Expanded Program for Immunization l EPI

Expanded Program for Immunization

Vaccines are very sensitive at various temperatures. To avoid spoilage and maintain its potency, vaccines need to be stored at correct temperature.

Type/Form of Vaccines Storage Temperature

Most Sensitive to Heat
Measles (freeze dried) -15 to -25 Degree Celsius at the freezer
Oral Polio (Alive attenuated) -15 to -25 Degree Celsius at the freezer

Least sensitive to Heat
DPT +20 to +8 Degree Celsius in the Body of the refrigerator

“D” Toxoid which is weakened toxin
“P” Killed bacteria
“T” Toxoid which is a weakened toxin

Hepa B. +20 to +8 Degree Celsius in the Body of the refrigerator

BCG (freeze dried) +20 to +8 Degree Celsius in the Body of the refrigerator

Tetanus Toxoid +20 to +8 Degree Celsius in the Body of the refrigerator

Special Considerations

*When transporting, storing and handling vaccines, special care must be given to provide
quality potent vaccines among the targets

*Monitor the temperature for vaccines is done twice a day early in the morning and in the
afternoon before going home

Immunization Schedule for Infants


Vaccine: BCG
Minimun Age at firts dose: Birth/anytime
# of doses: 1
Reason: BCG given at After birth earliest possible Age protect thePossibility of TBMeningitis andOther Tb infectiousin which infants areprone.

Vaccine: DPT
Minimun Age at firts dose: 6 weeks
# of doses: 3 4 weeks
Minimum interval between doses:
Reason: An early start withDPT reduces theChance of severe Pertussis.

Vaccine: OPV
Minimun Age at firts dose: 6 weeks
# of doses: 3
Minimum interval between doses: 4 weeks
Reason: The extent of protection against polio is increased the earlier the OPV is given.

Vaccine: Hepa. B
Minimun Age at firts dose: At birth
# of doses: 3
Minimum interval between doses:6 weeks interval
Reason: *An early start of From first dose to Hep.B reduces theChance of bieng
infected and carrier. *Prevent liver cancer, and liver cirrhosis

Vaccine: Measles
Minimun Age at firts dose: 9 months
Reason: At least 85% of measles can be prevented by immunization at this age prevents death 2% die, malnutrition, pneumonia, diarrhea (atleast 20%) get these complications from measles

Administration of Vaccines


Vaccine: BCG Infant
Dose: 0.05 ml
Route:Intradermal Right
Site of Administration: deltoid region of the arm

Vaccine: DPT
Dose: 0.5ml
Route:Intramuscular
Site of Administration: Upper outer portion of the thigh

Vaccine: OPV
Dose: 2 drops or depending
Route: Oral mouth
Manufacturer’s
Instruction

Vaccine: Measles
Dose: 0.5ml
Route: Subcutaneous
Site of Administration: Outer part of the upper arm

Vaccine: Hepa. B
Dose: 0.5ml
Route: Intramuscular
Site of Administration: Upper outer portion; the thigh

Vaccine: T. Toxoid
Dose: 0.5ml
Route: Intramuscular
Site of Administration: Deltoid Region; upper arm

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