1. Immunization By DR BAHA M HASSEN

2. 4month male baby with good health and normal development had in duration,painful and red swelling at site of previous DPT vaccine,Do you need stop DPT vaccine?

3. True general contraindications 1-Acute illness 2-Previous severe reaction to immunization. 3-Immune deficiency or suppression,acqured or induced. 4-Prrogressive or uncontrolled CNS disease. 5-Specfic situations with cellular pertusis or live vaccine

4. Precautions Moderate or severe acute illness with or without fever Current antimicrobial therapy Convalescent phase of illness Premature birth (hepatitis B vaccine is an exception in certain circumstances) Recent exposure to an infections disease History of penicillin allergy, other nonvaccine allergies, relatives with allergies, receiving allergen extract immunotherapy

5. DTaPContraindications 1-Severe allergic reaction after a previous dose or to a vaccine component 2-Encephalopathy (e.g., coma, decreased level of consciousness; prolonged seizures) within 7 days of administration of previous dose of DTP or DTaP 3-Progressive neurologic disorder, including infantile spasms, uncontrolled epilepsy, progressive encephalopathy. 3-Temperature of <40.5°C, fussiness or mild drowsiness after a previous dose of diphtheria toxoid-tetanus toxoid-perfussis vaccine (DTP)/DTaP 4-Family history of seizures. 5-Family history of sudden infant death syndrome 6-Family history of an adverse event after DTP or DTaP administration 7-Stable neurologic conditions (e.g., cerebral palsy, well-controlled convulsions, developmental delay)

6. Precautions 1-Fever of >40.5°C ≤48 hours after vaccination with a previous dose of DTP or DTaP 2-Collapse or shock-like state (i.e., hypotonic hyporesponsive episode) ≤48 hours after receiving a previous dose of DTP/DTaP 3-Seizure ≤3 days of receiving a previous dose of DTP/DTaP 4-Persistent, inconsolable crying lasting ≥3 and hours and ≤48 hours after receiving a previous dose of DTP/DTaP 5-Moderate or severe acute illness with or without fever

7. PRECAUTIONS GUILLAIN-BARRÉ SYNDROME ≤6 WEEKS AFTER PREVIOUS DOSE OF TETANUS TOXOID-CONTAINING VACCINE MODERATE OR SEVERE ACUTE ILLNESS WITH OR WITHOUT FEVER DT, TdContraindications Severe allergic reaction after a previous dose or to a vaccine component

8. QUISTION 1-which live attenuated vaccine had cross reaction? 2-which vaccines prepared in egg yolk ? 3-which T-independent response vaccine?

9. MMR Contraindications 1-Severe allergic reaction after a previous dose or to a vaccine component 2-Pregnancy 3-Known severe immunodeficiency (e.g., hematologic and solid tumors; congenital immunodeficiency; long-term immunosuppressive therapy or severely symptomatic human immunodeficiency virus [HIV] infection) 4-Breast-feeding 5-Pregnancy of recipient's mother or other close or household contact 6-Recipient is child-bearing-age female 7-Immunodeficient family member or household contact Asymptomatic or mildly symptomatic HIV infection

10. Precautions 1-Recent (≤11 months) receipt of antibody-containing blood product (specific interval depends on product) 2-History of thrombocytopenia or thrombocytopenic purpura 3-Moderate or severe acute illness with or without feverAllergy to eggs

11. PRECAUTIONS 1-INFANT WEIGHING <2,000 GRAMS 2-MODERATE OR SEVERE ACUTE ILLNESS WITH OR WITHOUT FEVER Hepatitis B Contraindication 1-Severe allergic reaction after a previous dose or to a vaccine component 2-Pregnancy 3-Autoimmune disease (e.g., systemic lupus erythematosis or rheumatoid arthritis)

12. polysaccharide vaccine (PPV) Contraindications 1-Serious allergic reaction (e.g., anaphylaxis) after a previous vaccine dose 2-Serious allergic reaction (e.g., anaphylaxis) to a vaccine component Mild acute illness with or without fever 3-Mild to moderate local reaction (i.e., swelling, redness, soreness); low-grade or moderate fever after previous dose 4-Lack of previous physical examination in well- appearing person

13. Precautions 1-Moderate or severe acute illness with or without fever 2-Current antimicrobial therapy 3-Convalescent phase of illness 4-Premature birth (hepatitis B vaccine is an exception in certain circumstances) 5-Recent exposure to an infections disease 6-History of penicillin allergy, other nonvaccine allergies, relatives with allergies, receiving allergen extract immunotherapy

14. Are Booster Vaccinations for Hepatitis A Necessary? Data show that one hepatitis A vaccination (HAV) provides long-term (>10 yr) protection against the virus and induces even longer-term (12-25 yr) immune memory in healthy adults. In healthy children, long-term protection is provided up to 6 years, with immune memory lasting up to 14 years. These findings question the need for a booster vaccination. A 2002 study by a panel of international experts concluded that there is no direct evidence to support the need for booster vaccinations.

15. Thank you