A 9-month-old unvaccinated child is brought to the immunization clinic. The child has never received any vaccine before. According to the Indian NIS, which vaccines should be given today?

• A BCG, OPV, HepB, Pentavalent, MR, JE
• B BCG, OPV, HepB, Pentavalent, Rotavirus, MR, JE, Vitamin A
• C BCG, OPV, HepB, Pentavalent, Rotavirus, MR, JE
• D BCG, OPV, HepB, Pentavalent, MR, JE, Vitamin A ✓

Explanation

Under the Indian NIS, when a child is first seen at 9 months, all missed vaccines are given as per catch-up. BCG, OPV, HepB, and Pentavalent can be given. However, Rotavirus vaccine has a maximum age limit for the first dose (12 weeks for Rotavac, 16 weeks for Rotasiil) and cannot be given at 9 months. MR vaccine is given at 9 months. JE is given in endemic districts. Vitamin A is given with MR at 9 months. Hence, Rotavirus is excluded.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

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Written and medically reviewed by the StethoPrep medical team.