EXPANDED PROGRAM ON IMMUNIZATION (PHILIPPINES

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in 1986. The four major strategies include:[1] Sustaining high routine Full Immunized Child (FIC) coverage of at least 90% in all provinces and cities. The Expanded Program on Immunization (EPI) in the Philippines began in July 1979. And. Sustaining the polio-free country for global certification Eliminating measles by 2008. . made a response to the Universal Child Immunization goal. Eliminating neonatal tetanus by 2008.

DPT 1. OPV 2. The fully immunized child must have completed BCG 1. DPT 2. Routine Immunization Schedule for Infants The standard routine immunization schedule for infants in the Philippines is adopted to provide maximum immunity against the seven vaccine preventable diseases in the country before the child's first birthday. HB 1. OPV 3. quarterly in remote areas of the country. . OPV 1. HB 2. HB 3 and measles vaccines before the child is 12 months of age[2].Routine Schedule of Immunization Every Wednesday is designated as immunization day and is adopted in all parts of the country. DPT 3. Immunization is done monthly in barangay health stations.

05 mL -- Intradermal Right deltoid region of the arm BCG given at earliest possible age protects the possibility of TB meningitis and other TB infections in which infants are prone[3] DiphtheriaPertussis6 weeks Tetanus Vaccine 3 0.5 mL 4 weeks Upper outer Intramuscular portion of the thigh An early start with DPT reduces the chance of severe pertussis[4].Vaccine Minimum Age Number at 1st Dose of Doses Dose Minimum Interval Between Doses Route Site Reason Birth or Bacillus anytime after Calmette-Guérin birth 1 0. .

the arms . 10% of Filipinos have Hepatitis B infection[9] Measles Vaccine (not MMR) 9 1 months 0.Oral Polio Vaccine 6 weeks 3 2-3 drops 4 weeks Oral Mouth The extent of protection against polio is increased the earlier the OPV is given. Intramuscu outer 0. About 9.5 mL -- Upper Subcutane outer At least 85% of measles can be prevented by ous portion of immunization at this age[10].000 die of complications of Hepatits B. An early start of Hepatitis B vaccine reduces the chance of being infected and becoming a carrier[6]. Keeps the Philippines polio-free[5]. Hepatitis B Vaccine At birth 3 6 weeks interval from 1st dose to Upper 2nd dose.5 mL 8 weeks portion of lar interval the thigh from 2nd dose to third dose. Prevents liver cirrhosis and liver cancer which are more likely to develop if infected with Hepatitis B early in life[7][8].

antibiotics. Vaccine combinations (few exceptions). cold. low-dose steroids (less than 20 mg per day). are not contraindications to vaccination. well controlled epilepsy or advanced age. General Principles in Infants/Children Immunization Because measles kills.5º Celsius). If the vaccination schedule is interrupted. Contrary to what the majority of doctors may think. It is safe to vaccinate a sick child who is suffering from a minor illness (cough. Instead. kidney or liver disease. it is not necessary to restart. malnutrition. the schedule should be resumed using minimal intervals between doses to catch up as quickly as possible. diarrhea. heart or lung disease. minor infections with low fever (below 38. . diarrhea. non-progressive encephalopathy.[12]. fever or malnutrition) or who has already been vaccinated against measles[11]. every infant needs to be vaccinated against measles at the age of 9 months or as soon as possible after 9 months as part of the routine infant vaccination schedule. vaccines against hepatitis B and tetanus can be applied in any period of the pregnancy[13].

and encephalopathy not due to another identifiable cause occurring within 7 days of pertussis vaccination[14]. Only two of these conditions are generally considered to be permanent: severe (anaphylactic) allergic reaction to a vaccine component or following a prior dose of a vaccine. The only way to be completely safe from exposure to bloodborne diseases from injections. particularly hepatitis B virus (HBV). hepatitis C virus (HCV). Only the diluent supplied by the manufacturer should be used to reconstitute a freeze-dried vaccine. and human immunodeficiency virus (HIV) is to use one sterile needle. There are very few true contraindication and precaution conditions. A sterile needle and sterile syringe must be used for each vial for adding the diluent to the powder in a single vial or ampoule of freeze-dried vaccine[15]. one sterile syringe for each child[16] .

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