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 outbreaks | Reported in Kerala, Maharashtra, UP, Delhi |
| Higher disease severity | Adults have more complications |
| Highly preventable | Vaccines offer 90–95% protection, lifelong immunity |
| Indigenous capability | India’s Biovac-A has 20+ years of safe use |
| No antimicrobial resistance | Unlike typhoid, Hepatitis A does not face AMR issues |
India’s Universal Immunisation Programme
Vaccine Type | Included in UIP? | Purpose / Coverage |
| Polio | ✔ | Eliminated wild polio; national coverage >90% |
| Hepatitis B | ✔ | Birth dose + routine schedule |
| Measles-Rubella | ✔ | Elimination strategy |
| Rotavirus | ✔ | Prevents 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:
- It is transmitted mainly through contaminated food and water.
- An indigenous vaccine for Hepatitis A exists in India.
- 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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