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Tetanus and adult diphtheria (Td) - National Health Mission

Tetanus and adult diphtheria (Td) operational GuidelinesIntroduction of Td vaccine in Universal Immunization Programme of IndiaReplacement of TT with Td vaccineSince 1998, WHO has recommended that TT should be replaced by Td vaccine. This is reiterated in the WHO Tetanus vaccine position paper of 2017 and deliberations of Strategic Advisory Group of Experts in 2002 and 2016. National Technical Advisory Group on Immunization (NTAGI), Ministry of Health & Family Welfare has also recommended the replacement of TT vaccine with Td vaccine in India s immunization programme for all age groups, including pregnant Td vaccineTetanus and adult diphtheria (Td) vaccine is a combination of Tetanus and diphtheria with lower concentration of diphtheria antigen (d) as recommended for older children and prequalifiedUIP schedule after introduction of Td vaccine133 countries have replaced TT with Td vaccineCountries that have replaced TT with Td vaccineCountries still using TT vaccineBCG, OPV-zero dose, Hep B-birth doseOPV-1, Pentavalent-1, Rota-1*, fIPV-1, PCV-1*OPV-2, Pentavalent-2, Rota-2*OPV-3, Pentavalent-3, Rota-3*, fIPV-2, PCV-2*Measles-1/MR-1, Vit A, JE-1*, PCV-B*DPT first booster dose, OPV-booster dose, Measles-2/MR-2, JE-2*DPT second booster doseTdTd-1 : early in pregnancy Td-2 : 4 weeks after Td-1Td-B.

Operational Guidelines Introduction of Td vaccine in Universal Immunization Programme of India Replacement of TT with Td vaccine Since 1998, WHO has recommended that TT should be replaced by Td vaccine. This is reiterated in the WHO tetanus vaccine position paper of 2017 and deliberations of Strategic Advisory Group of Experts in 2002 and 2016.

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