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

Under the Open Vial Policy (OVP) in India's National Immunization Schedule, which vaccines can be used in subsequent sessions after opening, and for how long?

  • A BCG and measles vials only — usable for 6 hours after reconstitution
  • B All injectable vaccines without exception — usable for 28 days
  • C Only OPV — no other vaccine falls under OVP
  • D OPV, DPT, Hep-B, TT, and Td — usable for 4 weeks after opening if storage criteria are met and VVM is acceptable
Correct answer: D. OPV, DPT, Hep-B, TT, and Td — usable for 4 weeks after opening if storage criteria are met and VVM is acceptable

Explanation

India's Open Vial Policy (OVP) allows multi-dose vials of OPV, DPT, Hep-B, TT, and Td to be used in subsequent immunization sessions within 4 weeks of opening, provided: VVM has not reached discard point, expiry date has not passed, vaccines are stored at recommended temperatures (2–8°C), and aseptic technique was maintained. Reconstituted vaccines (BCG, measles, MR, JE) must be discarded within 4–6 hours and do NOT fall under OVP.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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