T or F. Expanded program on immunization is same sa National immunization program.
True
PD 996 of 1976 stands for?
EPI law
Sa immunization laws,
1. <8 yo, free ang bakuna
2. Mandatory immunization <5 yo
- PD 996 of 1976
- RA 10152 of 2011
We added vaccines under RA 10151, what are they?
Pentavalent (5 in 1)
IPV
Rota vaccine
PCV
MMR
Ano laman ng Pentavalent vaccine na 5 in 1?
DPT (diptheria, pertussis, tetanus)
HiB
Hepa B
(Penta means five)
Vaccine for haemophillus influenza type B. Then saan siya under
Hib- Pentavalent
Vaccine that prevents acute gastroenteritis and diarrhea
Rota vaccine
Components of MMR
Measles, mumps, and rubella
Under principles of PD 996, check if T or F.
- It is not safe and immunologically effective to administer all EPI vaccines on the same day at different sites of the
body - Measles Vaccine should be given as soon as the child is __ months old. If the child is living in an endemic area,
give the vaccine as early as __ months. If given at 9 months =__ % protection; if given at one year and older =
___ - Vaccine schedule should be restated.
- Giving doses less than the recommended interval doesn’t lessen the antibody response
- No extra must be given to children/ mother who missed a dose of ___ vaccines. Give yung four
- Strictly follow the principle of never, ever reconstituting the freeze dried vaccines other than the diluents supplied.
- One Syringe, One Needle per child during vaccination
- False, safe naman
- As soon as 9 mos old.
Endemic = as easrly as 6 mos
9 mos = 85% protection
One year and older = 95% - False, should not be restated.
- False, it lessens
- True, DPT, Hep B, OPV, TT
- True
- True
False contraindications for EPI
Malnutrition
Low Grade Fever
Mild Respiratory Infections
Cough
Diarrhea
Vomiting
Absolute contraindications ng EPI
- DPT 2 or DPT 3 to a child who has had convulsions or shock within 3 days the previous dose.
- Patients with neurologic disease should not be given vaccines containing whole cell pertussis
- Live vaccines like BCG vaccine must not be given to individuals who are immunosuppressed due to a
malignant disease.
Give five elements of EPI
Surveillance
IEC
Cold chain and logistic management
Assessment and evaluation
Target setting
Under elements ng EPI wherein we search for cases, evaluation to know if effective ba ang vaccine
Surveillance
What day is ang National Immunization Day?
Wed!!
Nabibigay naman ang bakuna sa GIDAS every?
3 mos
Geographically isolated and disadvantaged areas
T or F. Not all vaccines are sensitive to heat.
False! All vacc are sensitive
Give vaccines na most sensitive to heat.
Varicella
Oral polio vaccine
MMR
Temperature ng freezer and body ng ref
Freezer (-15 to -25)
Body ng ref (2 to 8)
Schedule sa vacc
(Follow pneumonic na sa Boarding House, may POP at RIM)
Check nalang lecture
Since may local tenderness as side effect ng Penta, we do what?
Give cold compress
If nag seizure as adverse effect ng Penta, what do we do? And it can also cause?
Huwag ibigay Penta 2 &3, can cause death
Vaccine given to prevent TB meningitis
BCG
T or F. We clean the site ng BCG with alcohol.
False, water only since it can kill microbes eh live attenuated vaccine to
Side effect ng BCG. Give interventions
1. Abscess
2. Deep abscess
- Give isoniazid powder
- Incision and drainage na plus isoniazid powder
