Immunization & Cold Chain

1.A primary health center reports episodes of fever and swelling following a routine immunization of children and you are required to investigate the matter. Answer the following.  How will you determine that this is in fact an adverse event following immunization (AEFI).  How will you proceed with the investigations. Problems

2.As a medical officer of primary health centre, how will you ensure adequate immunization coverage among under fives in the PHC area

1.Write in brief about Adverse events following immunization

1.Vaccine vial monitor

2.Explain Intensified Mission Indradhanush vaccination campaign under the following

• a) Purpose of the campaign
• b) Beneficiaries
• c) Campaign sites for effective coverage

3.Pentavalent vaccine

1.Cold chain equipment’s available in PHC

2.Cold chain equipment used in the universal immunization programme

3.Cold chain equipments present in a primary health centre

4.Common side effects of Pentavalent vaccine

5.Maintenance of cold chain is extremely important for a successful vaccination campaign

6.Special immunization campaigns like Mission Indradhanush are needed for achieving full immunization coverage among infants

7.Active and passive immunization

8.Vaccines to be administered in the first year of life

9.Active and passive immunization Substantiate your answer with reasons

1.All the following are cold chain equipment’s except

• a) Vaccine Carrier
• b) Walk in coolers
• c) Walk in freezers
• d) Refrigerators

2.All the following are true regarding BCG vaccine except

• a) Diluent used is Normal saline
• b) The strain used is Danish 1331
• c) Needs to be repeated if scar is not present
• d) Newborns are given 0.05ml

3.Assertion: child health is a component of 5x5 matrix for RMNCH+A

• Reason: Immunisation is a specific protective measure
• a) Both A and R are true and R is the correct explanation of A
• b) Both A and R are true and R is not the correct explanation of A
• c) A is true, R is false
• d) A is false, R is true

4.Assertion: The best time to give HPV vaccination is between 9-13 years

• Reason: For the HPV vaccine to work best, it is very important to get all doses before being exposed to HPV
• a) Both A and R are true and R is the correct explanation of A
• b) Both A and R are true but R is not the correct explanation of A
• c) A is true, but R is false
• d) A is false, but R is true

5.The duration of electricity supply required in a day to keep the vaccines effective in an ice-lines refrigerator (ILR) is

• a) 4 hours
• b) 10 hours
• c) 8 hours
• d) 2 hours

6.The Ice lined refrigerator at the PHC maintains a cabinet temperature between

• a) +2°C and +8°C
• b) +8°C and +10°C
• c) -2°C and -8°C
• d) -8°C and -10°C

7.What is recommended action

• a) Discard the vaccine
• b) Put the vaccine back in ILR
• c) Vaccine can be used within one hour
• d) Vaccine should be used immediately