I proudly wish to share the following highlights of my presentation in the 8th Bengaluru Pedicon 2021 held at BMRCI [Bengaluru Medical College Research Center & Institution] Karnataka on 18th Sep 2021 organized by IAP BPS.
Many of the Pediatricians and vaccination service providers especially in the private sector have lot of gaps in the operational aspects of vaccination services. One simple solution is to share the 7 universal Rights of CDC to be observed for vaccine administration blended with key messages and COVID-19 compatible guidelines.
The participants were keen to know about the proper usage of ILR [Ice Lined Refrigerator] in maintaining the potency of vaccines, in need of a standard immunization card for an unambiguous vaccination schedule, about open-vial policy [MDVP] and the like. Literature on the right cold chain equipments are already available along with storage code as per gradient of heat and freeze sensitivity but they wanted to know about the proper equipment & clear cut mode of keeping the vaccines in compliance with GoI guideline.
The cartoon picture on the right (picture attached) illustrates organization of various antigens in tiers corresponding to heat/freeze sensitivity occupying both bottom & upper zones [A& B] as per GoI. However with the existing ILRs in the public sector housing baskets in 2 zones, [picture on the left] neither it is possible to organize nor avoid frequent “TEs” to the vaccines placed in the bottom zone (if any) as the upper basket(s) are to be frequently displaced and needs to be kept in the room tempearture.
The “made in India ILR” on the right (picture attached), nick named as C4 [Cold Chain Controls - Coimbatore] model is extraordinarily designed to address this issue -- vaccines can be placed in the sliding trays in tiers so that the vaccines placed in the lower tiers can be easily accessed without disturbing those in the upper tiers.
All India solution for the All India Problems:
1. For uniform schedule – Nation Friendly Combo-Card, shared in the PPT, the service provider just needs to encrypt their Institution.
2. Use of Extended Immunogramme for dramatically achieving and sustaining high vaccination coverage – both FIC before 1st birtday and the booster before 2nd birthday.
3. Establishing model vaccination clinic in every center as detailed supportive supervision check list for establishing demosite is already available; alternatively through cross learning visit to the established demosite like the one in KVG Medical College, approved by the IAPSM as one of the best community practices for replication, one can easily upgrade the vaccination clinic in their institution.
with regards and best wishes
Dr Holla n Team.