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

According to the National Immunization Schedule, vitamin A prophylaxis begins with the first dose given at 9 completed months. What is the dose and the subsequent schedule?

  • A First dose 50,000 IU at 9 months, then 100,000 IU every 6 months till 3 years
  • B First dose 200,000 IU at 9 months, then 200,000 IU annually till 5 years
  • C First dose 100,000 IU at 9 months, then 200,000 IU every 6 months till 5 years
  • D Single dose 200,000 IU at 9 months with no further doses
Correct answer: C. First dose 100,000 IU at 9 months, then 200,000 IU every 6 months till 5 years

Explanation

The infant receives 100,000 IU orally with the first dose of measles/MR vaccine at 9 completed months. From 16 to 18 months onward the child gets 200,000 IU every 6 months until 5 years, giving nine doses in total across childhood. The 50,000 IU dose belongs to neonatal vitamin A protocols in special situations, not to the routine schedule, and the interval is 6 monthly, not annual.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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