1. Asstt: Director EPI DGHS OFFICE Khyber Pakhtunkhwa

2.  Commonly Glass Vail's/ OPV Sometimes Plastic Vail's  Each Vail with label of Dose/Expiry date  No Label, No administration

4. BCG most highly technical Both Dry / Frozen Vaccine + Diluents same ILR Full Diluent for full Vail After mixing slow shaking ↕ (Keep in ice packs Hole) valid for 6 hour / one session then discard

5.  BCG => Intradermal Rt/Up/Arm  Measles => Subcutaneous  PentaValent => Intramuscular Rt/Thigh/Frnt/lat  T.T => DEEP Intramuscular Lt/Up/ Arm Note BCG/Measles are prepared with Diluents. (Vaccine/Diluent in same ILR Temp/ difference)

7. OPV==> All knows Oral / 2 Drops BCG==> 0.05 ML/cc/AD syring intradermal (Technique= 90 filling / 10-15 for Administration/Yellowish papule) Q: What if wrongly Administered ? Signs = No yellowish papule / Easy flow What to do then? 1. Stop Vacc do correct if not fully injected 2. I fully / wrong admn / consider ok. 3. Observe for side effect(inj abscess / enlarge lymph node in axilla) Continued………

8. PentaValent History  DPT/ Combo/ Penta Trivalent Tetravalent Pentavalent 0.5 ml/cc AD syring /RT thigh Antro lat site / DEEP IM rectus femorus muscle. Q: Why not in Buttock / Arm? Measle  sub-cut/0.5ml/Lt/Up/Arm /AD syring 45 angle T.T  Tetanus Toxoid / 0.5ml/ AD syring/ DEEP IM/PL/CBA. Any swelling / pain  only Paracetamol / Crytherapy.