Here's what's established about the Japanese Encephalitis (JE) vaccine in India's National Immunization Schedule (NIS):
Route change (SC → IM)
In the original Universal Immunization Programme (UIP) rollout, the JE vaccine was given by the subcutaneous (SC) route, 0.5 mL. This was later revised, and it is now given by the intramuscular (IM) route in the current schedule — in line with the broader standardization of injection routes across the UIP vaccines. Under the current NIS, JE vaccine is given as two doses:
- JE-1: 9–12 months (co-administered with MCV-1/measles-rubella)
- JE-2: 16–24 months (co-administered with MCV-2/DPT booster)
The "up to 2 years" limit you're referring to is consistent with this — the primary two-dose schedule and catch-up vaccination under UIP is completed by 24 months of age, after which children falling outside this window are managed under the outbreak/campaign strategy rather than the routine two-dose infant schedule.
Strain change (earlier vs. now)
- Earlier: JE control in India relied on older inactivated, mouse-brain-derived vaccines (e.g., Nakayama strain-based killed vaccines), which were reactogenic, expensive to produce, and not used for mass routine immunization in India.
- Now: India uses the live attenuated SA 14-14-2 strain JE vaccine, manufactured in China (Chengdu Institute of Biological Products) and later also produced indigenously. This strain was first used in mass catch-up campaigns in high-burden districts of UP/Bihar starting 2006, and was formally introduced into routine UIP immunization in 2011 across 181 endemic districts as a single dose for the 1–15 year campaign strategy, later restructured into the current 2-dose infant schedule (JE-1, JE-2) described above.
So in short: Nakayama (older, inactivated, mouse-brain-derived) → SA 14-14-2 (current, live attenuated), and the injection route moved from SC → IM.
One caveat: I could not pull up the exact line in Park's Textbook of PSM (the usual primary source for Indian NIS specifics) confirming the precise wording "IM max limit 2 years" you're quoting from your notes/coaching material — that phrasing sounds like it's from a specific exam-prep table. If you can share which source (Park's edition, IAP schedule, or a coaching note) that line is from, I can cross-check it more precisely against the textbook content in the library.