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* There are very few true contraindication and precaution conditions. Only two of these conditions are generally considered to be permanent: severe (anaphylactic) allergic reaction to a vaccine component or following a prior dose of a vaccine, and encephalopathy not due to another identifiable cause occurring within 7 days of pertussis vaccination.<ref>{{cite web|url=http://www.cdc.gov/nip/publications/pink/genrec.pdf |title=General Recommendations on Immunizations |accessdate=2007-05-12 |date=2007-02-14 |format=PDF |work=Epidemiology & Prevention of Vaccine-Preventable Diseases--The Pink Book 10th Edition |publisher=Centers for Disease Control and Prevention }}</ref>
* Only the diluent supplied by the manufacturer should be used to reconstitute a freeze-dried vaccine. A sterile needle and sterile syringe must be used for each vial for adding the diluent to the powder in a single vial or ampoule of freeze-dried vaccine.<ref>{{cite news | first= | last=Department of Vaccines and Biologicals | title=WHO Recommendations for Diluents | date=December 2000 | publisher=[[World Health Organization]] | url =http://www.who.int/vaccines-documents/DoxNews/updates/updat34e.pdf |format=PDF| work =Vaccines and Biologicals Update | pages =3 | accessdate = 2007-05-12 | language = }}</ref>
* The only way to be completely safe from exposure to blood-borne diseases from injections, particularly hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) is to use one sterile needle, one sterile syringe for each child.<ref>{{cite news | first=Edward | last=Hoekstra | title=Immunization: Injection Safety
==Tetanus Toxoid Immunization Schedule for Women==
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==Care for the Vaccines==
To ensure the optimal potency of vaccines,a careful attention is needed in handling practices at the country level. These include storage and transport of vaccines from the primary vaccine store down to the end-user at the health facility, and further down at the outreach sites.<ref name='WHO/IVB/06.10'>{{cite news | first= | last= | title=Temperature Sensitivity of Vaccines | date=August 2006 | publisher=[[World Health Organization]] | url =http://www.who.int/vaccines-documents/DocsPDF06/847.pdf |format=PDF| work =Immunization, Vaccines and Biologicals | pages = | accessdate = 2007-05-12 | language = }}</ref> Inappropriate storage, handling and transport of vaccines won’t protect patients and may lead to needless vaccine wastage.<ref name='mbphysicianresources#2_2005'>{{cite news | first= | last= | title=Handle Vaccines with Care
A "first expiry and first out" (FEFO) vaccine system is practiced to assure that all vaccines are utilized before its expiry date. Proper arrangement of vaccines and/or labeling of expiry dates are done to identify those close to expiring. Vaccine temperature is monitored twice a day (early in the morning and in the afternoon) in all health facilities and plotted to monitor break in the cold chain. Each level of health facilities has cold chain equipment for use in the storage vaccines which included cold room, freezer, refrigerator, transport box, vaccine carriers, thermometers, cold chain monitors, ice packs, temperature monitoring chart and safety collector boxes.<ref>{{cite book | title = Expanded Program on Immunization Manual | publisher = Department of Health, Philippines | year = 1995 | ___location = Manila, Philippines }}</ref>
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