## IAP Classification of Vaccines **Key Point:** Hepatitis A vaccine is **NOT** part of the routine universal immunisation programme in India; it is recommended selectively for high-risk groups and in outbreak situations. ### Routine vs. Selective Vaccines (IAP Schedule) | Vaccine | Category | Recommendation | | --- | --- | --- | | Rotavirus | Routine universal | All infants, starting at 6 weeks | | Varicella | Routine universal | All children at 12–15 months and 18 months | | IPV (Inactivated Polio) | Routine universal | Part of primary series and boosters | | Hepatitis A | Selective/High-risk | Only for high-risk children, healthcare workers, travelers | **High-Yield:** Hepatitis A is endemic in India with high seroprevalence; most children acquire natural immunity by age 5 years. Universal vaccination is not cost-effective; hence it remains in the selective category. **Clinical Pearl:** High-risk groups for Hepatitis A vaccination include: - Children with chronic liver disease - Immunocompromised children - Children traveling to endemic areas - Healthcare workers - Children in institutional settings (orphanages, special schools) **Mnemonic:** **RVI** = **R**otavirus, **V**aricella, **I**PV are routine; **HA** = **H**epatitis **A** is selective.
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