Community Medicine (PSM) · Immunization and Vaccines (Cold Chain, NIS Schedule, Open Vial Policy)

A cold chain technician records the ILR temperature at a PHC twice daily. The morning reading is +3°C and the evening reading is +7°C. As per UIP cold chain guidelines, what is the correct interpretation of these readings?

  • A The ILR is functioning normally; readings are within the acceptable range
  • B The ILR is too cold; vaccines may have frozen
  • C The ILR is too warm; vaccines may have lost potency
  • D The thermometer is faulty and must be replaced
Correct answer: A. The ILR is functioning normally; readings are within the acceptable range

Explanation

The acceptable temperature range for vaccine storage in an ILR is +2 to +8°C. Both readings fall within this range, so the ILR is functioning normally. A reading below +2°C risks freezing (especially dangerous for DPT, TT, and Hep-B), while above +8°C risks heat damage to live vaccines like OPV and measles.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

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