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Immunisation






 
Childhood Vaccination Schedule

The Government of India adopted the Universal Immunization Programme in 1985. This is given in the table below. This has been partly modified by the Indian Academy of Paediatrics, the official body of paediatricians, who look after the health needs of children.

Vaccine Govt. of India IAP Schedule


 
 BCG  (against tuberculosis)

 Birth or 6 weeks Birth – 2 weeks
 OPV  (against Polio)

 Birth 6,10,14 weeks, 15-18 months Birth 6,10,14 weeks, 15-18 months, 5  years
 HB  (against Hepatitis B)

 Birth, 6 weeks, 6-9 months, 10 years
 DPT  (against diphteria, whooping cough, tetanus)

 6,10,14 weeks, 15-18 months 6,10,14 weeks, 15-18 months, 5 years
 Measles

 9 months 9 months plus
 MMR  (against measles,mumps,rubella )

 15-18 months
 DT  (against diphtheria and tetanus)

 5 years
 TT  (against tetanus)

 10 and 16 years 10-16 years

Optional Vaccines

Vaccines are now available against many other diseases. They do not form part of the Universal Immunization Programme. The doctor is the best person to advise whether these vaccinations need to be taken or not. These optional vaccines are:

Typhoid
Haemophilus influenza B - HiB vaccine against bacterial meningitis
Chicken pox
Hepatitis A
Pneumococcus against pneumonia

 
 
Common adverse effects of Vaccination

Pain at the site of injection
Low grade fever
Mild rash
Painful swelling of the local lymph glands
Besides these effects that may occur with several vaccines, there are some specific adverse effects ofvaccines. Patients are advised to discuss these at length with their paediatrician before vaccination.
 
 
Can a child with mild illness be vaccinated
 
A child with a minor illness can safely be immunized. Minor illnesses include the following:

low-grade fever
ear infection
cough
runny nose
mild diarrhoea in an otherwise healthy child

Children with other health problems may need to avoid certain vaccines or get them later than usual. Forexample, children with certain types of cancers or problems with their immune systems should not get livevirus vaccines like the MMR, varicella (chicken pox), or oral polio vaccines. For children who have fits, the pertussis (whooping cough) part of the DPT vaccine may need to be delayed. The paediatrician should beconsulted in case of doubt.

 


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