Module 3
Inactivated poliovirus vaccine eligibility
Training for Inactivated Poliovirus Vaccine (IPV) introduction
Inactivated poliovirus vaccine eligibility, Module 3 | 19 April 20232 |
Learning objectivesLearning objectives
At the end of the module, the participant will be able to:– Describe the recommended immunization schedule for
inactivated poliovirus vaccine (IPV)– Determine when an infant is and is not eligible to
receive IPV– Describe ways to determine a child's eligibility for IPV
when a written record is unavailable– Describe the absolute contraindications for vaccination
Duration– 30 minutes
Inactivated poliovirus vaccine eligibility, Module 3 | 19 April 20233 |
Key issuesKey issues
What is the recommended schedule for IPV?
11
What do you do when the exact date of birth (DOB) or
the immunization card is missing?
22
What are the contraindications to
vaccination?
33
Inactivated poliovirus vaccine eligibility, Module 3 | 19 April 20234 |
Give IPV at or after age 14 weeks, usually with OPV3 and DTP3/Penta3
IPV should be given in addition to OPV
OPV is still the primary vaccine to achieve eradication
At what age should IPV be administered?At what age should IPV be administered?
• Example EPI schedule using DTP-Hib-Hep B (Pentavalent), pneumococcal conjugate (PCV) and rotavirus vaccines
• IPV should be given at 14 weeks, or at the first contact after 14 weeks
Vaccine Birth
6 wks 10 wks 14 wks
BCG
Pentavalent
PCV
Rotavirus*
OPV
IPV*rotavirus vaccine may be 2 or 3 doses, depending upon the vaccine used
Inactivated poliovirus vaccine eligibility, Module 3 | 19 April 20235 |
A child's immunization card shows that he/she is now 18 weeks old and has only received BCG
and 2 doses of OPV.
What should you do ?
What should you do in this scenario?
What should you do in this scenario?
Inactivated poliovirus vaccine eligibility, Module 3 | 19 April 20236 |
A child's immunization card shows that he/she is now 10 weeks old and has only received BCG and one dose of OPV.
What should you do ?
What should you do in this scenario?
What should you do in this scenario?
Inactivated poliovirus vaccine eligibility, Module 3 | 19 April 20237 |
A child comes in at 6 months of age and has
had no vaccines.
What should you do ?
What should you do in this scenario?
What should you do in this scenario?
Inactivated poliovirus vaccine eligibility, Module 3 | 19 April 20238 |
What should you do in this scenario?
What should you do in this scenario?
A caretaker brings a child to the health center for the first time and comes
without any written documentation.
The caretaker does not remember the exact date
of birth (DOB) of the infant.
What are some possible ways of determining the
child’s DOB?
Inactivated poliovirus vaccine eligibility, Module 3 | 19 April 20239 |
Possible ways to estimate the DOBPossible ways to estimate the DOB
See if the caretaker can recall when the child was born relative to a cultural, religious, national or local event
Look for DOB record in other documents kept in the health center or other local registries– Antenatal care record– Birth registry
Look for development indicators– A child who can sit unsupported and reach out with one
hand is probably old enough to get IPV and other required vaccines
Inactivated poliovirus vaccine eligibility, Module 3 | 19 April 202310 |
Absolute contraindications to IPVAbsolute contraindications to IPV
Do not vaccinate if
recipient has:
• Known or documented allergy to vaccine components, including:- Streptomycin- Neomycin- Polymyxin B
• History of an allergic reaction following a previous IPV injection
• Thrombocytopenia (insufficient blood platelets, which play an important role in coagulation)
• Other bleeding disorder
Wait!
Postpone vaccination
if recipient is:
• Taking temporary treatment that suppresses the immune response- Treatment could reduce immune response to
the vaccine - Postpone vaccination until the end of the
treatment to make sure the infant is well protected by the vaccine
Inactivated poliovirus vaccine eligibility, Module 3 | 19 April 202311 |
Can IPV be administered on schedule to immunodeficient infants or infants born
prematurely?
Can IPV be administered on schedule to immunodeficient infants or infants born
prematurely?
Yes!
Immunodeficiency does not prevent administration of IPV
Vaccination of infants with immunodeficiency, such as HIV infection, is recommended
Infants born prematurely should receive IPV on schedule (at or after 14 weeks of age)
Inactivated poliovirus vaccine eligibility, Module 3 | 19 April 202312 |
Contraindication ChecklistContraindication Checklist
Do I still give IPV if recipient has….?
Yes No Postpone
… mild illness
… malnutrition
… HIV
… prematurity
… allergy to streptomycin, neomycin or polymyxin B
… bleeding disorder
… had a previous reaction to IPV
… taking treatment that suppresses immune response
Inactivated poliovirus vaccine eligibility, Module 3 | 19 April 202313 |
Key messagesKey messages
First IPV dose should be given at 14 weeks of age or at first contact after 14 weeks
IPV can be given and the same time as other injectable vaccines like pentavalent and pneumococcal vaccine
If EPI schedule currently includes OPV, do not replace OPV with IPV; the dose of IPV should be added to the schedule
IPV can be administered to children with immunodeficiency disorders and those born prematurely