Ppt fdffffggggggggggggggggggggggh-45.pptx

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1. IMPLIED CONSENT IN IMMUNIZATION & NEWER VACCINES K.RAGAVENDRA ROLL NO :- 45

2. PRINCIPLES OF CONSENT CONSENT :- Giving permission before a medical procedure Required for many medical actions including vaccination MUST BE - INFORMED, UNDERSTOOD, VOLUNTARY

3. TYPES OF CONSENT 1) WRITTEN 2) VERBAL 3) IMPLIED

4. WRITTEN :- Parents receive information and give written permission for their child to be vaccinated VERBAL :- Given orally after being informed common where parents accompany the child to vaccination sites

5. IMPLIED It refers to a situation where consent for a medical procedure is not directly given in written / verbal It assumes through patient actions and circumstances indicate they agree to receive a vaccination even they directly haven’t say yes.

6. ROUTINE VACCINATION:- If a patient attends a clinic specifically for a flu shot and rolls up their sleeve, it’s implied they consent to the injection. SCHOOL BASED VACCINATION:- While implied consent for school-based vaccinations is possible, explicit consent may be needed, especially for unaccompanied children.

7. CHILDHOOD VACCINATION:- Bringing a child to a health clinic for vaccinations can imply parental consent. COWIN REGISTRATION:- In India, registering on the CoWin website for vaccination is considered consent for administering the vaccine.

8. CONSIDERATIONS:- CAPACITY:- A person’s capacity to consent cannot be assumed solely based on their age, appearance, or behaviour. ETHICAL CONCERNS:- Some argue that implied consent may not always be ethically sound, particularly in research settings, as it may not fully protect the rights of participants.

9. NEWER VACCINES For newer vaccines like
ROTAVIRUS VACCINE PNEUMOCOCCAL CONJUGATE VACCINE (PCV) HUMAN PAPILLOMA VIRUS VACCINE (HPV) TYPHOID CONJUGATE VACCINE (TCV) COVID-19 VACCINE Implied consent is often accepted, especially in government campaigns and routine immunization clinics.

10. PNEUMOCOCCAL CONJUGATE VACCINE(PCV ):- It prevents against streptococcus pneumonia which causes pneumonia, meningitis and other severe infection. SITE & ROUTE :- Anterolateral thigh (IM route) ADR :- Pain, swelling, mild fever

11. HUMAN PAPILLOMA VIRUS(HPV) VACCINE It target prevention of cervical Cancer and other HPV- related cancer SITE & ROUTE:- Deltoid(upper arm), IM ADR:- Pain , swelling, mild fever, fainting etc.

12. TYPHOID CONJUGATE VACCINE (TCV) It prevent TYPHOID fever and other bacterial infection caused by salmonella typhi For children who are more susceptible to typhoid fever, endemic areas , Travellers etc. SCHEDULE:- Single dose at 9-12 month SITE & ROUTE :- Deltoid (upper arm in child), IM

13. COVID VACCINES -mRna vaccines:- Pfizer,moderna -VIRAL VECTOR:- Covisheild , Johnson & Johnson -INACTIVATED VIRUS :- Covaxin , sinovac -PROTEIN SUB UNIT :- Novovax -DNA VACCINES:- ZyCOV-D (3doses)

14. DOSES :- 2 doses + booster (except ZyCOV-D 3 doses-0,28,56 days) ROUTE & SITE :- DELTOID ,IM SCHEDULE:- 0 ,21-28 days ADR :- pain ,fever ,head ache, nausea, vomiting etc.

15. In school-based HPV vaccination, if parents are informed and send their children to school on the day of vaccination without objection, this may be taken as implied consent. CONSIDERATIONS:- Informed consent preferred to implicit due to :- Lack of awareness Potential vaccine hestiancy Emergency require Authorization

16. IN SUCH CASES :- Authorities often conduct awareness drives. Consent forms or verbal consent may be encouraged, especially for adolescents and adults.

17. THANK YOU