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CHN > MIDTERMS_LEC 2 > Flashcards

MIDTERMS_LEC 2 Flashcards

1
Q

An organizational component of DOH charged
with preventing disease, disability, and death from
vaccine-preventable in disease in children and adults.

A

NIP (National Immunization Program)

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2
Q

EIP

A

Enhanced Program for Immunization
Launch - 1976

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3
Q

EPI Principles

A

The whole community rather than just the
individual is to be protected, this mass
approach is utilized.

  • Immunization is a basic health service and
    integrated into the health services being
    provided for by the RHU.
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4
Q

Overall Goal of EPI:
To reduce ____ and ____ among children against the most common _______ Disease

A

To reduce morbidity and mortality among children against the most common Vaccine-Preventable Disease

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5
Q

Specific Goals of EPI

A
  • Poliomyelitis
  • Measles
  • Maternal and Neonatal Tetanus
  • Diphtheria
  • Hepatitis B
  • Pneumonia
  • German Measles
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6
Q

Importance of Immunization

A
  1. Induce immunity
  2. Promote health
  3. Protect from diseases
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7
Q

Strategies of EPI

A
  1. Conduct of Routine Immunization for
    Infant/Children/Women through the Reaching
    Every Barangay (REB) Strategy
  2. Supplemental Immunization Activity (SIA)
  3. Strengthening Vaccine-Preventable Diseases
    Surveillance
  4. Procurement of adequate and potent
    vaccines and needles and syringes to all
    health facilities nationwide.
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8
Q

Elements of EPI

A
  1. Target Setting
  2. Cold Chain Logistic Management
  3. Open Vial Policy
  4. Information, Education and Communication
  5. Supervision and Monitoring
  6. Assessment and evaluation of the program’s
    overall performance
  7. Surveillance, studies and research
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9
Q

Elements of EPI
1. Target Setting – target age groups are:

A
  • Infants
  • Children below 5 years old
  • Women
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10
Q

Basic immunization for children under 5
including other types that will be determined
by the Secretary of Health.

A

R.A. No. 10152 – Mandatory Infants and Children
Health Immunization Act of 2011

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11
Q

Elements of EPI
2. Cold Chain Logistic Management

A
  • All vaccine refrigerators or freezers shall be
    used exclusively for EPI vaccines.
  • Vaccines are stored according to the
    temperature requirement for each antigen
  • Regular temperature monitoring
  • Contingency plan for emergency measures
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12
Q

Types of Refrigerators and Freezers
At RITM and Regions –

A
  1. Walk-in Cooler
  2. Walk-in Freezer
  3. Iced-Line
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13
Q

Types of Refrigerators and Freezers
At the Province and City Health Vaccine Rooms –

A
  1. Transport Boxes
  2. Ice-Lined Refrigerators (ILR) 300L
  3. Deep Freezers (DF) 300L
  4. Vaccine Boxes
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14
Q

Guidelines of Cold Chain Management:
● All vaccine refrigerator or freezers shall be
used ______ for _____ vaccines
● Vaccines are stored according to the
_____ requirement for each ______
● Regular temperature _____
● _____ plan for emergency measures

A

● All vaccine refrigerator or freezers shall be
used exclusively for EPI vaccines
● Vaccines are stored according to the
temperature requirement for each antigen
● Regular temperature monitoring
● Contingency plan for emergency measures

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15
Q

Vaccines that are Most Sensitive to Heat
What temperature?

A

OPV (Oral Polio Vaccine)
Anti-Measles Vaccine
MMR vaccine

–15°C to –25°C

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16
Q

Vaccines that are Least Sensitive To heat
What temperature?

A
  • Pentavalent
  • BCG
  • pneumococcal conjugate vaccine-13
    (PCV-13)
  • Tetanus Toxoid Vaccine (TT)
  • IPV (Inactivated Polio Vaccine)
  • Rotavirus & HPV (Human papillomavirus vaccines)

2°C to 8°C

17
Q

Multi-dose liquid vaccines such as ____, ____, ____, and
____ - may be used in the next immunization
sessions for up to maximum of ___ weeks

A

Multi-dose liquid vaccines (OPV, DPT, TT, and
Hepatitis B) - may be used in the next immunization
sessions for up to maximum of 4 weeks

18
Q

Freeze-dried vaccines, such as ____ and ____ vaccines should be discarded ___ hours after reconstitution or at the end of the immunization session.

A

Freeze-dried vaccines, such as AMV and BCG vaccines should be discarded 6 hours after reconstitution or at the end of the immunization session.

19
Q

Compulsory basic immunization for infants and children below 8 y/o

A

Presidential Decree No. 996 📍

20
Q

Implementing a United Nations goal on Universal Child Immunization by 1990

A

Presidential Proclamation No. 9

20
Q

Reaffirming the commitment of the Philippines to the Universal Child and Mother Immunization goal of the World Health Assembly

A

Presidential Proclamation No. 46

21
Q

Compulsory immunization against Hepa B for
infants and children below 8 y/o

A

Republic Act 7846

22
Q

Policies of the Nationwide Implementation of
the EPI

A

DOH Administrative Order No. 39 s. 2003

23
Q

Implementing guidelines on Hepatitis B
immunization for infants

A

DOH Administrative Order No. 2006 – 0015

24
Q

Providing for mandatory basic immunization
services for infants and children up to five y/o

A

Republic Act No. 10152

25
Q

Administration of Rotavirus Vaccine for Infants

A

DOH Memorandum No. 2012-0153

26
Q

Administration of Pneumococcal Conjugate
Vaccine-13 (PCV 13)

A

DOH Memorandum No. 2014-0155

27
Q

Administration of Inactivated Poliomyelitis
Vaccine

A

DOH Memorandum No. 2015-0164

28
Q

Guidelines in the Implementation of School-based Immunization

A

DOH Memorandum No. 2015-0146

29
Q

Childhood Immunizable Diseases

A
  1. Tuberculosis - Primary Complex if less than
    3y/o
  2. Diphtheria
  3. Pertussis
  4. Neonatal Tetanus
  5. Poliomyelitis
  6. Hepatitis B
  7. Measles
  8. Mumps
  9. Rubella (German Measles)
  10. Meningitis
  11. Pneumonia
  12. Diarrhea
30
Q

General Principles of Immunization

A
  1. Safe and immunologically effective to administer all EPI vaccines on the same day at different sites of the body.
  2. Measles vaccine should be given as soon as the child is 9 months old
  3. Vaccination schedule should not be restarted from the beginning
  4. Vaccine should be given with the recommended 4 weeks interval
  5. Strictly follow principle of never, ever reconstituting the freeze dried vaccine in anything other than the diluent supplied with them.

CHN (4 decks)

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