While adult tuberculosis vaccination efforts have begun in parts of Maharashtra, Mumbai—home to some of the country’s highest TB case rates—remains without access. The rollout has been stalled for months due to a dispute between the BMC and community health volunteers over unpaid remuneration for conducting a Maratha reservation survey. After months of deadlock, however, a resolution may be in sight.

The state aims to vaccinate 3 million beneficiaries across all districts, excluding Mumbai, by November. Currently, the BCG (Bacillus Calmette-Guérin) vaccine for TB is administered at birth or within the first year of life. In Mumbai, the first step in the adult BCG vaccination process—a survey of the eligible population, originally scheduled for April in 12 wards—has been indefinitely delayed.