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This vaccine is used to help prevent tuberculosis (TB). It is recommended for people who have not been infected with the disease but are at an increased risk of getting it. Those at increased risk include certain health care personnel and children who live with or spend much time with people with tuberculosis. This vaccine contains live bacteria that have been weakened. It works by increasing the body's natural defense (immunity) against the bacteria. Vaccines may not fully protect everyone who receives them. This form of the vaccine is not used to treat or prevent bladder cancer.