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Reference : NB Immunization Handbook, section IV-IV

Objectives of cold chain - Ensure vaccine safety

Ensures vaccines maintain their immunogenic properties

Keep temperature of fridge or PH approved cooler during transportation of vaccine between (2 to 8 °C)

Cold chain process starts in manufacture and ends when vaccine is administered

Vaccine fridge : Keep temperature between 2 and 8 °C

Kept refrigerator between 2 to 8 °C

Not to be used to store food or beverage

Contain bottles of H20 to help maintain temperature

Vaccines are not to be stored inside the the door

Post procedure to follow in the event of a fridge failure

Data Logger : device to monitor temperature and alert staff

Vaccine cooler: Keep temperature between 2 and 8 °C

Warm and cold (between Nov 1 and April 30)  monitors are to be used in vaccine coolers while transporting vaccine

One vaccine cooler at each clinic set-up

Do not place vaccine directly on ice

When traveling, protect cooler from sunlight

Do not keep cooler in car trunk more than needed

Check monitors when arriving on-site, regularly during the day and before storage at end of day

Cold Chain Breach :

Inform clinic coordinator

Store affected vaccines in an approved cooler or in fridge

Consult appropriate manufacturer about future use of the affected vaccine

Identify vaccines by an “X” or destroy, according to consultation with manufacture

Vaccine to be destroyed are returned to Serum Depot

Complete “Report of Destroyed Vaccines” and include with the vaccine returned to Serum Depot