Immunization Vaccination Schedule:Recommended Routine Immunization,EPI Schedule

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Immunization and Vaccination

Immunization(Vaccination) schedule

Immunization and Vaccination

BCG Vaccine

Chickenpox or Varicella Vaccine

DPT Vaccine

Frequently asked questions on immunization

Hepatitis A Vaccine

Hepatitis B Vaccine

Hib Vaccine

Human Papillomavirus vaccine

Immunization Schedule

Influenza vaccine

Measles Vaccine

Meningococcal vaccine

Polio Vaccine

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IMMUNIZATION AND IMMUNIZATION SCHEDULE

Table 1: Recommended Routine Immunization - Summary of WHO Position Papers

Antigen

Children
(see Table 2
for details)

Adolescents

Adults

Considerations (see footnotes for details)

Recommendations for all

BCG¹

1 dose

Exceptions HIV

Hepatitis B²

3-4 doses (see footnote for schedule options)

3 doses (for high-risk groups if not previously immunized) (see footnote)

Birth dose Premature and low birth weight Co-administration and combination vaccine Definition high-risk

Polio³

3 doses, with DTP

OPV birth dose Transmission and importation risk criteria Type of vaccine

DTP⁴

3 doses

Booster (DTP) 1-6 years of age

Booster (Td) (see footnote)

Booster (Td) in early adulthood or pregnancy

Delayed/ interrupted schedule Combination vaccine

Haemophilus influenzae
type b⁵

3 doses, with DTP

Single dose if 12-24 months of age Delayed/ interrupted schedule Co-administration and combination vaccine

Pneumococcal (Conjugate)⁶

3 doses, with DTP

Single dose if >12 months of age Delayed/interrupted schedule Co-administration

Rotavirus⁷

Rotarix: 2 doses with DTP
RotaTeq: 3 doses with DTP

Maximum age limits for starting/completing vaccination; Rotarix with DTP1 and DTP2.

Measles⁸

2 doses

Combination vaccine; HIV early vaccination

HPV⁹

3 doses (girls)

Vaccination of males for prevention of cervical cancer is not recommended at this time

Recommendations for certain regions

Japanese Encephalitis¹⁰

Live attenuated vaccine: 1 dose Booster after 1 year Mouse brain-derived vaccine: 2 doses Booster after 1 year, then every 3 years

Mouse brain-derived vaccine: booster every 3 years up to 10-15 years of age

Vaccine options

Yellow Fever¹¹

1 dose, with measles

Co-administration

Recommendations for some high-risk populations

Typhoid¹²

Vi polysaccharide vaccine: 1 dose; Ty21a live oral vaccine: 3-4 doses. Booster dose 3-7 years after primary series

Definition of high-risk Vaccine options

Cholera¹³

Dukoral (WC-rBS): 3 doses > 2-5 yrs, booster every 6 months; 2 doses adults/children > 6 yrs, booster dose every 2nd year Shanchol & mORCVAX: 2 doses >1 yrs, booster dose after 2 years

Minimum age Definition of high-risk

Meningococcal¹⁴ (polysaccharide)

1 dose

Definition of high-risk Conjugate vaccine

Hepatitis A¹⁵

2 doses

Definition of high-risk

Rabies¹⁶

3 doses

Definition of high-risk, booster

Recommendations for immunization programmes with certain characteristics

Mumps¹⁷

2 doses, with measles

Coverage criteria > 80% Combination vaccine

Rubella¹⁸

1 dose (see footnote)

1 dose (alternative strategy adolescent girls & child bearing age women) (see footnote)

Coverage criteria > 80% Combination vaccine

Influenza¹⁹ (inactivated)

First vaccine use: 2 doses. Revaccinate annually: 1 dose only (see footnote)

1 dose from 9 years of age. Revaccinate annually (see footnote)

Priority targets Definition of high-risk Lower dosage for children

Table 2: 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

Next : Immunization and immunization schedule(Contd.)

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