Expanded Program on Immunization (Philippines): Difference between revisions

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m Routine Immunization Schedule for Infants: replace/remove deprecated cs1|2 parameters; using AWB
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| <center>Intramuscular</center>
| Upper outer portion of the thigh, Vastus Lateralis (R-L-R)
| An early start of Hepatitis B vaccine reduces the chance of being infected and becoming a carrier.<ref>{{cite journal|title=Effects of Universal Vaccination for Hepatitis B|journal=Annals of Internal Medicine|date=2001-11-06|first=Y. H.|last=Ni |author2=M.H. Chang |author3=L.M. Huang |author4=H.L. Chen |author5=H.Y. Hsu |author6=T.Y. Chiu |author7=K.S. Tsai |author8=D.S. Chen|volume=135|issue=9|pages=796–800|id= |url=http://www.annals.org/cgi/content/summary/135/9/796|format=|accessdate=2007-05-12|pmid=11694104|doi=10.7326/0003-4819-135-9-200111060-00005}}</ref> <br /> Prevents liver cirrhosis and liver cancer which are more likely to develop if infected with Hepatitis B early in life.<ref>{{cite web|url=http://www.chop.edu/consumer/jsp/division/generic.jsp?id=75730 |title=A Look at Each Vaccine: Hepatitis B Vaccine |accessdate=2007-05-11 |work=Vaccine Education Center |publisher=The Children's Hospital of Philadelphia |archiveurl = httphttps://web.archive.org/web/20070629183026/http://www.chop.edu/consumer/jsp/division/generic.jsp?id=75730 <!-- Bot retrieved archive --> |archivedate = 2007-06-29 |deadurl=yes |df= }}</ref><ref name='PMID9197213'>{{cite journal|title=Universal hepatitis B vaccination in Taiwan and the incidence of hepatocellular carcinoma in children. Taiwan Childhood Hepatoma Study Group|journal=The New England Journal of Medicine|date=1997-06-26|first=MH|last=Chang |author2=C.J. Chen |author3=M.S. Lai |author4=H.M. Hsu |author5=T.C. Wu |author6=M.S. Kong |author7=D.C. Liang |author8=W.Y. Shau |author9=D.S. Chen|volume=336|issue=26|pages=1855–1859|id= |format=|doi=10.1056/NEJM199706263362602|pmid=9197213}}</ref> <br />About 9,000 died of complications of Hepatitis B. 10% of Filipinos have Hepatitis B infection<ref>{{cite news | first=Tessa R. | last=Salazar | title=Cancer Preventable Says US Doctor | date=2004-05-24 | publisher= | url =http://liver.stanford.edu/files/040529manilla_times.pdf |format=PDF | work =The Philippine Daily Inquirer | pages = | accessdate = 2007-05-11 | language = |archiveurl = httphttps://web.archive.org/web/20070221195427/http://liver.stanford.edu/files/040529manilla_times.pdf <!-- Bot retrieved archive --> |archivedate = 2007-02-21 |deadurl=yes |df= }}</ref>
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| [[Measles Vaccine]] <br />
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==General Principles in Infants/Children Immunization==
* Because measles kills, every infant needs to be vaccinated against measles at the age of 9 months or as soon as possible after 9 months as part of the routine infant vaccination schedule. It is safe to vaccinate a sick child who is suffering from a minor illness (cough, cold, diarrhea, fever or malnutrition) or who has already been vaccinated against measles.<ref>{{cite web|url=http://www.ifrc.org/WHAT/health/archi/strategy/measles.htm |title=Measles (Catch Up Campaigns) - Toolkit for Volunteers |accessdate=2007-05-12 |work=Health Initiative 2010 |publisher=African Red Cross & Red Crescent |archiveurl = httphttps://web.archive.org/web/20070415162142/http://www.ifrc.org/WHAT/health/archi/strategy/measles.htm <!-- Bot retrieved archive --> |archivedate = 2007-04-15 |deadurl=yes |df= }}</ref>
* If the vaccination schedule is interrupted, it is not necessary to restart. Instead, the schedule should be resumed using minimal intervals between doses to catch up as quickly as possible.<ref>{{cite news | first=Richard Kent | last=Zimmerman | title=Practice Guidelines - The 2000 Harmonized Immunization Schedule | date=2000-01-01 | publisher= | url =http://findarticles.com/p/articles/mi_m3225/is_1_61/ai_59426909 | work =American Family Physician | pages = | accessdate = 2007-05-12 | language = }} {{Dead link|date=October 2010|bot=H3llBot}}</ref>
* Vaccine combinations (few exceptions), antibiotics, low-dose steroids (less than 20&nbsp;mg per day), minor infections with low fever (below 38.5º Celsius), diarrhea, malnutrition, kidney or liver disease, heart or lung disease, non-progressive encephalopathy, well controlled epilepsy or advanced age, are not contraindications to vaccination. Contrary to what the majority of doctors may think, vaccines against hepatitis B and tetanus can be applied in any period of the pregnancy.<ref>{{cite web|url=http://saudepublica.web.pt/04-PrevencaoDoenca/Travel/TravelVaccines.htm |title=Management of the Traveler: Vaccination |accessdate=2007-05-12 |year=1997 |work=Travel Medicine |publisher=Portal de Saúde Pública }}</ref>
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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 | publisher=British Columbia Center for Disease Control | url =http://www.bccdc.org/downloads/pdf/epid/reports/GP%202-HANDLE%20VACCINES%20WITH%20CARE.pdf?PHPSESSID=85793516774767a844e11dc04a118d5f | work = | pages = | accessdate = 2007-05-12 | language = |archiveurl = httphttps://web.archive.org/web/20071007230847/http://www.bccdc.org/downloads/pdf/epid/reports/GP+2-HANDLE+VACCINES+WITH+CARE.pdf?PHPSESSID=85793516774767a844e11dc04a118d5f <!-- Bot retrieved archive --> |archivedate = 2007-10-07 |deadurl=yes |df= }}</ref>
 
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>