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Published on: February 21, 2015
Indian Academy of Pediatrics (IAP) recommended immunization schedule for children aged 0 through 18 years--India,
Vipin M Vashishtha1, Panna Choudhury, Ajay Kalra
1Correspondence to: Dr Vipin M Vashishtha, Convener, IAP Advisory Committee on Vaccines and Immunization Practices, Mangla Hospital and Research Center, Shakti Chowk, Bijnor, Uttar Pradesh 246 701, India. vipinipsita@gmail.com.
Insights
The 2014 Immunization Timetable updates include new recommendations for measles, mumps, and rubella (MMR) vaccine, hepatitis A vaccine, and typhoid conjugate vaccine. Human papillomavirus vaccine schedules are also revised for adolescent girls.
Area of Science:
- Pediatric Vaccinology
- Immunization Recommendations
- Public Health Policy
Background:
- Evolving vaccinology necessitates regular review and revision of existing vaccine recommendations.
- Recent advancements in vaccine development require updates to pediatric immunization schedules.
Purpose of the Study:
- To revise the 2014 Immunization Timetable for pediatricians.
- To provide updated recommendations on new and existing vaccine formulations.
Main Methods:
- Consensus-driven revision of recommendations following an IAP ACVIP meeting.
- Drafting and circulation of revised guidelines for participant review.
Main Results:
- Updated schedules for measles, mumps, and rubella (MMR) vaccine (2 doses at 9 and 15 months).
- Revised recommendations for hepatitis A, typhoid conjugate, and human papillomavirus (HPV) vaccines.
- Confirmation of existing recommendations for pertussis and rotavirus vaccines, with updates on specific formulations.
Conclusions:
- The 2014 Immunization Timetable incorporates significant updates to key pediatric vaccines.
- Recommendations emphasize updated schedules and formulations for improved vaccine efficacy and coverage.
- Continued review of vaccine recommendations is crucial for adapting to advancements in vaccinology.
Justification:
There is a need to review/revise recommendations about existing vaccines in light of recent developments in the field of vaccinology.
Process:
Following an IAP ACVIP meeting on April 19 and 20, 2014, a draft of revised recommendations for the year 2014 and updates on certain vaccine formulations was prepared and circulated among the meeting participants to arrive at a consensus.
Objectives:
To review and revise recommendations for 2014 Immunization timetable for pediatricians in office practice and issue statements on certain new and existing vaccine formulations.
Recommendations:
The major changes in the 2014 Immunization Timetable include two doses of MMR vaccine at 9 and 15 months of age, single dose recommendation for administration of live attenuated H2 strain hepatitis A vaccine, inclusion of two new situations in high-risk category of children in context with pre-exposure prophylaxis of rabies, creation of a new slot at 9-12 months of age for typhoid conjugate vaccine for primary immunization, and recommendation of two doses of human papilloma virus vaccines with a minimum interval of 6 months between doses for primary schedule of adolescent/preadolescent girls aged 9-14 years. There would not be any change to the committee's last year's (2013) recommendations on pertussis vaccination and administration schedule of monovalent human rotavirus vaccine. There is no need of providing additional doses of whole-cell pertussis vaccine to children who have earlier completed their primary schedule with acellular pertussis vaccine-containing products. A brief update on the new Indian Rotavirus vaccine, 116E is also provided. The committee has reviewed and offered its recommendations on the currently available pentavalent vaccine (DTwP+Hib+Hepatitis-B) combinations in Indian market. The comments and footnotes for several vaccines are also updated and revised.
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