Q1
Avinash 9 monthsnold child of a migrant labourer has taken two. Penta then left for bengal. Now back after covid fears. Should we reastart the schedule?
Q2
Revathi’s 6months old child had taken bcg but no scar so far.mother is worried about efficacy of vaccine.what is your opinion?
Q3
Maria, An educated mother (techie) sceptical about rota virus vaccine.how do you convince her?
Q4
Fathima mother of 2kids is travelling back to india from dubai.she is asking the need of typhoid vaccine for her kids of 9 months and 2yrs
Youtr comments
Q5
Joshua 2 yr old nephrotic syndrome child’s asks about pneumococcal vaccine as got different advice from many dictors
Q6
Which all vaccine will precent cns infection?
Q7
Which all vaccine will.prevent resp infection?
Q8
6 weeks old child develops seizures 4 hour after penta
What is it?
Q9
How do you immunise farhan who missed 1 1/2 yrs vaccine?
Q10
How do you vaccinate siva 2 yrs who has no vaccine sofar?
Q11
How do you immunise angel 6yrs who has not taken vaccine?
ANSWERS(national immunisation handbook 2018/2016)
Q1
If a child is brought late for a subsequent dose, should one re-start with the first dose of a vaccine?
No, do not restart the schedule again; pick up where the schedule was left off. For example, If a child who has received BCG, penta1 and OPV1 at 5 months of age returns at 11 months of age, then vaccinate the child with penta 2, OPV2 , measles, Rotavirus vaccine (where applicable) and JE (where applicable).
Q2
If no scar appears after administering BCG, should one re-vaccinate the child? There is no need to re-vaccinate the child even if there is no scar.
Q3
The available Rotavirus Vaccines are observed to be effective in preventing severe rotavirus diarrhea by 54-60%. The protective effect of Rotavirus vaccine lasts through 2nd year of life.
No it does not prevent all diarrheas. Diarrhea is caused by many organisms of which Rotavirus is one of the leading causes for diarrhea in children. Rotavirus vaccine is effective in preventing diarrhea due to Rotavirus only. So the child may still get diarrhea due to other germs and causes even after receiving Rotavirus vaccine.
Q4
Conjugate vaccine can be given at 6months of life.polysaccharide vaccine at 2 years
Minimum ages:–Vi-PS (Typbar-TCV®): 6 months.–Vi-PS (polysaccharide) vaccines: 2 years. • Vaccination schedule:–Vi-PS (polysaccharide) vaccines: Single dose at 2 years; revaccination every 3 years (no evidence of hyporesponsiveness on repeated revaccination so far).
Q5
Pneumococcal vaccine: Unimmunized children up to 2 years of age should receive 2–4 doses of the 13-valent (or at least the 7-valent) conjugate pneumo-coccal vaccine. For previously unimmunized children between 2 and 5 years old, give two doses of the available conjugate vaccine 4–8 weeks apart, followed 8 weeks later by administration of one dose of the 23-valent polysaccharide vac-cine
Q6
Bcg
Pneumococcal
Hemophilus
Measles
Je
Meningococcal
Q7
Dpt
Hemophilus
Measles
Q8
Q9
Take as early as possible
Q10
If a child who has never been vaccinated is brought in immediately after completing 12 months of age, (beyond one year) what vaccines would you give? As per the national immunization schedule this child need not be given – BCG, Hepatitis B, Rotavirus, Penta and IPV. This child should be administered DPT 1, OPV 1, Measles 1, JE 1(if applicable) and also Vitamin A solution.
The subsequent doses of DPT and OPV should be given at an interval of 4 weeks. Administer Measles 2, JE 2 (If applicable), Vitamin A and a booster dose of DPT at recommended age as per national immunization schedule.
Q11
Which vaccines can be given to a child between 1 and 5 years of age who has never been vaccinated? Such a child will not receive BCG, Hepatitis B, Rotavirus, Penta and IPV. Give DPT1, OPV1, measles 1, JE 1 (where applicable) and 2ml of Vitamin A solution. Then follow with the second and third doses of DPT and OPV at 1 month intervals. Give measles 2 as per the schedule/1 month later*.
Give booster dose of OPV/DPT at a minimum of 6 months after administering OPV 3/DPT 3. Also give Vit A at 6 months interval till 5 years of age. *Note: In an unvaccinated child more than 16 months of age remember the interval between Measles 1 and Measles 2 is 4 weeks and for JE 1 and JE 2 (where applicable) the interval is 3 months.
Q
National immunisation schedule
Q
If a child who has never been vaccinated is brought in at 9 completed months but before 12 completed months of age, then, can all the due vaccines be given to a child on the same day?
Yes, all the due vaccines can be given during the same session but at recommended injection sites, using separate AD syringes. It is safe and effective to give BCG, penta, OPV, IPV, MR, RVV (where applicable), PCV (where applicable) JE (where applicable) vaccines and Vitamin A at the same time to a 9-month-old child who has never been vaccinated.
If more than one injection has to be given in one limb then ensure that the distance between the two injection sites is at least 1 inch apart.
Superintendent, ICH.