Module 3

Inactivated poliovirus vaccine

eligibility

Training for Inactivated Poliovirus Vaccine (IPV)

introduction

Inactivated poliovirus vaccine eligibility, Module 3 | 05 November 2014 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

Inactivated poliovirus vaccine eligibility, Module 3 | 05 November 2014 3 |

Key issues

What is the recommended schedule

for IPV?

1

What do you do when the exact date

of birth (DOB) or the immunization

card is missing?

2

What are the contraindications to

vaccination?

3

Inactivated poliovirus vaccine eligibility, Module 3 | 05 November 2014 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

Vaccine Birth 6 wks 10 wks 14 wks

BCG

Pentavalent

PCV

Rotavirus*

OPV

IPV

*rotavirus vaccine may be 2 or 3 doses, depending upon the vaccine used

Inactivated poliovirus vaccine eligibility, Module 3 | 05 November 2014 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?

Inactivated poliovirus vaccine eligibility, Module 3 | 05 November 2014 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?

Inactivated poliovirus vaccine eligibility, Module 3 | 05 November 2014 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?

Inactivated poliovirus vaccine eligibility, Module 3 | 05 November 2014 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?

Inactivated poliovirus vaccine eligibility, Module 3 | 05 November 2014 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

Inactivated poliovirus vaccine eligibility, Module 3 | 05 November 2014 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

Inactivated poliovirus vaccine eligibility, Module 3 | 05 November 2014 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)

Inactivated poliovirus vaccine eligibility, Module 3 | 05 November 2014 12 |

Contraindication Checklist

Do I still give IPV if recipient has….? Yes No Postpone

… 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

Inactivated poliovirus vaccine eligibility, Module 3 | 05 November 2014 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

Inactivated poliovirus vaccine eligibility, Module 3 | 05 November 2014 14 |

End of module

Thank you for your

attention!