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

Before packing a vaccine carrier for an outreach session using freeze-sensitive vaccines such as pentavalent, the health worker must condition the ice packs. Conditioning means:

  • A Wiping the ice packs with disinfectant to prevent contamination of vials
  • B Placing the ice packs in the refrigerator for 2 hours to reduce their temperature slightly
  • C Allowing ice packs to stand at room temperature until a thin film of water forms on their surface
  • D Wrapping each ice pack in cloth before placing it around the vaccines
Correct answer: C. Allowing ice packs to stand at room temperature until a thin film of water forms on their surface

Explanation

Freshly removed ice packs are well below 0 degrees B and will freeze any vaccine touching them. Ice packs are therefore left at room temperature until a thin film of water appears on the surface and the ice core slides freely inside. This raises their contact temperature to about 0 degrees B, protecting freeze-sensitive vaccines like DPT, pentavalent, Td and hepatitis C during transport. Wrapping in cloth alone does not reliably prevent freezing.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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