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VACCINE AND
VACCINATION
MAN BAHADUR RANA
BPH
ACAS,NEPAL
History: Edward Jenner cowpox virus smallpox.
•Louis Pasteur and Emile Roux  vaccine rabies.
Vaccination:
distributing and administrating  Vaccination.
Introdu
ction
Vaccine  biological preparation  body  prevent the disease
The vaccine  immunity production of antibodies
activation of T lymphocytes.
Definition:
2
3
several types of vaccines in use
Typ
es
• Whole-Organism Vaccines
Killed
Attenuated
• Purified Macromolecules as Vaccines
Toxoids
Capsular polysaccharides
Recombinant microbial antigens/Surface antigens
• Recombinant vaccine
• DNA vaccine
•Subunit Vaccines
4
Whole-Organism
Vaccines
Killed/ Inactivated: destroyed  chemicals, heat, radioactivity or antibiotics.
Attenuated: live disable their virulent properties
(Ref: Kuby, book for Immunology)
5
Disease or pathogen Type of vaccine
WHOLE ORGANISMS
Bacterial cells
Anthrax
Cholera
Pertussis*
Plague
Tuberculosis
Typhoid
Inactivated
Inactivated
Inactivated
Inactivated
Live attenuated
Live attenuated
Classification of common
vaccines for humans:
(Ref: Kuby, book for Immunology)
6
Disease or pathogen Type of vaccine
Viral particles
Hepatitis A
Influenza
Measles
Polio (Sabin)
Polio (Salk)
Rabies
Rotavirus
Varicella zoster (chickenpox)
Yellow fever
Inactivated
Inactivated
Live attenuated
Live attenuated
Inactivated
Inactivated
Live attenuated
Live attenuated
Live attenuated
(Ref: Kuby, book for Immunology)
7
•Inactivated exotoxins.
• Capsular polysaccharides.
• Recombinant microbial antigens/Surface antigens.
Purified Macromolecules as Vaccine
(Ref: Kuby, Book for Immunology)
8
Inactivated
exotoxins/Toxoid
• Toxoids exotoxins inactivated either by heat or chemicals against
the toxins  not necessarily against bacteria that produce the toxins.
•botulinum antitoxin and diphtheria antitoxin.
Fig: Modification of toxin to toxoid
(Ref: Kuby, www2a.cdc.gov)
9
• The virulence of some pathogenic bacteria  polysaccharide capsule.
Eg.  vaccine of Streptococcus pneumoniae,  23 antigenically different
capsular polysaccharides.
Capsular polysaccharides
(Ref: Kuby, www2a.cdc.gov)
10
•bacterial, yeast, or mammalian cells  expressed with immunogenic
protein recombinant DNA technology.
•hepatitis B antigen  expressing it in yeast cells.
Recombinant microbial
antigens/Surface antigen
(Ref: Kuby, book for Immunology)
11
when the genes for a microbe’s antigens  body  some cells will take up
that DNA cells antigen molecules.
DNA Vaccine
(Ref: Kuby, book for Immunology)
12
 Synthetic peptide vaccines
Contain immunodominant B-cell and T-cell epitopes.
multiple copies of a given peptide or a mixture of peptides  immune
system-:
Multivalent Subunit Vaccine
Mechanism of Vaccine
Mechanism of Vaccine
Scheme of immunization
• Primary vaccination
• One dose vaccines (BCG, measles, mumps,
rubella, yellow fever)
• Multiple dose vaccines (polio, DPT, hepatitis
B)
• Booster vaccination
• DT, MMR
15
Routes of Administration
• Deep subcutaneous or intramuscular route
(most vaccines)
• Oral route (oral BCG vaccine)
• Intradermal route (BCG vaccine)
• Scarification (small pox vaccine)
• Intranasal route (live attenuated influenza
vaccine)
16
Cold Chain
• system of transporting and storing
vaccinessafe temperature range of 2oC to
8oC (For frozen vaccines the optimum
temperature is -15°C or
• prevent potential costly wastage.
Cold Chain Diagram
Proper temp
every link in
the chain.
Importance of cold chain
• Vaccines are sensitive biological products
• Cold-sensitive vaccines immediate loss of
potency following freezing.
• Heat sensitive Vaccines some loss of
potency with each episode of exposure.
• Repetitive exposure to heat episodes a
cumulative loss of potency that is not
reversible.
Vaccine Heat Light Freezing Temperature at
PHC
OPV
(live attenuated)
Sensitive Sensitive Okay to freeze +2˚C to +8˚C
(-15˚C to -25˚C at
state, regional and
district stores)
BCG
(live attenuated)
Sensitive Sensitive Okay to freeze (before
reconstitution)
+2˚C to +8˚C
Measles
(live attenuated)
Sensitive Sensitive Okay to freeze (before
reconstitution)
+2˚C to +8˚C
(-15˚C to -25˚C at
state, regional and
district stores)
DPT
(toxoid, killed)
Relatively heat
stable
Freezes at -3˚C. Discard if
frozen.
+2˚C to +8˚C
Hep B
(recombinant)
Relatively heat
stable
Freezes at- .5˚C.
Discard if frozen.
+2˚C to +8˚C
TT
(toxoid)
Relatively heat
stable
Freezes at -3˚C. Discard if
frozen.
+2˚C to +8˚C
Summary of vaccine vulnerability
Refrigerator Truck
Walk-in Freezer
Walk-in Cooler
At state level:
At district level:
Cold Box Deep Freezer (DF) 300 ltr
Ice-Lined Refrigerator(ILR) 300 ltr
Ice-Lined Refrigerator(ILR) 140 ltr
Deep Freezer (DF) 140 ltr
Cold Box
Vaccine Carriers
At planning unit level:
Vaccine Vial Monitor - Interpretation
Discard frozen DPT, DT and TT
vials

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Vaccine and vaccination. for bph class

  • 2. History: Edward Jenner cowpox virus smallpox. •Louis Pasteur and Emile Roux  vaccine rabies. Vaccination: distributing and administrating  Vaccination. Introdu ction Vaccine  biological preparation  body  prevent the disease The vaccine  immunity production of antibodies activation of T lymphocytes. Definition: 2
  • 3. 3 several types of vaccines in use Typ es • Whole-Organism Vaccines Killed Attenuated • Purified Macromolecules as Vaccines Toxoids Capsular polysaccharides Recombinant microbial antigens/Surface antigens • Recombinant vaccine • DNA vaccine •Subunit Vaccines
  • 4. 4 Whole-Organism Vaccines Killed/ Inactivated: destroyed  chemicals, heat, radioactivity or antibiotics. Attenuated: live disable their virulent properties (Ref: Kuby, book for Immunology)
  • 5. 5 Disease or pathogen Type of vaccine WHOLE ORGANISMS Bacterial cells Anthrax Cholera Pertussis* Plague Tuberculosis Typhoid Inactivated Inactivated Inactivated Inactivated Live attenuated Live attenuated Classification of common vaccines for humans: (Ref: Kuby, book for Immunology)
  • 6. 6 Disease or pathogen Type of vaccine Viral particles Hepatitis A Influenza Measles Polio (Sabin) Polio (Salk) Rabies Rotavirus Varicella zoster (chickenpox) Yellow fever Inactivated Inactivated Live attenuated Live attenuated Inactivated Inactivated Live attenuated Live attenuated Live attenuated (Ref: Kuby, book for Immunology)
  • 7. 7 •Inactivated exotoxins. • Capsular polysaccharides. • Recombinant microbial antigens/Surface antigens. Purified Macromolecules as Vaccine (Ref: Kuby, Book for Immunology)
  • 8. 8 Inactivated exotoxins/Toxoid • Toxoids exotoxins inactivated either by heat or chemicals against the toxins  not necessarily against bacteria that produce the toxins. •botulinum antitoxin and diphtheria antitoxin. Fig: Modification of toxin to toxoid (Ref: Kuby, www2a.cdc.gov)
  • 9. 9 • The virulence of some pathogenic bacteria  polysaccharide capsule. Eg.  vaccine of Streptococcus pneumoniae,  23 antigenically different capsular polysaccharides. Capsular polysaccharides (Ref: Kuby, www2a.cdc.gov)
  • 10. 10 •bacterial, yeast, or mammalian cells  expressed with immunogenic protein recombinant DNA technology. •hepatitis B antigen  expressing it in yeast cells. Recombinant microbial antigens/Surface antigen (Ref: Kuby, book for Immunology)
  • 11. 11 when the genes for a microbe’s antigens  body  some cells will take up that DNA cells antigen molecules. DNA Vaccine (Ref: Kuby, book for Immunology)
  • 12. 12  Synthetic peptide vaccines Contain immunodominant B-cell and T-cell epitopes. multiple copies of a given peptide or a mixture of peptides  immune system-: Multivalent Subunit Vaccine
  • 15. Scheme of immunization • Primary vaccination • One dose vaccines (BCG, measles, mumps, rubella, yellow fever) • Multiple dose vaccines (polio, DPT, hepatitis B) • Booster vaccination • DT, MMR 15
  • 16. Routes of Administration • Deep subcutaneous or intramuscular route (most vaccines) • Oral route (oral BCG vaccine) • Intradermal route (BCG vaccine) • Scarification (small pox vaccine) • Intranasal route (live attenuated influenza vaccine) 16
  • 17. Cold Chain • system of transporting and storing vaccinessafe temperature range of 2oC to 8oC (For frozen vaccines the optimum temperature is -15°C or • prevent potential costly wastage.
  • 18. Cold Chain Diagram Proper temp every link in the chain.
  • 19. Importance of cold chain • Vaccines are sensitive biological products • Cold-sensitive vaccines immediate loss of potency following freezing. • Heat sensitive Vaccines some loss of potency with each episode of exposure. • Repetitive exposure to heat episodes a cumulative loss of potency that is not reversible.
  • 20. Vaccine Heat Light Freezing Temperature at PHC OPV (live attenuated) Sensitive Sensitive Okay to freeze +2˚C to +8˚C (-15˚C to -25˚C at state, regional and district stores) BCG (live attenuated) Sensitive Sensitive Okay to freeze (before reconstitution) +2˚C to +8˚C Measles (live attenuated) Sensitive Sensitive Okay to freeze (before reconstitution) +2˚C to +8˚C (-15˚C to -25˚C at state, regional and district stores) DPT (toxoid, killed) Relatively heat stable Freezes at -3˚C. Discard if frozen. +2˚C to +8˚C Hep B (recombinant) Relatively heat stable Freezes at- .5˚C. Discard if frozen. +2˚C to +8˚C TT (toxoid) Relatively heat stable Freezes at -3˚C. Discard if frozen. +2˚C to +8˚C Summary of vaccine vulnerability
  • 21. Refrigerator Truck Walk-in Freezer Walk-in Cooler At state level: At district level: Cold Box Deep Freezer (DF) 300 ltr Ice-Lined Refrigerator(ILR) 300 ltr
  • 22. Ice-Lined Refrigerator(ILR) 140 ltr Deep Freezer (DF) 140 ltr Cold Box Vaccine Carriers At planning unit level:
  • 23. Vaccine Vial Monitor - Interpretation
  • 24. Discard frozen DPT, DT and TT vials

Editor's Notes

  1. 1776 and 1885
  2. body’s own cells become vaccine-making factories, creating the antigens necessary to stimulate the immune system.
  3. Diptheria and tetanus toxoids, Measles, Mumps and Rubella
  4. Primary health care