Immunization and Vaccine-Preventable Diseases — Flashcards

Flashcard 121: Identify the vaccine → _____ 1. **NIS Schedule** → Birth dose only (monovalent) 2. **Dose and Route** → 0.5 ml, IM 3. **Site** → Anterolateral mid-thigh *Note: Subsequent doses are included in the Pentavalent vaccine.*

Answer: Hepatitis B Vaccine

Flashcard 122: _____ is a live polio vaccine

Answer: (OPV)oral polio vaccine

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Flashcard 123: _____ vaccines are kept in lower zone of ILR(ice lined refrigerator)

Answer: OPV,MR,BCG,JE

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Flashcard 124: Calculation of vaccine dose requirement at PHCs * From previous year estimates, Total number of eligible infants can be calculated by _____ * e.g. if birth rate of PHC with population 30000 is 2% per year, then infants would be _____ * Total no. of pregnant women can be assumed to be _____ accounting for _____ * Monthly vaccine doses required = \(\frac {yearly\ target\ of\ beneficiaries\ \times\ no.\ of\ doses\ \times\ WMF}{12} \) * Stocks to be kept are: * Buffer stock = \(25\% \ of \ monthly \ requirement\) * Lead time is 1 week for supply to PHC, so lead time stock should be enough to last 1 week = \(25\% \ of \ monthly \ requirement\) * Minimum stock (Reorder Level) = Lead-time stock + Buffer Stock = \(50\% \ of \ monthly \ requirement\) * Maximum stock = Minimum Stock + Monthly stock = \(150\% \ of \ monthly \ requirement\) * Monthly requirement for syringes are: * 0.1ml AD syringes = \(\frac {yearly\ target\ infants\ \times \ (1\ dose\ BCG\ + 3\ Dose\ IPV)\ \times\ 1.11}{12} \) * 0.5ml AD syringes = \(\frac {yearly\ target\ infants\ \times \ (1\ dose\ HepB\ + 3\ Dose\ Penta\ + 2\ dose\ DPT\ + 2\ dose\ Measles\ +\ 3.5\ dose\ Td)\ \times\ 1.11}{12} \) * 5ml reconstitution syringes = \(\frac {annual\ requirement\ of\ (BCG\ vials\ +\ Measles\ vials)\ \times \ 1.11}{12}\)

Answer: \(\frac {Population \ \times \ Birth \ Rate\ in \ \% }{100} \)

Extra: These calculations are essential for vaccine logistics at the Primary Health Centre (PHC) level to ensure uninterrupted supply and minimize wastage. Buffer stock and lead-time stock are usually calculated as 25% of monthly requirements (representing roughly 1 week of stock each).

Flashcard 125: gap of _____ distance should be kept if multiple vaccines are to be given at the same site

Answer: 1 inch

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Flashcard 126: in outbreak of rubella,vaccine is 1st given to _____

Answer: all non pregnant women of reproductive age

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Flashcard 127: In an unvaccinated patient with a dirty wound a _____ of tetanus toxoid is given with tetanus immunoglobulin

Answer: full course

Flashcard 128: Vaccine-_____ paralytic polio occurs mostly after the first dose of oral polio vaccine (OPV).

Answer: associated

Flashcard 129: WHO Measles elimination strategy involves _____ up, keep up and follow up

Answer: catch

Flashcard 130: _____ vaccine is commonly reserved for military recruits (demographic)

Answer: Adenovirus