Dr. Chirag Mittal
Cornea Surgeon & Eye Specialist
Dr. Himani Mittal
Newborn & Child Specialist
Superspeciality Centre for Eyes & Childhood Diseases
Immunization / Vaccination Services
Immunization / Vaccination Services include preventive immunization of newborns, infants, children, adolescents, adults and elderly.
Immunization Schedule for children 0-5 years
Ist year vaccines
BCG
Is a vaccine against TB or Tuberculosis and is given intradermally on left shoulder.
IPV
Injectable Polio Vaccine.
OPV
Oral Polio Vaccine.IPV is the preferred mode of immunization, however a combination of IPV and OPV will give better protection.
DTAP/DTWP DIPHTHERIA,TETANUS PERTUSSIS (WHOOPING COUGH) - PERTUSSIS
Vaccine is available as aP – (acellular Pertussis) and wP (whole cell pertussis).
They are both very effective vaccines, the only difference between the two being that ‘aP’ –gives lesser reactions like fever and pain at site of injection than ‘wP’.
‘aP’ is however very useful in children with history of birth anoxia/trauma and febrile convulsions etc.
HIB
Is a bacteria called Haemophilus Infuenzae B which causes blood infections (Septicemia), ear infections and brain infections (meningitis) in children under the age of 5 years.
ROTAVIRUS VACCINE
This vaccine is given in 2 or 3 doses before the age of 6 months and is given orally to prevent diarrhoea caused by rotavirus.
MEASLES
Measles alone or Measles, Mumps and Rubella (German Measles) MMR may be given when the baby is 9 months complete.
FLU VACCINE
Is given from the age of 7-9 months. Two doses in the first year – 4-6 weeks apart.
TYPHOID CONJUGATE VACCINE
Prevents typhoid fever. This may be repeated 1-2 years later. No subsequent doses are required.
Vaccines in 2nd year
Vaccines in 3rd and 4th year
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Flu Vaccine may be given every year .
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Typhoid Conjugate Vaccine may be repeated at age 2 years. If no typhoid vaccine has been given earlier, it can be administered at any age – and a booster dose may be give after 2 years.
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Meningococcal Vaccine prevents one of the most serious forms of meningitis caused by meningococci. It is given in a single dose (in India) after the age of 2 years – till adolescent and young adulthood.
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Vaccines at 4 ½ - 5 years
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DTaP +IPV booster , MMR and Chicken Pox Boosters and any catch up vaccines which may not have been given for any reason earlier.
SO YOU THOUGHT VACCINES WERE ONLY FOR CHILDREN UNDER FIVE YEARS !
HERE’S WHY – AND WHAT OF VACCINES IN DIFFERENT AGE GROUPS.
VACCINES FOR OLDER CHILDREN/ADOLESCENTS,ADULTS,ELDERLY : VACCINES PREVENT DISEASE, DISABILITY AND DEATH IN ALL AGE GROUPS.
AGE GROUP – VACCINES FOR OLDER CHILDREN & ADOLESCENTS (5-6 YEARS TO 18 YEARS)
5 years
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a) DTaP booster
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b) MMR (MUMPS, MEASLES, RUBELLA) booster
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c) Chicken Pox booster
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d) And may be a catch up Typhoid booster
10 years Tap booster
15-18 years Tap booster
For Girls
HPV (Human Papilloma Virus) vaccine, also known to cause Cancer of the Cervix (mouth of uterus) given in 3 doses a) zero, 1 and 6 months
OR
b) zero, 2 and 6 months.
This vaccine is recommended for females from 10 years to 45 years age
From pre-sexual exposure till 45 years – since the HPV virus is transmitted by way of sexual exposure from male to female.
Meningococcal Vaccine prevents most deadly meningitis caused by MENINGOCOCCUS is given from age 2 years to 50 years but more commonly to children and adolescents, school going or in hostels.
Its given as a single dose vaccine.
VACCINES FOR ADULTS
Tetanus Vaccine
a) Needs to be given to all adults every 5-10 years.
b) No in between doses are required in between for trivial injuries – unless there is a major accident/trauma.
Hepatitis B Vaccine
a) Is given in 3 doses at zero, one and 6 month interval.
b) If given in childhood, it does not need to be repeated later at any stage.
c) But if not vaccinated in childhood, all adults must receive this vaccine irrespective of age.
Typhoid Vaccine
a) Typhoid is a water and food borne disease – which can be transmitted to both children and adults – since our public hygiene leaves a lot to be desired.
b) Two doses of this relatively new conjugate typhoid vaccines given at 1-2 years intervals gives long lasting immunity. So this vaccine is a must for children, adolescents and adults.
Hepatitis A Vaccine
Hepatitis A Vaccine is given for prevention against hepatitis A or the water borne jaundice and is recommended for infants, children, adolescents and adults in 2 doses at zero and 6 months interval.
VACCINES FOR THE ELDERLY
Pneumococcal Vaccine Prevenar 13 is a vaccine which must be given to the elderly in a single dose after the age of 55 years to prevent bacterial pneumonia caused by the bacteria Pneumococcus.
Flu Vaccine
a) Is administered every year from age 6-7 months onwards.
b) It is especially important for the elderly i.e. 50 years plus.
Vaccine Name | Time Period |
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TYPHOID CONJUGATE VACCINE | 1 Year |
FLU VACCINE | 6-8 Months
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MEASLES/MMR | 9 Months
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ROTAVIRUS – 2 | 12-14 Weeks
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ROTAVIRUS - 1 | 6-8 Weeks
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HEPATITIS B3 + OPV | 6 Months
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PNEUMO COCCAL VACCINE3 | 14-16 Weeks
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IPV3,DTaP/DTwP3 + Hib3 | 14-16 Weeks |
PNEUMO COCCAL VACCINE-2 | 10-12 Weeks
|
IPV2,DTaP/DTwP2 + Hib2 | 10-12 Weeks |
PNEUMO COCCAL VACCINE1 | 6-8 Weeks |
IPV1,DTaP/DTwP1 + Hib1 | 6-8 Weeks
|
Hepatitis B-2 | 4-6 Weeks |
BCG- HepatitisB -1, OPV | At Birth |
Vaccine Name | Time Period |
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Flu Vaccine | Given in a single dose every year
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Hepatitis A Vaccine | Given in 2 doses at 6 months interval,Starting from age 18-19 months
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IPV, DTaP/DTwP/Hib 1st booster | At 15-18 months
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PNEUMOCOCCAL VACCINE 1st booster | At 15-18 months
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Chicken Pox or Variculla Vaccine | At 15 months
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MMR (Mumps,Measles,Rubella) | At 15 months
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