Immunization Branch
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Action
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Investigate outbreak and determine scope of
response
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Select sites and times for high-risk clinics. Use contact
lists to activate clinic personnel
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Select sites and times for general populations clinics. Use
contact lists to activate clinic personnel
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Fill out clinic supply lists (see figure 6) based on population estimates at each clinic
site
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Order vaccine/prophylactic medication and necessary
supplies
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Arrange delivery of supplies to clinics
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Activate security plan to protect supply depots and deliveries
of clinic supplies.
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Inform media partners of scope of response; date, time,
location of clinics. Also, appropriate clothing if vaccination being given.
Reassuring message that all possible measures are being taken to prevent further
spread. State clearly what criteria are for whom will/will not be accepted for
prophylaxis/vaccination.
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Conduct clinics for high-risk personnel
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Fill out daily tally sheets at each clinic and submit to
centralized supply depot and/or immunization program
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Consolidate daily tally sheets onto one doses administered
form and submit to BIP
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Conduct clinics for general population.
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Fill out daily tally sheets and supply orders at each clinic
and submit to centralized supply depot and/or immunization
program.
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Consolidate daily tally sheets onto one doses administered
form and submit on regular intervals to BIP
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Monitor inventory levels and re-order supplies as
necessary
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Conduct random checks of clients to ensure vaccine
take
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Arrange re-vaccination clinics if necessary
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Evaluate effectiveness of clinics and overall
response
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Update policies and procedures based on experience and
feedback from participants
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Clinics should have clearly marked entrance and exit points with
adequate "waiting" space for groups of people seeking prophylaxis/vaccination.
Security staff should be posted at both locations to maintain order. It is vital
that sick individuals be identified quickly and removed from the clinic site to
avoid exposing large amounts of people. At least one trained volunteer or
clinician should be dedicated to observing clients for signs of illness as they
arrive at the clinic. Traffic flow within the clinic should be controlled and
should follow a logical path from the clinic entry to the exit. The best
approach to crowd control is to never let people "sit down". Keep the line(s)
moving at all times. A linear path of traffic flow from entry to exit on
opposite sides of the facility its optimal. However, it may be necessary to set
up serpentine lines (similar to those used by amusement parks) using rope or
some other temporary barrier.
Ideally, greeter-educators and registration staff should be
located in a separate room from the vaccine administration station.
It is likely that the registration and medical screening processes
will be the most time-consuming clinic activities. Sufficient staff should be
assigned to move person through these areas quickly, to keep a steady flow of
persons to the vaccination/dispensing area.
Trained employees should monitor the vaccine supply to ensure that
vaccine is not left un-refrigerated for extended periods of time, and to ensure
that excess amounts of vaccine are not drawn up "ahead" and then possibly left
over, and wasted, at the end of the clinic.
It is advisable to have one person monitor all supplies. Each
station should be set up with adequate supplies at the beginning of the clinic,
and then replenished as needed. Having one person in charge of supplies helps to
avoid wastage and to keep people from "helping themselves" to supplies and
opening multiple boxes/packages of the same item.
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