 In 1919 the Commissariat of Public Health established a TB Commission.The incidence of tuberculosis in Moscow was about three times that in London in 1922.The director of the Institute of Control of Serums and Vaccines in Russia, Tarasevich, brought a serum of the BCG vaccine from the Pasteur Institute in 1925 and a vaccination programme started shortly afterwards, starting with children in homes with an active TB patient, but there was initially very low take up.