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World Health Organization : Year 1994, Cvi Tfsa, No. 94.6: Cvi Mission to Egypt Task Force on Situation Analysis November - December 1992

By Julie B. Milstien

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Book Id: WPLBN0000113238
Format Type: PDF eBook
File Size: 1.5 MB
Reproduction Date: 2005
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Title: World Health Organization : Year 1994, Cvi Tfsa, No. 94.6: Cvi Mission to Egypt Task Force on Situation Analysis November - December 1992  
Author: Julie B. Milstien
Language: English
Subject: Health., Public health, Wellness programs
Collections: Medical Library Collection, World Health Collection
Publication Date:
Publisher: World Health Organization


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Milstien, J. B. (n.d.). World Health Organization : Year 1994, Cvi Tfsa, No. 94.6. Retrieved from

Medical Reference Publication

Executive Summary The purpose of the visit of this team representing the Task Forces on Situation ! Analysis of Vaccine Supply and Vaccine Quality Control of the Children's Vaccine Initiative was to work with national authorities and participating donors to develop a strategic vaccine supply plan for Egypt for the next ten years. Special thanks are due to a the Chairman of the Board and the staff of Vacsera for opening their files and their facilities to us, and to the Executive Director, EPX. The krms of reference, to work towards development of a strategic plan for all EPI vaccines, had to be curtailed due to the time available. Priorities were based on the huge need for OPV for the polio eradication initiative, the need for TT of high quality for the initiative to eliminate neonatal tetanus, and a specific request regarding needs for DTP vaccine production. Although BCG demand and wastage were addressed, its production and quality control were not evaluated. Yellow fever and hepatitis B vaccines were not included in this analysis.

Table of Contents
Table of Contents 1 Introduction .................. ,., .. ,, ................. 1 . 2 Current Situation ............................... 3 Demographics and Economics of Egypt Vaccine Use Data Identity of Donors National Licensing Procedures Perceived Needs and Constraints for Vaccine Self-sufficiency 3 Assessment of Demand ............................ 9 @ 4 Production Assessment ........................... 13 OPV Capacity of Filling Operation GMP's in Filling Operation Potency of Product Tetanus Toxoid Production Filling Capacity Assessment of Product DTP and DT Production Fillii Capacity Compliance with GMP's Assessment of Product 5 Assessment of Quality Control System ................ 21 National Control Laboratory GMP's and QA General Licensing and Quality Conbol Procedures 6 Financial Evaluation & Production Options ............ 23 Options for Meeting Egypt's EPI Vaccine Requirements Vacsera's Financial Health General Organizational and Management Considerations Overview Annex 1 Terms of Reference for Team Visit ... 33 Annex I1 List of Persons Working with Team in Egypt . . 35 Annex 111 Schedule of Team Activities ... 37 Annex IV Organogrm of Vacsera ... 39 Annex V Cost Implications of Recommendations ... 41


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