Community Medicine (PSM) · Immunization and Vaccines (Cold Chain, NIS Schedule, Open Vial Policy)

Per the revised National Immunization Schedule (NIS) under India's UIP, the Measles-Rubella (MR) second dose is administered at:

  • A 9 months (alongside MR first dose)
  • B 24 months
  • C 5–6 years at school entry
  • D 15–18 months (with DPT booster-1)
Correct answer: D. 15–18 months (with DPT booster-1)

Explanation

Per the revised NIS, MR first dose is at 9–12 months and MR second dose is at 15–18 months, co-administered with DPT booster-1 and OPV booster-1. This schedule replaced the earlier 16–24 month window and aligns India more closely with the WHO two-dose measles elimination strategy. A minimum interval of 4 weeks must be maintained between the two MR doses.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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