COLD CHAIN & Vaccination

8/19/2019 COLD CHAIN & Vaccination

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COLD CHAIN AND

IMMUNIZATION SCHEDULE

LaviniaLee Jessie

Lew Ya En

Kabilen



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



(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/



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



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



So%a+e o) va""ine



;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



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



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/



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



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



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/



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.



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.



• $onitoring card#Referred to as the %$ 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.



• 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.



CONTROL MONITOR

•

0accine 0ial $onitor(00$,

00$ is a label containing

heat sensitive aterialthat is placed on a

vaccine vial to register

heat e1posure







1. Wal In Col! Roo"#WIC$

• at regional level

• Storage up to % onths



%& Dee' (ree)er*

• at district P3+ levels

• tep# 456oc to 426oc

• at P3+! used only for

the preparation of ice

packs



+& 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



Placing Vaccines inRefrigerator



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



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





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



%&AT IS

IMM'I(ATIO4Process by which an individual’s iune

syste becoe fortified against an

agent;iunogen.

4$ostly done by vaccination.



TY(ES O0 BACCINE• Live7 aen&aed va""ines• Ina"ivaed va""ines•

(ol*sa""ha%ideva""ines8$&%e"on&+aed9



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



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



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/



IMM'I(ATIO SC&!D')! IMA)A$SIA



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



@#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



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



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



$!)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



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



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)

http://var/www/apps/conversion/tmp/scratch_5/YELLOW%20CARD.pdf

http://var/www/apps/conversion/tmp/scratch_5/Country%20vaccinations%20list.pdf

http://var/www/apps/conversion/tmp/scratch_5/Country%20vaccinations%20list.pdf

http://var/www/apps/conversion/tmp/scratch_5/YELLOW%20CARD.pdf

COLD CHAIN & Vaccination

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