CHN RLE midterm Flashcards
The Expanded Program on Immunization (EPI) was established in
1976
to ensure that infants/children and mothers have access to routinely recommended infant/childhood vaccines.
The Expanded Program on Immunization (EPI)
Six vaccine-preventable diseases were initially included in the EPI:
tuberculosis,
poliomyelitis,
diphtheria,
tetanus,
pertussis
measles
Vaccines under the EPI are
BCG birth dose,
Hepatitis B birth dose,
Oral Poliovirus Vaccine,
Pentavalent Vaccine,
Measles Containing Vaccines (Anti Measles Vaccine, Measles, Mumps, Rubella)
and Tetanus Toxoid
This 2016, the Expanded Program on Immunization will transition to become the
National Immunization Program
EPI Over-all Goal:
To reduce the morbidity and mortality among children against the most common vaccine-preventable diseases.
Mandatory Infants and Children Health Immunization Act of 2011
Republic Act No. 10152
Republic Act No. 10152 signed by
President Benigno Aquino III on July 26, 2010
are used to reach children who have not been vaccinated or have not developed sufficient immunity after previous vaccinations
supplementary immunization activities
This is critical for the eradication/elimination efforts, especially in identifying true cases of measles and indigenous wild poliovirus.
Strengthening Vaccine-Preventable Diseases Surveillance
earliest dose of measles given in case of outbreak
6 months
regular schedule of measles vaccine
9 months-11 months:
latest dose of measles given
15 months
catch up dose
4-5 years old:
Fully Immunized Child (FIC)
less than 12 months old child with complete immunizations of DPT, OPV, BCG, Anti Hepatitis, Anti measles.
is not a contraindication for immunizing children rather; it is an indication for immunization
Malnutrition
is practiced to assure that all vaccines are utilized before the expiry date.
FEFO (“first expiry and first out”)
BCG (Bacillus Calmette Guerin)
Freeze dried
Infant - 0.05 mL
Preschool - 0.1 mL
ID
Right deltoid of the arm
DPT (Diphtheria Pertussis Tetanus)
Liquid - 0.5 mL
IM
Infants & Young Children: Vastus Lateralis
Older children and adults: Deltoid Muscle
OPV (Oral Polio Vaccine)
Liquid 2 drops
Oral
Mouth
Hepatitis B (Hepa B)
Liquid - 0.5 mL
IM
Deltoid muscle
Measles
Freeze-dried - 0.5 mL
Subcutaneous
Anterolateral aspect of the thigh
TT1
As early as possible
TT2
4 weeks later
3 years of protection
TT3
6 months later
5 years of protection