cold chain & vaccination
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8/19/2019 COLD CHAIN & Vaccination
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COLD CHAIN AND
IMMUNIZATION SCHEDULE
LaviniaLee Jessie
Lew Ya En
Kabilen
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Cold Chain
• Defniion!
The va""ine "old "hain is ae#$e%a&%e'"on%olled envi%on#en&sed o #ainain and dis%ib&e
va""ines in o$i#al "ondiion
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(la"e o)#an&)a"&%e
Ad#inis%aion
The "old "hain is a s*se# o)%ans$o%in+ and so%in+ va""ines wihinhe sa)e e#$e%a&%e o) ,-C '.- C )%o#he $la"e o) #an&)a"&%e o he $oin o)
ad#inis%aion/
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Ele#ens o) Cold Chain
0&n"ionin+ va""inead#inise%ed o $eo$le
E1"ien#ana+e#e
n$%o"ed&%es
2eliable%ans$o%ai
on andso%a+e
e3&i$#en
4ell'%ained$e%sonnel
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4h* do we have o #ainain he"old "hain5
E6"essive hea7 "oldand li+h e6$os&%e
Da#a+e va""ines
De"%eased $oen"* o)va""ines 8i%%eve%sible
$%o"ess9
Useless va""ine 8o:e%sno benef o"ons&#e%s9
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So%a+e o) va""ine
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;ENE2AL ;UIDANCE• CDC %e"o##ends
%ans$o% wih a$o%able %e)%i+e%ao%&ni
• I) no available7 &sea ha%d'sidedins&laed "oole% wiha leas ,'in"h walls
Coolan $a"<s ha a%e )%o=enhave o be >"ondiioned? f%s b*leavin+ he# a %oo#e#$e%a&%e )o% @', ho&%s &nil
ed+es have de)%osed and $a"<loo<s li<e is sweain+ 8)%o=en
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T%ans$o%in+ Ba%i"ella'"onainin+Ba""ines
• Ba%i"ella is a live va""ine' sensiive o hea• CDC does no %e"o##end %ans$o%in+
he#
• I) have o be %ans$o%ed7 CDC%e"o##ends %ans$o% in a $o%able )%ee=e%&ni ha #ainains he e#$e%a&%ebeween '-C and '@-C
• I) "an &se $o%able )%ee=e%7 &se sa#e$a"<in+ la*e%s as #enioned above b& dono de)%os "oolan $a"<s
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DISTRIBUTION ASPECT IN COLD
CHAIN
1.Custom Clearance!
•. Naional 2e+&lao%* A&ho%iies 8N2A9 o% head o) "&so#s inhe desinaion "o&n%*!
. To be "lea%ed7 he va""ines #&s have %e"eived #a%<ein+a&ho%isaion and a %elease "e%if"ae )%o# he naional%e+&lao%* a&ho%i*/
•. 4HO o1"e!.Ba""ines #&s #ee 4HO %e"o##ended no%#s and
sanda%ds 8$%e'3&alif"aion $%o"ess9/
•. Lo"al Minis%* o) Healh 8MOH9!.De$endin+ on "o&n%* s$e"if" %e3&i%e#ens7 he MOH #a*
iss&e a lee% a$$%ovin+ he shi$#en/
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2.ShippingIn o%de% )o% shi$$in+ o $%o"eed s#oohl*/ The%e
a%e )ew hin+s o be loo<ed ino/
•. Cool o6 F Ba""ine Ca%%ie%•. Do"&#ens•. Monio%in+ Means
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Cool box
• Te#$e%a&%e! ,'.GC• T%ans$o% va""ine s&$$lies )%o# one f6ed va""ine
so%e o anohe% and )%o# va""ine so%es o healh)a"iliies
• Te#$o%a%il* so%e va""ines when he %e)%i+e%ao% iso& o) o%de% o% bein+ de)%osed
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Vaccine Carrier• Te#$e%a&%e! ,'.GC• Used )o% %ans$o%in+
va""ines )%o# healh
)a"iliies wih %e)%i+e%aion o o&%ea"h
sessions whe%e %e)%i+e%aion and i"e a%e noavailable/
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DOCUMENTS
The )ollowin+ o%i+inal do"&#ens #&sa""o#$an* he "onsi+n#en when i isshi$$ed7 and a "o$* o) hese #&s also be$la"ed in he bo6/
• Airway bill
• Supplier’s invoice• Packing list• Lot release certificate issued by the National Regulatory
Authority of the country of anufacture for each lot ofvaccine supplied
• Any other docuents! certificates or instructionsspecified in the individual contract.
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MONITORING MEANS
•
"wice daily teperaturesheet#
Refers to the sheet onwhich the teperature is
indicated orning andevening! everyday of theonth. Any aintenancework done is also
indicated.
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• $onitoring card#Referred to as the %$ card!
it is used to onitor teperature
variations during storage and
shipping fro the anufacturer
to the user.
• &rreversible free'ing indicator
(at )*+,#
"his indicator is placed near products that should not be
fro'en.
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• Stop -atch card#
A %$ card with free'ing indicator.
Placed in the refrigerator and
is used to onitor teperature
variations and deterine if the
euipent is functioning properly.
• "eperature /ata Logger#
A portable easureent
instruent whichautonoously records teperature
over a period of tie.
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CONTROL MONITOR
•
0accine 0ial $onitor(00$,
00$ is a label containing
heat sensitive aterialthat is placed on a
vaccine vial to register
heat e1posure
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1. Wal In Col! Roo"#WIC$
• at regional level
• Storage up to % onths
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%& Dee' (ree)er*
• at district P3+ levels
• tep# 456oc to 426oc
• at P3+! used only for
the preparation of ice
packs
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+& Ice Line!Re,ri-era.or* #ILR$
• 7oth at distict and P3+levels
• "ep# 82oc to 89oc• &LR:s are top opening!
can hold cold air inside better than front
opening refrigerators
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Placing Vaccines inRefrigerator
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Diluent Storage
•So%e dil&en as di%e"ed in #an&)a"&%e%s$%od&" in)o%#aion•So%e %e)%i+e%aed dil&en wih
"o%%es$ondin+ va""ine 8hese dil&ens #a*"onain va""ine ani+en9•Neve% so%e dil&ens in he )%ee=e%•Label dil&en o avoid inadve%en &se o)
he w%on+ dil&en when %e"onsi&in+ ava""ine
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Correct Storage Methods
Criteria for Selecting a Cold Box • I needs o be la%+e eno&+h o so%eva""ines and i"e$a"<s d&%in+ %ans$o%
• E6e%nal s&%)a"e #ae%ial needs o bed&%able and %ob&s
•Lid needs o be i+h fin+
•S%on+ handles )o% "a%%*in+ he "old bo6
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IMPORTAC! O" MAITAII#VACCI! POT!C$
• Ba""ine hea liable• S&""ess o) an* va""inaion $%o+%a#
de$ends on he $oen"* o) va""ine• Ba""ine loses a"ivi* and i%%eve%sible• No )&n"ional•
Mainainin+ "lini"al e1"a"*• 2ed&"e $%oe"ion )%o# va""ine'
$%evenable disease
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%&AT IS
IMM'I(ATIO4Process by which an individual’s iune
syste becoe fortified against an
agent;iunogen.
4$ostly done by vaccination.
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TY(ES O0 BACCINE• Live7 aen&aed va""ines• Ina"ivaed va""ines•
(ol*sa""ha%ideva""ines8$&%e"on&+aed9
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VACCINE PREVENTABLE
DISEASES
• T&be%"&losis• He$aiis A F • Di$hhe%ia• Tean&s• 4hoo$in+ Co&+h•
2&bella• Measles7 M&#$s• Hae# In&en=a *$e b
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IMPORTAC! O" VACCI!
• Prevent serious illness and coplication
• Prevent outbreaks
• &t is safe
• &t has no side effects e1cept a swollen in<ectionsite
• Her! i""/ni.0
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HE2D IMMUNITY•
+ounity &unity• Achieved by vaccinating large nuber of people in a
population.
• As no eve%*one is able o +e va""inaed
8$%e+nan wo#en7 i##&no"o#$%o#isedindivid&als7 in)ans9 7havin+ he #ao%i* o)he $o$&laion va""inaed a+ains a disease+ives $%oe"ion o he &nva""inaed/
•
In o%de% o $%even #ao% disease o&b%ea<7i is h&s vial )o% +ove%n#ens o ens&%e he"o##&ni* is va""inaed a+ains ohe%wise)aal diseases/
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IMM'I(ATIO SC&!D')! IMA)A$SIA
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Age Vaccine
New bo%n a"ill&s Cal#ee;&%in 8C;9@s dose! He$aiis 8He$9
@ #onh ,nd dose! He$aiis
, #onh @s dose! Di$he%ia7 Tean&s7 a""ell&la% (e%&ssis 8DTa(9 Hae#o$hil&s in&en=ae b 8Hib9 Ina"ivaed (oliovi%&s 8I(B9
#onh ,nd dose! DTa( Hib I(B
#onh %d dose! DT(
Hib I(B
#onh %d dose! He$aiis Measles 8Sabah onl*9
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@#onh @s Dose! Ja$anese En"e$haliis 8JE9 8Sa%awa< onl*9
@,#onh @s dose! M&#$s7 Measles7 2&bella 8MM29
,nd dose! Ja$anese En"e$haliis 8Sa%awa< onl*9
@.#onh Ph dose! DT( Hib I(B
%d dose! JE 8Sa%awa< onl*9
P *ea%s Ph dose! JE 8Sa%awa< onl*9
Q*ea%s C; 8o$ion onl* i) no s"a% )o&nd9 Di$he%ia7 Tean&s 8DT boose%9
,nd dose o) MM2
@*ea%s H&#an $a$illo#avi%&s 8H(B9 wih doses wihin #onhs8,nd dose @ #onh a)e% @s dose7 %d dose #onhs a)e%@s dose9
@*ea%s Tean&s 8TT9
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O*tional Vaccines in
Mala+sia• R 4EEKS ! 2oavi%&s• R , MONTHS ! (ne&#o"o""al• R MONTHS ! In&en=a• R @ MONTHS ! He$aiis A• R @, MONTHS !Chi"<en $o6
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YELLO4 CA2D8CA2TE JAUNE9• International certi,cate of Vaccination or
Pro*-+laxis.• Iss&ed b* 4o%ld Healh O%+anisaion84HO9• To $%even he ine%naional s$%ead o) he disease
b* $%oe"in+ "o&n%ies )%o# he %is< o) i#$o%in+ o%s$%eadin+ he disease/
• 2e3&i%ed )o% en%* o "e%ain "o&n%ies whe%e he%ea%e in"%eased healh %is<s )o% %avelle%s o% lo"als/8#edi"al $ass$o%9
• I) *o& do no show a valid "e%if"ae when%e3&esed a he bo%de%7 *o& #a* NOT be allowed oene% he "o&n%*7 o% *o& #a* be UA2ANTINED )o%&$ o da*s
• "ona" di$lo#ai" o% "ons&la% o1"e o) "o&n%ies
*o& a%e $lannin+ o visi o <now he va""inaion
$!)O% "!V!R VACCIATIO
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$!)O% "!V!R VACCIATIO• The "o&n%ies ha %e3&i%e $%oo) o) va""inaion a%ehose whe%e he mosuito /ector and *otential
non0-uman *rimate -osts o) *ellow )eve% a%e$%esen/• An* i#$o%aion o) he vi%&s ino s&"h "o&n%ies b*in)e"ed %avelle%s "o&ld %es&l in its *ro*agation
and estalis-ment7 leadin+ o a $e%#anen %is< o)in)e"ion )o% he h&#an $o$&laion/
• (%oo) o) va""inaion is o)en %e3&i%ed )o% tra/ellersarri/ing from countries 2it- ris3 of +ello2
fe/er transmission and so#ei#es )o% %avelle%s in%ansi h%o&+h s&"h "o&n%ies/
• Lis o) *ellow )eve% va""inaion "o&n%* %e3&i%e#ens'R 4HO websie
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Ohe% va""inaions!- Tean&s and di$hhe%ia- (e%&ssis- MM2- (olio- Menin+o"o""al #enin+iis- JE-
He$ - T*$hoid- Chole%a
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Medications:
•
Tra/eller4s diarr-oea 8$%oe" a+ainswae%'bo%ne $aho+ens9
V anibioi"s8"i$%oo6a"in7levoo6a"in9
V is#&h s&bsali"*lae8 (e$o'is#&l9• Malaria c-emo*ro*-+laxis 5ende#i"
a%eas9
V"hlo%o3&ine7 $%i#a3&ine
• YELLO4 CA2D/$d) • Co&n%* va""inaions lis/$d)