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    Subjects/PSM/Universal Immunisation Programme
    Universal Immunisation Programme
    medium
    users PSM

    Which of the following vaccines is NOT part of the primary immunisation series under the Universal Immunisation Programme in India?

    A. Varicella
    B. Polio (OPV/IPV)
    C. Diphtheria, Pertussis, Tetanus (DPT)
    D. Measles

    Explanation

    ## UIP Primary Immunisation Series in India **Key Point:** Varicella vaccine is NOT included in the Universal Immunisation Programme as a mandatory vaccine. It remains an optional/private vaccine in India. ### Core Vaccines in UIP Primary Series | Vaccine | Age | Route | Notes | | --- | --- | --- | --- | | BCG | Birth | Intradermal | Tuberculosis | | Hepatitis B | Birth, 6 wks, 14 wks | IM | Three doses | | Rotavirus | 6, 10, 14 weeks | Oral | Three doses | | DPT | 6, 10, 14 weeks | IM | Diphtheria, Pertussis, Tetanus | | IPV/OPV | 6, 10, 14 weeks, 18-24 mo, 4-6 yrs | IM/Oral | Polio | | PCV (Pneumococcal) | 6, 10, 14 weeks | IM | Three primary + booster | | Measles | 9-12 months, 16-24 months | IM | Two doses | | Japanese Encephalitis | As per state policy | IM | Not universal | | Varicella | — | — | **NOT in UIP** | **High-Yield:** Varicella vaccine is available in private practice and some state programs but is NOT part of the centrally-funded UIP. This is a common exam trap. **Clinical Pearl:** The decision to exclude varicella from UIP is based on epidemiological burden and cost-benefit analysis in the Indian context, where varicella is typically self-limiting in children and serious complications are less common than in developed countries. **Mnemonic:** **BHRM-DIP** — BCG, Hepatitis B, Rotavirus, Measles, DPT, IPV/OPV, PCV — the core UIP vaccines. Varicella is the **V** that's **absent**.

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