@nitpicking @luckytran I would be interested in your sources there @nitpicking . From a quick search myself, it looks like you're right that BCG is the only TB vaccine, but I can't quite see where the "nearly useless" comes from. According to a few places, but probably most credibly the CDC (https://www.cdc.gov/tb/vaccines/index.html), the reason it's not used in the USA is because there isn't much TB in the USA.
I can see from the WHO (https://www.who.int/teams/health-product-policy-and-standards/standards-and-specifications/norms-and-standards/vaccines-quality/bcg) that it seems to prevent "disseminated TB" in people who are infected, which is the "more severe form of TB", but doesn't prevent infection.
I can't see anywhere that says it only works in Europe, though.
@Josh_Gallagher @luckytran I don't currently have access to scholarly pubs (that are paywalled), but here's a link I found: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(95)92348-9/fulltext
The way I was told (by a doctor at a convention) is that results vary across geography, and no one is sure why. It never seems to have *much* of an effect. I'm not a medical researcher. What I wrote is pretty consistent with what Wikipedia says, FWIW.