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IMMUNIZATION OR VACCINATION

Continued...

Table I: EPI schedules as recommended by Govt. of India.
Birth -15 days - BCG + OPV (ZERO DOSE)
6 weeks -OPV1 + DPwT1 + Hep B1 + Hib 1*
10 weeks - OPV2 + DPwT2 + Hep B2+ Hib 2*
14 weeks - OPV3 + DPwT3 + Hep B3+ Hib 2*
9 months - Measles vaccine
15 months-18 months - 1st booster of OPV/ DPwT + MMR*
5 years -6 years - 2nd booster of DPwT
10 years - Tetanus Toxoid
16 years - Tetanus Toxoid

* These vaccines have been introduced in few states currently

HepB = Hepatitis B vaccine


Vaccination schedule recommended by Indian Academy of Pediatrics (IAP) 2011:

Table II- IAP Time Schedule of routine vaccination

Birth - 15 days BCG + OPV (zero dose) +HepB1
6 weeks - 8 weeks OPV1 +IPV1 + DPT1* + HepB2 + Hib1 + Rotavirus1 + PCV1
10 weeks - 12 weeks OPV2 + IPV2 + DPT2* + Hib2 + Rotavirus2 + PCV2
14 weeks - 16 weeks OPV3 + IPV3 + DPT3* + HepB3$ + Hib3 + Rotavirus3# + PCV3
9 months (completed) Measles vaccine
12 months Hepatitis A1
15 months MMR1 + Varicella + PCV booster
18 months OPV4 + IPV booster1 + DPT*booster1 + Hib booster1 + Hepatitis A2
2 years Typhoid vaccine (give repeat shots every 3 years)
5 years OPV5 + DPT* booster2 +MMR2^ + Varicella2$$
10 - 12 years Tdap/Td (Every 10 years then give Td)+ HPV**

*DPT: It is given either as DPaT or DPwT

**HPV is given only in females (3 doses at 0,1-2 months and 6 months interval)

#Rotavirus 3rd dose may be required only with one brand)

^ MMR 2nd dose can be given at any time 4-8 weeks after the first dose

$ The 3rd dose of Hepatitis B vaccine can be given at 6 months of age

$$ Varicella 2nd dose can be given anytime 3 months from the first dose

PCV= Pneumococcal conjugated vaccine, IPV= Injectable polio vaccine, Varicella vaccine = Protects against chickenpox, Tdap = Tetanus toxoid + adult dose of pertussis and diphtheria toxoid, Td = Tetanus toxoid + adult dose of pertussis toxoid, HPV= Human papillomavirus

Q. Are there some more vaccines given by doctors?
A. These include typhoid vaccine & Hib vaccine. These are costly vaccines. But for the cost, they are recommended as routine vaccines for all children. The currently available typhoid vaccines given are after 2 years of age & repeated every 3-5 years there after. Common childhood diseases like hepatitis A & chicken pox lead to more suffering but very less chance of death. These diseases are usually mild & self-limiting in children & hence option of routine vaccination of children is left to parents. This makes their use optional as per wishes of parents. Chickenpox and Hepatitis A vaccine can be given after 1 year of age.

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