TechNet-21 - Forum

This forum provides a place for members to ask questions, share experiences, coordinate activities, and discuss recent developments in immunization.

Discussions tagged Injection safety

User manual for the revised WHO classification for the causality assessment of an adverse event following immunization (AEFI) – Second edition

The second edition of the user manual for the revised WHO classification for the causality assessment of an adverse event following immunization (AEFI) was developed by the WHO with support from the Global Advisory Committee for Vaccine Safety (GACVS). This was based on the findings of a scientific study, “Indo- Zimbabwe inter-country study to assess the inter-rater reliability of the WHO AEFI causality assessment methodology and the utility of the new WHO AEFI causality assessment software” ...

IAC updates “Skills Checklist for Vaccine Administration,” a 3-page resource to help assess skills in administering vaccines

IAC recently updated its 3-page resource, Skills Checklist for Vaccine Administration, a tool to help assess staff members' and your own skills in administering vaccines. This resource, which is adapted from the California Department of Public Health's Immunization Branch, has been fully updated with many changes.

Related Links

IAC's Administering Vaccine...

Microarray patches for dermal delivery of vaccines

Hello all,

Microarray patches (MAPs) are under development for delivering vaccine into the skin. The technology has exciting potential for application to immunization programs.

PATH is looking for input from experts in low- and middle-income country immunization programs about the feasibility of MAPs to facilitate immunization, especially for novel delivery scenarios like self-administration of vaccine at home, as well as more traditional immunization settings in LMICs. We hav...

Close the immunization gap: Intradermal administration of vaccines

For realizing the above, identifying maximum causes of gap and operating good practices for mitigation is essential to meet the global vaccination targets by 2020.


We made video recording and still photos for presenting in the monthly Academic Society Meeting for teaching purpose, to prevent avoidable agony to the infants and to administer antigenic dose of intra-dermal vaccines: BCG/IPV. All professionals including pediatricians have expressed that administering intra-dermal BCG ...

New WHO Injection Safety Policy and Campaign: Breakthrough: The new smart syringes

Breakthrough: The new smart syringes The surest way to protect against unsafe injections is to use injection devices that have been engineered so they cannot be re-used and don’t lead to accidental needle stick injuries among health workers. Re-use prevention features are essentially the same as the auto-disable features designed for immunization of a single child. The main difference is that syringes designed for delivering medicines allow the health worker to adjust the dose as needed an...

WHO Injection safety policy and global campaign

WHO Injection safety policy and global campaign All of us, at some point in our lives, will have an injection to retain or restore good health. But sometimes injections that are intended to promote health do the opposite. This happens when they are given in an unsafe way - using the same needle or syringe to give injections to more than one person. Practices like this can lead to the transmission of life- threatening infections. According to a new study, unsafe injections are responsible f...

New WHO Injection Safety Guidelines

New WHO Injection Safety Guidelines WHO is urging countries to transition, by 2020, to the exclusive use of the new “smart” syringes, except in a few circumstances in which a syringe that blocks after a single use would interfere with the procedure. The new guideline is "Who guideline on the use of safety-engineered syringes for intramuscular, intradermal and subcutaneous injections in health care". It is available for free download or viewing at the link:

The Yves Chartier Award 2014: "Water – sanitation & toilets – injection safety

Cross-posted from the SIGN newsletter with thanks! The Yves Chartier Award 2014 rewards an NGO, or an actor from civil society, from an African country, who will have elaborated a campaign or achieved an innovative project in the struggle against antimicrobial resistance and climate change, relative to one of three specific domains of intervention : Water – Sanitation & Toilets – Injection Safety. The French engineer Yves Chartier who died in a mountain accident January 8, 2012, was an in...

Hepatitis spreading because of reuse of syringes

Around 12 million people in Pakistan are suffering from hepatitis B and C, with Balochistan topping the list followed by Punjab, Sindh and Khyber Pakhtunkhwa. Pakistan has the highest therapeutic use of injections worldwide and researchers in the country have found that the increasing incidence of hepatitis, especially hepatitis C, is directly related to the higher use of injections and reuse of syringes.

The research published two years ago was the first national population-bas...

SMS-based AEFI reports

Excerpts from a discussion on another forum about adverse events following immunization (AEFI) data collection. Dhruv wrote: A wise option. Why don't we develop a cellphone-based VAERS? Prabir wrote: See

WHO information sheets on observed rates of vaccine reactions

Many thanks to Diana Chang Blanc for sharing this information with the forum! Dear colleagues, ... Please find below the web link to the “first batch” of the WHO Information Sheets on Observed Rates of Vaccine Reactions. We would highly welcome if you could share these sheets with colleagues and relevant target groups.

The global network for the post-marketing surveillance of vaccine

Cross-posted from the January 2012 issue of GIN with thanks.
31/01/2012 from Madhav Balakrishnan, WHO HQ

The Global Network for Post-marketing Surveillance (PMS) of Vaccines was established by WHO in early 2008 with a primary objective to monitor the safety of WHO prequalified vaccines supplied through UN agencies. By 2011, twelve countries, Albania, Brazil, China, India, Iran, Kazakhstan, Mexico, Senegal, Sri Lanka, Tunisia, Uganda and Vietnam have been included in the net...

Information sheets on vaccine reaction rates

Cross-posted from the January 2012 GIN issue with thanks. 31/01/2012 from Philipp Lambach, WHO HQ An important part of post-licensure vaccine safety surveillance is to collect and analyse reports of Adverse Events Following Immunization (AEFI). Analysing multiple AEFI reports helps determine if the observed reaction rate to a specific vaccine ishigher than the expected vaccine reaction rate which is often determined from published studies or trials. If a vaccinated group and a placebo group ...

Who can Handle Adverse Reactions

It all started with this letter to an e-group: Dear Friends, The need for screening before vaccination and the presence of a doctor during the procedure, as stated by Dr T Jacob John, cannot be overemphasized. I am happy that this much sense is now seeping back into mainstream thinking. Now what is needed is serious research into long term effects of multiple vaccines. Regards, Jagannath

The Safe Injection Global Network

On 11 May the Safe Injection Global Network published its 598th (yes, 598th) electronic newsletter that reaches some 800 subsribers worldwide. This week's email celebrates World Blood Donor Day but also has 24 other items about safe and appropriate use of injections throughout the world. Examples this week include: News of a webcast On Recognizing and Correcting Unsafe Injection Practices; An abstract on Staff nurses' sites of choice for administering intramuscular injections to adult pat...

Deaths due to vaccination need intense investigations in India

Dear Moderator, Four more infants died due to measles vaccination in Kutch on March 16 and two more died on March 18. There are deaths being reported consistantly all over the country within few minutes of vaccination but none has been attributed to vacination by the investigating agencies. The investigating agencies are at fault in a way that the open vial from which the alleged vaccine was given is not taken as sample for testing for any contamination but the new samples of ...

Toxic Shock Syndrome

Have put together some slides on the issues involved. This is an educational power point- long, but of use to prepare classes for health workers or doctors- http://www.slideshare.net/prabirkc/toxic-shock-syndrome...

Sun Frost Tubular Sterilizer

Attached are some photos of Sun Frost's latest Tubular Sterilizer. Syringes are placed directly into the sterilizer, minimizing handling. When full the vacuum tube sterilizer is removed from its stand and placed in the sun. The collector is effective even in hazy conditions. Fifty syringes can be melted and sterilizer in less than two hours. The black plungers and needles are not melted are incased in a matrix of plastic. If you're interested in this device please contact Sun ...

Solar Sterilizer

Sun Frost recently developed a solar oven capable of air sterilizing medical equipment. For air sterilizing temperature of 190C must be achieved for 6 minutes. The heart of the sterilizer is an evacuated tube solar collector. The interior of the oven is cylindrical in shape and is 11.5cm in diameter and 91cm long. The tube is essentially a Thermos bottle. The interior can be 190C and the exterior will be at room temperature. Because heat losses are so small sterilizing temperatures can be achiev...

Injection site abscesses: images

Robert Chen sends in this request. For a study assessing injection site abscesses in a developing country, photos are needed for the training material. The challenge is that injection site abscesses are uncommon in developed world where cameras are common and more common in less developed settings where cameras have been less common. Please let me know if you have such photos you're willing to share. Robert T. Chen MD MA E-mail: [email=BChen@cdc.gov]BChen@cdc.gov[/email]...

Breaking the blockade to access a cheaper vaccine in India.

Rabies has been one of the most dreaded diseases, often leading to painful death in human beings. Globally, around 55,000 people die of Rabies and, of them, 20,000 die in India alone. The animal bite incidence rate is 17.4/1000 that is 17.4 million bites every year in India. The frequency of animal bite is 1 every 2 seconds and that of death is 1 case every 30 minutes. The annual medicinal cost (vaccines + other drugs) for treatment of animal bite in India is Rs. 2 billion and annual man days l...

POST 01415E: INJECTION SAFETY SUPERVISION TOOL

POST 01415E: INJECTION SAFETY SUPERVISION TOOL FOLLOW-UP ON POST 01412E 11 APRIL 2009 ****************************************** Thanks for the injection safety supervision tool posted on the TechNet21 (forum). I think it is a laudable effort to simplify existing tools - and thus making them more likely to be used at no extra cost - or very low cost. ...

Post 01364e: Needlestick Prevention Devices

POST 01364E: NEEDLESTICK PREVENTION DEVICES19 DECEMBER 2008 ****************************************** According to the World Health Report 2002, ‘there are 35 million health-care workers, of which 2 million experience percutaneous exposure to infectious diseases each year. The report also states that 40% of Hepatitis B, 40% of Hepatitis C and 2.5% of HIV/AIDS in Health-Care Workers around the world are due to needlestick injuries.’ A WHO injection safety assessment in 20 countries r...

Post 01317e: Pqs E10 Needle Disabler Devices: Attachments

POST 01317E: PQS E10 NEEDLE DISABLER DEVICES: ATTACHMENTS 4 SEPTEMBER 2008 ******************************************* Inadvertently, the relevant documents were not attached to the earlier post; the error is hereby rectified. Apologies. --------- Dear TechNet21 members, Please be informed that PQS E10 needle disabler devices performance specifications and verification protocol are released for comments. We would appreciate if you could send your comments not later than 20 Sept...

POST 01316E: COMMENTS INVITED ON PQS E10 NEEDLE DISABLER DEVICES

POST 01316E: COMMENTS INVITED ON PQS E10 NEEDLE DISABLER DEVICES 3 SEPTEMBER 2008 ******************************************* Dear TechNet21 members, Please be informed that PQS E10 needle disabler devices performance specifications and verification protocol are released for comments. We would appreciate if you could send your comments not later than 20 September 2008 to the following recipients: address to: 
Joanie Robertson > [email=jrobertson@path.org]jrobertson@path.org[/e...

POST 01313E: SAFE INJECTION: AVOIDING OVER PENETRATION

POST 01313E: SAFE INJECTION: AVOIDING OVER PENETRATION FOLLOW-UP ON POSTS: 01308E, 01309E & 01310E...

POST 01310E: KNOWLEDGE OF OPTIMAL NEEDLE LENGTH FOR INJECTION IMPORTANT

POST 01310E: KNOWLEDGE OF OPTIMAL NEEDLE LENGTH FOR INJECTION IMPORTANT 24 AUGUST 2008 ******************************************* Dear Forum, Injection Safety is definitely a Big problem in India. Health workers still administer injections in the gluteal region instead of thigh- as validated from surveys of parents (unpublished data). But considering the new facts of risk of overpenetration in US settings, the training curriculum could incorporate the need to insert needle to 7/8 ...

POST 01309E: SAFE INJECTION PRACTICES AND TRAINING MORE IMPORTANT

POST 01309E: SAFE INJECTION PRACTICES AND TRAINING MORE IMPORTANT FOLLOW-UP ON POST 01308E 22AUGUST 2008 ******************************************* Hello Group, My response to the questions raised by Dr. Sood are as follows:- [list=1] Are the results generalisable to children in developing countries with higher malnutrition rates and less subcuta...

POST 01303E: NEEDLE REMOVER DEVICE: FIELD EXPERIENCE

POST 01303E: NEEDLE REMOVER DEVICE: FIELD EXPERIENCE 12 AUGUST 2008 ******************************************* Dear Moderator, PATH would like to post the following message to follow up on needle remover experiences. Best wishes, Nancy -------- Safely managing infectious sharps waste is an important component of any injection safety strategy and a means by which needle stick injuries can be prevented among health workers and the community. Cardboard safety boxes are the...

POST 01300E: ALTERNATIVE USE OF PORTABLE STEAM STERILIZERS

POST 01300E: ALTERNATIVE USE OF PORTABLE STEAM STERILIZERS FOLLOW-UP ON POST01299E 7 AUGUST 2008 ******************************************* An addition to what Michel said. If steam sterilizers are used for sterilizing instruments, it is critical that the instruments are clean before being sterilized. I remember some years ago an ex-soviet country finding ...
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