Angeles University Foundation

Angeles City
Expanded Program on
Immunization
Presented By:
Jefferson Baladhay Dunga
B!" I# $ %
&roup '(
!u)mitted *o:
+r, Dennis !, Cortez- .,", +"
Clinial Instrutor- C/" +aros #illage
OBJECTIVES:
*o .edue mor)idity and +ortality against 0 hildhood Immuniza)le
diseases, 1*u)erulosis- Diptheria- Pertusis- *etanus- Poliomyelitis-
+easles- and /epatitis B,2
Esta)lished here at Philippines )y Pres, +aros on the month of July-
'304
PRINCIPLES:
', *he program is )ased on epidemiologial situation5 shedules are
dra6n on the )asis of the ourrenes and harateristis
features of the said diseases,
7, *he 6hole ommunity rather than 8ust an indi9idual is to )e
proteted- thus- mass approah is applied,
(, Immunization is a )asi health ser9ie and as suh- it is
integrated into the health ser9ies pro9ided for )y .ural /ealth
:nit,
Iuni!ation ; is a proess )y 6hih 9aines are introdue to the
Body- )efore infetious sets in,
ELE"ENTS :
', *arget !etting ; 1< ; '7 mos,2
7, Cold hain +anagement 1for 9aine life span and utilization2
(, Information- eduation and ommuniation
( .easons:
a, =or parents- to )e moti9ated to su)mit their hild to
immunization
), *o pro9ide health teahings on )enefits and importane of
immunization
, *o inform the pu)li a)out its a9aila)ility and shedule
1./: > ?eds, B/! > one a month- and remote area >
@uarterly2

%, Assessment and e9aluation of the programs o9er all performane
A, !ur9eillane- studies and researh,
EPI .B:*I"E I++:"ICA*IB" !C/ED:DE =B. I"=A"*!
VACCINE TAR#ET $OSA#E INTERVA
L
ROUTE SITE
', BC# Anytime
at Birth
!hool
Entrane
<,<Aml
<,'ml
Bne Intradermal
1ID2
Assess for
?heal formation
.ight
Deltoid
Deft
Deltoid
7, %e&a B Anytime
at Birth
<,Aml
4 6Es,
Inter9al
from '
st
dose to 7
nd
dose- then
F 6eeEs
inter9al
=rom 7
nd
to
(
rd
dose
Intramusular
1I+2
:pper
outer
Portion
of the
thigh
(, $PT 4 6Es,
:p to ''
mos,
<,Aml % 6eeEs
x ( doses
Intramusular
1I+2
:pper
outer
portion
of the
thigh
%, OPV 4 6Es,
:p to ''
mos,
7 drops % 6eeEs
x ( doses
Bral
1Child must )e
PB for (< mins,2
+outh
1side of the
heeE2
A,
"easles
3
months
1if
epidemi
risis- 4
mos,2
<,Aml Bne !u)utaneou
s
1!@2
Buter
Part of
the
upper
arm
Side E''e(ts o' BC#)
', GohHs Phenomenon ; aute inflammatory proess starting 6ith
in 7% hrs, and may last for 7 ; % days, ?heal must disappear in
a)out (< mins ; 'hr,
7, A)sess formation ; '
st
6eeE ; soreness and inflammation- 7
nd
6eeE ; ''
th
6eeE healing of a)sess and uleration, If there is no
sar de9eloped- Re&eat t*e &ro(edure
(, indolent uleration ; a, 6rong tehni>ue- ), exposure of infant to
Pt, ati9e *B,
%, &landular Enlargement ; a, unsterile syringe or needle 6as used-
), too muh 9aine 6as in8eted, C, the 9aine might )e
in8eted under the sEin layer- and not instead in its superfiial
layer,
+anagement: Physiian may order- I and D- or Isoniazid,

Side E''e(ts o' %e&a B)
', +ild fe9er ' $7 days- $ a, *eah mother perform *!B ), ad9ie
mother that she may gi9e Paraetamol e9ery % hours if fe9er not
relapse, =e9er more than % days- refer to the Physiian,
7, +ild Pain- s6ell and redness, ; a, *eah mother to do old ompress
first )efore hot ompress ' ; ( times after in8etion then e9ery 4 hours,
Side E''e(ts o' $PT)
', =e9er 6ithin 7% hours
7, loal soreness pain and s6elling
(, A)sess appears after a 6eeE or more due to 6rong tehni>ue-
%, Con9ulsions is 9ery rare- )ut may our more in hildren a)o9e (
months of age, *his is due to the Pertussis 9irus omponent of
the 9aine, ; there are no6 a9aila)le D and * only 9aines that
may a9oid on9ulsions of DP*,
Side E''e(ts o' "easles Va((ine)
', =e9er and .ashes ; for rashes mother m8ay gi9e
A"*I/I!*A+I"E! 1Benadryl2 and for ithiness 1Calamine Dotion2,
Side e''e(ts 'or OPV)
"B"E: But )e a6are of possi)le risE for aspiration one 6rong site is
used, +aEe sure also that the )a)y 6as "PB (< mins, prior
administration- for him not to 9omit one drops 6ere administered,
*E*A":! *BIIBD I++:"ICA*IB" !C/ED:DE =B. P.E&"A"* ?B+E"
VACCINE SC%E$ULE + OF
PROTECTIO
N
$URATION
OF
PROTECTIO
N
ROUTE AN$
SITE
**' As early as
possi)le during
pregnany
"ot yet
proteted
none
I+ - 1Deltoid2
**7
At least % 6eeEs
later
F<J
Infant )orn from
mother 6ill )e
proteted from
neonatal
tetanus,
&i9es , years
protetion for
the mother
I+ - 1Deltoid2
**(
At least 4
months later
3AJ
Infant )orn from
mother 6ill )e
proteted from
neonatal
tetanus,
&i9es - years
protetion for
the mother
I+ - 1Deltoid2
**%
At least ' year
later
33J
Infant )orn from
mother 6ill )e
proteted from
neonatal
tetanus,
&i9es ./ years
I+ - 1Deltoid2
protetion for
the mother
**A
At least ' year
later
33J
&i9es Li'etie
protetion for
the mother, All
infants )orn to
that mother 6ill
)e proteted
I+ - 1Deltoid2
POINTERS ON I""UNI0ATION)
', E9ery hild deser9es to )e gi9en the )enefits of immunization
protetion )ased on PD 334 immunization la6, !eptem)er '4-
'304 ; Basi ompulsory immunization of hildren )elo6 F years
old is implemented,
7, "o 9aine gi9es '<<J protetion, *hey go hand in hand 6ith
good hygiene and other measures for disease pre9ention,
(, .eommended series of immunization must )e ompleted for
ade>uate protetion,
%, Booster doses are important to maintain ontinuous protetion
against the diseases,
A, Interruption of shedule does not interfere 6ith final immunity
nor does it neessitate ontraindiation to 9aination,
4, +alnutrition- minor respiratory infetions- moderate fe9er- ough
and diarrhea do not onstitute ontraindiations to 9ainations,
0, the a)solute ontraindiations to immunization are :
a, DP*7 or DP*( to a hild 6ho has had on9ulsion or shoE
6ith in ( days the pre9ious dose,
), Di9e 6eaEened 9aine liEe BC& must not )e gi9en to
indi9idual 6ho are immunoompromised due to malignant
disease,
F, +easles and BP# 9aines are most sensiti9e to heat, *hey must
)e stritly maintained at $'A ; 7< C,
3, #aines are safe and effeti9e 6ith mild side effets after
9aination,
'<, "o extra doses must )e gi9en to hildKmother 6ho missed a
dose,
'', &i9ing doses of a 9aine at less than % 6eeEs inter9al may
lessen the anti )ody response, Dengthening the inter9al leads to
higher anti)ody le9els,
'7, Pratie =E=B first expiry first out rule- and ' syringe one
needle one hild poliy must stritly implemented,
A hild is said to )e Fully Immunized Child 6hen heKshe reei9es '
dose of BC&- ( doses of /epa B- ( doses of DP*- ( doses of BP#- and '
dose of +easles )efore hisKher '
st
Birthday,-,
Jef0
OBJECTIVES:
PRINCIPLES:
*he program is )ased on epidemiologial situation5 shedules are
dra6n on the )asis of the ourrenes and harateristis features
of the said diseases,
*he 6hole ommunity rather than 8ust an indi9idual is to )e
proteted- thus- mass approah is applied,
Immunization is a )asi health ser9ie and as suh- it is integrated
into the health ser9ies pro9ided for )y .ural /ealth :nit,
Iuni!ation ;
ELE"ENTS :
*arget !etting ; 1< ; '7 mos,2
Cold hain +anagement 1for 9aine life span and utilization2
information- eduation and ommuniation
( .easons:
a, =or parents- to )e moti9ated to su)mit their hild to
immunization
), *o pro9ide health teahings on )enefits and importane of
immunization
, *o inform the pu)li a)out its a9aila)ility and shedule
1./: > ?eds, B/! > one a month- and remote area >
@uarterly2

Assessment and e9aluation of the programs o9er all performane
!ur9eillane- studies and researh,
EPI .B:*I"E I++:"ICA*IB" !C/ED:DE =B. I"=A"*!
VACCINE TAR#ET $OSA#E INTERVA ROUTE SITE
L
', BC#
7, %e&a B
(, $PT
%, OPV
A,
"easles
Side E''e(ts o' BC#)
GohHs Phenomenon ;
A)sess formation ;
indolent uleration ;
&landular Enlargement ;
+anagement: Physiian may order- I and D- or Isoniazid,

Side E''e(ts o' %e&a B)
', +ild fe9er ' $7 days- $
7, +ild Pain- s6ell and redness,
Side E''e(ts o' $PT)
A, =e9er 6ithin 7% hours
4, loal soreness pain and s6elling
0, A)sess appears after a 6eeE or more due to 6rong tehni>ue-
F, Con9ulsions is 9ery rare- )ut may our more in hildren a)o9e (
months of age, *his is due to the Pertussis 9irus omponent of
the 9aine, ; there are no6 a9aila)le D and * only 9aines that
may a9oid on9ulsions of DP*,
Side E''e(ts o' "easles Va((ine)
7, =e9er and .ashes ;
Side e''e(ts 'or OPV)
"B"E: But )e a6are of possi)le risE for aspiration one 6rong site is
used, +aEe sure also that the )a)y 6as "PB (< mins, prior
administration- for him not to 9omit one drops 6ere administered,
*E*A":! *BIIBD I++:"ICA*IB" !C/ED:DE =B. P.E&"A"* ?B+E"
VACCINE SC%E$ULE + OF
PROTECTIO
N
$URATION
OF
PROTECTIO
N
ROUTE AN$
SITE
**'
**7
**(
**%
**A
POINTERS ON I""UNI0ATION)
E9ery hild deser9es to )e gi9en the )enefits of immunization
protetion )ased on immunization la6,
"o 9aine gi9es '<<J protetion, *hey go hand in hand 6ith good
hygiene and other measures for disease pre9ention,
.eommended series of immunization must )e ompleted for
ade>uate protetion,
Booster doses are important to maintain ontinuous protetion
against the diseases,
Interruption of shedule does not interfere 6ith final immunity nor
does it neessitate ontraindiation to 9aination,
+alnutrition- minor respiratory infetions- moderate fe9er- ough
and diarrhea do not onstitute ontraindiations to 9ainations,
the a)solute ontraindiations to immunization are :
+easles and BP# 9aines are most sensiti9e to heat, *hey must )e
stritly maintained at $'A ; 7< C,
#aines are safe and effeti9e 6ith mild side effets after
9aination,

&i9ing doses of a 9aine at less than % 6eeEs inter9al may lessen
the anti )ody response, Dengthening the inter9al leads to higher
anti)ody le9els,
Pratie =E=B first expiry first out rule- and ' syringe one needle
one hild poliy must stritly implemented,