module 3 inactivated poliovirus vaccine eligibility training for inactivated poliovirus vaccine...

Module 3

Inactivated poliovirus vaccine eligibility

Training for Inactivated Poliovirus Vaccine (IPV) introduction

Inactivated poliovirus vaccine eligibility, Module 3 | 19 April 20232 |

Learning objectivesLearning objectives

At the end of the module, the participant will be able to:– Describe the recommended immunization schedule for

inactivated poliovirus vaccine (IPV)– Determine when an infant is and is not eligible to

receive IPV– Describe ways to determine a child's eligibility for IPV

when a written record is unavailable– Describe the absolute contraindications for vaccination

Duration– 30 minutes


Key issuesKey issues

What is the recommended schedule for IPV?

11

What do you do when the exact date of birth (DOB) or

the immunization card is missing?

22

What are the contraindications to

vaccination?

33


Give IPV at or after age 14 weeks, usually with OPV3 and DTP3/Penta3

IPV should be given in addition to OPV

OPV is still the primary vaccine to achieve eradication

At what age should IPV be administered?At what age should IPV be administered?

• Example EPI schedule using DTP-Hib-Hep B (Pentavalent), pneumococcal conjugate (PCV) and rotavirus vaccines

• IPV should be given at 14 weeks, or at the first contact after 14 weeks

Vaccine Birth

6 wks 10 wks 14 wks

BCG

Pentavalent

PCV

Rotavirus*

OPV

IPV*rotavirus vaccine may be 2 or 3 doses, depending upon the vaccine used


A child's immunization card shows that he/she is now 18 weeks old and has only received BCG

and 2 doses of OPV.

What should you do ?

What should you do in this scenario?



A child's immunization card shows that he/she is now 10 weeks old and has only received BCG and one dose of OPV.





A child comes in at 6 months of age and has

had no vaccines.







A caretaker brings a child to the health center for the first time and comes

without any written documentation.

The caretaker does not remember the exact date

of birth (DOB) of the infant.

What are some possible ways of determining the

child’s DOB?


Possible ways to estimate the DOBPossible ways to estimate the DOB

See if the caretaker can recall when the child was born relative to a cultural, religious, national or local event

Look for DOB record in other documents kept in the health center or other local registries– Antenatal care record– Birth registry

Look for development indicators– A child who can sit unsupported and reach out with one

hand is probably old enough to get IPV and other required vaccines


Absolute contraindications to IPVAbsolute contraindications to IPV

Do not vaccinate if

recipient has:

• Known or documented allergy to vaccine components, including:- Streptomycin- Neomycin- Polymyxin B

• History of an allergic reaction following a previous IPV injection

• Thrombocytopenia (insufficient blood platelets, which play an important role in coagulation)

• Other bleeding disorder

Wait!

Postpone vaccination

if recipient is:

• Taking temporary treatment that suppresses the immune response- Treatment could reduce immune response to

the vaccine - Postpone vaccination until the end of the

treatment to make sure the infant is well protected by the vaccine


Can IPV be administered on schedule to immunodeficient infants or infants born

prematurely?

Can IPV be administered on schedule to immunodeficient infants or infants born

prematurely?

Yes!

Immunodeficiency does not prevent administration of IPV

Vaccination of infants with immunodeficiency, such as HIV infection, is recommended

Infants born prematurely should receive IPV on schedule (at or after 14 weeks of age)


Contraindication ChecklistContraindication Checklist

Do I still give IPV if recipient has….?

Yes No Postpone

… mild illness

… malnutrition

… HIV

… prematurity

… allergy to streptomycin, neomycin or polymyxin B

… bleeding disorder

… had a previous reaction to IPV

… taking treatment that suppresses immune response


Key messagesKey messages

First IPV dose should be given at 14 weeks of age or at first contact after 14 weeks

IPV can be given and the same time as other injectable vaccines like pentavalent and pneumococcal vaccine

If EPI schedule currently includes OPV, do not replace OPV with IPV; the dose of IPV should be added to the schedule

IPV can be administered to children with immunodeficiency disorders and those born prematurely


End of moduleEnd of module

Thank you for your attention !

module 3 inactivated poliovirus vaccine eligibility training for inactivated poliovirus vaccine...

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