continue from where your child left off. A few vaccines (such as rotavirus) have upper age limits. Contact your clinic to book a catch-up appointment.

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