INDIAN ACADEMY OF PEDIATRICS (IAP) SCHEDULE
Indian Academy of Pediatrics (IAP) schedule NIS is the most practical but not necessarily an ideal schedule, as many useful vaccines have been left-out due to cost considerations or given at less than most appropriate age due to logistic considerations of a public health program.
IAP recommends more comprehensive immunization schedule, (Fig. 9.2) revised time to time in view of current disease patterns. Important differences between these two schedules are as follows. IAP recommends:
• Seven additional vaccines for universal immunization other than those included in NIS, i.e. TCV, IIV, HAV, MMR, varicella, Tdap and HPV. However, HPV is likely to be included in NIS soon.
• Only one dose of OPV at birth instead of total five doses at different ages in NIS.
• Five intramuscular IPV doses, including three primary doses at 6, 10, 14 weeks and two boosters at 16-18 months and 5-6 years, instead of three intradermal fractionated IPV doses at 6 and 10 weeks and 9 months.
• Use of DTwP or DTaP, instead of DTwP used in NIS.
• Single dose of Tdap (a) to all fully immunized children at 11-12 years instead of Td booster in NIS, (b) in partially immunized children at 7 years, who had missed second DPT booster, and (c) as first dose of catch-up immunization 7 years of age. It also recommends to replace all Td doses in pregnancy with Tdap.
• Last HBV dose should be administered not before 24 weeks of age and at least 16 weeks after first dose, whichever is later, instead of 14 weeks of age in NIS.
• Four doses of PCV at 6,10,14 weeks with a booster at 15 months instead of three doses at 6 weeks, 10 weeks and 9 months in NIS.
• First dose of RV should not be given gt; 15 months and no dose after 32 weeks. NIS provides RV til 1 years of age, though subsequent doses may be given even later if first dose was given before 1 year.
• Three doses of MMR at 9 months, 15 months and 4-6 years instead of 2 doses of MR (no MMR) at 9-12 months and 16-24 months in NIS.
• IAP also prescribes catch-up immunization for children above 5 years, while NIS is largely focussed on infants and children below 5 years.
9.3.3