Routine Vaccination At Assam (Barak Velly)
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This document summarizes the routine vaccination schedule in India. It provides details on several common vaccines such as BCG, which protects against tuberculosis and is administered at birth. It also discusses the hepatitis B vaccine, which is given in a series of 4 doses at birth and at 6, 10, and 14 weeks. The DPT vaccine protects against diphtheria, pertussis, and tetanus and is administered as a series of 3 doses at 6, 10, and 14 weeks. Measles vaccine is given between 9-12 months while the oral polio vaccine is administered at birth and in additional doses at 6, 10, and 14 weeks. Vitamin A is also provided to support immunity.
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Recommended
Bcg and hep b vaccination
Hepatitis B and BCG vaccines are given to newborns to prevent transmission of diseases. Hepatitis B can be transmitted from mother to baby during birth, so the WHO recommends giving the Hepatitis B vaccine within 24 hours of birth. The National Immunization Program in the country also recommends giving the Hepatitis B vaccine within 24 hours or up to 7 days. BCG vaccine prevents tuberculosis and is given as an intramuscular injection in the upper arm to babies under 1 year old. Both vaccines have minimal side effects but can occasionally cause local reactions or mild fever.
05 -immunization_2
This document provides information on various vaccines including BCG, DTP, polio, Hib, MMR, rotavirus, varicella, hepatitis A, and pneumococcal. It describes what each vaccine prevents, how it is administered, storage requirements, efficacy, adverse reactions, contraindications, and precautions. For example, it states that the BCG vaccine prevents tuberculosis and is the most widely administered vaccine worldwide, usually given at birth. It is stored refrigerated and administered intradermally.
BCG Vaccination
The BCG vaccination protects against Tuberculosis, commonly known as TB. We also offer the Yellow fever vaccination, Private BCG Injection.
Visit:
https://www.olivehealthandtravel.co.uk/bcg-vaccination
BCG vaccine
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Immunization schedule update
This PPT describes recent update on immunization based on 2018 IAP ACVIP guidelines and national immunization schedule in India
Childhood immunization
This document provides guidelines for routine childhood immunizations. It recommends that all children receive vaccines for diphtheria, tetanus, pertussis, polio, measles, mumps, rubella, hepatitis B, and varicella by 18 months of age through multiple doses. It provides specific dosing schedules and guidelines for vaccines including DTaP, IPV, MMR, varicella, pneumococcal, hepatitis A, influenza, meningococcal, typhoid, rabies, and rotavirus. It also outlines general rules regarding contraindications and precautions for vaccination.
National immunization schedule 2016 (latest)
The document outlines the National Immunization Schedule for infants, children, and pregnant women in India. It provides information on the vaccines, when they should be given, dosage, route of administration, and site for each vaccine. Key vaccines included are BCG, hepatitis B, OPV, pentavalent, rotavirus, IPV, measles/MR, and JE for infants. DPT booster, measles/MR booster, OPV booster, and JE booster are recommended for children from 16-24 months. TT vaccines are recommended for pregnant women and later in life.
Recommended Immunization Schedules For Children And Adolescents,
The document outlines the recommended immunization schedules for children and adolescents in the United States in 2007, including details on the vaccines, ages for administration, dosage information, efficacy of the vaccines, and notable changes from previous years such as the addition of rotavirus and HPV vaccines. It provides guidance on the optimal timing and procedures for administering 16 different vaccines to help protect against various diseases.
Recommended
Bcg and hep b vaccination
Hepatitis B and BCG vaccines are given to newborns to prevent transmission of diseases. Hepatitis B can be transmitted from mother to baby during birth, so the WHO recommends giving the Hepatitis B vaccine within 24 hours of birth. The National Immunization Program in the country also recommends giving the Hepatitis B vaccine within 24 hours or up to 7 days. BCG vaccine prevents tuberculosis and is given as an intramuscular injection in the upper arm to babies under 1 year old. Both vaccines have minimal side effects but can occasionally cause local reactions or mild fever.
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This document provides information on various vaccines including BCG, DTP, polio, Hib, MMR, rotavirus, varicella, hepatitis A, and pneumococcal. It describes what each vaccine prevents, how it is administered, storage requirements, efficacy, adverse reactions, contraindications, and precautions. For example, it states that the BCG vaccine prevents tuberculosis and is the most widely administered vaccine worldwide, usually given at birth. It is stored refrigerated and administered intradermally.
BCG Vaccination
The BCG vaccination protects against Tuberculosis, commonly known as TB. We also offer the Yellow fever vaccination, Private BCG Injection.
Visit:
https://www.olivehealthandtravel.co.uk/bcg-vaccination
BCG vaccine
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Immunization schedule update
This PPT describes recent update on immunization based on 2018 IAP ACVIP guidelines and national immunization schedule in India
Childhood immunization
This document provides guidelines for routine childhood immunizations. It recommends that all children receive vaccines for diphtheria, tetanus, pertussis, polio, measles, mumps, rubella, hepatitis B, and varicella by 18 months of age through multiple doses. It provides specific dosing schedules and guidelines for vaccines including DTaP, IPV, MMR, varicella, pneumococcal, hepatitis A, influenza, meningococcal, typhoid, rabies, and rotavirus. It also outlines general rules regarding contraindications and precautions for vaccination.
National immunization schedule 2016 (latest)
The document outlines the National Immunization Schedule for infants, children, and pregnant women in India. It provides information on the vaccines, when they should be given, dosage, route of administration, and site for each vaccine. Key vaccines included are BCG, hepatitis B, OPV, pentavalent, rotavirus, IPV, measles/MR, and JE for infants. DPT booster, measles/MR booster, OPV booster, and JE booster are recommended for children from 16-24 months. TT vaccines are recommended for pregnant women and later in life.
Recommended Immunization Schedules For Children And Adolescents,
The document outlines the recommended immunization schedules for children and adolescents in the United States in 2007, including details on the vaccines, ages for administration, dosage information, efficacy of the vaccines, and notable changes from previous years such as the addition of rotavirus and HPV vaccines. It provides guidance on the optimal timing and procedures for administering 16 different vaccines to help protect against various diseases.
Immunization schedule
This document outlines an immunization schedule that provides information on the recommended vaccines, doses, administration route, and amount for different age groups. It recommends vaccines such as BCG, OPV, Hep B, DPT, IPV, Hib, rotavirus, pneumococcal, influenza, measles, varicella, typhoid, MMR, hepatitis A, HPV and booster doses from birth through age 12. The schedule is designed to protect individuals from vaccine-preventable diseases according to the recommended ages.
Immunization in adults, geriatrics and paediatrics.
This document provides information on immunization in adults, geriatrics, and pediatrics. It discusses what immunization is, the history of vaccination including key figures like Edward Jenner and Louis Pasteur, vaccine-preventable diseases, and recommended vaccination schedules for adults, pregnant women, infants, and children. It also covers vaccination considerations for immunocompromised individuals and provides dos and don'ts for vaccine handling, administration, and vaccination during pregnancy.
MR Vaccination
The document provides frequently asked questions and answers about measles, rubella, and MR vaccination campaigns and routine immunization. It discusses what the diseases are, why the MR vaccine is given, details about MR campaigns including who should be vaccinated and where, and guidance on introducing MR vaccination into routine immunization schedules. Key points covered include that MR vaccination provides lifelong protection, is safe, and two doses are needed to be fully protected.
National Immunisation Schedule by Government of India
In this article, I have briefly explained National Immunization Scheduled by Government of India. Also there are reference links to help you study in depth.
In addition you can refer the immunisation schedule of US, from the reference link.
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This document provides information about immunization and the national immunization schedule in India. It discusses that immunization protects against life-threatening infectious diseases by stimulating the body's immune system. The national immunization program in India provides free vaccines against 11 diseases. The schedule recommends vaccines at different ages from birth through adolescence, including BCG, rotavirus, polio, diphtheria, pertussis, tetanus, hepatitis B, Hib, measles, rubella, and Japanese encephalitis vaccines. Contraindications for vaccination include high fever, previous severe reaction, immunosuppressive conditions, or cancer treatment.
Immunization spotters
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Immunization
This document provides information about immunization and vaccination. It discusses how immunization works to protect the body from infectious diseases through vaccination or exposure to antigens. The document also includes Nigeria's national immunization schedule, which recommends vaccines for diseases like polio, diphtheria, pertussis, and measles at various ages from birth through adolescence. It notes that minor side effects like fever or rashes are normal after some vaccinations. Only high fever or other severe reactions require medical attention.
Immunization ready-reckoner-for-health-workers
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Mass Flu Clinics
Here are the key steps I would take:
1. Confirm the foster mom has the legal authority to consent to immunization. If not, the child's social worker or director of child protection would need to provide consent.
2. Explain the benefits and risks of the influenza vaccine to both the foster mom and child in an age-appropriate manner.
3. Address any questions or concerns they may have.
4. Obtain written consent from the individual who can legally provide consent.
5. Document the consent as well as the identity of the consent provider in the child's record.
6. Administer the vaccine according to standard protocols and document the immunization.
The well-being of
Immunization (pediatrics)
This document provides information on the national immunization schedules for infants and children in India. It includes the vaccines recommended, the ages at which they should be administered, dosage, route of administration, maximum age limits, and storage requirements. Key details provided for individual vaccines include dose, administration route and site, adverse reactions, contraindications, schedules, and cold chain storage temperatures. The schedules outline the vaccines recommended by the national program as well as by the Indian Academy of Pediatrics.
Immunization2
The document discusses several vaccines including BCG, DTP, polio, Hib, MMR, rotavirus, varicella, hepatitis A, and pneumococcal. It provides information on the nature of the vaccines, indications for use, efficacy, administration schedule and route, storage requirements, adverse reactions and contraindications. Specific details are given for dosage, intervals between doses, age for administration and booster schedules for many of the vaccines.
Catch up vaccine
1) The document provides immunization recommendations for children and teens from birth through 18 years of age. It outlines the recommended vaccines, dosing schedules, catch-up schedules, and contraindications.
2) Key recommended vaccines include hepatitis B, DTaP, polio, influenza, varicella, MMR, and Hib. The schedules provide the ages for routine administration, number of doses, minimum intervals between doses, and other guidance.
3) The document also lists contraindications and precautions for each vaccine, such as previous allergic reactions, immunosuppression, or moderate to severe acute illness. It aims to help healthcare providers appropriately immunize children and teens on time.
Vaccines & cold chain
The document discusses India's universal immunization program and vaccines. It was established in 1978 to reduce child mortality from vaccine-preventable diseases and now includes vaccines for diphtheria, pertussis, tetanus, polio, measles, tuberculosis, hepatitis B, Hib disease, Japanese encephalitis, and others. The vaccines can be live attenuated or killed, and are administered according to a set schedule. Maintaining the cold chain is essential to ensure vaccine potency and effectiveness.
Prevnar.ppt meningitis, ottitis media, invasive disease
Prevnar 13 is a pneumococcal 13-valent conjugate vaccine approved by the FDA in December 2011. It protects against 13 strains of Streptococcus pneumoniae, a greater number than the original Prevnar vaccine. Prevnar 13 is recommended for infants and children from 6 weeks of age to prevent pneumococcal pneumonia, otitis media, and invasive disease. It is administered as a 4-dose series in infants and children, with doses given at 2, 4, 6 and 15-18 months of age.
Prevention and vaccine pediatrics for clinical pharmacy
This document discusses vaccination and immunization. It was authored by Dr. Hussein Abdeldayem, a professor of pediatrics. It covers various types of prevention, passive and active immunity, vaccination schedules, contraindications, vaccine storage requirements, and potential adverse effects of vaccines. The document provides detailed information on vaccination best practices.
World Immunization Week 2016
Describing the achievements of immunization globally and in Sri Lanka and providing the immunization schedule used in Sri Lanka in 2016
Lecture 07. Childhood Immunization
Lecture 07. Childhood ImmunizationDr. Vithalrao Vikhe Patil Foundation's Medical College and Hospital, Ahmednagar
Childhood immunization is a national programme of great importance. Immunization protects child from many grave diseases.National Immunization Schedule
The document discusses India's national immunization program and schedule, outlining the vaccines provided including BCG, OPV, DPT, measles, and others. It describes important milestones over the decades in expanding coverage as well as recent changes like the introduction of new vaccines IPV, Rota, and PCV. The national schedule provides the recommended ages, doses, and routes of administration for different vaccines to both children and pregnant women.
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The document summarizes the revised recommendations of the Indian Academy of Pediatrics Advisory Committee on Vaccines and Immunization Practices (IAP ACVIP) for the 2014 immunization schedule for children aged 0 through 18 years in India. Some of the major changes in the 2014 schedule include: recommending two doses of MMR vaccine at 9 and 15 months of age; a single dose of live attenuated hepatitis A vaccine; inclusion of typhoid conjugate vaccine for primary immunization from 9-12 months; and recommending two doses of HPV vaccines with a minimum interval of 6 months for adolescent/preadolescent girls aged 9-14 years. The revisions were made following an IAP ACVIP meeting to review recent evidence on
Immunization Pediatrics Presentation .pptx
The document defines key terms related to immunization such as immunization, herd immunity, vaccines, and immunoglobulins. It describes active and passive immunity and how they are acquired. Various types of vaccines are classified including live attenuated, killed/inactivated, conjugated, and toxoid vaccines. Examples are provided for each type. The Expanded Program on Immunization launched in Pakistan in 1978 is summarized, along with the current EPI schedule. Key points about precautions, recommendations, and conditions not contraindicated to immunization are highlighted. Individual vaccines such as BCG, polio, diphtheria-tetanus-pertussis, MMR, and hepatitis B are briefly described including dosages,
Immunization
This document discusses immunization and vaccination. It defines immunization as introducing antigens and antibodies into the body to protect against infection. There are two types of immunization: active and passive. Vaccines produce specific protection against diseases by stimulating antibody production and immune mechanisms. The document then outlines the national immunization schedule in India, listing the various vaccines recommended at different ages to prevent diseases like tuberculosis, polio, pertussis, diphtheria, measles and tetanus. It concludes by describing the roles of nurses in maintaining knowledge, administering vaccines, documenting immunizations and educating patients.
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This document outlines an immunization schedule that provides information on the recommended vaccines, doses, administration route, and amount for different age groups. It recommends vaccines such as BCG, OPV, Hep B, DPT, IPV, Hib, rotavirus, pneumococcal, influenza, measles, varicella, typhoid, MMR, hepatitis A, HPV and booster doses from birth through age 12. The schedule is designed to protect individuals from vaccine-preventable diseases according to the recommended ages.
Immunization in adults, geriatrics and paediatrics.
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MR Vaccination
The document provides frequently asked questions and answers about measles, rubella, and MR vaccination campaigns and routine immunization. It discusses what the diseases are, why the MR vaccine is given, details about MR campaigns including who should be vaccinated and where, and guidance on introducing MR vaccination into routine immunization schedules. Key points covered include that MR vaccination provides lifelong protection, is safe, and two doses are needed to be fully protected.
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In this article, I have briefly explained National Immunization Scheduled by Government of India. Also there are reference links to help you study in depth.
In addition you can refer the immunisation schedule of US, from the reference link.
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This document provides information about immunization and the national immunization schedule in India. It discusses that immunization protects against life-threatening infectious diseases by stimulating the body's immune system. The national immunization program in India provides free vaccines against 11 diseases. The schedule recommends vaccines at different ages from birth through adolescence, including BCG, rotavirus, polio, diphtheria, pertussis, tetanus, hepatitis B, Hib, measles, rubella, and Japanese encephalitis vaccines. Contraindications for vaccination include high fever, previous severe reaction, immunosuppressive conditions, or cancer treatment.
Immunization spotters
The document discusses various types of spotters used in community medicine including nutrition, environmental health, parasites, and vaccines. It provides definitions and explanations of key terminology used in epidemiology such as incubation period, serial interval, and secondary attack rate. The document also describes several common vaccines - their schedule, dosage, route of administration, storage requirements, and other details. These include BCG, oral polio, DPT, hepatitis B, measles, vitamin A, tetanus toxoid, JE, and pentavalent vaccines.
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Immunization ready-reckoner-for-health-workers
The document provides guidance for health workers on immunization in India. It outlines the national immunization schedule, details on vaccine administration including cold chain maintenance and safe injection practices. Key points covered are vaccine preventable diseases, maintaining temperature control during storage and transport of vaccines, recommended sites and routes of vaccination for different vaccines, safe use of syringes and other equipment. It emphasizes the importance of proper waste disposal and infection prevention to ensure safety.
Mass Flu Clinics
Here are the key steps I would take:
1. Confirm the foster mom has the legal authority to consent to immunization. If not, the child's social worker or director of child protection would need to provide consent.
2. Explain the benefits and risks of the influenza vaccine to both the foster mom and child in an age-appropriate manner.
3. Address any questions or concerns they may have.
4. Obtain written consent from the individual who can legally provide consent.
5. Document the consent as well as the identity of the consent provider in the child's record.
6. Administer the vaccine according to standard protocols and document the immunization.
The well-being of
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This document provides information on the national immunization schedules for infants and children in India. It includes the vaccines recommended, the ages at which they should be administered, dosage, route of administration, maximum age limits, and storage requirements. Key details provided for individual vaccines include dose, administration route and site, adverse reactions, contraindications, schedules, and cold chain storage temperatures. The schedules outline the vaccines recommended by the national program as well as by the Indian Academy of Pediatrics.
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The document discusses several vaccines including BCG, DTP, polio, Hib, MMR, rotavirus, varicella, hepatitis A, and pneumococcal. It provides information on the nature of the vaccines, indications for use, efficacy, administration schedule and route, storage requirements, adverse reactions and contraindications. Specific details are given for dosage, intervals between doses, age for administration and booster schedules for many of the vaccines.
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1) The document provides immunization recommendations for children and teens from birth through 18 years of age. It outlines the recommended vaccines, dosing schedules, catch-up schedules, and contraindications.
2) Key recommended vaccines include hepatitis B, DTaP, polio, influenza, varicella, MMR, and Hib. The schedules provide the ages for routine administration, number of doses, minimum intervals between doses, and other guidance.
3) The document also lists contraindications and precautions for each vaccine, such as previous allergic reactions, immunosuppression, or moderate to severe acute illness. It aims to help healthcare providers appropriately immunize children and teens on time.
Vaccines & cold chain
The document discusses India's universal immunization program and vaccines. It was established in 1978 to reduce child mortality from vaccine-preventable diseases and now includes vaccines for diphtheria, pertussis, tetanus, polio, measles, tuberculosis, hepatitis B, Hib disease, Japanese encephalitis, and others. The vaccines can be live attenuated or killed, and are administered according to a set schedule. Maintaining the cold chain is essential to ensure vaccine potency and effectiveness.
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This document discusses immunization and vaccination programs. It defines immunization as artificially increasing immunity through introduction of live or killed organisms. It describes India's National Immunization Program called Universal Immunization Program, which aims to universally cover the population with vaccines. The schedule includes vaccines for diphtheria, pertussis, tetanus, polio, tuberculosis, measles, and hepatitis B administered from birth through adolescence. The document outlines contraindications for live vaccines in immunosuppressed individuals and those with acute illnesses and notes minor illnesses are not contraindications.
Vaccine and vaccination
Vaccines work by exposing the immune system to agents that resemble disease-causing pathogens, causing the body to develop immunity to them. There are several types of vaccines, including live attenuated vaccines containing weakened live pathogens, inactivated vaccines containing killed pathogens, toxoid vaccines containing inactivated toxins, and subunit vaccines containing fragments of pathogens. Vaccines are administered through various routes such as intramuscular, subcutaneous, oral, intranasal, and intradermal injection depending on the vaccine. Proper vaccine storage, administration technique, and timing are important for vaccine effectiveness.
Similar to Routine Vaccination At Assam (Barak Velly) (20)
Al Muktadir hussain biology project on immunisation
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This document provides guidelines for managing adverse events following immunization (AEFI). It states that vaccination sites and supervisors will provide initial treatment for AEFI and all centers should be equipped with AEFI treatment kits. Serious AEFI cases should be immediately referred to health facilities and costs will be covered. It also details the components of an AEFI treatment kit including drugs, equipment, dosage charts, and guidelines for recognizing and managing anaphylaxis including giving adrenaline and hydrocortisone injections.
Introduction to pentavalent vaccine
This document outlines the topics to be covered in an introduction to the pentavalent vaccine organized by the Girishganj Block PHC. The chapters will introduce vaccination and the pentavalent vaccine, discuss routine immunization and the basic components of immunization sites, cover the open vial policy and adverse events following immunization, and address vaccination errors.
Open Vial Poilicy
A policy on managing opened vaccine vials is needed to minimize waste while ensuring vaccine effectiveness. Multi-dose vials of certain vaccines like OPV, DTP, and hepatitis B can be used over multiple immunization sessions for up to 4 weeks if stored properly and have not expired or been contaminated. Open vials of measles and BCG vaccines must be discarded after each session or within 6 hours. All opened vials must be discarded immediately if aseptic procedures were not followed or the vial is suspected of being contaminated.
CHILD HEALTH REVIEW FOR ANM (IN BENGALI)
It is the lonely most visited website (Other than govt.websites) from the entire North Eastern India dedicated to Ayurveda.
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The document discusses various high-risk conditions in pregnancy including maternal age <15 or >35 years old, prior uterine surgery, diabetes, hypertension, hyperemesis gravidarum, hydatidiform mole, placenta previa, abruptio placenta, abnormal amniotic fluid levels, ectopic pregnancy, maternal-fetal blood group incompatibility, preeclampsia, incompetent cervix, gestational diabetes, and various infections. It provides details on causes, risk factors, signs and symptoms, and prognosis for each condition. The goal is to identify high-risk pregnancies that require specialized care to reduce risks to the woman and infant.
Quality ANC For ANM
This was prepared by myself for the quality training among the ANM under my Block PHC.
visit www.vdcure.com for more health issues.
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Join us for a comprehensive 90-minute lesson designed specifically for Compliance Officers and Practice/Business Managers. This 2024 HIPAA Training session will guide you through the critical steps needed to ensure your practice is fully prepared for upcoming audits. Key updates and significant changes under the Omnibus Rule will be covered, along with the latest applicable updates for 2024.
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Healthy Eating Habits:
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Tips for Healthy Eating: Offers practical advice such as incorporating a variety of foods, practicing moderation, staying hydrated, and eating mindfully.
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Routine Vaccination At Assam (Barak Velly)
- 1. For More Information Log on www.vdcure.com Routine Vaccination Dr. Animesh Das
- 5. BCG vaccine provides immunity or protection against tuberculosis (TB). It is administered as fast as possible on the 1st Day after birth. The vaccine may be given to persons at high risk of developing TB. It is also used to treat bladder tumors or bladder cancer.
- 6. BCG is given as a single intradermal injection at the insertion of the deltoid (Left Upper Arm). 0.1ml (0.05ml until 1 month age) But If BCG is accidentally given subcutaneously, then a local abscess may form (a "BCG-oma") that can sometimes ulcerate, and may require treatment with antibiotics immediately. When it given subcutaneously, it may induce local infection and spread to the regional lymph nodes, causing either suppurative and nonsuppurative lymphadenitis.
- 8. BCG immunization generally causes some pain and scarring at the site of injection. The main adverse effects are keloids—large, raised scars. The insertion of deltoid is most frequently used because the local complication rate is smallest when that site is used. Nonetheless, the buttock is an alternative site of administration because it provides better cosmetic outcomes.
- 10. Hepatitis B
- 12. A course of Four vaccine Injections is given on this sequence 0 (after birth), 6th week, 10th week, 14th week.
- 13. This vaccine is usually given by injection into a muscle (shoulder or thigh) (0.5 ml Intra-muscular Antero-lateral side of mid-thigh)
- 15. Some Important Issues After HepB Vaccine Administration allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
- 16. DTP
- 17. DPT (also DTP ) refers to a class of combination vaccines against three infectious diseases in humans: diphtheria, pertussis (whoopi ng cough), and tetanus. The vaccine components include diphtheria and tetanus toxoids and killed whole cells of the organism that causes pertussis.
- 18. At 6 weeks, 10 weeks & 14 weeks 0.5 ml Intra-muscular Antero-lateral side of mid thigh.
- 19. DPT booster 16-24 months
- 20. Measles
- 21. 9 completed months-12 months. (give up to 5 years if not received at 9-12 months age)
- 22. 0.5 ml Sub-cutaneous Right upper Arm
- 23. OPV
- 24. OPV-0 At birth or as early as possible within the first 15 days 2 drops Oral
- 25. 1,2 & 3 At 6 weeks, 10 weeks & 14 weeks 2 drops Oral Oral
- 27. OPV Booster On 16-24 months
- 28. Vitamin A
- 29. Vitamin A (1stdose) At 9 months with measles 1 ml ( 1 lakh IU) Oral Oral after that on 24th, 30th, 36th, 42nd, 48th, 54th, 60th month.
- 31. Given In 10th and 16th Year
- 32. 0.5 ml Intra-muscular Upper Arm
- 34. For More Health Information Log On To My Website www.vdcure.com