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    F INAL

    Uploaded by

    Kartik
    This document discusses immunization schedules, the cold chain system for vaccine storage and transport, and guidelines for ensuring vaccine potency. It notes that immunization saves millions of lives annually and is a highly cost-effective health investment. The key aspects of the cold chain system that are described include national immunization schedules, cold storage equipment like walk-in cold rooms and ice-lined refrigerators, temperature monitoring, transport equipment like cold boxes and vaccine carriers, and vaccine vial monitors to indicate heat exposure over time. Adhering to cold chain procedures and storage temperatures between 2-8°C is emphasized as important to assure potent vaccines and successful immunization programs.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    F INAL

    Uploaded by

    Kartik
    16 views21 pages
    This document discusses immunization schedules, the cold chain system for vaccine storage and transport, and guidelines for ensuring vaccine potency. It notes that immunization saves millions of lives annually and is a highly cost-effective health investment. The key aspects of the cold chain system that are described include national immunization schedules, cold storage equipment like walk-in cold rooms and ice-lined refrigerators, temperature monitoring, transport equipment like cold boxes and vaccine carriers, and vaccine vial monitors to indicate heat exposure over time. Adhering to cold chain procedures and storage temperatures between 2-8°C is emphasized as important to assure potent vaccines and successful immunization programs.

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    fINAL PPT

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    This document discusses immunization schedules, the cold chain system for vaccine storage and transport, and guidelines for ensuring vaccine potency. It notes that immunization saves millions of lives annually and is a highly cost-effective health investment. The key aspects of the cold chain system that are described include national immunization schedules, cold storage equipment like walk-in cold rooms and ice-lined refrigerators, temperature monitoring, transport equipment like cold boxes and vaccine carriers, and vaccine vial monitors to indicate heat exposure over time. Adhering to cold chain procedures and storage temperatures between 2-8°C is emphasized as important to assure potent vaccines and successful immunization programs.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    16 views21 pages

    F INAL

    Uploaded by

    Kartik
    This document discusses immunization schedules, the cold chain system for vaccine storage and transport, and guidelines for ensuring vaccine potency. It notes that immunization saves millions of lives annually and is a highly cost-effective health investment. The key aspects of the cold chain system that are described include national immunization schedules, cold storage equipment like walk-in cold rooms and ice-lined refrigerators, temperature monitoring, transport equipment like cold boxes and vaccine carriers, and vaccine vial monitors to indicate heat exposure over time. Adhering to cold chain procedures and storage temperatures between 2-8°C is emphasized as important to assure potent vaccines and successful immunization programs.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 21

    IMMUNISATION

    SCHEDULE & COLD


    CHAIN
    Immunization
    schedule
    Immunization is the
    process whereby a
    person is made
    immune to an
    infectious disease,
    typically by the
    administration of a
    vaccine.

    Controlling and eliminating life-threatening infectious diseases


    Estimated to avert between 2 and 3 million deaths each year.
     One of the most cost-effective health investments
    Accessible to even the most hard-to-reach and vulnerable
    populations.
    Active immunization/vaccination
    has been named one of the
    "Ten Great Public Health
    Achievements in the 20th
    Century"

    Accelerate control Strengthen routine


    of vaccine- immunization to
    preventable meet vaccination
    diseases coverage targets
    Objectives of
    WHO in
    immunization
    Spur research and
    Introduce new development for
    and improved the next generation
    vaccines of vaccines
    and
    National Immunization
    Schedule
    National Immunization
    Schedule
    National Immunization
    Schedule
    Vaccine
    s

    BCG OPV DPT

    TT Japanese Measles
    Hepatitis B
    Encephalitis
    Manufacturer
    Cold Chain
    Distributor
    The ‘cold chain’ is the system of
    transporting and storing vaccines at
    recommended temperature from the Vaccine
    Depots
    point of manufacture to the point of use.

    Provider
    office

    Client
    Why is the cold chain important ?
    1. Vaccines are: 2. Assurance in potent

    product and vaccine
    Biological products
    programmes
     lose potency with time  Professional
    responsibility
     Process irreversible and  Confident the vaccines
    accelerated if proper storage you give
    conditions are not adhered to. will be effective
     Public Health
    responsibility
    3. Ensuring maximum benefit  Public confidence in
    from immunisations immunisation programmes

    Responsibility not to waste 4.Compliance with


    resources SPC/Manufacturer
    Reduce wastage from errors Any vaccine that has not been
    stored at a temperature of 2-8ºC
    as per its licensing conditions is
    Cold chain storage
    equipment
    Walk in Deep Ice lined
    cold rooms freezer refrigerator
    s s
    1.Walk in cold rooms(WIC)
    At regional level
    Storage up to 3 months

    2.Deep freezers

    At district & PHC levels


    Temp :- -15oc to -25oc
    At PHC, used only for the
    preparation of ice packs
    3.Ice lined refrigerators(ILR)

    Both at district and PHC


    levels
    Temp :- +2oc to +8oc
    ILR’s are top opening,
    can hold cold air inside
    better than front opening
    refrigerators
    Vaccine Stability
    MOST
    Sensitivity to HEAT
    SENSITIVE
    Sensitivity to COLD
    BCG HepB and combination
    Varicella DTand/or
    MMR aP/IPV/HIB
    MenC Influenza
    Hepatitis B MenC
    DT and/or *MMR
    aP/IPV/HIB *Varicella
     Temperature must be LEAST *BCG
    recorded twice in a day with SENSITIVE (*Freeze dried)
    dial thermometer
    Light Sensitive

    Sensitive to strong light, sunlight, ultraviolet,


    fluorescents (neon)
    Vaccines should
    BCG always be stored
    in their original
    MMR packaging until
    Varic point of use to
    ella protect them
    Meningococcal C Conjugate from light
    Most DTaP containing vaccines
    Vaccine Storage
    DON’T’s DO’
    s
    X No food or medical
     Use a dedicated vaccine fridge
    specimens

     Safeguard electricity supply


    X Do not place fridge in
    direct sunlight or near heat
     No more than 50% full
    source

     Place vaccines in clearly


    X Do not store vaccines for labelled plastic mesh baskets
    more than 1 month at PHC.
    Group vaccines by type
    X Do not store vaccines in (Paediatric, Adult, Adolescent)
    fridge doors or in solid
    plastic trays/containers  Defrost/calibrate fridge regularly
    within the fridge
    Ensure back up facilities are
    X Keep vaccines away from Picture taken from www.medisave.co.uk available in the event of fridge
    fridge walls and cold air failing
    vents
    Transporting Equipment

    Cold Vaccin Day


    boxes ecarriers carriers
    1.Cold boxes  Used for transport of vaccines
    Fully frozen ice packs placed
    at the bottom and sides
    DPT, TT, DT should not be kept
    in direct contact

    2.Vaccin
    e
    carriers

    Used to carry small quantity


    of vaccines(16 to 20 vials)
    For out of reach sessions
    4 icepacks are used
    3.Day carriers

    Used to carry very small


    quantities of vaccines(6 to 8 vials)
    For a near by session
    2 icepacks are used
    For only 2 hours period
    Vaccine Vial
    Monitor(VVM)
    VVM is a label containing heat sensitive
    material that is placed on a vaccine
    vial to register heat exposure over time

    Vaccine vial
    monitor
    • Inner square Combined effects of time and
    lighter than temperature cause the inner
    Stage 1 outer circle
    square to darken gradually and
    irreversibly
    • Inner square VVM does not directly measure
    still lighter than the vaccine potency but gives info
    Stage 2 outer circle about the main factor that affects
    potency
    • Color of inner
    square matches
    Stage 3 the outer circle

    • Color of inner
    square darker
    Stage 4 than outer circle
    THANK YOU

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