Knowledge

Expanded Program on Immunization (Philippines)

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The standard routine immunization schedule for infants in the Philippines is adopted to provide maximum immunity against the seven vaccine preventable diseases in the country before the child's first birthday. The fully immunized child must have completed BCG 1, DPT 1, DPT 2, DPT 3, OPV 1, OPV 2, OPV
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A "first expiry and first out" (FEFO) vaccine system is practiced to assure that all vaccines are utilized before its expiry date. Proper arrangement of vaccines and/or labeling of expiry dates are done to identify those close to expiring. Vaccine temperature is monitored twice a day (early in the
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There are very few true contraindication and precaution conditions. Only two of these conditions are generally considered to be permanent: severe (anaphylactic) allergic reaction to a vaccine component or following a prior dose of a vaccine, and encephalopathy not due to another identifiable cause
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Vaccine combinations (few exceptions), antibiotics, low-dose steroids (less than 20 mg per day), minor infections with low fever (below 38.5Âş Celsius), diarrhea, malnutrition, kidney or liver disease, heart or lung disease, non-progressive encephalopathy, well controlled epilepsy or advanced
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Because measles kills, every infant needs to be vaccinated against measles at the age of 9 months or as soon as possible after 9 months as part of the routine infant vaccination schedule. It is safe to vaccinate a sick child who is suffering from a minor illness (cough, cold, diarrhea, fever or
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To ensure the optimal potency of vaccines,a careful attention is needed in handling practices at the country level. These include storage and transport of vaccines from the primary vaccine store down to the end-user at the health facility, and further down at the outreach sites. Inappropriate
504:. Each level of health facilities has cold chain equipment for use in the storage vaccines which included cold room, freezer, refrigerator, transport box, vaccine carriers, thermometers, cold chain monitors, ice packs, temperature monitoring chart and safety collector boxes. 486:
In June 2000, the 57 countries that have not yet achieved elimination of neonatal tetanus were ranked and the Philippines was listed together with 22 other countries in Class A, a classification for countries close to maternal and neonatal tetanus elimination.
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The only way to be completely safe from exposure to blood-borne diseases from injections, particularly hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) is to use one sterile needle, one sterile syringe for each
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Only the diluent supplied by the manufacturer should be used to reconstitute a freeze-dried vaccine. A sterile needle and sterile syringe must be used for each vial for adding the diluent to the powder in a single vial or ampoule of freeze-dried
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Every Wednesday is designated as immunization day and is adopted in all parts of the country. Immunization is done monthly in barangay health stations, quarterly in remote areas of the country.
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When given to women of childbearing age, vaccines that contain tetanus toxoid (TT or Td) not only protect women against tetanus, but also prevent neonatal tetanus in their newborn infants.
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If the vaccination schedule is interrupted, it is not necessary to restart. Instead, the schedule should be resumed using minimal intervals between doses to catch up as quickly as possible.
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age, are not contraindications to vaccination. Contrary to what the majority of doctors may think, vaccines against hepatitis B and tetanus can be applied in any period of the pregnancy.
1230: 1284: 993: 558: 521: 964: 1058: 1160: 835:"Universal hepatitis B vaccination in Taiwan and the incidence of hepatocellular carcinoma in children. Taiwan Childhood Hepatoma Study Group" 804: 1127: 605: 945: 1191: 883: 640: 1022: 134:
BCG given at earliest possible age protects the possibility of TB meningitis and other TB infections in which infants are prone
1279: 1098: 714:"Public Health Dispatch: Acute Flaccid Paralysis Associated with Circulating Vaccine-Derived Poliovirus --- Philippines, 2001" 217: 589: 252:
Prevents liver cirrhosis and liver cancer which are more likely to develop if infected with Hepatitis B early in life.
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Chang, MH; C.J. Chen; M.S. Lai; H.M. Hsu; T.C. Wu; M.S. Kong; D.C. Liang; W.Y. Shau; D.S. Chen (1997-06-26).
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storage, handling and transport of vaccines won't protect patients and may lead to needless vaccine wastage.
34:. And, in 1986, made a response to the Universal Child Immunization goal. The four major strategies include: 1001: 101: 38:
sustaining high routine Full Immunized Child (FIC) coverage of at least 90% in all provinces and cities;
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Orenstein, WA; L.E. Markowitz; W.L. Atkinson; A.R. Hinman (May 1994). "Worldwide measles prevention".
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An early start of Hepatitis B vaccine reduces the chance of being infected and becoming a carrier.
972: 1139: 812: 613: 584:. Manila, Philippines: National League of Philippine Government Nurses, Inc. 2007. p. 141. 254:
About 9,000 died of complications of Hepatitis B. 10% of Filipinos have Hepatitis B infection
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morning and in the afternoon) in all health facilities and plotted to monitor break in the
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Epidemiology & Prevention of Vaccine-Preventable Diseases--The Pink Book 10th Edition
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The extent of protection against polio is increased the earlier the OPV is given.
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3, HB 1, HB 2, HB 3 and measles vaccines before the child is 12 months of age.
1268: 654: 784: 729: 673: 636:"Protective effect of neonatal BCG vaccines against tuberculous meningitis" 931: 860: 139: 27: 1032:. Centers for Disease Control and Prevention. 2007-02-14. Archived from 634:
Puvacic, S.; Dizdarević, J; Santić, Z; Mulaomerović, M (February 2004).
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At least 85% of measles can be prevented by immunization at this age.
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began in 1976 through Presidential Decree No. 996 signed by President
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infants born to the mother will be protected from neonatal tetanus
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infants born to the mother will be protected from neonatal tetanus
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infants born to the mother will be protected from neonatal tetanus
965:"Practice Guidelines - The 2000 Harmonized Immunization Schedule" 334: 311:
malnutrition) or who has already been vaccinated against measles.
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An early start with DPT reduces the chance of severe pertussis.
1257:. Manila, Philippines: Department of Health, Philippines. 1995. 748: 712:
Centers for Disease Control and Prevention (CDC) (2001-10-12).
832: 606:"Six Out of Ten Children 12 to 23 Months Are Fully Immunized" 610:
Final Results from the 2002 Maternal and Child Health Survey
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Upper outer portion of the thigh, Vastus Lateralis (R-L-R)
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Upper outer portion of the thigh, Vastus Lateralis (L-R-L)
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sustaining the polio-free country for global certification;
811:. The Children's Hospital of Philadelphia. Archived from 753:; L.M. Huang; H.L. Chen; H.Y. Hsu; T.Y. Chiu; K.S. Tsai; 724:(40). Centers for Disease Control and Prevention: 874–5. 1057:
Department of Vaccines and Biologicals (December 2000).
612:. National Statistics Office. 2003-06-02. Archived from 559:
Official Gazette of the Republic of the Philippines
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General Principles in Infants/Children Immunization
51: 759:"Effects of Universal Vaccination for Hepatitis B" 160:6 weeks(DPT 1), 10 weeks (DPT 2), 14 weeks (DPT 3) 478:all infants born to that mother will be protected 322:occurring within 7 days of pertussis vaccination. 1285:Establishments by Philippine presidential decree 1266: 378:protection for the mother for the first delivery 1000:. Portal de SaĂşde PĂşblica. 1997. Archived from 911: 826: 627: 295:Upper outer portion of the arms, Right deltoid 335:Tetanus Toxoid Immunization Schedule for Women 1236:. British Columbia Center for Disease Control 1184: 805:"A Look at Each Vaccine: Hepatitis B Vaccine" 1023:"General Recommendations on Immunizations" 994:"Management of the Traveler: Vaccination" 962: 850: 774: 663: 653: 641:Bosnian Journal of Basic Medical Sciences 475:gives lifetime protection for the mother 60:Routine Immunization Schedule for Infants 582:Public Health Nursing in the Philippines 490: 453:gives 10 years protection for the mother 1255:Expanded Program on Immunization Manual 1166:. UNICEF. November 2000. Archived from 881: 776:10.7326/0003-4819-135-9-200111060-00005 428:gives 5 years protection for the mother 403:gives 3 years protection for the mother 1267: 1199:Immunization, Vaccines and Biologicals 1132:Immunization, Vaccines and Biologicals 963:Zimmerman, Richard Kent (2000-01-01). 554:"Presidential Decree No. 996, s. 1976" 1192:"Temperature Sensitivity of Vaccines" 718:Morbidity and Mortality Weekly Report 47:eliminating neonatal tetanus by 2008. 1096: 140:Diphtheria-Pertussis-Tetanus Vaccine 884:"Cancer Preventable Says US Doctor" 839:The New England Journal of Medicine 13: 1059:"WHO Recommendations for Diluents" 920:Israel Journal of Medical Sciences 522:"Expanded Program on Immunization" 212:Keeps the Philippines polio-free. 14: 1296: 1099:"Immunization: Injection Safety" 882:Salazar, Tessa R. (2004-05-24). 131:Right deltoid region of the arm 52:Routine Schedule of Immunization 44:eliminating measles by 2008; and 21:Expanded Program on Immunization 1247: 1161:"Maternal and Neonatal Tetanus" 1153: 1120: 1090: 1066:Vaccines and Biologicals Update 1050: 1015: 986: 956: 938: 875: 87:Minimum Interval Between Doses 16:Childhood immunization schedule 797: 742: 705: 680: 598: 574: 546: 514: 1: 1280:Healthcare in the Philippines 1205:. August 2006. Archived from 891:The Philippine Daily Inquirer 507: 692:Dialogue on Diarrhoea Online 107:Birth or anytime after birth 7: 1231:"Handle Vaccines with Care" 1072:. p. 3. Archived from 852:10.1056/NEJM199706263362602 763:Annals of Internal Medicine 10: 1301: 1203:World Health Organization 1136:World Health Organization 1070:World Health Organization 969:American Family Physician 1105:. UNICEF. Archived from 809:Vaccine Education Center 655:10.17305/bjbms.2004.3460 415:At least 6 months later 102:Bacillus Calmette-GuĂ©rin 1128:"Tetanus - The Disease" 390:At least 4 weeks later 358:Duration of Protection 465:At least 1 year later 440:At least 1 year later 1103:UNICEF Expert Opinion 491:Care for the Vaccines 562:. September 16, 1976 527:Department of Health 946:"Measles (Catch Up" 534:on 21 February 2024 218:Hepatitis B Vaccine 1097:Hoekstra, Edward. 368:At 20th weeks AOG 178:Oral Polio Vaccine 1142:on March 22, 2006 845:(26): 1855–1859. 591:978-971-91593-2-2 484: 483: 302: 301: 1292: 1259: 1258: 1251: 1245: 1244: 1242: 1241: 1235: 1227: 1221: 1220: 1218: 1217: 1211: 1196: 1188: 1182: 1181: 1179: 1178: 1172: 1165: 1157: 1151: 1150: 1148: 1147: 1138:. Archived from 1124: 1118: 1117: 1115: 1114: 1094: 1088: 1087: 1085: 1084: 1078: 1063: 1054: 1048: 1047: 1045: 1044: 1038: 1027: 1019: 1013: 1012: 1010: 1009: 990: 984: 983: 981: 980: 971:. Archived from 960: 954: 953: 948:. Archived from 942: 936: 935: 915: 909: 908: 906: 905: 899: 893:. Archived from 888: 879: 873: 872: 854: 830: 824: 823: 821: 820: 801: 795: 794: 792: 791: 778: 746: 740: 739: 737: 736: 709: 703: 702: 700: 699: 684: 678: 677: 667: 657: 631: 625: 624: 622: 621: 602: 596: 595: 578: 572: 571: 569: 567: 550: 544: 543: 541: 539: 530:. Archived from 518: 342: 341: 238:4 weeks interval 68: 67: 32:Ferdinand Marcos 1300: 1299: 1295: 1294: 1293: 1291: 1290: 1289: 1265: 1264: 1263: 1262: 1253: 1252: 1248: 1239: 1237: 1233: 1229: 1228: 1224: 1215: 1213: 1209: 1194: 1190: 1189: 1185: 1176: 1174: 1170: 1163: 1159: 1158: 1154: 1145: 1143: 1126: 1125: 1121: 1112: 1110: 1095: 1091: 1082: 1080: 1076: 1061: 1055: 1051: 1042: 1040: 1036: 1025: 1021: 1020: 1016: 1007: 1005: 998:Travel Medicine 992: 991: 987: 978: 976: 961: 957: 944: 943: 939: 926:(5–6): 469–81. 916: 912: 903: 901: 897: 886: 880: 876: 831: 827: 818: 816: 803: 802: 798: 789: 787: 747: 743: 734: 732: 710: 706: 697: 695: 694:(30): 1–6. 1987 686: 685: 681: 632: 628: 619: 617: 604: 603: 599: 592: 580: 579: 575: 565: 563: 552: 551: 547: 537: 535: 520: 519: 515: 510: 493: 470: 462: 445: 437: 420: 412: 395: 387: 373: 365: 354: 349: 337: 307: 292: 287: 282: 277: 272: 262: 260:Measles Vaccine 253: 251: 244: 239: 234: 229: 224: 211: 204: 199: 194: 189: 184: 166: 161: 156: 151: 146: 128: 123: 118: 113: 108: 80: 75: 62: 54: 17: 12: 11: 5: 1298: 1288: 1287: 1282: 1277: 1261: 1260: 1246: 1222: 1183: 1152: 1119: 1089: 1049: 1014: 985: 955: 952:on 2007-04-15. 937: 910: 874: 825: 796: 769:(9): 796–800. 757:(2001-11-06). 741: 704: 688:"Immunisation" 679: 626: 597: 590: 573: 545: 512: 511: 509: 506: 492: 489: 482: 481: 480: 479: 476: 471: 468: 466: 463: 460: 457: 456: 455: 454: 451: 446: 443: 441: 438: 435: 432: 431: 430: 429: 426: 421: 418: 416: 413: 410: 407: 406: 405: 404: 401: 396: 393: 391: 388: 385: 382: 381: 380: 379: 374: 371: 369: 366: 363: 360: 359: 356: 351: 346: 336: 333: 332: 331: 327: 323: 319: 315: 312: 306: 303: 300: 299: 296: 293: 290: 288: 285: 283: 280: 278: 275: 273: 270: 268: 256: 255: 248: 245: 242: 240: 237: 235: 232: 230: 227: 225: 222: 220: 214: 213: 208: 205: 202: 200: 197: 195: 192: 190: 187: 185: 182: 180: 174: 173: 170: 167: 164: 162: 159: 157: 154: 152: 149: 147: 144: 142: 136: 135: 132: 129: 126: 124: 121: 119: 116: 114: 111: 109: 106: 104: 98: 97: 94: 91: 88: 85: 82: 77: 72: 61: 58: 53: 50: 49: 48: 45: 42: 39: 15: 9: 6: 4: 3: 2: 1297: 1286: 1283: 1281: 1278: 1276: 1273: 1272: 1270: 1256: 1250: 1232: 1226: 1212:on 2007-02-19 1208: 1204: 1200: 1193: 1187: 1173:on 2007-01-11 1169: 1162: 1156: 1141: 1137: 1133: 1129: 1123: 1109:on 2007-06-13 1108: 1104: 1100: 1093: 1079:on 2007-03-06 1075: 1071: 1067: 1060: 1053: 1039:on 2006-10-22 1035: 1031: 1024: 1018: 1004:on 2007-05-18 1003: 999: 995: 989: 975:on 2004-09-29 974: 970: 966: 959: 951: 947: 941: 933: 929: 925: 921: 914: 900:on 2007-02-21 896: 892: 885: 878: 870: 866: 862: 858: 853: 848: 844: 840: 836: 829: 815:on 2007-06-29 814: 810: 806: 800: 786: 782: 777: 772: 768: 764: 760: 756: 752: 745: 731: 727: 723: 719: 715: 708: 693: 689: 683: 675: 671: 666: 661: 656: 651: 647: 643: 642: 637: 630: 616:on 2007-06-08 615: 611: 607: 601: 593: 587: 583: 577: 561: 560: 555: 549: 533: 529: 528: 523: 517: 513: 505: 503: 497: 488: 477: 474: 473: 472: 467: 464: 459: 458: 452: 449: 448: 447: 442: 439: 434: 433: 427: 424: 423: 422: 417: 414: 409: 408: 402: 399: 398: 397: 392: 389: 384: 383: 377: 376: 375: 370: 367: 362: 361: 357: 352: 350:Age/Interval 347: 344: 343: 340: 328: 324: 320: 316: 313: 309: 308: 297: 294: 289: 284: 279: 274: 269: 267: 266: 261: 258: 257: 249: 246: 243:Intramuscular 241: 236: 231: 226: 221: 219: 216: 215: 209: 206: 201: 196: 191: 186: 181: 179: 176: 175: 171: 168: 165:Intramuscular 163: 158: 153: 148: 143: 141: 138: 137: 133: 130: 125: 120: 115: 110: 105: 103: 100: 99: 95: 92: 89: 86: 83: 78: 73: 70: 69: 66: 57: 46: 43: 40: 37: 36: 35: 33: 29: 25: 22: 1254: 1249: 1238:. 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H.; 648:(1): 46–9. 566:21 February 538:21 February 183:6 weeks old 145:6 weeks old 127:Intradermal 28:Philippines 1269:Categories 1240:2007-05-12 1216:2007-05-12 1177:2007-05-12 1146:2007-05-12 1113:2007-05-12 1083:2007-05-12 1043:2007-05-12 1008:2007-05-12 979:2007-05-12 904:2007-05-11 819:2007-05-11 790:2007-05-12 751:M.H. Chang 735:2013-10-31 698:2007-05-11 620:2007-05-11 508:References 502:cold chain 355:Protected 755:D.S. Chen 265:(not MMR) 193:2-3 drops 81:of Doses 869:35206561 785:11694104 730:11666115 674:15628980 348:Minimum 345:Vaccine 326:vaccine. 223:At birth 71:Vaccine 932:8034506 861:9197213 665:7245520 353:Percent 228:3 doses 198:4 weeks 188:3 doses 150:3 doses 117:0.05 mL 96:Reason 79:Number 26:in the 930:  867:  859:  783:  728:  672:  662:  588:  330:child. 281:0.5 mL 276:1 dose 233:0.5 mL 207:Mouth 155:0.5 mL 112:1 dose 90:Route 1234:(PDF) 1210:(PDF) 1195:(PDF) 1171:(PDF) 1164:(PDF) 1077:(PDF) 1062:(PDF) 1037:(PDF) 1026:(PDF) 898:(PDF) 887:(PDF) 865:S2CID 93:Site 84:Dose 24:(EPI) 928:PMID 857:PMID 781:PMID 726:PMID 670:PMID 586:ISBN 568:2024 540:2024 286:none 203:Oral 122:none 19:The 847:doi 843:336 771:doi 767:135 660:PMC 650:doi 469:99% 461:TT5 444:99% 436:TT4 419:95% 411:TT3 394:80% 386:TT2 364:TT1 1271:: 1201:. 1197:. 1134:. 1130:. 1101:. 1068:. 1064:. 1028:. 996:. 967:. 924:30 922:. 889:. 863:. 855:. 841:. 837:. 807:. 779:. 765:. 761:. 722:50 720:. 716:. 690:. 668:. 658:. 644:. 638:. 608:. 556:. 524:. 372:0% 1243:. 1219:. 1180:. 1149:. 1116:. 1086:. 1046:. 1011:. 982:. 934:. 907:. 871:. 849:: 822:. 793:. 773:: 738:. 701:. 676:. 652:: 646:4 623:. 594:. 570:. 542:.

Index

Philippines
Ferdinand Marcos
Bacillus Calmette-Guérin
Diphtheria-Pertussis-Tetanus Vaccine
Oral Polio Vaccine
Hepatitis B Vaccine
Measles Vaccine
cold chain
"Expanded Program on Immunization"
Department of Health
the original
"Presidential Decree No. 996, s. 1976"
Official Gazette of the Republic of the Philippines
ISBN
978-971-91593-2-2
"Six Out of Ten Children 12 to 23 Months Are Fully Immunized"
the original
"Protective effect of neonatal BCG vaccines against tuberculous meningitis"
Bosnian Journal of Basic Medical Sciences
doi
10.17305/bjbms.2004.3460
PMC
7245520
PMID
15628980
"Immunisation"
"Public Health Dispatch: Acute Flaccid Paralysis Associated with Circulating Vaccine-Derived Poliovirus --- Philippines, 2001"
PMID
11666115
M.H. Chang

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