Thank you for all the work put into the consensus recommendation on Immunization and IAP Immunization Timetable 2012 published by the IAPCOI [1]. However, I humbly request the consideration of the following while utilizing the information provided.

This consensus states that it is primarily for pediatricians in office practice. The reality is, that the term "office practice", actually means "private practice", where we need to generate profit to sustain our lifestyles, which is not unethical itself, but is dependent upon patients who can pay. Methods utilized to market vaccinations are sometimes controversial with aggressive practices to market vaccines of questionable public health significance, the huge margins of profits and ethics of physician-industry relationships [2]. However, the article states that "Competing Interests" of authors were stated as "None" though, as physicians, we have much to gain especially from vaccine prescriptions with excellent margins of profit [3]. Our Journal states that competing interest for a manuscript exists when authors have ties that could inappropriately influence his or her judgment, whether or not judgment is in fact affected. It is a matter of professionalism and integrity for legitimate conflicts of interest to be recognized and for the aware reader to consider the implications of information derived from such sources [4,5]. In addition, it is difficult to be convinced that members of the IAPCOI (and many others not on the committee) have never received any support, tokens of appreciation and grants of any sort from the vaccine Industry. It appears that they remain convinced that accepting support has no role to play in their decision making process though they are human. I’m sure that even the Industry will disagree with them. Since this is a consensus and data is scarce, it is necessary to reveal Conflicts of Interests. Surprisingly, there were special invitees 9 out of 10 of which are from the Vaccine Industries present at sessions which is certainly a gross conflict of interest or have I got everything wrong?

1. IAPCOI. Consensus Recommendations on Immunization and IAP Immunization Timetable 2012. Indian Pediatr. 2012;49:549-64.

2. Puliyel JM, Madhavi Y. Vaccines: Policy for public good or private profit. Indian J Med Res. 2008;127:1-3.

3. Lodha R, Bhargava A. Financial incentives and the prescription of newer vaccines by doctors in India. Indian J Med Ethics. 2010;7:28-30.

4. Lumb PD. Conflict of Interest; disclosure; peer review. J Crit Care. 2011;26:333-4.