National Immunization Program Overview

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Questions and Answers

Which of the following diseases are preventable by vaccines, according to the 1976 Marcos Presidency?

  • Pertussis (correct)
  • Tetanus (correct)
  • Measles (correct)
  • Hepatitis B
  • Tuberculosis (correct)
  • Diphtheria (correct)
  • Poliomyelitis (correct)

Attenuated vaccines contain a small amount of weakened live pathogen, which does not cause disease, but triggers the immune system.

True (A)

The MMR vaccine is an example of an inactivated vaccine.

False (B)

Which of the following is an advantage of using an attenuated vaccine?

<p>It is more likely to trigger a strong immune response than inactivated vaccines. (C), It is very effective, providing lifelong protection in 1 or 2 doses. (D)</p> Signup and view all the answers

Inactivated vaccines cannot cause disease.

<p>True (A)</p> Signup and view all the answers

Which of the following examples are considered inactivated vaccines?

<p>Diphtheria Toxoid (A), Whole-cell pertussis (wP) (B), Tetanus Toxoid (C), Inactivated Poliovirus (IPV) (D)</p> Signup and view all the answers

Conjugated subunit vaccines use a protein from the pathogen's capsule to create an immune response.

<p>True (A)</p> Signup and view all the answers

Which of the following vaccine types is administered via the intramuscular route?

<p>Measles (A), Hepatitis B (B), Hib (C), DPT-HEPB-HIB (Pentavalent) (F)</p> Signup and view all the answers

The BCG vaccine is administered via the subcutaneous route.

<p>False (B)</p> Signup and view all the answers

What is the recommended age for receiving the BCG vaccine?

<p>At birth</p> Signup and view all the answers

The MMR vaccine should only be administered once.

<p>True (A)</p> Signup and view all the answers

The Hepatitis B vaccine should only be administered once.

<p>False (B)</p> Signup and view all the answers

What is the recommended site for administering the MMR vaccine?

<p>Outer part of the upper arm</p> Signup and view all the answers

The Rotavirus vaccine should be given to infants between 6 weeks to 15 weeks of age.

<p>True (A)</p> Signup and view all the answers

The OPV (oral polio vaccine) should not be given to infants who have a history of severe diarrhea or vomiting.

<p>True (A)</p> Signup and view all the answers

What is the recommended age for receiving the first Hep B vaccine?

<p>At birth</p> Signup and view all the answers

The Pentavalent vaccine (DPT-Hep B-Hib) is recommended for infants at birth.

<p>False (B)</p> Signup and view all the answers

What is the recommended dose for the BCG vaccine?

<p>0.05 mL</p> Signup and view all the answers

What is the recommended dose for the Rotavirus vaccine?

<p>1.5 mL</p> Signup and view all the answers

The inactivated poliovirus (IPV) vaccine has replaced the type 2 poliovirus.

<p>True (A)</p> Signup and view all the answers

The inactivated poliovirus (IPV) vaccine is administered via the oral route.

<p>False (B)</p> Signup and view all the answers

The Pentavalent vaccine is administered via the oral route.

<p>False (B)</p> Signup and view all the answers

How long should a reconstituted freeze-dried vaccine be used?

<p>6 hours after reconstitution or at the end of the immunization session, whichever comes first.</p> Signup and view all the answers

A reconstituted freeze-dried vaccine can be used for more than one immunization session, as long as it has not been stored for more than 28 days.

<p>True (A)</p> Signup and view all the answers

It is acceptable to use a freeze-dried vaccine that has been contaminated, such as those with a vial septum that has been submerged in water.

<p>False (B)</p> Signup and view all the answers

It is acceptable to use a freeze-dried vaccine if the expiry date has been passed.

<p>False (B)</p> Signup and view all the answers

It is not recommended to use a freeze-dried vaccine if the color of the VVM (vial monitor) has reached the discard point.

<p>True (A)</p> Signup and view all the answers

The BCG vaccine should be protected from direct sunlight.

<p>True (A)</p> Signup and view all the answers

The MMR vaccine should be protected from fluorescent light.

<p>True (A)</p> Signup and view all the answers

All vaccines are equally sensitive to heat.

<p>False (B)</p> Signup and view all the answers

Oral polio vaccine (OPV) is more sensitive to heat than the DPT vaccine.

<p>True (A)</p> Signup and view all the answers

The DT, TT, HepB, and JE vaccines are the least sensitive to heat.

<p>True (A)</p> Signup and view all the answers

The Hep B vaccine is the most sensitive to freezing.

<p>True (A)</p> Signup and view all the answers

The DPT vaccine is the least sensitive to freezing.

<p>True (A)</p> Signup and view all the answers

When performing the shake test, the control sample should be frozen for 10 hours at -10°C.

<p>True (A)</p> Signup and view all the answers

If the sedimentation rate of the test sample is slower than the control sample, the test sample can be used.

<p>True (A)</p> Signup and view all the answers

If the sedimentation rate of the test sample is the same as the control sample, the test sample should not be used.

<p>True (A)</p> Signup and view all the answers

The ideal temperature for storing vaccines in a refrigerator is +2°C to +8°C.

<p>True (A)</p> Signup and view all the answers

Freeze-dried vaccines, such as measles, yellow fever, and BCG, should be stored at -15 °C to -25 °C.

<p>True (A)</p> Signup and view all the answers

Which of the following is NOT a component of cold chain logistics?

<p>Stethoscope (B)</p> Signup and view all the answers

It is recommended to store vaccines in the refrigerator door.

<p>False (B)</p> Signup and view all the answers

The duration of vaccine storage in transport boxes should not exceed 5 days.

<p>True (A)</p> Signup and view all the answers

Vaccine carriers are larger and can maintain a stable temperature for a longer period than cold boxes.

<p>False (B)</p> Signup and view all the answers

The VVM (vial monitor) is a round dot of sensitive material that can be used to detect if a vaccine has been exposed to excessive heat.

<p>True (A)</p> Signup and view all the answers

The ideal temperature for storing the OPV vaccine in the refrigerator is +4°C.

<p>True (A)</p> Signup and view all the answers

The monthly vaccine requirement for a municipality can be calculated by dividing the yearly vaccine requirement by the number of months in a year.

<p>True (A)</p> Signup and view all the answers

The wastage multiplier is used to estimate the total number of doses needed for the entire municipality.

<p>True (A)</p> Signup and view all the answers

The number of doses needed for a particular vaccine can be calculated by multiplying the total number of doses per unit (ampule or vial) by the wastage multiplier.

<p>True (A)</p> Signup and view all the answers

Children who have received three doses of the Pentavalent vaccine are considered fully immunized.

<p>False (B)</p> Signup and view all the answers

Children who have completed all required vaccinations by the age of 12 months are classified as Completely Immunized Children (CIC).

<p>True (A)</p> Signup and view all the answers

Flashcards

National Immunization Program

A program in the Philippines to provide free and accessible vaccines, ensuring Filipinos, especially those in need, have access to recommended vaccines.

Expanded Program on Immunization (EPI)

A program established to ensure vaccination coverage in the Philippines and improve public health outcomes.

Presidential Decree 996 (PD 996)

Legal basis for the Expanded Program on Immunization (EPI).

Haemophilus Influenza type B (HIB)

A bacterial infection that can cause serious illness in infants and young children, but is preventable through vaccination.

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Eligible Population (HIB)

Newborns and infants (0-12 months old) are the most vulnerable to Hib and need early vaccination.

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Immunization

The process of introducing vaccines into the body to stimulate the immune response and prevent diseases.

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Immunity

The ability of the body to fight off diseases.

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Vaccines

A biological preparation that improves immunity to a particular disease.

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Routine Vaccination Coverage

The percentage of people who receive the recommended vaccines at the appropriate times.

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Polio

A contagious disease of the spinal cord, now preventable with a vaccination.

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Measles

Highly contagious viral infection preventable by preventive measures.

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Neonatal tetanus

A serious illness that can kill newborn babies. Preventable through vaccination.

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Hepatitis B

A viral infection that affects the liver. Preventable by vaccination.

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Attenuated vaccine

A vaccine containing a weakened form of the pathogen.

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Inactivated vaccine

A vaccine that contains a killed pathogen.

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Tuberculosis

A bacterial disease, preventable via vaccination.

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Diphtheria

A bacterial disease causing severe medical challenges. Preventable through vaccination.

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Pertussis

A bacterial infection, preventable by vaccination.

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Tetanus

A serious bacterial disease, preventable via vaccination.

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Poliomyelitis

A viral infection that affects the spinal cord, preventable through vaccination.

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Measles

An infectious disease caused by a virus, preventable via vaccination.

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Study Notes

National Immunization Program

  • Aims to ensure free immunization, focusing on Filipinos, especially the poor
  • Considered a means to achieve population immunity and contribute to public health
  • Legal basis: Presidential Decree 996 (PD 996) under the Marcos presidency
  • 6 diseases preventable by vaccines (1976): Tuberculosis, Diphtheria, Pertussis, Tetanus, Poliomyelitis, Measles
  • 7 diseases preventable by vaccines (1995) include: Tuberculosis, Diphtheria, Pertussis, Tetanus, Poliomyelitis, Measles, and Hepatitis B
  • Strategies to high routine full immunized child coverage: at least 90% of all provinces and cities
  • Goals: to maintain polio-free status, globally, and to eliminate measles (2008) and neonatal tetanus

Vaccine Types

  • Attenuated Vaccine (Live but Altered): Contains weakened pathogens, triggering immunity without causing disease. Examples include MMR (measles, mumps, rubella), and some others.
    • Advantages: highly effective, long-lasting immunity often in 1-2 doses
    • Disadvantages: can't be given to people with compromised immune systems, takes longer time to manufacture.
  • Inactivated Vaccine (Killed): Contains killed pathogens, stimulating immunity. Examples include BCG, inactivated poliovirus (IPV).
    • Advantages: doesn't take time in manufacturing, safer than live vaccines
    • Disadvantages: less effective than live vaccines, requires multiple doses
  • Toxoid Vaccine: Contains inactivated toxins produced by bacteria. Examples include tetanus toxoid, diphtheria toxoid.
    • Advantages: safe and can't cause disease; no reversion to virulence
    • Disadvantages: requires multiple doses, need adjuvant for heightened immune response
  • Conjugated Subunit Vaccines: Combines a protein from the pathogen's capsule with other antigens. Examples include haemophilus influenza type b conjugate (Hib) and pneumococcal conjugate vaccines (PCV)
    • Advantages: helps the immune system respond better
    • Disadvantages: none given

Eligible Population

  • 0-12 months: newborns and infants (most vulnerable)

Principles

  • Epidemiological methods (understanding disease spread)
  • Mass vaccination approach (large-scale campaigns)
  • Integration into basic health services (regular access)

Compulsory Immunization

  • Example: Hepatitis B for children under 8 years old as per Republic Act 7846
  • Important for disease prevention

Immunization Schedule/Routine

  • Details on the steps for administrating vaccines (e.g., BCG, OPV)
  • Site of the injection for each vaccine (e.g., ID, SC, IM)
  • Schedule for different vaccines per age range

Cold Chain Logistics

  • Importance of maintaining proper temperature for vaccine storage and transportation (e.g., 2-8°C, or -15 to -25°C)
  • Essential for vaccine potency and effectiveness

Vaccine Storage and Transportation

  • How different vaccines should be stored (refrigerator, freezer)
  • Requirements for maintaining a cold chain (e.g., using ice packs, proper equipment)
  • Duration of storage and transport for various vaccines in health centers.

Vaccine Reconstitution (Freeze-dried vaccines)

  • Steps for mixing freeze-dried vaccines with diluents so they can be used
  • Timing limits for reconstituted vaccines.

Vaccines Sensitive to Freezing

  • Which vaccines are susceptible to freezing and how the process may render them useless or useless
  • Procedure for testing the quality and integrity of a vaccine
  • Guidelines and precautions to maintain safe environment
  • Contraindications to immunization, e.g., having a feverish child, recently had convulsions etc

Updates, policies, monitoring

  • Policies: Details on the open-vial policy for multi-dose vials of liquids (e.g., OPV, HBV, pentavalent etc.) and how long vaccines can be stored (MAX 4 weeks for reconstitution, less time if any of the considerations aren't met)
  • Monitoring - for potency and use of vaccine, ensuring proper and consistent storage.

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