Introduction: The cold chain is a system of storage, transport and distribution of vaccines in the state of efficiency and potency at recommended temperature from the Manufacturer to the actual recipient of the vaccine. The cold chain system is necessary
ELEMENTS OF COLD CHAIN Cold chain equipment Transportation system Motivation of training of the workers for maintance of cold chain link Polio is the most sensitive vaccine it storage at – 20c Polio and measles vaccines must be stored in the freezer compartment DTP, DT,BCG,TT,typhoid vaccine must be stored in the cold part Polio can be stored at 4 to 8c for 5 wks
THE COLD CHAIN EQUIPMENT WALK IN COLD ROOMS: They are located at regional level vaccines are stored at 3 months and serve 4-5 districts DEEP FREEZERS : It is a top opening cold chain equipment . Big deep freezers is supplied all district . They are used for making ice packs and store for storing polio and measles Small deep freezers along with ILR are supplied to PHCs urban family planning, centers ICE LINED REFRIGERATOR (ILR) : Two types of ILR are available first one is ice tubes and other with ice packs
ILR should kept in cool room, away from direct sunlight and at least 10cm away from the wall The vaccines should be kept in side the ILR neatly with space in between for air circulation COLD BOXES : Cold boxes are available at all peripheral health centers . They are used for transporting vaccines The vaccines should be packed in polythene bags then to be kept in side the box DTP,DT ,TT vaccines should not be kept in contact with frozen ice packs
VACCINE CARRIERS : Vaccine carriers are used to carry to 16 to 20 vials of vaccine to out reach sites to the subcenters,viallage, vaccination clinic or camp. The carrier must be closed tightly. DAY CARRIERS : Day carriers are used for near by areas and for few hours period. It is used small quantities of vaccines
ICE PACKS : Ice packs are used for cold boxes and vaccines carriers. It is prepared in the deep freezer Ice packs contains water filled up to the level
NURSES RESPONSIBILITES : The community health nurse have to play major role in maintaining cold chain. Arrangement and maintained required amount of vaccines. Maintained of cold chain system at immunization center or during transportation of vaccines to home or clinics with necessary precautions. Care of cold chain equipments and maintenance of recommended temperature for vaccines.