Advisory Committee on Vaccines and
Immunization Practices (ACVIP) of Indian Academy of
Pediatrics (IAP) has revised recommendations regarding
primary immunization of children; whole cell pertussis
vaccine is recommended in place of acellular pertussis
vaccine. It has also recommended Tdap during pregnancy in
place of Td or TT .
Under section ‘Recommendations for
adolescents and adults’ it is stated that immunity against
pertussis following primary booster wP/aP vaccination wanes
over the next 4-12 years. The guidelines therefore
recommends offering Tdap vaccine instead of Td/TT vaccine to
all children/adolescents/adults who can afford it.
In the industrialized countries, vaccines
are provided either by the government or under the medical
insurance schemes. In our country, cost of vaccines (not
included in national schedules) is borne by the people.
Adolescents and young adults belonging to low economic
groups are more prone to get pertussis infection because of
overcrowding but may not be able to afford currently
available Tdap vaccine. An infected person spreads the
infection even before developing the symptoms of the disease
himself/herself. Thus, this section of the society needs to
be provided protection against pertussis so that young
children and old people in the community who come in their
close contact are not exposed to pertussis infection. IAP
should urge the government of India to subsidize Tdap or
provide it through national programs.
A-D-7, Devi Marg, Bani Park, Jaipur-302016
1. Vashishtha VM, Bansal CP, Gupta SG. Pertussis vaccine:
position paper of Indian Academy of Pediatrics (IAP). Indian
Pediatr. 2013; 50:1001-8.