Asstt: Director EPI DGHS OFFICE Khyber Pakhtunkhwa

Commonly Glass Vail's/ OPV Sometimes Plastic Vail's

Each Vail with label of Dose/Expiry date

No Label , No administration

BCG most highly technical

Both Dry / Frozen

Vaccine + Diluents same ILR

Full Diluent for full Vail

After mixing slow shaking ↕

(Keep in ice packs Hole) valid for 6 hour / one

session then discard

BCG => Intradermal Rt/Up/ArmMeasles => SubcutaneousPentaValent => Intramuscular Rt/Thigh/Frnt/latT.T => DEEP Intramuscular Lt/Up/ Arm

NoteBCG/Measles are prepared with Diluents.(Vaccine/Diluent in same ILR Temp/ difference)

•OPV==> All knows Oral / 2 Drops •BCG==> 0.05 ML/cc/AD syring intradermal (Technique= 90 filling / 10-15 for Administration/Yellowish papule)Q: What if wrongly Administered ?Signs = No yellowish papule / Easy flow What to do then?1.Stop Vacc do correct if not fully injected 2.I fully / wrong admn / consider ok.

3.Observe for side effect(inj abscess / enlarge lymph node in axilla)

Continued………

•PentaValent History DPT/ Combo/ Penta

Trivalent Tetravalent Pentavalent0.5 ml/cc AD syring /RT thigh Antro lat site / DEEP IM rectus femorus muscle.Q: Why not in Buttock / Arm?

•Measle sub-cut/0.5ml/Lt/Up/Arm /AD syring 45 angle

•T.T Tetanus Toxoid / 0.5ml/ AD syring/ DEEP IM/PL/CBA.Any swelling / pain only Paracetamol / Crytherapy.