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Care of Children in Early Years

                                      of sleep gradually decreases, but the length of night time sleep increases.

                                 •    Exercise: Babies in the first four weeks only move their limbs. This helps
                       Notes          them to get an idea of space. Slowly, they begin to roll over, stay on their
                                      stomach and be able to attempt creeping, crawling and pulling themselves
                                      to a standing position. Games and play with infants are good exercises.


                                 10.2.3 Immunization and Promotive Health Care
                                 Immunization is the process that makes a person immune or resistant to an
                                 infectious disease, typically by the administration of a vaccine. These vaccines
                                 stimulate the body’s own immune system to protect the person against
                                 subsequent infection or disease. Immunisation prevents children from getting
                                 diseases for which there are often no medical treatments. It is given high priority
                                 in the care of infants as it can protect them from life- threatening diseases. Soon
                                 after birth, an immunisation card is prepared for the newborn to get vaccinated
                                 as per schedule. The following table shows the age at which each vaccination
                                 has to be administered.

                                   Age                               Vaccine

                                   Birth           BCG, OPV, Hepatitis B, HPV

                                   6 Weeks         DPT, OPV, HiB, Pneumococcal, Hepatitis B

                                   10 Weeks        DPT, OPV, Hepatitis B, HiB, Pneumococcal, IPV

                                   14 Weeks        OPV, DPT, HepatitisB, HiB, Pneumococcal, IPV

                                   6 Months        Rotavirus, Influenza, HPV
                                   9 Months        Measles

                                   12 Months       Varicella

                                   15 Months       MMR, Pneumococcal Booster, IPV

                                   18 Months       OPV, DPT, HiB Booster, Hepatitis A

                                   2 Years         Typhoid, Hepatitis A

                                   4 Years         MMR

                                   5 Years         OPV, DPT Booster

                                 Source: National Immunization Schedule for Infants and Children


                                 10.2.4 Cleanliness and Hygiene
                                 Cleanliness and hygiene play a crucial role in protecting children from infection.
                                 Following a routine of good hygiene practices and keeping the environment

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