EXTENDED IMMUNIZATION PROGRAM (Routine Immunization Schedule For Infants)
Vaccine Minimum Number Age of Doses at 1st Dose
Birth or anytime after birth 1 dose
Dose
Minimum Interval Between Doses
none
Route
Site
Reason
Bacillus CalmetteGurin
0.05 mL
Intradermal
Right deltoid region of the arm
DiphtheriaPertussisTetanus Vaccine
6 weeks old
3 doses
0.5 ml
6 weeks(DPT 1), 10 weeks (DPT 2), 14 weeks (DPT 3)
Intramuscular
Upper outer portion of the thigh, Vastus Lateralis (L-R-L)
BCG given at earliest possible age protects the possibility of TB meningitis and other TB infections in which . infants are prone An early start with DPT reduces the chance of severe pertussis.
Oral Polio Vaccine
6 weeks old
2-3 doses
2-3 drops
4 weeks
Oral
Mouth
Hepatitis B Vaccine
At birth
3 doses
0.5 mL
4 weeks interval
Intramuscular
Upper outer portion of the thigh, Vastus Lateralis (R-L-R)
Measles Vaccine (not MMR)
9 months old
1 dose
0.5 mL
none
Subcutaneous Upper
outer portion of the arms, Right deltiod
The extent of protection against polio is increased the earlier the OPV is given. Keeps the Philippines poliofree An early start of Hepatitis B vaccine reduces the chance of being infected and becoming a carrier. Prevents liver cirrhosis and liver cancer which are more likely to develop if infected with Hepatitis B early in life. About 9,000 die of complications of Hepatitis B. 10% of Filipinos have Hepatitis B infection At least 85% of measles can be prevented by immunization at this age.
The Expanded Program on Immunization (EPI) in the Philippines began in July 1979. And, in 1986, made a response to the Universal Child Immunization goal. The four major strategies include:
Sustaining high routine Full Immunized Child (FIC) coverage of at least 90% in all provinces and cities Sustaining the polio-free country for global certification. Eliminating measles by 2008. Eliminating neonatal tetanus by 2008.
Tetanus Toxoid Immunization Schedule for Women
When given to women of childbearing age, vaccines that contain tetanus toxoid (TT or Td) not only protect women against tetanus, but also prevent neonatal tetanus in their newborn infants.
Vaccine
Minimum Age/Interval
Percent Protected
Duration of Protection
TT1
At 20th weeks AOG
0%
protection for the mother for the first delivery
TT2
At least 4 weeks later
infants born to the mother will be protected from neonatal tetanus
80%
gives 3 years protection for the mother infants born to the mother will be protected from neonatal tetanus
TT3
At least 6 months later
95%
gives 5 years protection for the mother infants born to the mother will be protected from neonatal tetanus
TT4
At least 1 year later
99%
gives 10 years protection for the mother gives lifetime protection for the mother all infants born to that mother will be protected
TT5
At least 1 year later
99%
In June 2000, the 57 countries that have not yet achieved elimination of neonatal tetanus were ranked and the Philippines was listed together with 22 other countries in Class A, a classification for countries close to maternal and neonatal tetanus elimination.
Care for the Vaccines
To ensure the optimal potency of vaccines,a careful attention is needed in handling practices at the country level. These include storage and transport of vaccines from the primary vaccine store down to the ] end-user at the health facility, and further down at the outreach sites. Inappropriate storage, handling and transport of vaccines wont protect patients and may lead to needless vaccine wastage. A "first expiry and first out" (FEFO) vaccine system is practiced to assure that all vaccines are utilized before its expiry date. Proper arrangement of vaccines and/or labeling of expiry dates are done to identify those close to expiring. Vaccine temperature is monitored twice a day (early in the morning and in the afternoon) in all health facilities and plotted to monitor break in the cold chain. Each level of health facilities has cold chain equipment for use in the storage vaccines which included cold room, freezer, refrigerator, transport box, vaccine carriers, thermometers, cold chain monitors, ice packs, temperature monitoring chart and safety collector boxes
ERIK ERIKSONS DEVELOPMENTAL STAGES
Approximate Age Virtues Psycho Social Crisis Significant Relationship Existential Question Examples
02 years
Hopes
Basic Trust vs. Mistrust
Mother
Can I Trust the World?
Feeding, Abandonment
24 years
Will
Autonomy vs. Shame and Doubt
Parents
Is It Okay To Be Me?
Toilet Training, Clothing Themselves
45 years
Purpose
Initiative vs. Guilt
Family
Is It Okay For Me To Do, Move and Act?
Exploring, Using Tools or Making Art
512 years
Competence
Industry vs. Inferiority
Neighbors, School
Can I Make It In The World Of People And Things?
School, Sports
1319 years
Fidelity
Identity vs. Role Peers, Role Confusion Model
Who Am I? What Can I Be?
Social Relationships
2024 years
Love
Intimacy vs. Isolation
Friends, Partners
Can I Love?
Romantic Relationships
2564 years
Care
Generativity vs. Household, Stagnation Workmates
Can I Make My Life Work, Parenthood Count?
65-death
Wisdom
Ego Integrity vs. Mankind, My Despair Kind
Is It Okay To Have Reflection on Life Been Me?
convert fahrenheit & celsius
Formula
C x 9/5 + 32 = F Examples 1) Convert 37C to Fahrenheit. 37C x 9/5 + 32 = 98.6F 37C x 9 + 32 = 98.6F 5 (F - 32) x 5/9 = C
2) Convert 98.6F to Celsius. (98.6F - 32) x 5/9 = 37C (98.6F - 32) x 5 = 37C 9
