#2. An example of good warehouse keeping (HANA)

VACCINE STORAGE IN PRIMARY HEALTH CARE CENTER

#9 Refrigerator with vaccines organized (HANA)

c(4.3)this picture is for temperature monitoring ,it is outside the refrigerator 

this picture is for vaccine storage  in primary health care center

this picture is for the door of refrigerator which shows the daily monitoring record 

# 5. A photograph of a refrigerated truck outside the pharmaceutical cold chain (AHMAD)

Picture taken while I am waiting my team member for an inspection.

# 15. Acquire a readily available consumer product that can also be used as a temperature detection device to determine if the contents of a package were exposed to temperatures above 30°C. (AHMAD)

Ice-cream is a readily available consumer product that can also be used as a temperature detection device to determine if the contents of a package were exposed to temperatures above 30°C.

#6. A temperature sensitive product being administered to a child/person (NIVEEN)

this picture i take it today to a 6 months child in the motherhood center of jenin health directorate

#11. Temperature monitoring devices in a refrigerator (need to see at least two different types of temperature monitoring device including VVM) - NIVEEN

i see that the dial thermometer reading is 5 

#11. Temperature monitoring devices in a refrigerator (need to see at least two different types of temperature monitoring device including VVM) - NIVEEN

#1. A non-pharma example of measuring temperature (NIVEEN)

otoscan

#12. Time and temperature sensitive pharmaceutical product handled in a retail pharmacy (HANA)

#12. (Time and temperature sensitive pharmaceutical product handled in a retail pharmacy (HANA)

#7. Primary or intermediate vaccine storage facility showing vaccines in storage (HANA)

  

?Can you detect the odd one 

#10. A health worker in immunization outreach (MOHAMMED)

Vaccination team on OPV polio vaccination campaign. Salom village, eastern Sudan. 

#7. Primary or intermediate vaccine storage facility showing vaccines in storage (MOHAMMED)

These pics were took from EPI central unit showing the vaccine packages well arranged according to the WHO recommendations. 

#6. A temperature sensitive product being administered to a child/person (MOHAMMED)

These tow pics from different vaccination campaigns. 1st pic (upper) showing vaccination team in polio campaign administering OPV to 4 yrs child. 2nd (lower) pic form Meningitis campaign showing vaccinator administering meningitis vaccine to 13 yrs boy. 

#4. An instance thermometer is used as a monitoring device (MOHAMMED)

This thermometer is used by immunization officers in the vaccine refrigerators in all health centers. The cold chain personnel take two readings from the refrigerator & the thermometer day & night.  The temperature must be kept on 2 - 8 C.  

#2. An example of good warehousekeeping (MOHAMMED)

 Central refrigeration unit of Red Sea state, Expanded Programme of Immunization ( Cold room). The door was covered internally with plastic pelmet to reduce cold transmission when door opened. It also prevent dust or other contaminant to enter. 

#4. An instance thermometer is used as a monitoring device (NIVEEN)

#11. Temperature monitoring devices in a refrigerator (need to see at least two different types of temperature monitoring device including VVM) (NIVEEN)

#1. A non-pharma example of measuring temperature (MOHAMMED)

The mercury-in-glass or mercury thermometer was invented by physicist Daniel Gabriel Fahrenheit in Amsterdam. It consists of a bulb containing mercury attached to a glass tube of narrow diameter; the volume of mercury in the tube is much less than the volume in the bulb. The volume of mercury changes slightly with temperature; the small change in volume drives the narrow mercury column a relatively long way up the tube. The space above the mercury may be filled with nitrogen or it may be at less than atmospheric pressure, a partial vacuum.

In order to calibrate the thermometer, the bulb is made to reach thermal equilibrium with a temperature standard such as an ice/water mixture, and then with another standard such as water/vapour, and the tube is divided into regular intervals between the fixed points. In principle, thermometers made of different material (e.g., coloured alcohol thermometers) might be expected to give different intermediate readings due to different expansion properties; in practice the substances used are chosen to have reasonably linear expansion characteristics as a function of true thermodynamic temperature, and so give similar results.

Clinically, sublingual area is the most usable area for temperature reading. followed by axilla and leastly the rectum. Reading from rectum 0.5 c above the body temperature. 

Mercury cannot be used below the temperature at which it becomes solid, -38.83 °C (-37.89 °F). 

#12. Time and temperature sensitive pharmaceutical product handled in a retail pharmacy (NIVEEN)

It is from primary health care center not a retail pharmacy        

#7. Primary or intermediate vaccine storage facility showing vaccines in storage (HANA)

vaccine storage in primary health care center

#8. Dispatch of temperature sensitive products from a storage facility (XIN YIN)

Rather than dispatch, this Envirotainer have already reach its district warehouse for receiving. The container of the Envirotainer have been set to 6 degree Celsius and requires to have an electricity charge (to maintain the set temperature) when it reaches its destination if the products can't be unload immediately.

No ice packs are required for such transport for these temperature sensitive products.

#1. A non-pharma example of measuring temperature + #4. An instance thermometer is used as a monitoring device (XIN YIN)

What else with quick accessible tools to get an estimate of the surrounding temperature? A smartphone app just for a quick reference.

#2. An example of good warehousekeeping (XIN YIN)

The cover up with plastics prevents dust build up on top of the packaging of the raw materials.

I came across this 2 weeks ago in one of my inspection. Though a simple racking but I like this as the company have took initiatives to cover the rack up with translucent plastic on those slow moving raw material.

SCAVENGER HUNT LIST - Increase your powers of observation on items related cold chain and good storage & distribution practices

Scavenger hunt is a game in which the organizers prepare a list defining specific items.  Then, the participants seek to gather all the items on the list and take photographs of the items, as specified.

For fun and learning purposes throughout the course, we will be hunting a list of items as described below.  You need to find these items in your own settings, searching and finding others’ photographs in the web is not acceptable. 

We want each of you to find as many items as possible and post your hunt (the photograph and the story behind it) to this blog.  You do not need to wait until you compile all of them, post your hunt as you find one and then the other.  Increase your powers of observation on items related cold chain and good storage & distribution practices.

1. A non-pharma example of measuring temperature 
2. An example of good warehousekeeping
3. An example of heat transfer (challenge - can you make a photograph with all different forms of heat transfer in one frame?)
4. An instance thermometer is used as a monitoring device
5. A photograph of a refrigerated truck outside the pharmaceutical cold chain
6. A temperature sensitive product being administered to a child/person
7. Primary or intermediate vaccine storage facility showing vaccines in storage
8. Dispatch of temperature sensitive products from a storage facility 
9. Refrigerator with vaccines organized 
10. A health worker in immunization outreach 
11. Temperature monitoring devices in a refrigerator (need to see at least two different types of temperature monitoring device including VVM)
12. Time and temperature sensitive pharmaceutical product handled in a retail pharmacy
13. Risks associated with transport and control measures
14. A temperature violation
15. Acquire a readily available consumer product that can also be used as a temperature detection device to determine if the contents of a package were exposed to temperatures above 30°C.