cold chain is very important for the health care system

1. Cold chain

2. • Vaccines
• Beneficiary
• Communication
• VVM
KEY WORDS

3. Introduction
This is a system of storing and transporting
vaccines at recommended temperatures from
the point of manufacture to the point of use.

4. DEFINITION
“Cold Chain is a system of
keeping Vaccines at their
recommended temperature
from the point of
manufacturing to the point of
vaccination of the beneficiary.

5. Importance of cold chain
1. Obtaining the vaccines from the manufacturers
2. Storing and transporting the vaccine
3. Maintaining the supply of vaccine
4. keeping the vaccine at low temperature
5. Protecting the vaccine from sunlight exposure
6. Maintain the patency of vaccine
7. Repetitive exposure to heat episodes results in a
cumulative loss of potency that is not reversible

6. Component of cold chain
1. Apparatus
2. Supplies
3. Manual efforts
4. Transportation
5. Communication

7. Apparatus
1. Apparatus which keep the vaccine at 4 to 8
degree Celsius.
2. Equipments which freezes the vaccines.

8. Type of
equipments
1. Vaccine carrier
2. Cold packs
3. Day carriers
4. Refrigerators
5. Walk in cooler

9. Vaccine carrier

10. COLD PACK

11. VACCINE DAY CARRIER

12. WALK IN COOLER

13. TRANSPORTATION
1. To maintain the patency of vaccine rapid
means of transport should be used in a specific
temperature
2. Refrigerator should be arranged in the trucks
with a heat resistant equipments
3. Aeroplanes are used to save time

14. COLD CHAIN MONITORING EQUIPMENT
Vaccine vial monitors
Freeze indicators
The shake test
Thermometers

15. SHAKE TEST

16. The Effective Cold Chain
Three main elements combine to
ensure proper vaccine transport, storage,
and handling.
I. Trained personnel
II. Transport and storage equipment
III. Efficient management procedures
Equipment People Procedures

17. Summary
Cold chain is a temperature-
controlled supply chain. An
unbroken cold chain is an
uninterrupted series of refrigerated
production, storage and distribution
asctivities, along with associated
equipment and logistics, which
maintain a desired low-temperature
range.

19. Bibliography
Teacher references :-
1. “Dash Bijaylashami” A Comprehensive Textbook Of Community Health
Nursing, Ist edition,Jeypee Brothers Medical Publication , page no.501-
504
2. “K Park” textbook of Park’s textbook of preventive and social medicine
22st edition , M/S Banarsudas Bhanot publication page no.536
3. “Ravi Prakash Saxena” textbook of Community health nursing –II” 2nd
edition , Lotus Publishers page no.511
4. “S.Kamalam” Essentials in Community Health Nursing Practice, 3rd
edition page no.520
Net references:-
 https://www.slideshare.net/PreetikaMaurya/cold-chain-63550429
 https://en.wikipedia.org/wiki/Cold_chain#
Student reference :-
1. “Dash Bijaylashami” A Comprehensive Textbook Of Community Health
Nursing, Ist edition,Jeypee Brothers Medical Publication , page no.501-
504

20. THANK YOU