This vaccination schedule is What officially followed By Pakistan ,recommended by Who. Slides contain additional knowledge about precautions ,important points for Doctor and medical faculty who are involved. also Good learning for Medical students.

1. Dr Veer vikram Singh(HO)
Peads Department

2. • Expanded Programme on Immunisation (EPI) aims to
vaccinate children aged 0-15 months against, Ten
Vaccine Preventable Diseases (VPDs) .
• It was developed in 1974 and launched to Pakistan in
1978.
• Before EPI, vaccination coverage was 5% worldwide and
now it has increased to 79%.

3. Ten Diseases included in EPI are;
• Childhoon Tuberclosis .Diptheria
• Polio .Measles
• Diarrhoea
• Pneumonia
• Pertusis
• Tetanus
• Hepatitis
• Meningitis

5. EPI schedule in Pakistan
Age Vaccine
Soon After Birth BCG
OPV-0 and Hepatitis B
6 weeks Pentavalent-1
OPV-1
Rotavirus-1
pneumococcal-1
10 weeks Pentavalent-2
OPV-2
Rota virus-2
Pneumococcal-2
14 week Pentavalent-3
OPV-3
IPV
Pneumococcal-3
9 Months Measles-1
Typhoid conjugated vaccine
15 months Measles-2

6. Childeran not vaccinated , but are still less tha 5 yr
BCG once on reporting
DPT And Polio drops 2 doses at 6 week interval
and 1st booster 6 months later.
MMR Once

7. Vaccination Doses and Route of adminstration
Age Vaccination Dose Route of administration
At birth BCG 0.05 ml Intra dermal Right deltoid
OPV-0 and HepB 2 drops Oral and SC
6 weeks Pentavalent-1 0.5 ml IM
OPV-1 2 drops Oral
Pneumococcal-1 0.5 ml IM
Rotavirus-1 drops Oral
10 weeks Pentavalent-2 0.5 ml IM
OPV-2 2 drops Oral
Pneumococcal-2 IM
Rota virus 2 Oral
14 weeks Pentavalent-3 0.5 ml IM
OPV-3 2 drops oral

8. Pakistan practice =Site of Adminstration
BCG
DPT
Measles
Hep B

9. 1st Visit

10. 2nd Visit

11. 3rd Visit

12. 4th visit
• .

13. 5th Visit

14. 6th Visit

15. Live and inactive vaccinations in Schedulle:
• .
Live vaccine; BCG, Measle
,Polio ,Rotavirus
Inactive or toxoids;
Pertussis ,Hep A ,DT ,IPV

16. Keep in Mind point:
VACCINE CONTRAINDICATION
Pertussis
Live Vaccines
Previous DPT cause convulsions ,give DT alone
next .
More than 2 years old .
Convulsions of any cause.
Brain Damage
IF child is immunodeficient
No Contraindications
Upper Respiratory illness . Child being breast feed
Allergy , Asthma . Tx with antibiotics or low dose corticosteroids
Prematurity . Dermatitis, eczema ,local skin infections
Malnutrition . Chronic diseases
Family hx of convulsions . stable neurologic cond like down synd , cerebral
Hx of Jaundice after birth . palsy.

17. Other Vaccines
Vaccines route of adminstration Age
Typhoid Mostly Oral ,IM(Typhim vi) 2 years and older
Cholera SC or IM greater than 2 year ,2 doses
Varicella SC 12- 18 months 1st dose
3 months later 2nd dose
Rabies IM ,ID 0,3,7,14,28
MMR SC 15 months of age