[medlegiap] Re: MMR mass vaccination programme
- From: "Dr.Agarwal" <rk_hospital@xxxxxxxxxxx>
- To: <medlegiap@xxxxxxxxxxxxx>
- Date: Tue, 21 Apr 2009 14:17:25 +0530
Dear All,
First, I would advise all to go through "IAP Guidebook on Immunization" by Tanu
Singhal, YK Amdekar & RK Agarwal (2009) which has all the recommendations of
IAP's Committee on Immunization, published by Jaypee brothers, New Delhi.
The salient features are:
1. Second opportunity for Measles vaccination is definitely required in India.
2. We are giving measles after completing nine months of age. Serological
conversion is about 80% but vaccine efficacy comes to only 60-80%.
3. Immunogenicity is better if measles is given at 12-15 months of age. But in
India we see significant number of cases below one year of age.
4. Second opportunity of measles vaccine is required at two years of age.
5. Government of India is considering introducing MR (Measles- Rubella) vaccine
in public health schedule. MR will be around 70% economic with added advantage
of rubella in it. It will give second opportunity for measles.
6. GOI is considering to give this MR vaccine in SIA mode like polio but every
three years.
7. ICMR has submitted its scientific report to GOI.
8. The targets are: Reduce measles mortality by 2/3 (by 66%) by the end of year
2010 ( as compared to year 2000). Achieve 90% coverage in 80% of the districts
by 2009-2010 all over country.
9. Some state governments are giving MMR but the coverage is low.
10. Presently MMR is available in private market and the coverage is very very
low.
If the coverage of rubella in community is less than 80%, there will be shift
to right of the rubella disease and cases of CRS are likely to increase.
11. IAP has already recommended for MMR to be included in national schedule.
With regards,
Dr.R.K.Agarwal,
President IAP 2008
----- Original Message -----
From: drhv kotturesha
To: medlegiap@xxxxxxxxxxxxx
Sent: Tuesday, April 21, 2009 1:04 AM
Subject: [medlegiap] Re: MMR mass vaccination programme
madem ,mmr should be included in national imm programme . so con rubella
prevented, iap should recomnd to govt, iap president ,shimogga karnataka dr h
v kotturesha
------------------------------------------------------------------------------
From: paula goel <paula_goel@xxxxxxxxxxx>
To: medlegiap@xxxxxxxxxxxxx
Sent: Monday, 20 April, 2009 10:44:17 AM
Subject: [medlegiap] Re: MMR mass vaccination programme
Dear friends
MMR is given regularly by the Bombay municipal corporation as a part of the
regular immunisation schedule since the last 2 yrs and is given free of cost to
all beneficiaries attending the municipal dispensaries and health posts.
Paula Goel
Mumbai
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Date: Mon, 20 Apr 2009 06:15:18 +0530
Subject: [medlegiap] Re: MMR mass vaccination programme
From: drmishras@xxxxxxxxx
To: medlegiap@xxxxxxxxxxxxx
Dear Friends
It is a shame that the Govt Immunization schedule does not have MMR included
in it. During the elections in this country no leader addresses the health
aspects as voters do not want / vote on those grounds.
But, not withstanding data or lack of it, as pointed out by one friend, Cong
Rubella Syn is seen with enough freqency (say as low as one case/ pediatriican/
year) to warrant routine MMR vaccination, much before HIB as is being touted in
some circles.
Sudhir MIshra
On Sun, Apr 12, 2009 at 8:54 AM, Blog coordinator <jhpedicon08@xxxxxxxxx>
wrote:
A MESSAGE POSTED BY DR. UMA KIREETI FOR YOUR ERSPONSE. PLEASE FEEL FREE TO
RESPOND AT WILL
Dear Sir/Madam,
Is it feasible to the IAP to recommend to the Government to launch mass MMR
immunisation programme in order to prevent congenital rubella syndrome, there
by decreasing the incidencante of Congenital heart diseases ? One more thing I
would like to know-how much % of CHDs are secondary to Cong.rubella syndrome?
Kindly respond to my query. uma kireeti ukireeti@xxxxxxxxxxx
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