Expanded

Expanded Program
Program on
on
Immunization
Immunization
Ms. Nemia G. Florano,RN
 General Principles which
apply when screening
children for vaccination
• It is safe and immunologically
effective to administer all EPI
vaccines on the same day at
different sites of the body
 General Principles which
apply when screening
children for vaccination

• Measles vaccines should be given as

soon as the child is 9 months old,
regardless of whether other vaccines
will be given on that day
 General Principles which
apply when screening
children for vaccination

• The vaccination schedule should not

be restarted from the beginning even
if the interval between doses
exceeded the recommended interval
by months or years
 General Principles which
apply when screening
children for vaccination
• Moderate fever, malnutrition, mild
respiratory infection, cough, diarrhea
and vomiting are not contraindication
to vaccination. Generally, one should
immunize unless the child is so sick
that he needs to be hospitalized
 General Principles which
apply when screening
children for vaccination
• The following conditions are
contraindications to immunization:

– DPT2 or DPT3 to a child who has had

convulsions or shock within 3 days of the
previous dose

– BCG vaccine to a child with clinically AIDS

 General Principles which
apply when screening
children for vaccination

• Repeat BCG vaccination if the child

does not develop a scar after the
first injection
 The Immunization Schedule

Vaccine Min Number Min Reason

Age at of Doses Interval
First Bet
Dose Doses
BCG Birth or 1 Given earliest
anytime possible age
after protects against
birth the possibility of
infection from
other family
members
 The Immunization Schedule

Vaccine Min Number Min Reason

Age at of Doses Interval
First Bet
Dose Doses
DPT 6 weeks 3 4 weeks An early start
with DPT reduces
the chance of
severe pertusis
 The Immunization Schedule

Vaccine Min Number Min Reason

Age at of Doses Interval
First Bet
Dose Doses
OPV 6 weeks 3 4 weeks The extent of
protection against
polio is increased
the earlier the
OPV is given
 The Immunization Schedule

Vaccine Min Number Min Reason

Age at of Doses Interval
First Bet
Dose Doses
Hep B 6 weeks 3 4 weeks An early start of
Hep B reduces the
chance of being
infected and
becoming a carrier
 The Immunization Schedule

Vaccine Min Number Min Reason

Age at of Doses Interval
First Bet
Dose Doses
Measles 9 months 1 At least 80% of
measles can be
prevented by
immunization at
this age