To ensure long-term protection against typhoid fever in the country's children, a single dose of typhoid conjugate vaccine is being included in the National Routine Immunization Program (EPI) for children aged 15 months. The vaccination program will begin from August 1.
To this end, the Directorate General of Health Services has sent instructions to all divisional directors, civil surgeons, chief health officers of city corporations, and upazila health and family planning officers of the country, instructing them to make necessary preparations and implement them at the field level.
This information was given on Monday in a directive issued by the Expanded Program for Immunization (EPI) branch of the Directorate General of Health Services.
The directive states that after the successful implementation of the National Typhoid Conjugate Vaccine Campaign in 2025, it has been decided to include this vaccine in the routine immunization program based on the recommendations of the National Immunization Technical Advisory Committee and the decision of the Inter-Agency Coordination Committee.
As per the guidelines, all children aged 15 months will be given one dose of TCV through EPI's permanent and temporary vaccination centers.
This vaccine can be given simultaneously with the MR-2 (Gaz-2) vaccine in the same session.
Field workers have been instructed to go door-to-door to identify targeted children, determine vaccination needs, and ensure vaccination at scheduled sessions.
Besides, importance has been given to registering children on the Vax: EPI app, downloading vaccination cards and updating information through the Smart Health BD/e Tracker app after vaccination.
Measures have also been taken to simplify birth registration through upazila-level coordination meetings.
The vaccine management guidelines state that 5-dose vials will be used in regular programs and the vaccine must be stored and transported at a temperature of 2 to 8 degrees Celsius.
Following the multidose vial policy, open vials can be used in subsequent sessions, subject to meeting the specified conditions, so that vaccine wastage can be reduced.
In addition, there has been a call to increase awareness about typhoid vaccination among parents by strengthening door-to-door communication, miking, yard meetings, and interpersonal communication activities involving local public representatives, teachers, imams, religious and community leaders.
The Directorate General of Health Services (DGHS) said that this program must be implemented with utmost importance at all levels to ensure long-term protection of the country's children from typhoid fever.