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Combination vaccines: Backdoor entry into EPI?<br />
• Every combination vaccine combines at least one EPI with non-EPI vaccines<br />
• Private sector produces EPI vaccines for cocktails, but doesn‟t supply them for EPI<br />
• Scarcity for affordable EPI vaccines vs. flooding of costly EPI-nonEPI combinations<br />
• For eg., the cost of DTP vaccine jumps 17 fold when combined with Hep-B<br />
• Safety and efficacy aspects of combination vaccines not proven beyond doubt<br />
• Are new vaccines & combinations joining the ranks of irrational drug formulations?<br />
• Separate multivalent & cocktail vaccines<br />
• Madhavi, 2006, Current Science