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

A child is brought to a PHC for vaccination at 10 weeks of age. Which combination of vaccines is due at this visit as per the NIS?

  • A OPV-2, DPT-2, Hib-2, Hepatitis B-2
  • B OPV-1, Pentavalent-1, Rotavirus-1, IPV-1, PCV-1
  • C OPV-2, Pentavalent-2, Rotavirus-2, IPV-2, PCV-2
  • D OPV-3, Pentavalent-3, IPV-3
Correct answer: C. OPV-2, Pentavalent-2, Rotavirus-2, IPV-2, PCV-2

Explanation

As per the India NIS, the 10-week visit (second primary visit) includes OPV-2, Pentavalent-2 (DPT+Hib+HBV), Rotavirus-2, fractional IPV-2 (intradermal), and PCV-2. The 6-week visit gives the first doses, and 14 weeks gives the third doses. The introduction of fractional-dose IPV (fIPV) intradermally reduced cost while maintaining immunogenicity.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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