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Health Service Delivery Cluster Response to Typhoon Yolanda. Center for Health Development- Western Visayas. Highlights:. Health Services. Routine health facility operations- Trauma management/Prophylaxis-leptospirosis/tetanus Medical Missions Common morbidities 1. trauma/injuries
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Health Service Delivery ClusterResponse to Typhoon Yolanda Center for Health Development- Western Visayas
Health Services • Routine health facility operations- Trauma management/Prophylaxis-leptospirosis/tetanus • Medical Missions • Common morbidities 1. trauma/injuries 2. respiratory infection/illness 3. gastroenteritis • No reported outbreaks (post typhoon) • Surveillance system
STRENGTHENING IMMUNIZATION IN AREAS OF WESTERN VISAYAS AFFECTED BY SUPER TYPHON YOLANDA • IMMUNIZATION RESPONSE ACTIVITIES • Strengthening the implementation routine Expanded Program on Immunization (EPI) • Conduct of routine immunization as fixed sites in all rural health units (RHUs)/ main health centers at least once weekly offering all vaccines under EPI • Outreach immunization shall be continuously conducted especially in geographically difficult areas
STRENGTHENING IMMUNIZATION IN AREAS OF WESTERN VISAYAS AFFECTED BY SUPER TYPHON YOLANDA • Supplemental Immunization Activities • Immunization with monovalent measles vaccine among 6-8 months old infants in all areas affected by the typhoon • This is extra dose of measles vaccination and may be called as AMV0(Anti- Measles Vaccine 0); this will be recorded in the Target Client List (TCL) at the remarks column • A repeat dose of monovalent measles vaccine will be given at 9 months of age and may be called as AMV1 • Catch up immunization for all under 5 year old children through selective vaccination • House to house masterlisting of all under 5 year old children and identification of unimmunized children • Vaccinate identified unimmunized children during masterlisting with appropriate vaccine according to EPI schedule (Selective vaccination) • BCG shall not be given to above 1 year old children; Doses of OPV/PentaHib shall be given at least 1 month apart ; Pentahib may be given to children below 5 years old to complete the 3 primary series for Hep B and/or DPT
STRENGTHENING IMMUNIZATION IN AREAS OF WESTERN VISAYAS AFFECTED BY SUPER TYPHON YOLANDA • Immunization in the Evacuation Centers • Non selective vaccination of Measles Containing Vaccine (MCV) and oral polio vaccine (OPV) shall be conducted in evacuation centers . • Immediate conduct of vaccination for areas with on going measles virus transmission/clustering/outbreak • In areas with no active measles virus transmission, non selective vaccination shall be conducted if the children stayed for 5 days or more in the evacuation center. • Target for vaccination : • MCV – 6 months to 5 years old • OPV – 0 months to 5 years old • Vitamin A supplementation shall be given to 6 months to 5 years old children
STRENGTHENING IMMUNIZATION IN AREAS OF WESTERN VISAYAS AFFECTED BY SUPER TYPHON YOLANDA • Community immunization in areas with measles case/s • Non selective vaccination to all close contacts with measles containing vaccine within the household/purok/sitio • Maximum age group will depend on the surveillance report and logistics availability.
STRENGTHENING IMMUNIZATION IN AREAS OF WESTERN VISAYAS AFFECTED BY SUPER TYPHON YOLANDA • Ensuring Potency and viability of vaccines through proper cold chain management • Proper cold chain management shall be observed at all times despite power interruption • Vaccines shall be stored in the nearest facility (e.g. hospital) with generator set or alternative power supply • Safety injection practices shall be observed at all times