EXPANDED-PROGRAM-ON-IMMUNIZATION.pdf

Expanded Program on Immunization Prepared by: Shellah Marie O. Mamawag and Xerczhiel Faye C. Rio LAWS RELATED TO VACCINES  Presidential Decree 996 = OLD EPI Law -compulsory immunization to children below 8 years old  Republic Act 7846 = Compulsory Hepatitis B Immunization New EPI l...

Expanded Program on Immunization Prepared by: Shellah Marie O. Mamawag and Xerczhiel Faye C. Rio LAWS RELATED TO VACCINES  Presidential Decree 996 = OLD EPI Law -compulsory immunization to children below 8 years old  Republic Act 7846 = Compulsory Hepatitis B Immunization New EPI law MICHI Act OLD VACCINES UPDATES! ✓ BCG ✓ Rotavirus ✓ Hepatitis B ✓ Pentavalent ✓ DPT ✓ MMR ✓ OPV ✓ Measles SPECIFIC GOALS  1. To immunize all infants/children against the most common vaccine- preventable diseases.  2. To sustain the polio-free status of the Philippines.  3. To eliminate measles infection.  4. To eliminate maternal and neonatal tetanus  5. To control diphtheria, pertussis, hepatitis b and German measles.  6. To prevent extra pulmonary tuberculosis among children.  ROUTINE IMMUNIZATION SCHEDULE FOR INFANTS MINIMUM NUMBER DOSE MINIMUM VACCINE INTERVAL ROUTE STORAGE SITE AGE OF BETWEEN TEMPERATURE AT 1ST DOSES DOSE DOSES Upper outer portion of the arms Birth or any +2°C to +8°C (in the BCG 1 dose 0.1 mL None Intradermal time after birth body of refrigerator) Right deltoid region of the arm Upper outer portion of Hepatitis B +2°C to +8°C (in the the thigh At birth 1 dose 0.5 ml None Intramuscular monovalent body of refrigerator) Vastus Lateralis (L-R-L) Pentavalent Upper outer portion of 6 weeks Vaccine +2°C to +8°C (in the the thigh 6 weeks old 3 doses 0.5 mL 10 weeks Intramuscular (Hepa B, DPT, body of refrigerator) 14 weeks Hib) Vastus Lateralis (L-R-L) 6 weeks Pneumococcal Upper outer portion of 10weeks Conjugate +2°C to +8°C (in the the thigh 6 weeks old 4 doses 0.5mL 14weeks Intramuscular Vaccine body of refrigerator) 12-15months (PCV13) Vastus Lateralis (L-R-L) (booster) Oral Polio 3 doses 2-3 4 weeks -15°C to -25°C (at Vaccine 6 weeks old Oral Mouth drops interval the freezer)  Upper outer portion of Inactivated 1 dose coexist +2°C to +8°C (in the body of the thigh 14 weeks 0.5 mL None Intramuscular Polio Vaccine with OPV 3 refrigerator) Rotavirus 2-3 4 weeks +2°C to +8°C (in the body of 6 weeks 2 doses Oral Mouth Vaccine drops interval refrigerator) Upper outer portion of the Measles arms 9 months old 1 dose 0.5 mL None Subcutaneous -15°C to -25°C (at the freezer) Right deltoid 12 to 15 Upper outer portion of the MMR 1 dose 0.5 mL None Intramuscular +2°C to +8°C (in the body of months old thigh refrigerator) CRITICAL POINTS OF EPI CRITICAL POINTS OF EPI BCG = add 2-3 ml of diluent = use 5 ml syringe Measles = add 5 ml of diluent = use 10 ml syringe  CRITICAL POINTS OF EPI ✓ HIV/AIDS – ✓ Active Neurologic Disorder – Recurrent Convulsions – ✓ Convulsions within 72 hours or 3 days after DPT 1– ✓ Chemotherapy/Glucocorticoids ✓ Fever = 38.5 Degrees Celsius and above CRITICAL POINTS OF EPI ✓ Cough and Colds ✓ Mild Respiratory Problem ✓ Diarrhea ✓ Constipation ✓ Malnutrition CRITICAL POINTS OF EPI ✓ Vaccines can be given at SAME TIME but DIFFERENT SITES ✓ ROTA and OPV can be administered at the same time OPV No vomiting Give ROTA within 30 minutes CRITICAL POINTS OF EPI ✓ BCG – live attenuated bacteria ✓ Hepa B – RNA Recombinant ✓ D – weakened toxin P- inactivated/killed bacteria T – weakened toxin ✓ OPV, Rota, Measles, MMR – live attenuated virus