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Immunization Abdul Ghaffar Microbiology and Immunology
Milestones in immunization ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Introduction of variolation
Milestones in immunization ,[object Object],[object Object]
Edward Jenner Discovery of small pox vaccine
Edward Jenner Among patients awaiting small pox vaccination
Modern era of the vaccine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Modern era of the vaccine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pre- & post-vaccine incidence of common preventable diseases
Different modes of acquiring immunity Immunity Natural resistance Artificial Natural Passive Artificial Natural Active Acquired
Passive Immunity ,[object Object],[object Object],[object Object],[object Object],Natural Artificial
Passive Immunization   disease   indication antibody source human, horse diphtheria, tetanus prophylaxis, therapy vericella zoster human immunodeficiencies gas gangrene, botulism, snake bite, scorpion sting horse post-exposure rabies, human post-exposure hypogamma-globulinemia human prophylaxis
Advantages and Disadvantages of Passive Immunization ,[object Object],[object Object],[object Object],[object Object],[object Object],Advantages Disadvantages
Active Immunization ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Natural Artificial
Live Attenuated Vaccines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Killed Whole-Organism Vaccines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Microbial Fragment Vaccines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Microbial Fragment Vaccines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Modification of Toxin to Toxoid Toxin toxin moiety antigenic determinants chemical modification Toxoid
[object Object],Future Vaccines ,[object Object],[object Object]
Recommended Childhood Immunization Schedule
Adverse Events Occurring Within 48 Hours DTP of Vaccination   Event   Frequency ,[object Object],[object Object],1 in 2-3 doses ,[object Object],[object Object],[object Object],1 in 2-3 doses 1 in 5-15 doses ,[object Object],[object Object],[object Object],[object Object],[object Object],1 in 100-300 doses 1 in 1750 doses 1 in 100,000 doses 1 in 300,000 doses

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0616 Immuniz

Notas del editor

  1. On August 8, 1721, 7 death row prisoners were subjected to the procedure. They came down with a very mild case of small pox, all recovered and were immune to small pox. They were granted full pardon. In 1776, George Washington ordered inoculation of all his soldiers, and the procedure was a success.
  2. In 1798, Jenner introduced 1 st vaccination ( vacca : cow) following his experimentation with isolates of cow pox virus from ‘Blossom’.
  3. The mass vaccination against became a standard practice.
  4. DPT: 15-59% vaccinated Polio: 55-88% MMR: 80-90%
  5. Immunization is the means of providing specific protection against most common and damaging pathogens. Specific immunity can be acquired either by passive or by active immunization and both modes of immunization can occur by natural or artificial means (Figure 1).
  6. Artificially acquired passive immunity : Immunity is often artificially transferred by injection with gamma‑globulins from other individuals or gamma‑globulin from an immune animal . Passive transfer of immunity with immune globulins or gamma‑globulins is practiced in numerous acute situations of poisoning (insects, reptiles, botulism), infections (tetanus, measles, rabies, etc.) and as a prophylactic measure hypo-gamma-globulinemia ). In these situations, gamma‑globulins of human origin are preferable although specific antibodies raised in other species are effective and used in some cases (acute poisoning and tetanus and diphtheria infections. Passive transfer of cell mediated immunity can also be accomplished in certain diseases (cancer, immunodeficiency). The donor cells must be histocompatible.
  7. This refers to immunity produced by the body in consequence of exposure to antigens. Naturally acquired active immunity : Exposure to different pathogens leads to sub-clinical or clinical infections which result in a protective immune response against these pathogens.
  8. Active immunization may cause fever, malaise and discomfort. Some vaccine may also cause joint pains or arthritis (rubella), convulsions, sometimes fatal (pertussis), or neurological disorders (influenza). Allergies to egg may develop as a consequence of viral vaccines produced in egg (measles, mumps, influenza, yellow fever). Live vaccines although innocuous in normal individuals may produce serious infections in immunodeficient individuals and hence should be avoided in such cases . Table 3 summarizes frequencies of undesirable effects of diphtheria‑tetanus‑polio (DTP) vaccine.