## Analysis of National Immunisation Schedule (NIS) — India ### Current Status of JE Vaccine in NIS **Key Point:** Japanese Encephalitis (JE) vaccine is NOT yet part of the universal immunisation programme across all states of India. It is introduced in endemic and high-risk states only (e.g., Uttar Pradesh, Bihar, Jharkhand, West Bengal, Assam). ### Correct Statements Verified | Vaccine | Schedule | Route | Status in NIS | | --- | --- | --- | --- | | Rotavirus | 6, 10, 14 weeks | Oral | Universal | | PCV (Pneumococcal Conjugate) | 6, 10, 14 weeks + 12–15 mo booster | IM | Universal | | IPV (Inactivated Polio) | 6, 10, 14 weeks | IM | Universal | | JE Vaccine | Endemic states only | IM | **State-specific, NOT universal** | **High-Yield:** The distinction between universal immunisation programme (all states) vs. state-specific programmes (endemic areas only) is a frequent NEET PG trap. JE vaccine remains restricted to high-incidence zones. ### Clinical Pearl While JE vaccine has been introduced in select states since 2010 (Uttar Pradesh first), it has NOT achieved universal coverage across all states of India as of 2023. This reflects epidemiological targeting rather than blanket national rollout. **Warning:** Do not confuse "recommended in some states" with "part of universal NIS." The question explicitly states "all states" — that is the error.
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