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    School Based Immunization

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    Darell Paguel Permato
    This document outlines school-based immunization guidelines for several vaccines including HPV, TD, MR, and MRTD. It recommends that 9-10 year old girls receive 2 doses of the HPV vaccine to protect against cervical cancer. For TD vaccines, it recommends boosters at grades 1 and 7 to protect against tetanus and diphtheria. The MR vaccine will also be given at grades 1 and 7 to protect against measles and rubella. The director of the Department of Health emphasized the importance of these booster shots, especially in disaster-prone areas, to provide lifetime immunity during emergencies.

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    School Based Immunization

    Uploaded by

    Darell Paguel Permato
    2K views28 pages
    This document outlines school-based immunization guidelines for several vaccines including HPV, TD, MR, and MRTD. It recommends that 9-10 year old girls receive 2 doses of the HPV vaccine to protect against cervical cancer. For TD vaccines, it recommends boosters at grades 1 and 7 to protect against tetanus and diphtheria. The MR vaccine will also be given at grades 1 and 7 to protect against measles and rubella. The director of the Department of Health emphasized the importance of these booster shots, especially in disaster-prone areas, to provide lifetime immunity during emergencies.

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    School Based Immunization (2)

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    This document outlines school-based immunization guidelines for several vaccines including HPV, TD, MR, and MRTD. It recommends that 9-10 year old girls receive 2 doses of the HPV vaccine to protect against cervical cancer. For TD vaccines, it recommends boosters at grades 1 and 7 to protect against tetanus and diphtheria. The MR vaccine will also be given at grades 1 and 7 to protect against measles and rubella. The director of the Department of Health emphasized the importance of these booster shots, especially in disaster-prone areas, to provide lifetime immunity during emergencies.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    2K views28 pages

    School Based Immunization

    Uploaded by

    Darell Paguel Permato
    This document outlines school-based immunization guidelines for several vaccines including HPV, TD, MR, and MRTD. It recommends that 9-10 year old girls receive 2 doses of the HPV vaccine to protect against cervical cancer. For TD vaccines, it recommends boosters at grades 1 and 7 to protect against tetanus and diphtheria. The MR vaccine will also be given at grades 1 and 7 to protect against measles and rubella. The director of the Department of Health emphasized the importance of these booster shots, especially in disaster-prone areas, to provide lifetime immunity during emergencies.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 28

    MR, TD & HPV VACCINE

    SCHOOL BASED IMMUNIZATION

    Introduction
    To generate vaccine-mediated protection is
    a complex challenge. Their early
    protective efficacy is primarily conferred by
    the induction of antigen-specific
    antibodies.

    WHY SCHOOL BASED


    IMMUNIZATION?
    Booster doses maybe needed to ensure
    that high levels of protection are
    maintained
    New vaccines such as the human
    papilloma virus (HPV) vaccine are more
    effective if delivered at a specific age.

    Cervical cancer, human


    papillomavirus (HPV)
    World wide, almost 500, 000 women
    develop cervical cancer and 274, 000 die
    from the disease every year. Cervical
    cancer is caused by certain types of
    Human Papillomavirus (HPV) and is the
    most common cancer affecting women in
    developing countries (WHO 2007).

    The age-standardized cervical cancer


    incidence rate in the Philippines is 20.9
    per 100,000, which is 30% higher than the
    world rate (Ferlay et al., 2004).

    HPV VACCINE
    Vaccination of HPV vaccine is one of the
    preventive interventions for the cervical
    cancer in the later life. WHO recommends
    that primary intervention begins with HPV
    vaccination of girls ages 9-13 years old,
    before they become sexually active.

    HUMAN PAPILLOMA VIRUS


    VACCINE
    These include two types that cause about
    70% of cervical cancer and two types that
    cause about 90% of genital warts. HPV
    vaccine can prevent most genital warts
    and most cases of cervical cancer.

    Protection from HPV vaccine is expected


    to be long-lasting. But vaccinated women
    still need cervical cancer screening
    because the vaccine does not protect
    against all HPV types that cause cervical
    cancer.

    SPECIFIC GUIDELINES
    VACCINATION FOR HPV VACCINE:
    Only 9-10 years old female student shall be
    vaccinated with 2 doses of the quadrivalent
    Human Papilloma Virus (HPV) vaccine in
    the designated immunization post in the
    school.

    Why is HPV vaccine given to


    girls at this age?
    It is important for girls to get HPV vaccine
    before their first sexual contact -- because
    they have not been exposed to HPV. For
    these girls, the vaccine can prevent almost
    100% of disease caused by the four types
    of HPV targeted by the vaccine.

    TETANUS

    Potent bacterial neurotoxins


    originating from vegetative
    C. tetani may cause local
    muscular spasms or
    generalized tetanus.
    Untreated generalized
    tetanus is often fatal
    It causes painful muscle
    tightening and stiffness,
    usually all over the body.

    Tetanus is one of the vaccinepreventable diseases included in DOHs


    Expanded Program on Immunization

    DIPHTHERIA
    It is a potentially fatal, contagious
    disease that usually involves the nose,
    throat, and air passages, but may also
    infect the skin.

    It can lead to breathing problems, heart


    failure, paralysis, and death.
    Both diphtheria and tetanus are
    infections caused by bacteria.

    Diphtheria spreads from person to


    person through secretions from
    coughing or sneezing.
    Tetanus-causing bacteria enter the
    body through cuts, scratches, or
    wounds.

    Tetanus-Diptheria (TD)
    VACCINE
    Why get vaccinated?
    Tetanus and diphtheria are very serious
    diseases. TD vaccine is used to protect
    adolescents and adults from both of these
    diseases.

    3 doses of

    diphtheria/tetanus/pertussis vaccine
    in infancy
    Tetanus-toxoid (TT)-containing booster at
    school-entry age (4 to 7 years old)
    TT-containing booster inadolescence (12
    to 15 years old)
    TT-containing booster inearly adulthood

    TD vaccine can protect adolescents and


    adults from tetanus and diphtheria. TD is
    usually given as a booster dose every 10
    years but it can also be given earlier after
    a severe and dirty wound or burn.

    MEASLES
    Measles is mostly a mild disease
    of young children,
    characterized by fever, cough,
    nasal congestion and a typical
    rash.
    Primarily by airborne respiratory
    droplets. The virus is highly
    contagious. (WHO 2012)

    RUBELLA
    Rubella is usually a mild childhood disease
    characterized by moderate fever,
    lymphadenopathy and a rash. In adults,
    transient arthralgia and arthritis may occur.
    Rubella infection in early pregnancy often
    results in miscarriage, stillbirth or multiple
    fetal defects (WHO 2012).

    Measles-Rubella Vaccines
    Measles is a live attenuated vaccine:
    available either in monovalent form
    (measles component only), or in fixed
    combinations with one or more of vaccines
    against mumps, rubella and varicella. Two
    intramuscular doses are administered at
    an interval of at least 4 weeks.

    TARGET POPULATION
    GRADE
    4

    HUMAN
    PAPILLOMAVIRUS
    (HPV) VACCINE

    GRADE
    1

    TETANUS-DIPHTHERIA
    (TD) VACCINE
    MEASLES-RUBELLA (MR)
    VACCINE

    GRADE
    7

    TETANUS-DIPHTHERIA
    (TD) VACCINE
    MEASLES-RUBELLA (MR)
    VACCINE

    9 - 10 years
    old, Female
    *Will undergo screening
    on past MCV
    immunization history
    *All will be vaccinated
    with TD regardless of
    immunization history.
    *All will be
    vaccinated with
    TD regardless of
    immunization
    history.

    SCHEDULE FOR GRADE 1


    MEASLES-RUBELLA
    (MR) VACCINE

    TETANUSDIPHTHERIA (TD)
    VACCINE

    DOSAGE

    0.5 ml

    0.5 ml

    ROUTE & SITE OF


    INJECTION

    Subcutaenous, Right
    Deltoid arm

    Deep Intramuscular,
    Left Deltoid arm

    #DOSES REQUIRED

    1 dose

    STUDENT WITH
    ZERO DOSE MCV

    2 doses with 28 days


    interval

    STUDENT WITH
    ONE DOSE MCV

    1 dose only

    SPECIFIC GUIDELINES
    All the teacher in charge of grade 1 shall
    check the measles immunization of each
    student. The immunization card of each
    student shall be requested from the
    parents/guardians/caretakers and shall be
    the proof of evidence that student received
    the measles vaccines.

    SCHEDULE FOR GRADE 7

    DOSAGE
    ROUTE & SITE OF
    INJECTION

    MEASLES-RUBELLA
    (MR) VACCINE

    TETANUSDIPHTHERIA (TD)
    VACCINE

    0.5 ml

    0.5 ml

    Subcutaenous, Right
    Deltoid arm

    Deep Intramuscular,
    Left Deltoid arm

    Some people should not get this


    vaccine
    A person who has ever had a lifethreatening allergic reaction after a
    previous dose of any tetanus or diphtheria
    containing vaccine, OR has a severe
    allergy to any part of this vaccine, should
    not get Td vaccine. Tell the person giving
    the vaccine about any severe allergies.

    DOH will give thetetanus-diphteria


    (TD) vaccine to grade 1 students
    starting August.
    In addition to this, grade 7 students
    will also get vaccinated against
    measles, rubella, tetanus, and
    diphtheria (MRTD).

    Garin said giving TD and MRTD


    vaccines to students is crucial,
    especially in a disaster-prone country
    like the Philippines.
    On top of the 3 doses of tetanus
    vaccine given during the first year of
    life, the booster shots to be given as
    children reach grades 1 and 7 "will
    give...lifetime immunity during
    calamities."

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