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    Subjects/Universal Immunisation Programme
    Universal Immunisation Programme
    medium

    Which of the following vaccines is NOT part of the routine Universal Immunisation Programme schedule in India?

    A. Japanese Encephalitis vaccine
    B. Pneumococcal conjugate vaccine (PCV)
    C. Rotavirus vaccine
    D. Varicella vaccine

    Explanation

    ## UIP Vaccine Coverage in India **Key Point:** The Universal Immunisation Programme includes vaccines against 12 vaccine-preventable diseases. Varicella vaccine is NOT part of the routine UIP schedule in India. ### Vaccines Included in Current UIP Schedule | Vaccine | Disease(s) | Status in UIP | |---------|-----------|---------------| | BCG | Tuberculosis | ✓ Routine | | Hepatitis B | Hepatitis B | ✓ Routine | | Polio (IPV/OPV) | Poliomyelitis | ✓ Routine | | DPT | Diphtheria, Pertussis, Tetanus | ✓ Routine | | Measles-Rubella (MR) | Measles, Rubella | ✓ Routine | | Japanese Encephalitis (JE) | Japanese Encephalitis | ✓ Routine (endemic states) | | Rotavirus | Rotavirus gastroenteritis | ✓ Routine | | Pneumococcal (PCV) | Pneumococcal diseases | ✓ Routine | | Hepatitis A | Hepatitis A | ✗ Not routine | | Varicella | Chickenpox | ✗ Not routine | | Typhoid | Typhoid fever | ✗ Not routine | | HPV | Cervical cancer | ✗ Not routine (school-based) | **High-Yield:** Varicella vaccine is available in India but is NOT part of the routine UIP schedule. It is available in the private sector and is sometimes given in school-based programs in select states, but it is not universally recommended or funded under UIP. **Mnemonic: UIP 12 Vaccines — "BRJPRMPH"** - **B**CG - **R**otavirus - **J**apanese Encephalitis - **P**olio (IPV/OPV) - **R**ubella-Measles - **M**eningococcal (under consideration) - **P**neumococcal (PCV) - **H**epatitis B & DPT (Diphtheria, Pertussis, Tetanus) **Clinical Pearl:** Varicella vaccination is recommended for high-risk groups (immunocompromised, healthcare workers) but is not part of the standard UIP for the general population in India.

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