IMPORTANT: Indian Immunization schedule recommended by Indian Academy of Pediatrics (with 2014 modifications)

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Author: Gauri Kshirsagar

2014 recommendations by IAP

2014 recommendations by IAP

Immunization is the process of artificially inducing immunity or providing protection from disease. The World Health Organization (WHO) initiated the Expanded Program on Immunization (EPI) in May 1974 with the objective to vaccinate children throughout the world. Since EPI schedule contains only few vaccines, Indian Academy of Pediatrics (IAP) schedule also includes vaccines which can be given to prevent various other infections. This schedule is modified to every year, keeping in mind newer studies and better availability of vaccines. Hence It is advised to be informed about the recent schedule available.

You can download the pdf file of 2013 version here: Immunization Schedule 2013 

There were major recommendations made to the above schedule in 2014, hence I have provided the newer modified version, which you can download as pdf file here: Immunization Schedule 2014 

OR ELSE

GO THROUGH THE DETAILS OF THE IMMUNIZATION/VACCINATION SCHEDULE BELOW:

Major changes recommended in 2014 in the above time table of 2013 include:

Measles and MMR immunization
• Two doses of MMR at 9 and 15 months
• No stand alone measles dose at 9 months
• No MMR at 4-6 years of age
Typhoid immunization
• Slot for ‘typhoid conjugate vaccine’ for primary immunization at 9-12 months of age
• Recommendation applicable only for Typbar-TCV
• Booster of either Typbar-TCV or Vi-polysaccharide (Vi-PS) vaccine at 2 years of age
• Typhoid revaccination every 3 years, if Vi-polysaccharide vaccine is used
• Need of revaccination following a booster of Typbar-TCV not yet determined
Hepatitis-A immunization
• Single dose administration of live attenuated H2 strain hepatitis A vaccine at 12 months
• Previous recommendations of two-dose is now scrapped
• Two doses for inactivated (killed) Hepatitis-A vaccine
Human Papillomavirus (HPV) vaccination
• Two doses of HPV vaccine for adolescent/preadolescent girls aged 9-14 years
• For two-dose schedule, the minimum interval between doses should be 6 months
• Three dose schedule for adolescent girls aged 15 years and older to continue
Rabies immunization
• Two new situations, children having pets in home and  children perceived with higher threat of being bitten by dogs to be included in ‘high-risk category of children’ for rabies vaccination
• These groups of children should now be offered ‘pre-exposure prophylaxis’ against rabies
Pertussis immunization
• No change in pertussis immunization recommendations of 2013
• No need of repeating/giving additional doses of wP vaccine to children who had earlier completed their primary schedule with aP vaccine-containing products

Immunization Schedule (IAP Recommended-2013)

AGE DISEASE VACCINE DOSE ROUTE DUE ON GIVEN ON
At Birth Tuberculosis BCG Intradermal Injection
Polio OPV (oral polio vaccine) 0 Oral Drops
Hepatitis B Hep B 1st Intramuscular Injection
6 Weeks

(1.5 months)

Diphtheria + Tetanus + Pertusis DTwP/DTaP 1st Intramuscular Injection
Haemophilus influenza type b Hib 1st Intramuscular Injection
Rotavirus Rotavirus 1st Oral Drops
Pneumococcal infections PCV (Pneumococcal conjugate vaccine) 1st Intramuscular Injection
Polio IPV (Injectable polio vaccine) 1st Intramuscular Injection
Hepatitis B Hep B 1st Intramuscular Injection
10 Weeks

(2.5 months)

Diphtheria + Tetanus + Pertusis DTwP/DTaP 2nd Intramuscular Injection
Haemophilus influenza type b Hib 2nd Intramuscular Injection
Rotavirus Rotavirus 2nd Oral Drops
Pneumococcal infections PCV (Pneumococcal conjugate vaccine) 2nd Intramuscular Injection
Polio IPV (Injectable polio vaccine) 2nd Intramuscular Injection
14 Weeks (3.5 months) Diphtheria + Tetanus + Pertusis DTwP/DTaP 3rd Intramuscular Injection
Haemophilus influenza type b Hib 3rd Intramuscular Injection
Rotavirus Rotavirus 3rd Oral Drops
Pneumococcal infections PCV (Pneumococcal conjugate vaccine) 3rd Intramuscular Injection
Polio IPV (Injectable polio vaccine) 3rd Intramuscular Injection
6 months Polio OPV (oral polio vaccine) 1st Oral Drops
Hepatitis B Hep B 3rd Intramuscular Injection
9 months Polio OPV (oral polio vaccine) 2nd Oral Drops
Mumps + Measles + Rubella MMR 1 Subcutaneous Injection
9 -12 Months Typhoid Typhoid Conjugate vaccine 1 Intramuscular Injection
1 year Hepatitis A Hep A 1st Intramuscular Injection
15 months

(1 year and 3 months)

Mumps + Measles + Rubella MMR 2nd Subcutaneous Injection
Chicken Pox Varicella 1st Subcutaneous Injection
Pneumococcal infections PCV (Pneumococcal conjugate vaccine) Booster Intramuscular Injection
16 to 18 months Diphtheria + Tetanus + Pertusis DTwP/DTaP Booster 1 Intramuscular Injection
Haemophilus influenza type b Hib Booster 1 Intramuscular Injection
Polio IPV (Injectable polio vaccine) Booster 1 Intramuscular Injection
18 months Hepatitis A Hep A 2nd Intramuscular Injection
2 years Typhoid Typhoid conjugate vaccine Booster Intramuscular Injection
4 to 6 years Diphtheria + Tetanus + Pertusis DTwP/DTaP Booster 2 Intramuscular Injection
Polio OPV (oral polio vaccine) 3rd Oral Drops
Chicken Pox Varicella 2nd Subcutaneous Injection
Typhoid Typhoid Booster Intramuscular Injection
10 to 12 years Tetanus Tdap/Td Intramuscular Injection
Cervical Cancer (FEMALES ONLY) HPV (Human Papilloma Virus) 3 doses in total Intramuscular Injection

FLU VACCINE:

Additionally to the above mentioned IAP schedule, paediatricians also recommend an influenza or FLU vaccine which protects from Influenza Vaccine (A&B), H1N1 Vaccine (Swine Flu).

Dosage recommendations for Flu vaccine:

Age Dose No. of doses

(first vaccination)

No. of doses #

(subsequent years)

6 months to 35 months 0.25 mL 2$ 1
1 3 to 9 years 0.5 mL 2$ 1
≥ 10 years 0.5 mL 1 1

#Where children 6 months to ≤ 9 years of age receiving influenza vaccine for the first time have not received the second dose within the same year, they should be given 2 doses the following year.

$ For children aged ≤ 9 years who are receiving influenza vaccine for the first time, it is recommended that they receive 2 doses at least 1 month apart.

* Please note, every paediatrician may follow different guidelines, depending upon the type of vaccines used. Hence detailed discussion with your doctor is advised.

To know about the cost of vaccine in India do read my post: Detailed cost of vaccination/ Immunization in India (Birth to 10 years of age)


*Thanks a lot for visiting my blog. Please do ‘★ LIKE’ the post if you found it to be useful.Your comments, suggestions, criticism and all opinions are very much appreciated. Please do write your queries in the Reply/comments section and I will try to get back to you asap.


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