Category Archives: Immunization and Vaccines

16

Detailed cost of vaccination/ Immunization in India (Birth to 10 years of age) – with 2017 updated pdf file download

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Author: Gauri Kshirsagar

cost-of-vaccine

 

In India, there are number of vaccines given to a child since birth right upto the age of five years and each vaccine has a different schedule and dosage. To complicate further every vaccine has multiple brand names which determines its market cost. There isn’t a proper site which lists out the cost according to the Immunization schedule.

Hence to ease out this nerve wracking job of calculating the cost of vaccination each time you visit a doctor, I have compiled a list of various vaccines with their brand names, cost given at each week. So do download the file and relax!!!

FOR A COLOUR CODED AND SIMPLIFIED VERSION  DOWNLOAD THE 2017 updated PDF FILE HERE:  Detailed cost of vaccination in India 2017

PLEASE NOTE:

  1. Prices are as that of on February 2017, Variations may occur in the upcoming months
  2. Prices differ from one company to another, unlike in the West.
  3. Prices are only indicative, and subject to variation.
  4. The charges at a peadiatrian’s clinic may also include OPD/consultation charges, hence total cost may vary
  5. The cost also varies depending on the amount vaccine in a vial bought. Single vaccine vial will cost more, hence cost of some of the vaccines hasbeen mentioned as single dose or multiple dose.
  6. The choice of DPT combination vaccine may change the immunization schedule. To know how, first read my post: Painful versus painless vaccines – Article on different DPT combination vaccines
  7. Please also download the Recent immunization schedule by IAP -2014, which I have simplified and colour coded from this link: IMPORTANT: Indian Immunization schedule recommended by Indian Academy of Pediatrics (with 2014 modifications)
  8. The Immunization schedule of Indian Academy of Pediatrics (IAP) and Government recommended Universal Immunization Programme (UIP) are two different schedules.
  9. Do consult your doctor thoroughly before every vaccination.
  10. Cost of booster may cost less (200 -500 Rupees) than the main vaccine

*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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Comparing effectiveness of two types of pertussis vaccines (Cellular and Acellular DPT/DTP Vaccine)

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There is a lot of discussion and comparison between the efficacy of Acellular DPT vaccine and the adverse effects of cellular DPT vaccine. Acellular (painless) DPT was introduced in the late 90s as a replacement of cellular DPT to bring down the number of adverse effects of the later. But recent comparitive studies (done in 2013) show slight increase in the efficacy of cellular vaccine compared to that acellular vaccine. A friend of mine was in a delimma, when her pediatrician suggested her to go for a cellular DPT vaccine as a booster dose, instead of the usually acellular vaccine which her baby had immunized with. This made me to refer and  read a lot of studies regarding the same. I came upon the following article (link given below) which sums it up very well (so no need to for me, to have another write up).Do refer the following artical (with citations) before selecting which type of vaccine to be given to your child : “Comparing effectiveness of two types of pertussis vaccines“

To know more about the difference between both the vaccines you can refer to my previous article  “Painful versus painless vaccines- Article on different DPT combination vaccines”

*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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166

Detailed cost of vaccination/ Immunization in India (Birth to 10 years of age) – with pdf file download

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Author: Gauri Kshirsagar

Cost of Vaccination/ Immunization in India

 

 

2017-update-picture

For the updated 2017 cost list of Vaccines click here: Detailed cost of vaccination/ Immunization in India (Birth to 10 years of age) – with 2017 updated pdf file download

 

 

In India, there are number of vaccines given to a child since birth right upto the age of five years. and each vaccine has a different schedule and dosage. To complicate further every vaccine has multiple brand names which determines its market cost. There isn’t a proper site which lists out the cost according to the Immunization schedule.

Hence to ease out this nerve wracking job of calculating the cost of vaccination each time you visit a doctor, I have compiled a list of various vaccines with their brand names, cost given at each week. So do download the file and relax!!!

FOR A COLOR CODED AND SIMPLIFIED VERSION  DOWNLOAD THE PDF FILE HERE: Detailed cost of vaccination in India

OR ELSE

GO THROUGH THE DETAILED COST OF VACCINES/IMMUNIZATION IN INDIA BELOW:

PLEASE NOTE:

  1. Prices are as that of on July 2015, Variations may occur in the upcoming months
  2. Prices differ from one company to another, unlike in the West.
  3. Prices are only indicative, and subject to variation.
  4. The charges at a peadiatrian’s clinic may also include OPD/consultation charges, hence total cost may vary
  5. The cost also varies depending on the amount vaccine in a vial bought. Single vaccine vial will cost more, hence some of the vaccines have a range of the cost in the document.
  6. The choice of DPT combination vaccine may change the immunization schedule. To know how, first read my post: Painful versus painless vaccines – Article on different DPT combination vaccines
  7. Please also download the Recent immunization schedule by IAP -2014, which I have simplified and colour coded from this link: IMPORTANT: Indian Immunization schedule recommended by Indian Academy of Pediatrics (with 2014 modifications)
  8. Do consult your doctor thoroughly before every vaccination.
  9. Cost of booster may cost less (200 -500 Rupees) than the main vaccine

Detailed cost of vaccination/ Immunization in India (Birth to 10 years of age)

Glossary:

  • IPV= Injectable Polio vaccine
  • OPV= Oral polio vaccine (these are oral drops, which is also given in “Pulse Polio Programme”)
  • DPT= Diphtheria + Pertusis +Tetanus vaccine (3 Diseases)
  • HiB= Hemophilus Influenza B vaccine
  • Hep B= Hepatitis B
  • MMR= Measles, Mumps, Rubella vaccine (3 Diseases)
  • PCV= Pneumococcal Vaccine
  • Varicella= Chicken Pox


Age Vaccine Brand/Manufacturer Indian Rupees/dose*(Approximate cost)
AT BIRTH BCG Serum India Limited 10
Aventis Pastur 25
OPV – Zero Dose Panacea Laboratories 115
Halfkin Bio-Pharmaceuticals 72
Aventis Pasteur India Ltd 72
Hepatitis B Engerix Paed 249
Enivac HB Paed 100
Revac B Pead 100
6 WEEKS10 WEEKS

14 WEEKS

 These below vaccine (at 6,10 & 14 weeks) can be given in combination or seperately, hence the cost will vary on the combination and brand used. Following are some available combinations in India:
1.      DPT – 12.      IPV–1

3.      HiB – 1

4.      HEPATITIS B (at  6 weeks only and not at 10 and 14 weeks)

 Triple Antigen DPT 3 (GSK)11(Bio E)

16 (Serum Intl)
Tripvac DPT 11
Infanrix DPaT 699
Tripacel DPwT 750
Easy four DPT +HIB 530
Easy five DPT+HIB +HEP B 585
Ecovac DPT+ HEP B 1090
Pentavac DPT +HIB +HEPB 500
Pentaxim DTaP+HIB +IPV 1893
Imovax polio IPV 365
Erapol IPV 35
Hiberix HiB 325
Peda HIB HiB 250 – 350
5.      ROTAVIRUS -1 ROTARIX (by GSK)TWO doses are required at one month interval Rs. 1099/dose(Total cost: Rs. 2198).
ROTATEQ (by MSD)THREE doses are required at one month interval Rs. 900/ dose(Total cost Rs. 2700)
6.      PCV –1 Prevnar-13 3800
6 Months OPV – 1 Panacea Laboratories 115
Halfkin Bio-Pharmaceuticals 72
Aventis Pasteur India Ltd 72
Hepatitis B Engerix Paed 249
Enivac HB Paed 100
Revac B Pead 100
9 Months OPV – 2 Panacea Laboratories 115
Halfkin Bio-Pharmaceuticals 72
Aventis Pasteur India Ltd 72
MMR -1 Tresivac 116
Trimovax 72
Trimovax Merieux 70
Morupar 75
Priorix 499
9-12 Months Typhoid -1 Typherix 290
Typhivax 290
12 Months Hepatitis A Avaxim Paediatric (80 Unit) 915
Havrix 1099 – 1650
Biovac-A 1210
15 Months MMR-2 Tresivac 116
Trimovax 72
Trimovax Merieux 70
Morupar 75
Priorix 499
Varicella -1 Okavax 1345
Varilrix 1345
PCV – Booster Prevnar-13 3800
16- 18 months DTwP/DTaP  Booster

Hib Booster

IPV Booster

 Triple Antigen DPT 3 (GSK)11(Bio E)

16 (Serum Intl)
Tripvac DPT 11
Infanrix DPaT 699
Tripacel DPwT 750
Easy four DPT +HIB 530
Pentavac DPT +HIB +HEPB 500
Pentaxim DTaP+HIB +IPV 1893
Imovax polio IPV 365
Erapol IPV 35
Hiberix HiB 325
Peda HIB HiB 250 – 350
18 months Hep A-2 Avaxim Paediatric (80 Unit) 915
Havrix 1099 – 1650
Biovac-A 1210
2 years Typhoid Booster Typherix 290
Typhivax 290
4 to 6 years DTwP/DTaP Triple Antigen DPT 3 (GSK)11(Bio E)

16 (Serum Intl)
Tripvac DPT 11
Infanrix DPaT 699
Tripacel DPwT 750
OPV (oral polio vaccine) Panacea Laboratories 115
Halfkin Bio-Pharmaceuticals 72
Aventis Pasteur India Ltd 72
Varicella Okavax 1345
Varilrix 1345
Typhoid Booster Typherix 290
Typhivax 290
10 to 12 years Tdap/Td Boostrix 769
HPV Cervarix 6000
Gardasil 8400

 

*Range of cost varies with ampoules of injection available. For example a 10 ml of ampoule will cost lesser per dose of 0.5ml when divided, than a 0.5 ml ampoule

 

FLU VACCINE

Additionally to the above mentioned IAP schedule, paediatricians also recommend an influenza vaccine which protects from Influenza Vaccine (A&B), H1N1 Vaccine (Swine Flu). The following are the brands with their cost, which are available in India:

Vaxigrip-pead 556 Rupees
Influvac 650 Rupees

 

 

*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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50

Painful versus painless vaccines – Article on different DPT combination vaccines

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Author: Gauri Kshirsagar

DPT vaccines

DPT vaccines

The combination of diphtheria, tetanus, and pertussis (DPT) vaccines into a single product has been central to the protection of the pediatric population over the past 50 years. The addition of inactivated polio, Haemophilus influenzae, and hepatitis B vaccines into the combination has facilitated the introduction of these vaccines into recommended immunization schedules by reducing the number of injections required and has therefore increased immunization compliance.

What is the advantage of combination vaccines?

  1. Fewer Injections
  2. Reduced trauma to the infant
  3. Higher rate of compliance with complex vaccine schedules
  4. Better vaccine coverage
  5. Timely vaccination – vaccine schedule completed on time
  6. Reduced administration cost
  7. Lower storage space requirement
  8. Allows incorporation of newer vaccines in the schedule

What different types of combinations with DPT which are available in the market?

The commercial vaccines available vary in combinations related to their contents and also differ in costs and side effects.

Combination vaccines are available for

  • DPT + Hepatitis B (quadrivalent vaccine)
  • DPT + Hepatitis B + Hib vaccine (pentavalent vaccine) e.g.Easy-five® or Pentavac®
  • DPT + Hib vaccine + IPV (pentavalent vaccine) e.g.Pentaxim®

What are painless and painful vaccines?

Previously the vaccines at 6, 10 and 14 weeks were each given separately, in which the DPT vaccine was a very painful one. The pain used to last for 24 hours, associated with fever and irritability. DPT vaccine, is now available in “whole cell” and “acellular forms” i.e pertaining to the type of Pertusis agent used (either DPT or DPaT). The acellular vaccine has fewer side effects. Some forums, mention these two different vaccines as “painful” or “painless”. The difference is that, the acellular vaccine will have less pain and lesser side effects like fever or irritability than the cellular one (but it will pain while administering the injection). DPT(painful) combination vaccine is available in the market as Easy-five® or Pentavac®, while DTaP (painless) combination vaccine is called as Pentaxim®.

What is the difference between Easy-five® or Pentavac® AND Pentaxim®

When you go to the health center to get your baby vaccinated, you will be given an option to choose between Easy-five® (Pentavac®) OR  Pentaxim® vaccine. Easy-five®  and Pentaxim®  both give protection against 5 diseases.  Let us see how the two differ:

Easy-five® or Pentavac®          Pentaxim®
Vaccine contains DTP Vaccine contains DTaP
DTP stands for:

1.      Diptheria,

2.     Tetanus

3.     Pertusis

Easy-five® covers:

1.      Diptheria,

2.     Pertussis (cellular component), ,

3.      Tetanus

4.      Haemophilus Influenza type B

5.      Hepatitis B.

 DTaP stands for

1.      Diptheria,

2.      Tetanus

3.      Acellular Pertusis

Pentaxim® covers:

1.      Diptheria,

2.      Pertusis (Acellular Component) ,

3.      Tetanus,

4.      Haemophilus influenza type B

5.      IPV (injectable polio vaccine).
Protection offered is similar, but DTP has side-effects like fever and irritability DTaP does not have these side-effects.
DTP is less expensive.

Easy-five® costs about Rs. 950/- and  Pentavac® costs about Rs. 500/-

 DTaP is more expensive.

Pentaxim® costs about Rs. 2250/-

Does the immunization schedule change on the choice of vaccine depending on if its a painless or painful vaccine?

YES!!!!

It is upto you to decide which vaccine to administer depending on all these factors. If you go for Easy-five®, baby should be given injectable polio vaccine, while in case of Pentaxim® hepatitis-B vaccine must administered separately.

The Schedule of the vaccines will change according to brand of vaccine preferred. I personally preferred Pentaxim® vaccine because of easy availability, easy compliance, lesser post vaccination side effects like fever, irritability etc and there is no confusion regarding the Hepatitis B vaccine schedule. Following is an example of how the schedule will vary according to the type of vaccine:

Easy-five® or Pentavac® Pentaxim®
Birth 1.     BCG

2.     OPV – Zero Dose

3.     Hep B Vaccine – I

 1.      BCG

2.      OPV – Zero Dose

3.      Hep B Vaccine – I
1 Month — Hepatitis B – 2
6 Weeks 1.     Pentavac -1

2.     IPV -1

3.     Rotavirus – 1

4.     PCV-1 (Can be given now or after 1 week)

 1.     Pentaxim-1

2.     Rotavirus- 1

3.     PCV-1 (Can be given now or after 1 week)
10 Weeks 1.     Pentavac – 2

2.     IPV -2

3.     Rotavirus – 2

4.     PCV-1 (Can be given now or after 1 week)

 1.     Pentaxim -2

2.     Rotavirus- 2

3.     PCV-2 (Can be given now or after 1 week)
14 Weeks 1.     Pentavac -3

2.     IPV -3

3.     Rotavirus – 3

4.     PCV-3 (Can be given now or after 1 week)

 1.     Pentaxim -2

2.     Rotavirus- 2

3.     PCV-2 (Can be given now or after 1 week)
6 Months —– Hepatitis B – 3

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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0

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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