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  Vaccination Information
        This is one of the most important aspect of preventive pediatrics. Immunization in India has still not achieved the goal
of "Immunization of All children". Even amongst the doctors there still remains controversy as the specific timing of
vaccination. Immunization schedule given below is the most commonly accepted schedule.
National Immunization Schedule
AGE VACCINE ROUTE OF ADMINISTRATION
 3 rd day to 3 month  B.C.G  Intradermal
 2 nd Month  1 st dose Polio-OPV  Oral
 3 rd Month
 2 nd dose Polio – OPV
 Triple Antigen – DPT
 Oral
 Intra Muscular
 4 th Month
 3 rd dose Polio – OPV
 Triple Antigen – DPT
 Oral
 Intra Muscular
 5 th Month
 4 th dose Polio – OPV
 Triple Antigen – DPT
 Oral
 Intra Muscular
 6 th Month  5 th dose Polio – OPV  Oral
 7 th Month to 9 month  Measles Vaccine  Subcutaneous
 18 Month
 1 st Booster Dose of Polio
 Triple Antigen – DPT
 Oral
 Intra Muscular
 4 to 5 Year
 2 nd Booster Dose Of Polio
 Triple Antigen – DPT
 Oral
 Intra Muscular
 Adults  Tetanus Toxoid  Every 2-5 Year
        Measles Vaccine: Only can be given to a child at the age of 9 month or even before that, if there is an epidemic of
measles. A booster dose of MMR should be given at the age of 15-18 months.
        Effectivness of BCG: Controversy regarding effectiveness of BCG is still going on. BCG does not prevent formation of
primary complex but it certainly helps to prevent severe form of Tuberculosis Therefore it should be advised to all neonates
Oral Polio Vaccine
  Low grade fever which may appear 12-24 hour after vaccination and lasts for a day or two.
Triple Vaccine
  Low grade fever 12-24 hour after the injection
Immunization other than Routine
Cholera
        Used only during an epidemic of cholera. It can be combined with TAB vaccine or given alone. Dose 0.5 ml IM or
subcutaneous. Children below 2 year will require 0.2 ml and thosebetween 2-10 year require 0.3 ml.
ARV Vaccine (Anti rabies)
        Any dog bite should be treated with ARV immediately if
1.  The dog is rabid
2.  Street dog which cannot be traced.
3.  All bites from wild animals like monkey, jackal
Hepatitis Vaccine
        There is a lot of confusion among patients about jaundice vaccine. There is a confusion about the cost of the vaccine
when the childe is brought for vaccination. It is better to explain the mother in brief about Hepatitis A and Hepatitis B.
Mode of transmission, schedule of vaccine, booster dose and protectivity against which type of hepatitis. This should be
explained to the mother. Many a time parents are under false belief that they have given Hepatitis B vaccine, so the child
will never get jaundice in his lifetime. This is a misconception, The child I not vaccinated against Hepatitis A as it is a water
born disease, and more common, so unless you vaccinated the child against Hepatitis A, he has got chances of getting jaundice in the future.
Hepatitis B Vaccine- (Engirex)
        Hepatitis B Vaccine can be given as soon as possible after delivery. It is a routine practice in many nursing home to give
oral polio (Zero polio), BCG and Hepatitis B vaccine before discharging the new born baby form the nursing home.
Chicken Pox vaccine – (Varilix)
        Though the vaccine is costly, protectivity with single dose is good and it can save the child from chicken pox and its
complications.
Haemophilus influenzae Type b Vaccine – (Hibtitre)
        This Infection is more common in children below 5 year. Vaccine available for this is capsular polysaccharide
conjugated with various proteins.
Typhoid Vaccine – (Typhim –V)
        Newer typhoid vaccine prepared from typhoid V; antigen. It has many advantages over conventional TAB vaccine. It is
given as a Single doesn’t produce induration fever and headache.
Rabies Vaccine – (Rabipur)
        Conventional ARV is a Never tissue Vaccine. It has got side effects like local pain, induration, allergic rash, anaplylaxis
and neuroparalytical complication. Newer vaccine is prepared by growing virus on chick embryo.
Pulse Polio Immunization
        Since 1996 this special programme is implemented to achieve the goal of polio eradication. During the month of
December and January on one particular day all children below 5 year age are given oral polio vaccine. This programme is
implemented throughout the country on the same day. By this method attenuated polio virus outnumbers wild polio virus and
survival of wild polio virus is difficult. This programme has brought India toward polio eradication.
 
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