NORCET 8 Prelims-2025
Community Health Nursing
Easy
How many vaccine-preventable diseases are covered under the National Immunization Schedule (NIS) of India?
Appeared in: NORCET 8 Prelims-2025
Explanation
- India's Universal Immunization Programme (UIP) currently provides free-of-cost immunization against 12 vaccine-preventable diseases.
- These diseases are Tuberculosis, Diphtheria, Pertussis, Tetanus, Poliomyelitis, Hepatitis B, Haemophilus influenzae type b (Hib), Measles, Rubella, Rotavirus diarrhea, Pneumococcal pneumonia, and Japanese Encephalitis (in endemic areas).
- The introduction of newer vaccines like the Measles-Rubella (MR), Rotavirus Vaccine (RVV), and Pneumococcal Conjugate Vaccine (PCV) has expanded the schedule to cover 12 diseases nationwide (with JE being sub-national).
Why Other Options Were Wrong
- Option A: This number is outdated. The schedule initially covered fewer diseases, but has been expanded over the years.
- Option B: This number is incorrect. The schedule expanded beyond 10 diseases with the nationwide rollout of vaccines like Rotavirus and PCV.
- Option D: The national schedule (UIP) currently covers 12 diseases. While other vaccines are available and recommended by bodies like the Indian Academy of Pediatrics (IAP), they are not part of the free universal program.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain National Immunization Schedule (NIS) of India as background academic context rather than a clinical decision trigger.
- A nurse's primary role in immunization includes correct administration, maintaining the cold chain, accurate documentation, and educating families about the importance of timely vaccination.
- Understanding the NIS is crucial for community health nurses to track immunization status, identify dropouts, and plan outreach sessions (e.g., Mission Indradhanush) to improve coverage.
- Patient safety: Knowing the schedule prevents under-vaccination (leaving a child vulnerable) and over-vaccination (unnecessary cost and risk of adverse effects).
How to Approach the Question
- First, identify the core of the question, which is a factual recall about a national health program: the National Immunization Schedule (NIS) in India.
- Access your knowledge base regarding the Universal Immunization Programme (UIP), which governs the NIS.
- Mentally list the diseases covered. Start with the basics (DPT, Polio, BCG, Measles), then add the ones included in the Pentavalent vaccine (Hepatitis B, Hib), and finally the more recent additions (Rubella, Rotavirus, PCV, JE).
- Count the total number of unique diseases from your list.
- Compare your count with the given options (8, 10, 12, 14).
- Select the option that matches your count, recognizing that numbers like 8 and 10 represent older versions of the schedule.
Concept Tested & Keywords
- Concept Tested: National Immunization Schedule (NIS) of India
- Stem keywords: National Immunization Schedule, NIS, India, vaccine-preventable diseases
- Lead-in keywords: How many
Question ID
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Reference Book
E6 Ghai Essential Pediatrics(pp 26-904 of 913) p. 189-191
E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart A (pp 26-201 of 604) p. 121-123
E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart A (pp 1-275 of 550) p. 71-73
Practise the full NORCET 8 Prelims-2025
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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