VACCINE PREVENTABLE DISEASES CONTROL PROGRAM …

1 VACCINE PREVENTABLE . DISEASES CONTROL PROGRAM . IN malaysia . DR HASBULLAH AB RAHMAN. KETUA UNIT KESIHATAN KELUARGA. ministry of health malaysia 4th NCCR 2010, 2nd June 2010. Immunity body reaction toward antigen to produce antibody Immunization development of immunity in the body after VACCINE injection Vaccination process introducing of VACCINE into body regardless to the development of immunity ministry of health malaysia 4th NCCR 2010, 2nd June 2010. Natural Immunity at birth (skin, mucosa, phagocytes, lymphocyte and eosinophils). Specific Immunity expose to microorganism Active immunity response of natural and specific immunity after VACCINE injection Passive immunity injection of immunoglobulin (snake vernom). ministry of health malaysia 4th NCCR 2010, 2nd June 2010. Immunisation One of the most powerful and cost- effective of all public health interventions.

2 Prevents Debilitating illnesses Disability Morbidity and mortality Transform lives Maintains quality health Improves life prospects Protects children, adolescents and adults. ministry of health malaysia Programme Objectives 1. To protect individual from the targeted DISEASES , 2. To reduce the occurrence of outbreaks of the targeted DISEASES by creating adequate herd immunity, 3. To reduce the morbidity and mortality due to VACCINE PREVENTABLE DISEASES , 4. To maintain surveillance on identified VACCINE - PREVENTABLE DISEASES , 5. To eradicate poliomyelitis, eliminate measles &. MNTE, and to reduce hepatitis B by a certain time frame based on WPRO's Plan of Action. ministry of health malaysia a concern of children . (Family health Development Division as part of MCH). intervention against communicable disease . ( disease CONTROL Division).

3 Have been working synergistically with close cooperation, very minimal overlap ministry of health malaysia 4th NCCR 2010, 2nd June 2010. Immunisation Year Introduced Small Pox Early 1950s DT Mid 1950 s DPT 1958. BCG 1961. OPV 1972. ATT 1974. MEASLES 1982. RUBELLA 1987. HEPATITIS B 1989. Hib, MMR 2002. DTwP-Hep B + Hib 2006. DTaP-IPV/Hib 2008. HPV 2010. ministry of health malaysia 4th NCCR 2010, 2nd June 2010. VACCINE PREVENTABLE disease DISEASES Cancer Tb Hepatoma DTP Ca cervix Hib MMR. Polio Yellow fever Meningococcal etc ministry of health malaysia Strategising immunisation Saving lives, protection against life- threatening DISEASES Integrated services/improved coverage More VACCINE being developed/more productive. More creative and new initiatives Public-Private Partnerships Reaching vulnerable groups (equitable). Poorly served remote rural areas Deprived urban setting Unsafe areas ministry of health malaysia Meeting the goal Sustainable Strengthening of health system/immunization programmes Financing Mechanism Innovative and sustainable delivery strategies Improved advocacy and communication strategies Long Term Progress Vs Short Term Gains Continued investments Research and New vaccines (Tb, Malaria and HIV).

4 ministry of health malaysia Putting VACCINE to good use (optimizing). Introducing new vaccines/technologies, more vaccines. Protecting more people, reaching more people Better coverage at district level Integrating immunization services Reaching and covering difficult to reach children. ministry of health malaysia Available vaccines in malaysia Government funded: Mumps Tuberculosis H. influenza b Diphteria Seasonal flu Own pocket: . Pertussis Rotavirus Yellow fever Tetanus Varicella JE. Polio HPV Meningococcal Hepatitis B Pneumococcal meningitis for hajj Hepatitis A HPV. Measles . Typhoid Rubella Seasonal flu Meningococcal meningitis for umrah ministry of health malaysia National Immunisation Schedule VACC. AGE ( Month ) AGE (year). 0 1 2 3 4 5 6 12 18 7 13 15. BCG. Hepatitis B. DTaP. Hib Polio (IPV). Measles MMR. DT. Polio (OPV).

5 HPV. ATT. Primer dose Booster dose 2nd dose Sabah only ministry of health malaysia 13. Summary Of Injection Site VACCINE Route of Injection site administration BCG intradermal Upper left arm Hep B intramuscular Upper anterolateral side of the thigh DTP intramuscular Upper anterolateral side of the thigh OPV oral mouth Hib intramuscular Upper anterolateral side of the thigh (older children : upper arm). MMR subcutaneous Upper left arm TT/DT intramuscular Upper left arm ministry of health malaysia Needle position in various type of injection ministry of health malaysia MONITORING AND EVALUATION. Targets For Children Immunisation Coverage (UCI). Immunisation Coverage (%). BCG 100. DPT (3rd dose) 95. OPV (3rd dose) 95. Hepatitis (3rd Does) 95. MMR 95. Hib (3rd Does) 95. ministry of health malaysia IMMUNISATION COVERAGE 2009 AND 2010.

6 Hep B (Dos Year DPT (Dos 3) Hib (Dos 3) Polio (Dos 3). 3) MMR. 1- < 2. Deno TBIS ELB TBIS ELB TBIS ELB TBIS ELB years old 2009 100 2010 ministry of health malaysia IMMUNISATION COVERAGE , 2010. DPT (DOS 3) HIB (DOS 3). DENOMINATOR. % %. Sataes No. No TBIS 2010 ELB 2010 TBIS ELB TBIS ELB. Perlis 3970 4439 3702 3702 Kedah 35229 36055 32286 32286 Pulau Pinang 22213 23443 23464 23466 Perak 37104 37434 36287 36213 Selangor 74186 100650 95657 95657 KL 23539 27209 21580 21580 (Putrajaya) 5477 1389 2589 2589 N. Sembilan 16659 18169 16807 16791 Melaka 13890 14421 12530 12530 Johor 54574 59167 52502 52502 Pahang 28052 26714 26596 26595 Terengganu 21507 23930 21942 21935 Kelantan 35498 37345 29495 29495 WP(Lab) 1649 1715 1909 1909 Sabah 61693 53655 59027 58990 Sarawak 40989 45118 41540 41515 malaysia 476229 510853 477913 477755 ministry of health malaysia IMMUNISATION COVERAGE , 2010.

7 POLIO (DOS 3) MMR. DENOMINATOR. NEGERI %. BIL BIL %. TBIS 2010 ELB 2010 1- < 2 TAHUN TBIS ELB. Perlis 3970 4439 4200 3702 3516 Kedah 35229 36055 35400 32289 31302 Pulau Pinang 22213 23443 22600 23475 23577 Perak 37104 37434 36700 36286 35659 Selangor 74186 100650 99500 95657 66989 KL 23539 27209 26400 21580 19519 (Putrajaya) 5477 1389 2590 masuk dlm Selangor N. Sembilan 16659 18169 17100 16797 17076 Melaka 13890 14421 13200 12530 12506 Johor 54574 59167 56700 52516 54389 Pahang 28052 26714 25600 26595 26564 Terengganu 21507 23930 23500 21942 20825 Kelantan 35498 37345 35100 29495 28102 WP(Lab) 1649 1715 1700 1909 1824 Sabah 61693 53655 50600 59060 58245 Sarawak 40989 45118 42600 41540 40642 malaysia 476229 510853 490900 477963 472177 ministry of health malaysia IMMUNISATION COVERAGE DTP DOS 3 NEGERI. KELANTAN. JAN-DIS 2010.

8 ministry of health malaysia IMMUNISATION COVERAGE DTP DOS 3 NEGERI. KELANTAN. JAN-JUN 2011. ministry of health malaysia IMMUNISATION COVERAGE HEP B DOS 3 NEGERI. KELANTAN. JAN-DIS 2010. ministry of health malaysia IMMUNISATION COVERSGE HEP B DOS 3 NEGERI. KELANTAN. JAN-JUN 2011. ministry of health malaysia IMMUNISATION COVERAGE MMR NEGERI KELANTAN. JAN-DIS 2010. ministry of health malaysia IMMUNISATION COVERAGE MMR NEGERI KELANTAN. JAN-JUN 2011. ministry of health malaysia IMMUNISATION COVERAGE DA , OP DAN MMR YEAR 1 2010. NEGERI JUMLAH DA SEMULA POLIO SEMULA MMR. ENROLMEN BIL % BIL % BIL %. PERLIS 3970 3969 3969 3968 KEDAH 33805 33240 33240 33224 PULAU PINANG 23294 22957 22957 22770 PERAK 36695 36391 36418 36391 SELANGOR 87752 85550 85550 85329 WPKL 22626 19535 19535 19327 WP PUTRAJAYA 1439 1423 1423 1421 NEGERI SEMBILAN 17646 17599 17598 17600 MELAKA 13623 13613 13613 13613 JOHOR 56,550 56,499 56,499 56,437 PAHANG 24730 24510 24510 24506 TERENGGANU 20515 20472 20472 20472 KELANTAN 30441 30102 30102 30100 SABAH 44858 44490 44490 44490 WP LABUAN 1371 1365 1363 1334 SARAWAK 34840 33115 32834 32279 malaysia 454155 444830 444573 443261 ministry of health malaysia IMMNUSATION COVERAGE ATT FORM 3 - 2010.

9 ministry of health malaysia PANDUAN SOAL SELIDIK SEBELUM IMMUNISASI. Tandakan ( ) pada jawapan Ya , (X) pada jawapan Tidak dan (TH) kepada jawapan Tidak Tahu Catatan Bil. Perkara Tarikh 1. Suhu badan: ( C). 2 Keadaan Am: i. Sakit ii. Sihat 3. Riwayat penyakit yang lalu (nyatakan). 4. Riwayat penyakit semasa (nyatakan). 5. Alahan/Reaksi yang teruk tehadap imunisasi masa lalu: 6. Adakah pernah mengalami keadaan berikut: Sawan Cirit-birit/Muntah Alahan kepada ubat/vaksin Mendapat Imunoglobulin dalam tempoh 3 bulan yang lalu Mengidap penyakit trombocytopania Mendapat rawatan kemoterapi/kanser Jangkitan HIV. ministry of health malaysia Surveillance and Monitoring Planning Priority setting Mobilization of resources Monitoring trends in disease burden(coverage/ disease incidence). Assessing the impact of disease CONTROL programme & progress toward the set target Early warning of impending or ongoing outbreaks of DISEASES ministry of health malaysia DO S DON'TS.

10 Use checklist before immunisation Freeze the vaccines and Refer if any h/o AEFI in previous diluents (BCG and measles injection must not be frozen after Protect VACCINE from light and heat reconstitution). Use specific diluent for specific Use expired VACCINE VACCINE Use VACCINE if any changes Apply specific injection technique in color/appearance Always close the fridge properly Mix with food/medicine Plan before opening fridge Open the fridge frequently Monitor and chart temp 2x/day Check the power supply Leave a needle in the vial Place fridge at appropriate distance Keep frost in the freezer to the wall Arrange and label your VACCINE stock properly (first in, first out). ministry of health malaysia BERI DATA YANG TEPAT. AMBIL DATA DARIPADA HOSPITAL. AMBIL DATA DARIPADA SWASTA. TINJAU DALAM PETI SEJUK. TENGOK PENGEKALAN RANGKAIAN SEJUK.