IAP Guidebook on Immunization 2018–2019

1 IAP Guidebook on Immunization 2018 2019 JAYPEE BROTHERS MEDICAL PUBLISHERSThe Health Sciences PublisherNew Delhi | LondonAdvisory Committee on Vaccines and Immunization Practices, Indian Academy of Pediatrics IAP Guidebook on Immunization 2018 2019 Third EditionJaypee Brothers Medical Publishers (P) LtdHeadquartersJaypee Brothers Medical Publishers (P) Ltd4838/24, Ansari Road, DaryaganjNew Delhi 110 002, IndiaPhone: +91-11-43574357 Fax: +91-11-43574314 Email: Medical Ltd 83 Victoria Street, London SW1H 0HW (UK) Phone: +44 20 3170 8910 Fax: +44 (0)20 3008 6180 Email: Website: : 2020, Indian Academy of PediatricsThe views and opinions expressed in this book are solely those of the original contributor(s)/author(s) and do not necessarily represent those of editor(s) of the rights reserved.

2 No part of this publication may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission in writing of the publishers. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this knowledge and practice change constantly. This book is designed to provide accurate, authoritative information about the subject matter in question.

3 However, readers are advised to check the most current information available on procedures included and check information from the manufacturer of each product to be administered, to verify the recommended dose, formula, method and duration of administration, adverse effects and contraindications. It is the responsibility of the practitioner to take all appropriate safety precautions. Neither the publisher nor the author(s)/editor(s) assume any liability for any injury and/or damage to persons or property arising from or related to use of material in this book is sold on the understanding that the publisher is not engaged in providing professional medical services.

4 If such advice or services are required, the services of a competent medical professional should be effort has been made where necessary to contact holders of copyright to obtain permission to reproduce copyright material. If any have been inadvertently overlooked, the publisher will be pleased to make the necessary arrangements at the first opportunity. The CD/DVD-ROM (if any) provided in the sealed envelope with this book is complimentary and free of cost. Not meant for for bulk sales may be solicited at: Guidebook on Immunization 2018 2019 First Edition: 2009 Second Edition: 2014 Third Edition: 2020 ISBN 978-93-89587-00-5 Printed atForewordIt is a proud privilege for me to write the foreword for the new updated edition of ACVIP IAP Guidebook on Immunization 2018 2019.

5 Asia in general and the Indian subcontinent in particular is the region where the highest number of children in the world habitat. The health issues, basic health facilities, availability of resources and the vaccine-preventable diseases (VPDs) epidemiology in the region are almost same. Until a few years back, large number of children were partially immunized or unimmunized in many developing countries. But with the availability of vaccines through financial/logistic help from the WHO, UNICEF and GAVI the Immunization coverage as well as recommendations are changing.

6 The health care workers (HCWs) from both public and private care system needs to be well informed about the changes in epidemiology and Immunization recommendations so as maximum benefit of Immunization can be pass on to children. Advisory Committee on Vaccines and Immunization Practices (ACVIP) of Indian Academy of Pediatrics (IAP) regularly draft evidence-based guidelines on pediatric Immunization and disseminates it through ACVIP website as well as in the form of IAP Guidebook . This IAP Guidebook is very popular amongst practicing fraternity.

7 Last in 2014, IAP Guidebook was published and hence it was overdue since long to come up with new Guidebook with latest recommendations. As Chair of the ACVIP, and also as President of the Indian Academy of Pediatrics, it gives me great pleasure to present this book to IAP members as a gift from IAP. I am sure that this book will help readers to get well versed with the vaccine science and help them to implement these latest recommendations on Immunization in their practice. My sincere compliments and congratulations to all the members of ACVIP who have put their sincere efforts to draft the guidelines and disseminate the knowledge through this D ShastriIAP President, 2019 ForewordImmunization is one of the great triumphs of modern medicine.

8 Its appeal rests in the age old adage prevention is better than cure . Ironically, vaccines are today under attack. The antivaccine movement is growing at an alarming rate. The scientific world is struggling to counter it with a suitable response which is understandable and convincing to lay people. Fortunately for us, antivaccine lobby is yet to reach Indian shores. No doubt it eventually will. Meanwhile, we have to contend with problems which are unique to the Indian context and to many other underdeveloped countries. Training, accurate information flow and reaching larger populations continues to be the issues needing urgent attention.

9 Hence, IAP decided to address this matter by bring out a comprehensive advisory on Immunization which doctors could reliably refer to. The process began in 2018 with compiling data. Due to the need to address the great many complexities involved, a special body called Advisory Committee on Vaccines and Immunization Practices (ACVIP) deliberated on the current evidences and updates to take a 360 degree view. We had two meetings held by Dr Balasubramanian S in the committee comprising myself, Dr Digant D Shastri, Dr Abhay K Shah, Dr Vijay Kumar Guduru, Dr Harish K Pemde, Dr Pallab Chatterjee and Dr Shivananda S.

10 The guidelines were published by this team in 2018. The entire IAP community was very happy and relieved that they had an authoritative manual to turn to for their vexing problems regarding vaccines. As all pediatricians like to keep ready reference by their side, we decided to bring out this book which I am sure is a direct outcome of the efforts invested by the ACVIP Team constituted for year 2018 19. I congratulate and thank all involved in bringing out this book which is one more feather in the cap of IAP. I hope it will be instrumental in the proliferation of safe and effective Immunization practices in India.