1. Module 3 Inactivated poliovirus vaccine eligibility Training for Inactivated Poliovirus Vaccine (IPV) introduction

2. Inactivated poliovirus vaccine eligibility, Module 3 | 12 July 2015 2 |2 | Learning objectives At the end of the module, the participant will be able to: – Describe the recommended immunization schedule for inactivated poliovirus vaccine (IPV) – Determine when an infant is and is not eligible to receive IPV – Describe ways to determine a child's eligibility for IPV when a written record is unavailable – Describe the absolute contraindications for vaccination Duration – 30 minutes

3. Inactivated poliovirus vaccine eligibility, Module 3 | 12 July 2015 3 |3 | Key issues What is the recommended schedule for IPV? 1 1 What do you do when the exact date of birth (DOB) or the immunization card is missing? 2 2 What are the contraindications to vaccination? 3 3

4. Inactivated poliovirus vaccine eligibility, Module 3 | 12 July 2015 4 |4 | Give IPV at or after age 14 weeks, usually with OPV3 and DTP3/Penta3 IPV should be given in addition to OPV OPV is still the primary vaccine to achieve eradication At what age should IPV be administered? Example EPI schedule using DTP-Hib-Hep B (Pentavalent), pneumococcal conjugate (PCV) and rotavirus vaccines IPV should be given at 14 weeks, or at the first contact after 14 weeks VaccineBirth6 wks10 wks14 wks BCG Pentavalent PCV Rotavirus* OPV IPV *rotavirus vaccine may be 2 or 3 doses, depending upon the vaccine used

5. Inactivated poliovirus vaccine eligibility, Module 3 | 12 July 2015 5 |5 | A child's immunization card shows that he/she is now 18 weeks old and has only received BCG and 2 doses of OPV. What should you do? What should you do in this scenario?

6. Inactivated poliovirus vaccine eligibility, Module 3 | 12 July 2015 6 |6 | A child's immunization card shows that he/she is now 10 weeks old and has only received BCG and one dose of OPV. What should you do? What should you do in this scenario?

7. Inactivated poliovirus vaccine eligibility, Module 3 | 12 July 2015 7 |7 | A child comes in at 6 months of age and has had no vaccines. What should you do? What should you do in this scenario?

8. Inactivated poliovirus vaccine eligibility, Module 3 | 12 July 2015 8 |8 | What should you do in this scenario? A caretaker brings a child to the health center for the first time and comes without any written documentation. The caretaker does not remember the exact date of birth (DOB) of the infant. What are some possible ways of determining the child’s DOB?

9. Inactivated poliovirus vaccine eligibility, Module 3 | 12 July 2015 9 |9 | Possible ways to estimate the DOB See if the caretaker can recall when the child was born relative to a cultural, religious, national or local event Look for DOB record in other documents kept in the health center or other local registries – Antenatal care record – Birth registry Look for development indicators – A child who can sit unsupported and reach out with one hand is probably old enough to get IPV and other required vaccines

10. Inactivated poliovirus vaccine eligibility, Module 3 | 12 July 2015 10 | Absolute contraindications to IPV Do not vaccinate if recipient has: Known or documented allergy to vaccine components, including: -Streptomycin -Neomycin -Polymyxin B History of an allergic reaction following a previous IPV injection Thrombocytopenia (insufficient blood platelets, which play an important role in coagulation) Other bleeding disorder Wait! Postpone vaccination if recipient is: Taking temporary treatment that suppresses the immune response -Treatment could reduce immune response to the vaccine -Postpone vaccination until the end of the treatment to make sure the infant is well protected by the vaccine

11. Inactivated poliovirus vaccine eligibility, Module 3 | 12 July 2015 11 | Can IPV be administered on schedule to immunodeficient infants or infants born prematurely? Yes! Immunodeficiency does not prevent administration of IPV Vaccination of infants with immunodeficiency, such as HIV infection, is recommended Infants born prematurely should receive IPV on schedule (at or after 14 weeks of age)

12. Inactivated poliovirus vaccine eligibility, Module 3 | 12 July 2015 12 | Contraindication Checklist Do I still give IPV if recipient has….?YesNoPostpone …mild illness …malnutrition …HIV …prematurity …allergy to streptomycin, neomycin or polymyxin B …bleeding disorder …had a previous reaction to IPV …taking treatment that suppresses immune response

13. Inactivated poliovirus vaccine eligibility, Module 3 | 12 July 2015 13 | Key messages First IPV dose should be given at 14 weeks of age or at first contact after 14 weeks IPV can be given and the same time as other injectable vaccines like pentavalent and pneumococcal vaccine If EPI schedule currently includes OPV, do not replace OPV with IPV; the dose of IPV should be added to the schedule IPV can be administered to children with immunodeficiency disorders and those born prematurely

14. Inactivated poliovirus vaccine eligibility, Module 3 | 12 July 2015 14 | End of module Thank you for your attention!