World Health Organization provides technical support in the form of "Position paper" on all vaccines for guiding the member countries to formulate their own country specific "National Immunization schedule (NIS)" by the central level technical committee on the basis of epidemiological data and other specific criteria. Within the most populous country there can be variations like "Pentavalent users/JE Users/MR users". Deviating too much from the approved NIS and following "Road regime" in the private sector as expressed by a senior public health specialist will grievously affect the programme. It will modify the epidemiology of Vaccine Preventable Disease (VPD) as happened initially with rubella vaccine; congenital rubella syndrome (CRS) cases increased due to shift in the age of incidence with suboptimal vaccination coverage. Providing Hepatitis B birth dose vaccine is a life saving procedure to be considered as part of newborn care protocol, as routine as cutting the umbilical cord/swabbing the eyes.... If not provided the ‘citizen’ misses lifetime opportunity. An HIV positive person even after knowing the modes of transmission spreads the infection it is a serious offense. Authorized service providers withholding life saving vaccination services are also serious.... Providing such life saving preventive services will be the best gift to the infants who are the future citizens of the world. Thus there is an urgent need to rope-in all service providers to follow the NIS and provide “essential vaccines” as per schedule. Sharing with the viewers for further needful.
Feedback: Seeds thrown started germinating! In the XXVI Annual State Conference of Karnataka Association of Community Health held on 10 & 11 Oct 2014 and in the 17th Intercollegiate Academic Postgraduate Programme in Community medicine (IAPP) held on 16 Oct 2014, from the authorized development partners I personally got the feedback that they started addressing the issue in the field. Regulatory authority and the Development partner of the particular district visited the college, had an hour long discussion with partial success i.e. MCV 1 (Measles containing vaccine) will be administered within 365 days - in the 12th month as seroconversion rate is higher than in 10th month (on completion of 270 days) for attaining FIC within first birth day. But a few more miles to go... Hepatitis birth dose vaccine which is administered even in the countries having low endemicity (
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