Vaccination is very important for the health of children. The National Immunization Program helps prevent killer diseases. Vaccination programs should be planned as per the requirement of Community Health Problems. Each country has to set the vaccination program according to their health issues. The most common and serious vaccine-related illnesses tracked by the World Health Organization are diphtheria, haemophilus , hepatitis B, measles, meningitis, mumps, pertussis, poliomyelitis, rubella, tetanus, tuberculosis, and yellow fever. the World Health Organization listed 25 diseases for which vaccine are available -
- rubella
- cholera
- influenza
- measles
- diphtheria
- meningococcal diseases
- pertussis
- mumps
- tetanus
- hepatitis A
- tetanus
- hepatitis B
- pneumococcal diseases
- hepatitis E
- typhoid fever
- poliomyelitis
- tick - borne encephalitis
- rabies
- haemophilus influenzae type B
- varicella and herpes zoster
- dengue fever
- human papilloma
- yellow fever
- malaria
- Japanese encephalitis
''Vaccination is the process by which a person is resistant or resistant to infectious disease, usually by the administration of the vaccine. The vaccine provides the immune system to protect the person against later infections or diseases. ''
Immunization for various disease -
1. B.C.G. ( Bacillus of calmette and guerin ) -
BCG is a live vaccine that is prepared from living organisms such as tubercle bacilli . it help to controlled by primary tuberculous infection it should be storage at 2 to 10 ℃. its primary used against tuberculosis.its used in countries leprosy and tuberculosis is common.
Administration route: intradermal
(0.05 ml dose for children below one year)
(0.1 ml dose for recipients for more than one year)
2. Polio vaccine -
Polio vaccine is a mixture of live poliovirus polio vaccines used to prevent polyomites. Polio virus usually spreads from person to person through infected fecal matter entering the mouth, it can also spread with human fecal food and water, and usually less than infected saliva. The full name of the polio virus is pyomyelitis and it is also called infantile paralysis. When this infection occurs, the patient's muscles stop movement. in this disease most affected muscles of body is head and legs muscles
Administration route : oral
1st does of polio vaccine at birth and second dose is given after six week than third dose , after 10 week , 4th dose after 14th week , 5th dose after 6-9 month , 6th dose 15- 18 month , 7th does in 5 year ,
amount - 2 drop
3. Hepatitis B
Hepatitis B is a vaccine that prevents hepatitis B. Within 24 hours vaccination is recommended with either two or three more doses after birth. hepatitis B is a liver infection it cane cause liver failure and cancer. its spread when people come contact with blood and open sources of body fluid.
Administration route : intramuscular
the hepatitis vaccine is given intramuscular with 3 does in general at 0,1 and 6 months or 4 doses at 0,1 and 12 month. the dose of vaccine 0.5 ml for below 10 year and 1 ml above 10 year. booster dose required after 3 to 5 year .
4. Pentavalent vaccine :
A pentavalent vaccine is a joint vaccine in which five different vaccines are united, whose purpose is to actively protect people from many disease such as diptheria , pertussis, tetanus , hepatitis B, haemophilus influenzae type B.
Administration route : intramuscular
pentavalent 1st dose is given after 6 week , second dose given after 10 week and 3rd dose after 14 week.
Amount - 0.5 ml
5. Pneumonococcal :
Pneumonococal vaccine are vaccine used against the bacteria streptococcus pneumoniae. the mostly use of this vaccine to prevent from pneumonia, meningitis , and sepsis.
2 doses before 6 month of age , plus booster doses at 9-15 of age
Amount - 0.5 ml
6. DPT Vaccine -
This vaccine is a combined vaccine that is made up of three vaccines. The vaccine mainly affects three diseases, whose names are diphtheria, pertussis, tetanus.the best stored at a temperature of 2 to 10℃.
Administration route : intramuscular
Amount - 0.5 ml
7. MMR Vaccine -
The MMR vaccine is a immunization vaccine against , mumps, measles , rubella. it is mixture of live attenuated viruses of three disease administered by injection. this vaccine first developed by murice hilleman while at merck. its very useful vaccine to control communicable disease.
Administration route : subcutaneous route
the doses of MMR vaccine is 0.5 ml .
Age - 12- 15 month , 4 - 6 year
dose - 0.5 ml ( 2 doses)
note - immunization schedule change according to country
New immunization schedule of India -
Vaccine | When to give | Dose | Route | Site | ||
---|---|---|---|---|---|---|
For Pregnant Women | ||||||
TT -1 | early pregnancy | 0.5ml | intra muscular | Upper arm | ||
TT -2 | 4 weeks after 1st dose of TT* | 0.5ml | intra muscular | Upper arm | ||
TT booster | If received 2 TT doses in a pregnancy within the last 3yrs | 0.5ml | intra muscular | Upper arm | ||
For Infants | ||||||
BCG | At birth or as early as possible till 1 year of age | 0.1ml (0.05ml until 1month age) | Intra-dermal |
Left Upper Arm
| ||
Hepatitis B - Birth dose | At birth or as early as possible within 24 hours | 0.5 ml | Intra-muscular | Antero-lateral side of mid-thigh | ||
OPV -0 | At birth or as early as possible within first 15 days | 2 drops | Oral | Oral | ||
OPV -1,2,3, | 6 weeks, 10 weeks & 14 weeks | 2 drops | Oral | Oral | ||
DPT- 1,2,3, | 6 weeks, 10 weeks & 14 weeks | 0.5 ml | Intra-muscular | Antero-lateral side of mid-thigh | ||
Hepatitis B- 1, 2, &3 | 6 weeks, 10 weeks & 14 weeks | 0.5 ml | Intra-muscular | Antero-lateral side of mid-thigh | ||
Pentavalent vaccine - 1, 2 & 3** | 6 weeks, 10 weeks & 14 weeks | 0.5 ml | Intra-muscular | Antero-lateral side of mid-thigh | ||
Measles | 9 completed months - to 12 months. Give up to 5yrs if not received at 9 - 12 months age | 0.5 ml | Sub-cutaneous | Right upper arm | ||
Vitamin A (1st dose) | At 9 completed months with measles | 1ml (1lakh IU) | Oral | Oral | ||
Japanese Encephalitis (1st Dose)*** | At 9 completed months (under consideration) | 0.5 ml | Sub-cutaneous | Left Upper Arm | ||
For Children | ||||||
DPT booster 1 | 16- 24 months | 0. 5 ml | Intra- muscular | Antero-lateral side of mid-thigh | ||
OPV Booster | 16-24 months | 2 drops | Oral | Oral | ||
Japanese Encephalitis***(if applicable) | 16-24 months | 0.5 ml | Sub-cutaneous | Left Upper Arm | ||
Measles - 2nd dose | 16 - 24 months age | 0.5 ml | Sub-cutaneous | Right upper arm | ||
Vitamin A***(2nd to 9th dose) | 18 months (2nd dose). Then, one dose every 6 months upto the age of 5 years. | 2 ml (2 lakh IU) | Oral | Oral | ||
DT booster | 5- 6 years | 0.5 ml | Intra-muscular | Upper arm | ||
TT | 10 years &16 years | 0.5 ml | Intra-muscular | Upper arm |
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