Relevance: GS Paper II – Health; GS Paper III – Public Health & Vaccination Policy
Source: The Hindu, National Immunisation Programme updates

Context

Experts highlight the rising burden of Hepatitis A—a major cause of acute liver failure—arguing for its inclusion in India’s Universal Immunisation Programme (UIP). A safe, long-lasting indigenous vaccine exists, yet policy adoption has not progressed.

What is Hepatitis A?

Hepatitis A is an acute viral liver infection, spread mainly through contaminated water and food.

  • Causes fever, jaundice, and liver inflammation
  • No specific treatment; relies on supportive care
  • Disease shifting from young children to adolescents & adults, where severity is higher

Why Hepatitis A Needs Vaccination 

Reason

Key Point

Rising outbreaksReported in Kerala, Maharashtra, UP, Delhi
Higher disease severityAdults have more complications
Highly preventableVaccines offer 90–95% protection, lifelong immunity
Indigenous capabilityIndia’s Biovac-A has 20+ years of safe use
No antimicrobial resistanceUnlike typhoid, Hepatitis A does not face AMR issues

India’s Universal Immunisation Programme

Vaccine Type

Included in UIP?

Purpose / Coverage

PolioEliminated wild polio; national coverage >90%
Hepatitis BBirth dose + routine schedule
Measles-RubellaElimination strategy
RotavirusPrevents childhood diarrhoea
Pneumococcal (PCV)Prevents pneumonia & sepsis
Typhoid Conjugate✖ (under debate)For expanding enteric fever control
Hepatitis A✖ (not included)Safe indigenous vaccine available; rising adult disease

Way Ahead

  • Begin state-wise introduction in areas with repeated outbreaks.
  • Co-administer with existing UIP boosters (DPT/MR) to reduce cost.
  • Conduct serosurveys to track immunity and guide phased rollout.
  • Integrate Hepatitis A control with SDG 3 – Good Health & Well-Being.

UPSC Prelims Practice Question

With reference to Hepatitis A, consider the following statements:

  1. It is transmitted mainly through contaminated food and water.
  2. An indigenous vaccine for Hepatitis A exists in India.
  3. Hepatitis A is currently part of India’s Universal Immunisation Programme.

Which of the statements given above are correct?
(a) 1 and 2 only
(b) 2 and 3 only
(c) 1 and 3 only
(d) 1, 2 and 3

Answer: (a) 1 and 2 only

One-line Wrap:
Growing outbreaks, higher adult severity, and a ready indigenous vaccine make Hepatitis A a strong candidate for phased inclusion in India’s Universal Immunisation Programme.

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