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Trends and Updates on EPI

A: Aseptic / sterile technique has been


used to withdraw all doses

Policies on EPI
1976: EPI was launched
Focus: Control, elimination and
eradication of major childhood illness
Program Goals
1. Maintain at least 95% FIC (Fully
Immunized Child) coverage
2. Maintenance of Polio eradication
3. Elimination of Measles
4. Elimination of Maternal and Neonatal
Tetanus
5. Control of Diphtheria, Pertussis
(Whooping Cough), Hepatitis B,
Tuberculosis, Meningitis and other
forms of TB
Target Age Growth
Infants, before 1st birthday
1 dose BCG at birth
1 dose Hepa B within 24hrs or 7 days
3 doses PentaHib and OPV
1 dose measles vaccine at 9 months
All childbearing women (aged 15-49)
shall receive 5 doses Tetanus Toxoid
Immunization
All services rendered by government
health workers are FREE OF CHARGE
(PD996)
Wednesday: Natl Immunization Day
RA 10152: Mandatory immunization
for infants and children (July 26,2010)
Open Vial Policy
Multi-dose liquid vaccines such as OPV,
PentaHib, Hepa B and TT are good for
use of up to a maximum of 4 weeks as
long as the following conditions are met:

D: Indicate the date when it was first


opened

C: Vaccines are stored in appropriate


cold chain at all times

V: Vaccine Vial Monitor (VVM) has


not reached discard point

E: Expiry date has not passed


S: Vaccine vial as not been submerged
in water
New EPI Schedule
Antigen
Schedule
BCG
Anytime after
birth
OPV
1st dose: at least
6 weeks
2nd dose: 10
weeks
3rd dose: 14
weeks
PentaHib 1st dose: at least
6 weeks
2nd dose: 10
weeks
3rd dose: 14
weeks
Hepa B
1st dose: within
24hrs after birth
Measles At least 9
months old
MMR
12-15 months
old
Tetanus Toxoid Schedule
TT
When
TT 1
As early as
possible in
pregnancy
TT 2
4 weeks
TT 3
6 months
TT 4
1 year
TT 5
1 year

Route
ID

PO

IM

IM
Subcu.
Subcu.

Protection

80% 3 yrs.
95% 5 yrs.
99% 10 yrs.
99%
Reproductive
Lifetime

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