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

At the district vaccine store, large quantities of vaccines are held before onward distribution to blocks and PHCs. Which pairing of equipment and function is correct at this level?

  • A Walk-in cooler maintains minus 20 degrees Celsius for bulk OPV storage
  • B Walk-in cooler maintains plus 2 to plus 8 degrees Celsius for bulk storage of all vaccines except OPV, which goes to the walk-in freezer
  • C Deep freezers at the district store maintain plus 2 to plus 8 degrees Celsius for pentavalent vaccine
  • D Vaccine carriers are the primary long-term storage equipment at the district store
Correct answer: B. Walk-in cooler maintains plus 2 to plus 8 degrees Celsius for bulk storage of all vaccines except OPV, which goes to the walk-in freezer

Explanation

At regional and district levels, walk-in coolers hold large volumes of vaccines at plus 2 to plus 8 degrees Celsius, while walk-in freezers at minus 20 degrees Celsius store OPV and prepare ice packs. Option A reverses the cooler's function. Pentavalent must never sit near minus 20 degrees because it is freeze-sensitive, and vaccine carriers serve transport for hours, not bulk storage.

Reference: WHO Immunization in Practice: A Practical Guide for Health Staff, 2015 update ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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