The document discusses the Expanded Programme on Immunization (EPI) which aims to make vaccines available to all children worldwide. It was initiated by the World Health Organization in 1974. In 1999, GAVI was created to improve child health in poorest countries by extending EPI. Current EPI goals include immunizing children under 1 in every district and eradicating polio and reducing neonatal tetanus. The document also reviews immunology, types of immunization (active and passive), and Zambia's immunization guidelines and schedule which includes vaccines for BCG, OPV, DPT-HepB-Hib, rotarix, PCV, measles, and TT. Storage requirements and administration procedures are
The document discusses sick personalities and personality disorders. It defines sick personalities as those with breakdowns in personality structure resulting in poor adjustments. It identifies characteristics of sick people like short temper and psychological issues. Causes include physical illnesses, brain disorders, and inner conflicts stemming from self-dissatisfaction. Danger signs are immaturity, regression, cruelty, and anti-social behavior. Common defense mechanisms are also outlined like projection and displacement. Effective coping includes diagnosis, awareness, changing one's self-concept, environment changes, and societal acceptance.
Stem cell therapy involves harvesting undifferentiated stem cells from sources like fat or bone marrow and injecting them into damaged tissues to stimulate the body's natural healing processes. The stem cells can regenerate tissues like cartilage, tendons, bone, muscle and ligaments. The procedure has advantages like no risk of rejection, no need for general anesthesia, fast recovery and powerful results. It typically involves consulting a doctor, harvesting stem cells minimally invasively, precisely injecting them under imaging guidance, and following up with additional injections to support healing over 1 year. Stem cell therapy can treat conditions like multiple sclerosis, Parkinson's, autism and stroke by replacing damaged bone marrow with healthy stem cells from sources like peripheral blood
The document discusses the Baby Friendly Hospital Initiative (BFHI) and exclusive breastfeeding. It begins by defining the BFHI, which was introduced in 1991 by WHO/UNICEF to promote breastfeeding in hospitals. It has led to over 19,000 designated "Baby Friendly" facilities in over 125 countries. The ten steps to successful breastfeeding recommended by the BFHI are then outlined in detail. The steps include establishing breastfeeding policies, training healthcare staff, informing pregnant women of benefits, early initiation of breastfeeding, demonstrating proper technique, exclusive breastfeeding, rooming-in, on demand feeding, avoiding pacifiers/bottles, and establishing post-discharge support groups. The document concludes by emphasizing the
This document provides information about breastfeeding, including:
1) It discusses the history and benefits of breastfeeding, noting that breastmilk is the perfect food for babies and provides crucial nutrients.
2) The document outlines the composition and nutritional content of breastmilk compared to formula and cow's milk. Breastmilk varies according to the mother's lactation and provides live cells and immunity factors that cannot be replicated.
3) The many benefits of breastfeeding are described for both baby and mother, including reduced illness risks, smarter development, less healthcare costs, and stronger bonding. The objective is to increase awareness of breastfeeding.
9. Non Pharmacological Methods of Pain Management.PPTXYIKIISAAC
The document discusses non-pharmacological methods of pain management including acupuncture, dance therapy, deep breathing, distraction, herbs, hot/cold therapy, massage therapy, music therapy, physical therapy, positioning therapy, relaxation, social support, spiritual/religious support, surgery, radiotherapy, reflexology, and aromatherapy. It explains that psychological factors are as important as physical causes of pain, and non-pharmacological methods can help manage pain without medications by altering thoughts and focus. A variety of methods are described and their potential benefits outlined, with the conclusion that not all will work for everyone and should be used alongside pharmacological approaches.
Factors on which balanced diet dependsKiranSaxena8
The document discusses the key factors that contribute to a balanced diet, including protein, carbohydrates, fats, vitamins, minerals, water, and fiber. It explains that a balanced diet provides all necessary nutrients and reduces risk of health issues. The factors help maintain proper body functions and health. Foods to eat more of include vegetables, fruits, whole grains, lean proteins, nuts and seeds. Foods to eat in moderation or less include saturated fats, processed meats, sweets and alcohol. Achieving a balanced diet supports overall well-being.
A balanced diet for infants includes mother's milk as the first food, supplemented later with solid foods like vegetable soup, fruit juice, fish and eggs. The diet should provide necessary nutrients from carbohydrates, proteins, fats, vitamins and minerals to support an infant's growth and good health.
The document discusses sick personalities and personality disorders. It defines sick personalities as those with breakdowns in personality structure resulting in poor adjustments. It identifies characteristics of sick people like short temper and psychological issues. Causes include physical illnesses, brain disorders, and inner conflicts stemming from self-dissatisfaction. Danger signs are immaturity, regression, cruelty, and anti-social behavior. Common defense mechanisms are also outlined like projection and displacement. Effective coping includes diagnosis, awareness, changing one's self-concept, environment changes, and societal acceptance.
Stem cell therapy involves harvesting undifferentiated stem cells from sources like fat or bone marrow and injecting them into damaged tissues to stimulate the body's natural healing processes. The stem cells can regenerate tissues like cartilage, tendons, bone, muscle and ligaments. The procedure has advantages like no risk of rejection, no need for general anesthesia, fast recovery and powerful results. It typically involves consulting a doctor, harvesting stem cells minimally invasively, precisely injecting them under imaging guidance, and following up with additional injections to support healing over 1 year. Stem cell therapy can treat conditions like multiple sclerosis, Parkinson's, autism and stroke by replacing damaged bone marrow with healthy stem cells from sources like peripheral blood
The document discusses the Baby Friendly Hospital Initiative (BFHI) and exclusive breastfeeding. It begins by defining the BFHI, which was introduced in 1991 by WHO/UNICEF to promote breastfeeding in hospitals. It has led to over 19,000 designated "Baby Friendly" facilities in over 125 countries. The ten steps to successful breastfeeding recommended by the BFHI are then outlined in detail. The steps include establishing breastfeeding policies, training healthcare staff, informing pregnant women of benefits, early initiation of breastfeeding, demonstrating proper technique, exclusive breastfeeding, rooming-in, on demand feeding, avoiding pacifiers/bottles, and establishing post-discharge support groups. The document concludes by emphasizing the
This document provides information about breastfeeding, including:
1) It discusses the history and benefits of breastfeeding, noting that breastmilk is the perfect food for babies and provides crucial nutrients.
2) The document outlines the composition and nutritional content of breastmilk compared to formula and cow's milk. Breastmilk varies according to the mother's lactation and provides live cells and immunity factors that cannot be replicated.
3) The many benefits of breastfeeding are described for both baby and mother, including reduced illness risks, smarter development, less healthcare costs, and stronger bonding. The objective is to increase awareness of breastfeeding.
9. Non Pharmacological Methods of Pain Management.PPTXYIKIISAAC
The document discusses non-pharmacological methods of pain management including acupuncture, dance therapy, deep breathing, distraction, herbs, hot/cold therapy, massage therapy, music therapy, physical therapy, positioning therapy, relaxation, social support, spiritual/religious support, surgery, radiotherapy, reflexology, and aromatherapy. It explains that psychological factors are as important as physical causes of pain, and non-pharmacological methods can help manage pain without medications by altering thoughts and focus. A variety of methods are described and their potential benefits outlined, with the conclusion that not all will work for everyone and should be used alongside pharmacological approaches.
Factors on which balanced diet dependsKiranSaxena8
The document discusses the key factors that contribute to a balanced diet, including protein, carbohydrates, fats, vitamins, minerals, water, and fiber. It explains that a balanced diet provides all necessary nutrients and reduces risk of health issues. The factors help maintain proper body functions and health. Foods to eat more of include vegetables, fruits, whole grains, lean proteins, nuts and seeds. Foods to eat in moderation or less include saturated fats, processed meats, sweets and alcohol. Achieving a balanced diet supports overall well-being.
A balanced diet for infants includes mother's milk as the first food, supplemented later with solid foods like vegetable soup, fruit juice, fish and eggs. The diet should provide necessary nutrients from carbohydrates, proteins, fats, vitamins and minerals to support an infant's growth and good health.
Disorders related to nutritional imbalance Arooj Attique
Nutritional imbalance can be caused by an inability to absorb nutrients or a poor diet, leading to unpleasant side effects and diseases. Malnutrition is a state of under or over consumption of nutrients required for growth and body functions. Key types of malnutrition include marasmus caused by lack of proteins, carbohydrates and fats, and kwashiorkor primarily caused by insufficient protein intake. Nutritional imbalances can cause disorders like overweight/obesity from excessive calorie intake, diabetes from high sugar/carb intake, and cardiovascular diseases from risk factors like high blood pressure and cholesterol.
Vaccines work by exposing the immune system to antigens from a pathogen. This triggers the production of antibodies and memory cells that can recognize and quickly eliminate the pathogen if exposed in the future. There are several types of vaccines, including those using whole inactivated or attenuated pathogens, as well as newer subunit and vector vaccines that deliver just the antigenic components. Vaccine development and approval is a rigorous process to ensure safety and efficacy.
This document provides guidance on feeding infants and older children. It begins with a recap of the advantages of breastfeeding, including physiological, economic, psychological and epidemiological benefits. It discusses the hormones involved in breastfeeding and provides tips for initiating breastfeeding successfully. The document then covers complementary feeding starting at 6 months, including recommended food groups and factors to consider in diet planning. It describes the IMNCI food box, which provides age-specific guidance on breastfeeding, meal frequency, appropriate consistency of foods, and hygiene from birth to 2 years. The key recommendations are to exclusively breastfeed for 6 months, continue breastfeeding for up to 2 years with complementary foods starting at 6 months, and provide balanced and nutritious family
Breastfeeding , Breast Anatomy, Proper way of breastfeeding Hussain Ali
This document provides a guide for new parents on breastfeeding. It discusses breast anatomy, the composition and benefits of breast milk including colostrum. It describes the process of breastfeeding including proper positioning and latching on. The document outlines the benefits of breastfeeding for both baby and mother, including improved immunity, bonding, and reduced cancer risks. Common breast conditions are also reviewed such as clogged ducts, infections and discharge. The guide recommends breastfeeding frequently in the newborn period and gradually less with age up to 6 months at minimum.
This document discusses breastfeeding, including its benefits, anatomy, physiology, and techniques. Some key points include:
- Exclusive breastfeeding is recommended for the first six months due to complete nutrition, immunity benefits, and bonding effects.
- Breast anatomy includes glandular tissue, ducts, and sinuses that secrete and store milk under stimulation from prolactin and oxytocin hormones.
- Common issues like sore nipples and engorgement can be prevented or treated to ensure successful breastfeeding.
- Frequent feeding on demand is recommended, assessing urine output and weight gain of the baby.
1. The guidelines provide recommendations for appropriate infant and young child feeding in India, including exclusive breastfeeding for the first six months, continued breastfeeding for up to two years or beyond, and introducing complementary foods after six months of age.
2. Key recommendations include early initiation of breastfeeding within one hour of birth, exclusive breastfeeding for six months, and introducing nutritious complementary foods gradually after six months along with continued breastfeeding.
3. Special situations related to infant feeding in cases of maternal or infant illness, HIV, or other medical conditions are also addressed.
Bulimia nervosa is an eating disorder characterized by recurrent episodes of binge eating followed by compensatory behaviors like purging to prevent weight gain. It has a lifetime prevalence of 1.5% in women and 0.5% in men. Risk factors include biological factors, psychological issues like low self-esteem, and societal pressures. Symptoms include binge eating, vomiting, abuse of laxatives, and mood changes. Complications can include electrolyte imbalances, dental problems, and even death. Treatment involves medication, psychotherapy, nutrition education, and preventing relapse.
This document discusses immunization in children. It begins by defining key terms like immunization, vaccination, immunity, antigen, and antibody. It then lists the objectives of the lecture. The introduction states that the lecture will increase knowledge about immunizing infants and children. Various types of vaccines are described like attenuated, antitoxin, and immunoglobulin vaccines. Active and passive immunity is explained. Common vaccines given like BCG, DPT, polio, MMR and their administration routes are outlined. The importance of cold chain storage and transportation of vaccines is emphasized to maintain their effectiveness. The nurse's role in immunization programs is also reviewed.
This document discusses the importance of breastfeeding. It recommends exclusive breastfeeding for the first six months as per the American Academy of Paediatrics. Breastfeeding provides optimum nutrition for growth and development while protecting against illness through immunological benefits. It reduces the risk of infant mortality and supports proper jaw and tooth development as well as reducing the risk of obesity, diabetes, and certain cancers for both mother and child. Breastfeeding also promotes bonding and has benefits for the community such as being environmentally friendly and reducing medical costs.
Notes on nutritional needs of children & infantsBabitha Devu
There are various methods of feeding a child. Like breastfeeding, weaning & artificial feeding.
All the types of feeding which help to fulfill the nutritional need of a child as per the increase in age are elaborated in this presentation.
The document discusses breastfeeding, including:
1. It recommends exclusive breastfeeding for the first 6 months as the WHO's standard, as breast milk provides ideal nutrition.
2. It describes the development of mammary glands and production of different types of breast milk over time.
3. It provides information on the nutritional composition of breast milk and benefits it provides to infants like immunity and digestion.
4. It outlines best practices for breastfeeding and establishing feeding routines in the first year.
Universal Programme Immunization as per World Health Organisation in India with Cold Chain and Vaccine Storage in Overall Health Management for Children under 5 years of age
The document discusses weaning, which is the process of gradually transitioning a baby from breastfeeding to solid foods. It defines weaning and lists its aims as helping the baby meet nutritional needs through additional food sources while training the digestive system. The principles of weaning outlined include introducing foods one at a time, gradually increasing amounts, using homemade foods, continuing breastfeeding, and observing for signs of indigestion. Steps for introducing solid foods include starting with rice cereal, then vegetables, fruits, higher-protein foods, and finger foods.
The document discusses family planning and provides information on various topics related to it. It defines family planning as controlling the number and timing of children through contraception or sterilization. It discusses modern family planning methods like birth control, assisted reproductive technology, and family planning programs. It also covers adoption, maternal health risks, contraceptive options like IUDs and implants, and the importance of family planning for health, economic, and social reasons.
The document provides information and advice for mothers who need to pump breast milk at work, including:
- Recommendations for choosing an appropriate breast pump based on pumping needs and goals for continued breastfeeding. Higher grade pumps are recommended for regular or full-time pumping.
- Guidelines for proper milk storage including room temperature, refrigeration, and freezing times and temperatures. Thawed milk should be used within 24 hours.
- Tips for establishing and maintaining a pumping schedule at work such as pumping within an hour of working, during lunch, and after returning home from work.
- Additional suggestions to increase milk supply such as nursing frequently when not at work and using breastfeeding-friendly supplements. Proper
Grief involves coping with loss. Death, divorce and the loss of a home are all major events that people grieve. Share with the others. this slide includes nursing interventions, types and process.
Breastfeeding, also called nursing, is the process of feeding a mother's breast milk to her infant, either directly from the breast or by expressing (pumping out) the milk from the breast and bottle-feeding it to the infant
This document discusses immunization and different types of vaccines. It describes passive and active immunization. Passive immunization provides immediate short-term protection from antibodies without immune system activation, while active immunization activates the immune system to produce long-lasting immunity. The document outlines various vaccine types including live attenuated, inactivated, toxoid, and subunit vaccines. It provides details on vaccine administration, schedules, and contraindications.
This document provides guidance on introducing solid foods to babies between 6-12 months old. It recommends starting solids around 6 months when babies show signs of readiness like being able to hold their head up and control their tongue. However, some babies may not be ready due to prematurity or health issues. Introducing solids too early or too late can pose health risks. The document provides tips on appropriate first foods and choking hazards to avoid, as well as promoting healthy eating habits.
The document discusses immunization and the Expanded Programme on Immunization (EPI). It defines immunization and describes the two types: passive and active immunization. It provides details on passive immunization, which provides immediate protection without challenging the immune system, and active immunization, which develops resistance by activating the immune system. The document then discusses EPI, including its scope, objectives, vaccines used in Somalia under EPI, and the recommended immunization schedule. It also covers important aspects like herd immunity, types of vaccines, cold chain storage and transport, and vaccine vial monitors.
Immunity and vaccine (community medicine )Niko439610
This document discusses immunity, types of immunity (active and passive), antigens, antibodies, humoral immunity, cellular immunity, how active immunity is developed, how passive immunity is acquired, immune response, herd immunity, immunizing agents (vaccines, immunoglobulins, antiserum), EPI schedule, cold chain, complications of vaccination, contraindications to vaccination, adverse events following immunization (AEFI), and coincidental events. The key points are that immunity protects the body from foreign antigens, there are two types of immunity (active and passive), and vaccines help develop active immunity while immunoglobulins provide passive immunity.
Disorders related to nutritional imbalance Arooj Attique
Nutritional imbalance can be caused by an inability to absorb nutrients or a poor diet, leading to unpleasant side effects and diseases. Malnutrition is a state of under or over consumption of nutrients required for growth and body functions. Key types of malnutrition include marasmus caused by lack of proteins, carbohydrates and fats, and kwashiorkor primarily caused by insufficient protein intake. Nutritional imbalances can cause disorders like overweight/obesity from excessive calorie intake, diabetes from high sugar/carb intake, and cardiovascular diseases from risk factors like high blood pressure and cholesterol.
Vaccines work by exposing the immune system to antigens from a pathogen. This triggers the production of antibodies and memory cells that can recognize and quickly eliminate the pathogen if exposed in the future. There are several types of vaccines, including those using whole inactivated or attenuated pathogens, as well as newer subunit and vector vaccines that deliver just the antigenic components. Vaccine development and approval is a rigorous process to ensure safety and efficacy.
This document provides guidance on feeding infants and older children. It begins with a recap of the advantages of breastfeeding, including physiological, economic, psychological and epidemiological benefits. It discusses the hormones involved in breastfeeding and provides tips for initiating breastfeeding successfully. The document then covers complementary feeding starting at 6 months, including recommended food groups and factors to consider in diet planning. It describes the IMNCI food box, which provides age-specific guidance on breastfeeding, meal frequency, appropriate consistency of foods, and hygiene from birth to 2 years. The key recommendations are to exclusively breastfeed for 6 months, continue breastfeeding for up to 2 years with complementary foods starting at 6 months, and provide balanced and nutritious family
Breastfeeding , Breast Anatomy, Proper way of breastfeeding Hussain Ali
This document provides a guide for new parents on breastfeeding. It discusses breast anatomy, the composition and benefits of breast milk including colostrum. It describes the process of breastfeeding including proper positioning and latching on. The document outlines the benefits of breastfeeding for both baby and mother, including improved immunity, bonding, and reduced cancer risks. Common breast conditions are also reviewed such as clogged ducts, infections and discharge. The guide recommends breastfeeding frequently in the newborn period and gradually less with age up to 6 months at minimum.
This document discusses breastfeeding, including its benefits, anatomy, physiology, and techniques. Some key points include:
- Exclusive breastfeeding is recommended for the first six months due to complete nutrition, immunity benefits, and bonding effects.
- Breast anatomy includes glandular tissue, ducts, and sinuses that secrete and store milk under stimulation from prolactin and oxytocin hormones.
- Common issues like sore nipples and engorgement can be prevented or treated to ensure successful breastfeeding.
- Frequent feeding on demand is recommended, assessing urine output and weight gain of the baby.
1. The guidelines provide recommendations for appropriate infant and young child feeding in India, including exclusive breastfeeding for the first six months, continued breastfeeding for up to two years or beyond, and introducing complementary foods after six months of age.
2. Key recommendations include early initiation of breastfeeding within one hour of birth, exclusive breastfeeding for six months, and introducing nutritious complementary foods gradually after six months along with continued breastfeeding.
3. Special situations related to infant feeding in cases of maternal or infant illness, HIV, or other medical conditions are also addressed.
Bulimia nervosa is an eating disorder characterized by recurrent episodes of binge eating followed by compensatory behaviors like purging to prevent weight gain. It has a lifetime prevalence of 1.5% in women and 0.5% in men. Risk factors include biological factors, psychological issues like low self-esteem, and societal pressures. Symptoms include binge eating, vomiting, abuse of laxatives, and mood changes. Complications can include electrolyte imbalances, dental problems, and even death. Treatment involves medication, psychotherapy, nutrition education, and preventing relapse.
This document discusses immunization in children. It begins by defining key terms like immunization, vaccination, immunity, antigen, and antibody. It then lists the objectives of the lecture. The introduction states that the lecture will increase knowledge about immunizing infants and children. Various types of vaccines are described like attenuated, antitoxin, and immunoglobulin vaccines. Active and passive immunity is explained. Common vaccines given like BCG, DPT, polio, MMR and their administration routes are outlined. The importance of cold chain storage and transportation of vaccines is emphasized to maintain their effectiveness. The nurse's role in immunization programs is also reviewed.
This document discusses the importance of breastfeeding. It recommends exclusive breastfeeding for the first six months as per the American Academy of Paediatrics. Breastfeeding provides optimum nutrition for growth and development while protecting against illness through immunological benefits. It reduces the risk of infant mortality and supports proper jaw and tooth development as well as reducing the risk of obesity, diabetes, and certain cancers for both mother and child. Breastfeeding also promotes bonding and has benefits for the community such as being environmentally friendly and reducing medical costs.
Notes on nutritional needs of children & infantsBabitha Devu
There are various methods of feeding a child. Like breastfeeding, weaning & artificial feeding.
All the types of feeding which help to fulfill the nutritional need of a child as per the increase in age are elaborated in this presentation.
The document discusses breastfeeding, including:
1. It recommends exclusive breastfeeding for the first 6 months as the WHO's standard, as breast milk provides ideal nutrition.
2. It describes the development of mammary glands and production of different types of breast milk over time.
3. It provides information on the nutritional composition of breast milk and benefits it provides to infants like immunity and digestion.
4. It outlines best practices for breastfeeding and establishing feeding routines in the first year.
Universal Programme Immunization as per World Health Organisation in India with Cold Chain and Vaccine Storage in Overall Health Management for Children under 5 years of age
The document discusses weaning, which is the process of gradually transitioning a baby from breastfeeding to solid foods. It defines weaning and lists its aims as helping the baby meet nutritional needs through additional food sources while training the digestive system. The principles of weaning outlined include introducing foods one at a time, gradually increasing amounts, using homemade foods, continuing breastfeeding, and observing for signs of indigestion. Steps for introducing solid foods include starting with rice cereal, then vegetables, fruits, higher-protein foods, and finger foods.
The document discusses family planning and provides information on various topics related to it. It defines family planning as controlling the number and timing of children through contraception or sterilization. It discusses modern family planning methods like birth control, assisted reproductive technology, and family planning programs. It also covers adoption, maternal health risks, contraceptive options like IUDs and implants, and the importance of family planning for health, economic, and social reasons.
The document provides information and advice for mothers who need to pump breast milk at work, including:
- Recommendations for choosing an appropriate breast pump based on pumping needs and goals for continued breastfeeding. Higher grade pumps are recommended for regular or full-time pumping.
- Guidelines for proper milk storage including room temperature, refrigeration, and freezing times and temperatures. Thawed milk should be used within 24 hours.
- Tips for establishing and maintaining a pumping schedule at work such as pumping within an hour of working, during lunch, and after returning home from work.
- Additional suggestions to increase milk supply such as nursing frequently when not at work and using breastfeeding-friendly supplements. Proper
Grief involves coping with loss. Death, divorce and the loss of a home are all major events that people grieve. Share with the others. this slide includes nursing interventions, types and process.
Breastfeeding, also called nursing, is the process of feeding a mother's breast milk to her infant, either directly from the breast or by expressing (pumping out) the milk from the breast and bottle-feeding it to the infant
This document discusses immunization and different types of vaccines. It describes passive and active immunization. Passive immunization provides immediate short-term protection from antibodies without immune system activation, while active immunization activates the immune system to produce long-lasting immunity. The document outlines various vaccine types including live attenuated, inactivated, toxoid, and subunit vaccines. It provides details on vaccine administration, schedules, and contraindications.
This document provides guidance on introducing solid foods to babies between 6-12 months old. It recommends starting solids around 6 months when babies show signs of readiness like being able to hold their head up and control their tongue. However, some babies may not be ready due to prematurity or health issues. Introducing solids too early or too late can pose health risks. The document provides tips on appropriate first foods and choking hazards to avoid, as well as promoting healthy eating habits.
The document discusses immunization and the Expanded Programme on Immunization (EPI). It defines immunization and describes the two types: passive and active immunization. It provides details on passive immunization, which provides immediate protection without challenging the immune system, and active immunization, which develops resistance by activating the immune system. The document then discusses EPI, including its scope, objectives, vaccines used in Somalia under EPI, and the recommended immunization schedule. It also covers important aspects like herd immunity, types of vaccines, cold chain storage and transport, and vaccine vial monitors.
Immunity and vaccine (community medicine )Niko439610
This document discusses immunity, types of immunity (active and passive), antigens, antibodies, humoral immunity, cellular immunity, how active immunity is developed, how passive immunity is acquired, immune response, herd immunity, immunizing agents (vaccines, immunoglobulins, antiserum), EPI schedule, cold chain, complications of vaccination, contraindications to vaccination, adverse events following immunization (AEFI), and coincidental events. The key points are that immunity protects the body from foreign antigens, there are two types of immunity (active and passive), and vaccines help develop active immunity while immunoglobulins provide passive immunity.
Immunization protects individuals from disease by introducing weakened or killed pathogens. The World Health Organization launched the Expanded Program on Immunization in 1974 to protect children worldwide from six diseases using vaccines. India launched its Universal Immunization Programme in 1985 with the goal of providing universal coverage of eligible populations against tuberculosis, diphtheria, whooping cough, tetanus, polio, and measles by 1990. The national immunization schedule outlines the vaccines, doses, and ages that vaccines should be administered to both children and adults in India.
EXPANDED PROGRAMME IN IMMUNIZATION (EPI).pptxTaongamvula
The document provides information about the Expanded Programme on Immunization (EPI) in 3 paragraphs or less:
The EPI was initiated by the World Health Organization in 1974 with the goal of making vaccines available to all children worldwide. It recommends vaccines for diseases like tuberculosis, diphtheria, tetanus, pertussis, polio, measles, and others. The program aims to fully immunize children under 1 year of age in every district and globally eradicate polio. It provides vaccination guidelines including target groups, schedules, administration procedures and potential side effects.
It commonly institutes activities that limit risk exposure or increase the immunity of individuals at risk to prevent a disease from progressing in a susceptible individual to subclinical disease. For example, immunizations are a form of primary prevention.
mmunization currently prevents 3.5-5 million deaths every year from diseases like diphtheria, tetanus, pertussis, influenza and measles. Immunization is a key component of primary health care and an indisputable human right. It's also one of the best health investments money can buy.
This document provides an overview of vaccines and immunization. It begins with terminology and describes the types of immunity produced by vaccines. It then discusses the historical development of various vaccines including smallpox, polio, and measles vaccines. The document outlines Kenya's Expanded Program on Immunization including its objectives, components, and policies. Common vaccines used in Kenya like BCG, polio, measles, pentavalent and tetanus are described in terms of composition, dosage, administration, storage requirements, indications and contraindications. The importance of monitoring vaccine needs and evaluating immunization programs is also highlighted.
Immunization is a process of protecting an individual from a disease through introduction of live attenuated, killed or organisms or antibodies in the individual system.
Immunization is the process of protecting an individual by active or passive method.
The immunizing agents are
Vaccines, Immunoglobulins and antisera
Why vaccination?
Prevention of deadly and debilitating diseases.
Keeps child from suffering through a preventable illness.
Less doctor visits
No hospitalization
This document discusses immunization and the Uganda National Expanded Programme on Immunization (UNEPI). It defines key terms like immunity, vaccines, and immunization. It describes the innate and adaptive immune systems and how vaccines induce immunity. It outlines Uganda's vaccination schedule, which protects against diseases like polio, pertussis, measles, and more. It also notes common minor side effects of vaccines like fever and pain at the injection site. The overall goal of UNEPI is to ensure Ugandans are protected from vaccine-preventable diseases through both routine and supplemental immunization activities.
This document provides an overview of vaccines and immunization. It defines immunization as the process of making a person immune or resistant to an infectious disease, typically through vaccine administration. The document discusses the history of vaccines, types of vaccines, immunization schedules, special populations, adverse reactions, and the importance of immunization in preventing disease outbreaks and saving lives. It concludes that vaccinations reduce global child mortality and allow individuals to live healthier lives while being economically sensible.
1. The document introduces immunity and vaccines, outlining the benefits of immunization programs. It discusses the immune system and how it protects the body from infection through antibodies, memory cells, and herd immunity.
2. Specific types of immunity are described, including naturally acquired active immunity from infection, naturally acquired passive immunity from maternal antibodies, and artificially acquired active immunity from vaccination.
3. The goal of immunization programs is to provide artificially acquired active immunity through vaccination and raise herd immunity levels to over 80% to protect communities from communicable diseases.
Vaccines are biological preparations that improve immunity to particular diseases. They work by containing an agent that resembles a disease-causing microorganism, which stimulates the immune system to recognize and destroy it. Vaccination is the most effective method of preventing infectious diseases and has been largely responsible for eradicating smallpox and restricting diseases like polio. There are several types of vaccines including live attenuated, inactivated, subunit, toxoid, conjugate, DNA, and recombinant vector vaccines. Vaccines must undergo clinical trials and require careful storage and transport to maintain effectiveness.
- Immunization is the process of protecting an individual from a disease through introduction of live, killed or attenuated organisms. It stimulates the immune system and produces antibodies to prevent disease.
- There are various types of vaccines including live attenuated, inactivated/killed, and toxoids. National immunization schedules provide recommended ages and doses of vaccines like BCG, DPT, polio, hepatitis B, and measles.
- Immunization is essential to reduce child mortality and is one of the most effective public health interventions. Ensuring all children are fully immunized is important to protect both individuals and communities.
Vaccines work by exposing the body to antigens from pathogens to trigger an immune response. When first exposed, it takes time for the body to produce antibodies, but memory cells remain to allow faster response to future exposure. Vaccines introduce antigens to stimulate this immune response, protecting against disease. Major types include inactivated, live-attenuated, mRNA, and subunit/toxoid vaccines. Vaccination has helped reduce disease and mortality worldwide through innovations since Jenner's smallpox vaccine and ongoing efforts like polio and COVID-19 vaccine development.
Handbook on adult_immunization_2009_(contents)raissa_09
The document provides information on vaccines for adult Filipinos. It includes general principles of vaccination, descriptions of various vaccine-preventable diseases, and information on 13 different vaccines. The committee members and table of contents are listed, and there are sections on vaccine storage, side effects, contraindications, and an appendix with disease trend graphs and vaccine information tables.
The document discusses immunization and vaccination programs in Kenya, including definitions of key terms, descriptions of vaccine-preventable diseases, immunization schedules, the roles of healthcare workers in immunization, and strategies for maintaining vaccine potency and the cold chain necessary to deliver effective immunization services. Proper administration and storage of vaccines like BCG and measles are outlined to ensure optimal protection against tuberculosis and other illnesses.
The document summarizes key aspects of tuberculosis prophylaxis discussed in a lecture at PHEE Kyiv Medical University. It describes the organization of antituberculosis clinics and their roles in tuberculosis prevention, early identification, and treatment. It outlines different types of prophylaxis including social, sanitary, BCG vaccination, and chemoprophylaxis. It discusses classification of bacterial excretion, complications after BCG vaccination, and treatment approaches.
This document discusses immunization and vaccination. It defines immunization as inducing immunity artificially through vaccines or toxoids, which can be active or passive. Active immunization uses vaccines to stimulate antibody production, while passive immunization provides temporary protection through antibody administration. The immune response depends on factors like age, route of administration, vaccine nature, genetics, and potency. Vaccines can be live organisms, nonliving organisms, or subunits, and confer different lengths of protection. Standard immunization schedules and storage temperatures are outlined for vaccines in expanded immunization programs. Potential side effects and contraindications of specific vaccines are also detailed.
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MBC Support Group for Black Women – Insights in Genetic Testing.pdfbkling
Christina Spears, breast cancer genetic counselor at the Ohio State University Comprehensive Cancer Center, joined us for the MBC Support Group for Black Women to discuss the importance of genetic testing in communities of color and answer pressing questions.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...rightmanforbloodline
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TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...rightmanforbloodline
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
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2. Introduction
• The Expanded Program on Immunization is a World
Health Organization program with the goal to make
vaccines available to all children throughout the world.
• The World Health Organization (WHO) initiated
the Expanded Program on Immunization (EPI) in
May 1974 with the objective to vaccinate children
throughout the world.
3. Introduction cont’d
• In 1999, the Global Alliance for Vaccines and
Immunization (GAVI) was created with the
sole purpose of improving child health in the
poorest countries by extending the reach of
the EPI.
4. The current goals of the EPI
i. To ensure immunization of children under one
year of age in every district.
ii. To globally eradicate poliomyelitis.
iii.To reduce maternal and neonatal tetanus to an
incidence rate of less than one case per 1,000
births by 2005, to cut in half the number of
measles-related deaths that occurred in 1999.
5. Introduction cont’d
iv. To extend all new vaccines and
preventive health interventions to children in
all districts in the world.
6. REVIEW OF IMMUNOLOGY
• Immunology deals with the defense
mechanisms including all physical, chemical
and biological properties of the organism that
help it to combat its susceptibility to foreign
organisms, material, etc.
• There are two types of components that are
involved in immunity. These are:
7. Non-specific component or innate immunity.
Specific component or adaptive immunity
• The non-specific components act either as
barriers or as eliminators of wide range of
pathogens irrespective of antigenic
specificity.
8. • Other components of the immune system
adapt themselves to each new disease
encountered and are able to generate
pathogen-specific immunity.
9. • Nonspecific immunity or innate immunity is
the natural resistances with which a person is
born.
• It provides resistances through several
physical, chemical and cellular approaches.
Microbes first encounter the epithelial layers,
physical barriers that line skin and mucous
membranes.
10. • Subsequent general defences include secreted
chemical signals (cytokines), antimicrobial
substances, fever, and phagocytic activity
associated with the inflammatory responses.
11. • Specific immunity or Adaptive immunity
consists of two responses which are;
Humoral response
Cell mediated response
12. • Humoral immune system
• The is the first way of the body’s response to
antigens and it happens through substances
called antibodies which circulate within the
body and can act against antigens at sites very
far from where they were originally produced
• Antibodies are produced by special cells called
B-lymphocytes which are within the lymphatic
tissues of the body.
13. • They are complex chemical substances called
immunoglobulins which match the particular
antigen they were made for just a key
matches one particular lock only.
14. • Cell mediated immune system
• This is the second way of the body’s response
to antigens and it happens through other
special cells called T-lymphocytes and
macrophages that circulate through the body
and destroy micro-organisms or other cells
that the micro-organisms may have invaded.
The special T-cells are tuned in the same way
as antibodies to a particular infecting germ.
15. • The response to specific antigens by both
systems is the reason why immunity
developed against one disease, such as
measles vaccine does not protect against
other diseases such as poliomyelitis or
pneumonia. Memory recall protects the body
against subsequent attacks by the same
antigens, whether germs or poisons.
16. • If a person is exposed again to an infection he
has already had or been vaccinated against,
the body will quickly recall the cells and make
more antibodies to neutralize the toxins or
fight off the micro-organisms and prevent the
establishment and spread of the infection
again.
17. • Adaptive immunity is often sub-divided into
two major types depending on how the
immunity was introduced.
Naturally acquired immunity which occurs
through contact with a disease causing agent,
when the contact was not deliberate.
Artificially acquired immunity which develops
only through deliberate actions such as
vaccination.
18.
19. Types of immunization
• Immunization is the process by which an
individual's immune system becomes fortified
against an agent (known as the immunogen)
or it is the process of protecting a person from
a specific disease. There are two types of
immunizations which are:
Passive immunization
Active immunization
20. • Passive immunization: This is the transfer of
active humoral immunity in the form of ready-
made antibodies, from one individual to
another Or it is the acquisition of readily
formed antibodies ( Transplacental
transmission, immunoglobulin
administration).
21. • Active immunization: this is stimulating the
immune system to produce antibodies and
cellular elements against an infectious agent.
• This happens automatically when a person is
exposed to an infection/antigen and develops
his own antibodies. It is induced in the host
itself by antigen and lasts much longer,
sometimes lifelong.
22. Immunization guidelines and
schedule
• Optimal response to a vaccine depends on
multiple factors, including the type of vaccine,
age of the recipient, and immune status of
the recipient.
• Recommendations for the age at which
vaccines are administered are influenced by
age-specific risks for disease, age-specific
risks for complications, age-specific
responses to vaccination, and potential
interference with the immune response by
passively transferred maternal antibodies.
23. • Vaccines are recommended for members of
the youngest age group at risk for
experiencing the disease for which efficacy
and safety have been demonstrated.
24. Target Groups for Vaccination
• Children under five years
• School aged children
• Pregnant women
• Women of child bearing age (15 – 49yrs)
• Special at risk groups (e.g. Travellers)
26. VACCINE DOSAGE AGE FOR
VACCINATI
ON
No
Doses
ROUTE/
RECOMME
NDED SITE
INTERVAL
BTN DOSES
TARGET
AGAINST
BCG 0.05ml < 1
year
0.1ml > 1
year.
At Birth
Or 1st
contact
Once Intradermal
in the
upper outer
aspect of
the left
lower arm
- Tuberculosi
s
OPV
(1,2,3)
OPV 0
OPV 4
2-3 drops At 6 weeks,
10 weeks,
14 weeks
0 – 13 days
At 9
months
4 doses Orally 4 weeks Polio
DPT-HepB-
Hib -1, 2, 3
0.5mls At 6 weeks,
10 weeks,
14 weeks
3 doses Intramuscul
ar injection
into the
4 weeks Diptheria
Pertussis
Hepatitis B
27. VACCINE DOSAGE AGE FOR
VACCINATI
ON
No
Doses
ROUTE/
RECOMME
NDED SITE
INTERVAL
BTN DOSES
TARGET
AGAINST
Rotarix 1.5mls At 6 weeks
10 weeks
2 oral 4weeks diarrhoea
PCV 0.5Mls At 6 weeks,
10 weeks,
14 weeks
3 Intramuscul
arly in the
upper outer
quadrant of
the right
thigh.
4 weeks Forms of
pneumoco
ccal
diseases
eg
Meningitis
pneumoni
a and
bacteraem
ia.
Measles 0.5mls 9 months
18 months
2 Subcutaneo
us injection
9 months. Measles
28. VACCINE DOSAGE AGE FOR
VACCINAT
ION
No
Doses
ROUTE/
RECOMM
ENDED
SITE
INTERVAL
BTN
DOSES
TARGET
AGAINST
TT 0.5Mls 5 Intra
muscular
injection
into the
deltoid
muscle of
the upper
arm
Tetanus
29. Bacillus Calmette-Guerin (BCG)
• It is a frozen dried powder which is
reconstituted with sterile diluent before
it can be injected.
• Only the diluent that comes with the
particular batch of vaccine must be used.
• BCG immunization at birth will reduce
the sickness and death from Tuberclosis;
miliary or disseminated TB and TB
meningitis among children
30. Storage of BCG Vaccine
• Can be safely stored and transported
between +2 and +8 degrees Celsius
• BCG should never be exposed to sunlight
• BCG is more heat stable before
reconstitution but less stable after
reconstitution
• Reconstituted BCG must be discarded
after six hours.
32. Administering BCG
• Check the label that it is correct vaccine
• Check vaccine vial monitor
• Check expiry date of the vaccine and
diluent
• Check that it is the right diluent
• Reconstitute the vaccine
• Check the volume of the diluent that you
reconstitute with the vaccine
33. • Draw up all the diluent into mixing syringe
• Empty the diluent into the vaccine ampoule
• Mix vaccine and diluent by withdrawing
vaccine and diluent slowly into the
reconstitution syringe and then injecting it
back
• Do not shake the vaccine, as this may
damage it
34. Normal reaction
• There should be a flat-topped swelling in
the skin at the injection site looking like a
mosquito bite, with small pits.
• This usually disappears within 30 minutes
• After approximately two weeks, a red
sore develops which is around 10mm in
diameter.
35. • The sore remains for another two weeks
and then heals
• A small scar about 5 mm across, remains
• This is a sign that the child has been
effectively immunised with BCG
37. • The vaccine contains weakened DPT-
HepB-Hib and killed pertussis bacteria
• It is a liquid vaccine, which has to be
injected
38. Storage of DPT-HepB-Hib vaccine
• It should be stored and transported
between +2 to 8 Degrees celsius
• It freezes at temperatures below +2
Degrees Celsius and gets irreversibly
damaged
• Use the shake test to test whether the
vaccine has been frozen
39. Administration DPT-HepB-Hib
• Check the label that it is the correct vaccine
• Check the expiry date for the vaccine
• Check to make sure the vaccine has not been
frozen
• Check the VVM status ( vaccine vial monitor)
• Shake the bottle gently.
• Using a 0.5ml draw 0.5ml of the vaccine
• Tap the syringe to remove any air in the
syringe so that the dose is accurate before
removing the needle
40. Side effects
• Fever: advise the mother that some
children may have fever and are irritable
after receiving the vaccine
• Local soreness: some children may get
red, tender lump at the site of the
injection that is not serious and needs no
treatment
41. Oral Polio Vaccine (OPV)
• The vaccine contains a live, attenuated
(weakened) virus
• It is damaged more easily by heat than
the other vaccines
• Can be frozen without being damaged
42. Storage of Polio Vaccine
• At central level between -15 and -25
degrees Celsius
• At health centre level between +2 and +8
degrees Celsius.
43. Administration of OPV
• Check the label that it is the correct
vaccine
• Check the expiry date
• Check the VVM to make sure the vaccine
has not been exposed to too much heat.
• Check the number of drops needed for
one dose with this vial.
• Let the mother hold the child firmly,
sitting up so that he does not aspirate the
vaccine
44. • Open the child’s mouth by squeezing the
mouth gently between your fingers
• Let the correct number of drops of vaccine
fall from the dropper onto the child’s tongue
• Make sure that the child swallows the
vaccine
• If he/she spits it out, give another dose
NB: if the child has diarrhoea, give the vaccine anyway
but give an extra dose 4 wks after you finish the
normal course. Do not record the dose given during
diarrhoea episode.
45. Measles Vaccination
• The vaccine is a live attenuated (weakened)
form of the virus that causes measles
• It is a freeze – dried and has to be
reconstituted before injection
• ONLY use the diluent that comes from the
same vaccine manufacturer to reconstitute
the vaccine.
• Maternal antibodies to measles last longer than
other antibodies, so immunization against
measles is often not effective before the nine
months of age
46. • In most developing countries, children are
vaccinated against measles at 9 months of
age, when maternally derived protection
declines from maternal antibodies.
• However, it is recommended that all children
have two opportunities for measles
immunization to reduce the number of both
unvaccinated children and those who are
vaccinated but fail respond to the vaccine. (
failing to form antibodies).
47. oThe second opportunity for measles
immunization plays an important
role in increasing the proportion of
the population with lifelong
protection against measles, as
boosting through natural infection
gradually disappears.
48. Storage of measles vaccine
• At central, provincial and district stores
the vaccine should be kept between -15
and -25 degrees Celsius
• At the health centre level between +2 and
+8 degrees Celsius
• The diluents should not be frozen, but
cooled immediately prior to use so it
doesn’t neutralize the measles.
49. Administering Measles Vaccine
• Check the label that it is the correct
vaccine
• Check expiry date
• Reconstitute the vaccine in the same way
as BCG vaccine
• Fill the syringe
• Give the vaccine subcutaneously
• Inject into the outer part of the child’s
upper left arm
50. Side effects from measles vaccination
Fever and rash
• Tell the mother that the child may have a
fever for one to three days about a week
after the vaccination and that
• Sometimes there is a mild measles rash.
• Reassure the mother that it is much
milder than the disease and goes away by
itself
51. Rotarix vaccine
• Children infected with rotaviruses during
the first 3 months of life are
asymptomatic.
• Those infected for the first time after the
age of 3 months are usually symptomatic.
• It is a live attenuated rotavirus vaccine.
52. • The one in use in Zambia is a called
Rotarix
• Dose – 1.5mls
• Route – orally
• 1st dose is given at 6 weeks
• 2nd dose is given at 10 weeks
53. PNEUMOCOCCAL CONJUGATE
VACCINE.
• The pneumococcal vaccine protects
children younger than 2 years old.
• It protects against severe forms of
pneumococcal disease, such as
meningitis, pneumonia and
bacteraemia.
54. • It will not protect against these
conditions if they are caused by
agents other than pneumococcus.
55. administration
• PVC for infant use are given by
intramuscular injection in a dose of
0.5ml.
• The primary series consists of 3 doses
at intervals of at least 4 weeks,
starting at the age of six weeks or
later, although some some countries
use a schedule with two doses in
infancy, and a third dose at or 12
months.
56. • PVC can be co-administered with other
EPI vaccines.
• The vaccine cannot be mixed with other
vaccines in the same syringe and
therefore, the injection should be given in
a different injection site- right thigh.
• PVC has been proven safe and well
tolerated even among children infected
with HIV.
57. Storage of the vaccine
• PVC should be stored and transported
between 2-8 ċ.
• Liquid vaccines, including the
pneumococcal vaccine, must not be
frozen.
• Liquid vaccines lose their potency and
provide no protection against the
disease, if frozen.
58. Cont.
• If there is doubt, the ‘shake test’ can be
performed to check whether any of these
vaccines have been frozen.
• If in doubt, shake the sample for 10-15
seconds and thereafter allow to rest.
• If there are some sediments at the bottom
of the vial then the vaccine was once
frozen.
59. Tetanus Toxoid vaccine
• Tetanus toxoid (TT) consists of a
toxoid (an anti – toxin neutraliser)
• It is the same tetanus toxoid as
contained in the DPT-HepB-Hib
vaccine
• The vaccine is given to women of
child bearing age to prevent
neonatal tetanus.
60. Storage of TT vaccine
• It should be stored and transported
between +2 and +8.
• TT is destroyed by freezing
• The shake test will confirm if TT has been
frozen or not
• A woman who has had five doses can be
considered to have life long protection
• Tetanus doses received during childhood
can be counted in the TT schedule
61. TT Dose Contact
TT1 At first contact
TT 2 At least 4 weeks after TT 1
TT 3 At least 6 months after TT2
TT 4 Atleast after 1 year after TT3
TT 5 At least 1 year after TT 4