1. EPI PROGRAMME OF PAKISTAN .AnswerObjectives1. The objective of the EPI is

Reduction of mortality (death rate) Reduction of morbidity (disease rate) from the eight EPI diseases by offering immunization services.

2. The EPI diseases are Poliomyelitis, Diphtheria, Pertussis (Whooping cough),Tuberculosis, Tetanus, Measles, Hepatitis-B Meningitis & Pneumonia

3. The Programme started in Pakistan in 1978 and is still continuing. The programme is evaluated at intervals of 2-3 years.

4. Specific objectives of the Programme are as follows: Achievement of 90/80 % immunization coverage by 2010 Elimination of Neonatal Tetanus Elimination of Measles by 2010. Reduction of morbidity & mortality by 2/3rd by year 2015 as compared to 2000 as per MDG-.

.Components of EPI Routine Immunization

o Children 0-23 months – immunization with 8 EPI antigenso Pregnant ladies by TT.

Supplemental (supportive)Immunization Activitieso Routine immunization does not ensure 100% coverage of the mobile population. Children < 5 years receive

polio drops (3-days campaign) Disease Surveillance

o To detect every case of target diseases, the suspected cases of seven diseases are reported by health facilities to the district health authorities for immediate launching of the control measures.

Mopping upo Special campaigns 5-8 km around the infected locality to localize the disease and stop its transmission.

2. NAME VARIOUS VACCINE INCLUDED IN NATIONAL EPI PROGRAM ALONG WITH THEIR SCHEDULE?

Introduction of new vaccines in the EPI immunization Schedule i.e. Pneumococcal Vaccine in 2011 and Rota-virus Vaccine in 2013.

Time Vaccines Dose Route SiteAt Birth Polio –0

BCG

2-3 Drops

.1ml- above 1Month

.05ml below 1 month

Orally

I/D

Orally

Rt. Deltoid

At 6 weeks Polio -1

DPT -1

Hep B-I

2-3 drops

1/2ml

1/2ml

Orally

I/M

I/M

Orally

Ant. Lateral aspect of right thigh

Ant.Lateral .aspect of Left thigh

At 10 weeks Polio-2

DPT-2

Hep-B-2

2-3 drops

1/2ml

1/2ml

Orally

1/M

1/M

Orally

Ant. Lateral Aspect of the right thigh

Ant.Lateral aspect of Left thighAt 14 weeks Polio-3

DPT-3

Hep .B-3

2-3 drops

1/2ml

1/2ml

Orally

1/M

1/M

Orally

Ant. Lateral aspect of right thigh

Ant. Lateral Aspect of left thighAt 9 Month Measles 1/2cc S/C Lt. DeltoidBooster Dose20-23month

DPTPolio

VACCINATION SCHEDULEAge Vaccinations New schedule (2010 onwards)At birth BCG+Polio 0 BCG+ Polio06 weeks DPT I + HBV1

+Polio 1Pentavalent + polio 1

10 weeks DPT 2 +HBV 2 +Polio 2

Pentavalent + polio 2

14 weeks DPT 3 +HBV 3 +Polio 3 Pentavalent + polio 39 month Measles Measles12-15 month Measles 2