EPI

Question 1

Story:
Im may 1974 the WHO officially launched a global immunization program known as :

Answer 1

Expanded program of immunization (EPI)

Question 2

Purpose of EPI

Answer 2

• to protect all children of the world against some of the vaccine preventable diseases
• to reduce morbidity and mortality form these targeted diseases

Question 3

The WHO EPI schedule strongly recommended the vaccination against:

Answer 3

TB, Polio, Diphtheria, pertussis, tetanus, and measles.
New vaccines now added: HBV, MMR, Hib & meningitis vaccines

Question 4

Vaccination is not contraindicated in

Answer 4

Children with malnutrition
Low grade fever
Mild respiratory infection or diarrhea or any other minor illnesses.

Question 5

What is cold chain

Answer 5

The cold chain involves regulation so as to keep the vaccine potent, in a cold condition during transportation from the place of manufacturer to the consumer, including storage.

Question 6

Components of cold chain

Answer 6

• Responsible personnel
• Equipment and to store and transport vaccines

Question 7

All vaccines should be stored at (……..), except oral polio vaccine stored at (…….) at the central level.

Answer 7

+2 to +8C
-20C to +8C

Question 8

Vaccines that could be allowd to freeze

Answer 8

Polio (sensitive to heat)
Measles, MMR
BCG

Question 9

Vaccines that must be stored in a cold temperature, but not to be frozen

Answer 9

DT, DPT, TT
HB

Question 10

Different level of health care system need Different equipment:

Answer 10

• Central and regional stores need : cold room, freezers, refrigerator and cold boxes
• District stores need :freezer, refrigerators and cold boxes
• Health Centers need: refrigerator, cold boxes, and vaccin carriers.

Question 11

Toold for monitoring cold chain:

Answer 11

Vaccine vial monitor (VVM)
Vaccine cold chain monitor
Freeze watch indicator
Shake test

Question 12

Vaccine refrigerator have two sections

Answer 12

• The main section for storing vaccines and diluents (+2C to +8C)
• the freezer for freezing ice packs (below 0C)

Question 13

Yiu should put vaccines and diluents on the top and middle shelves of the main section:

Answer 13

• OPV and Measles vaccine on the top shelf.
• BCG, DPT, TT, HB vaccine on the middle shelf
• Diluents next ti the vaccine which it is supplied

Question 14

What damages the vaccine

Answer 14

Heat (OPV)
Sunlight (BCG)
Freezing damage killed and toxoid vaccines (DPT, HB)
Usage after the expiry date

Question 15

Can put the vaccine on the door shelves?

Answer 15

No, the temperature is not low enough

Question 16

Vaccines at birth

Answer 16

BCG
bOPV
Hepatitis B

Question 17

Vaccines at 2 months

Answer 17

Hexavaccine
PCV
ROTA virus

Question 18

4 months vaccines

Answer 18

Hexavaccine
PCV
ROTA virus

Question 19

Vaccines at 6 months

Answer 19

Hexavaccine
Rota virus

Question 20

Vaccines at 9 months

Answer 20

Meningococcal A,C,Y,W135 Conjugate
bOPV

Question 21

12 months vaccines

Answer 21

Meningococcal A,C,Y,W135 conjugate
MMR
PCV

Question 22

Vaccines at 18 months

Answer 22

Pentavaccine (DTaP+ IPV+ HiB)
MMR

Question 23

School age vaccines (6y):

Answer 23

Meningococcal A,C,Y,W135 Conjugate
Tetravalent vaccine (TdsP+IPV)

Question 24

12y female vaccines:

Answer 24

HPV

Question 25

15y vaccine

Answer 25

Meningococcal A……
Tdap