EPI (Expanded Program on Immunization) by WHO does NOT include
**Core Concept**
The Expanded Program on Immunization (EPI) is a global strategy by the World Health Organization (WHO) to vaccinate children and prevent vaccine-preventable diseases.
**Why the Correct Answer is Right**
EPI primarily focuses on vaccinating children against diseases such as tuberculosis, diphtheria, tetanus, pertussis, polio, and measles. It also includes vaccines for hepatitis B, Haemophilus influenzae type b (Hib), and pneumococcal disease. The EPI strategy is designed to protect children from these diseases, which are major causes of morbidity and mortality in many parts of the world.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because the EPI program does not specifically target adult populations, although some vaccines like influenza and pneumococcal conjugate vaccine are recommended for adults.
**Option B:** This option is incorrect because the EPI does not focus on diseases like HIV/AIDS, which is a major public health concern, but is managed through a separate program.
**Option C:** This option is incorrect because the EPI does not specifically focus on vaccine-preventable diseases in older adults, such as shingles or pneumococcal disease, although some vaccines are recommended for this age group.
**Clinical Pearl / High-Yield Fact**
The EPI program has been instrumental in reducing the global burden of vaccine-preventable diseases, and its success has led to the inclusion of new vaccines in the program, such as rotavirus and HPV vaccines.
**Correct Answer:** D