Risk of lymphoma and leukaemia after bacille Calmette-Guérin and smallpox vaccination: a Danish case-cohort study

Research output: Contribution to journalJournal articleResearchpeer-review

  • Marie Villumsen
  • Signe Sørup
  • Tine Jess
  • Henrik Ravn
  • Thomas Relander
  • Jennifer L Baker
  • Christine Stabell Benn
  • Sørensen, Thorkild I.A.
  • Peter Aaby
  • Adam Roth
Vaccines may have non-specific effects as suggested mainly in mortality studies from low-income countries. The objective was to examine the effects of BCG and smallpox vaccinations on subsequent risk of lymphoma and leukaemia in a Danish population experiencing rapid out-phasing of these vaccines. In a background cohort (N=47,622) from the Copenhagen School Health Records Register, cases of leukaemia (N=20) and lymphoma (N=51) were identified through the Danish Cancer Registry. The vaccination status of the cases was compared with the vaccination status of a 5% random sample (N=2073) of the background cohort and analysed in a case-cohort design. BCG vaccination reduced the risk of lymphomas (HR=0.49 (95% CI: 0.26-0.93)), whereas smallpox vaccination did not (HR=1.32 (0.56-3.08)). With the small number of leukaemia cases, the analysis of leukaemia had limited power (BCG vaccination HR=0.81 (0.31-2.16); smallpox vaccination HR=1.32 (0.49-3.53)). The present study with very reliable vaccine history information indicates a beneficial effect of BCG vaccination on the risk of lymphomas.
Original languageEnglish
JournalVaccine
Volume27
Issue number49
Pages (from-to)6950-8
Number of pages9
ISSN0264-410X
DOIs
Publication statusPublished - 2009

Bibliographical note

Keywords: Age of Onset; BCG Vaccine; Cohort Studies; Denmark; Female; Humans; Leukemia; Lymphoma; Male; Proportional Hazards Models; Risk Factors; Smallpox Vaccine; Vaccination

ID: 20421062