Expanded Program On Immunization

Expanded Program on Immunization

Background and Definition

Expanded Program on Immunization (EPI), established in 1987, aimes at guaranteeing the right of every child in Lebanon, regardless of social status or parent's education level, on immunization and protection from diseases that have available effective and safe vaccines. In order to ensure that, the Ministry of Public Health guarantees the provision of vaccines in 700 health care centers, public and social, in collaboration with the private sector and with the conitnuous awareness of care givers about the importance of immunization. The program provides further special attention to chidlren residing in remote and underprivileged areas through quality outreach activities.

EPI ِAims at:

Elevating routine vaccination coverage per district to above 95%.
Preserving Lebanon as polio-free, considering the continuous influx of Syrian refugees and in preparation to the eradication of polio in the region and worldwide.
Eradicating Measles and Rubella by the end of year 2018.

EPI Activities:

Continuous training and capacity building throughout the year for health care workers on routine vaccination management and implementation in all districs.
Continuous work to keep Lebanon certified polio-free
Implementation of the RED STRATEGY to reach every child, which includes:
1. Data on the immunization coverage for children under one year of age
2. Data on immunization coverage in Lebanon
3. Identification of the number of drop-outs and planning to ensure their vaccination per district accordingly
Celebrating World Immunization Week and planning awareness sessions over Lebanon about routine vaccination
Conducting National and Mop-Up Immunization campaigns annually, including vaccination against Measles, Rubella, and Mumps
Conducting regular visits by the self-assessment team to follow on the quality of vaccination delivery service
Continuous collaboration with UNICEFand WHO to follow-up on updates related to immunization worldwide and ensuring implementation in Lebanon considering national and international commitments
Continuous collaboration with the private sector (General Practictioners and Pediatricians) to ensure vaccination for all children in Lebanon, particularly during immunization campaigns and routine immunization.

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ATC	Name	B/G	Ingredients	Dosage	Form	Price
L04AB01	ENBREL	BioTech	Etanercept - 50mg	50mg	Injectable solution	52,197,598 L.L
A03BB01	? HYOSCINE BUTYLBROMIDE	G	Hyoscine butylbromide - 20mg/ml	20mg/ml	Injectable solution	70,392 L.L
B05BA01	AMINOVEN INFANT	B	L-Leucine - 13g/l, L-Isoleucine - 8g/l, L-Lysine Acetate - 12g/l, L-Methionine - 3.12g/l, L-Phenylalanine - 3.75g/l, L-Threonine - 4.40g/l, L-Tryptophan - 2.01g/l, L-Valine - 9g/l, Arginine - 7.5g/l, L-Histidine - 4.76g/l, Glycine - 4.15g/l, L-Taurine - 0.40g/l, L-Serine - 7.67g/l, L-Alanine - 9.3g/l, L-Proline - 9.71g/l, N-Acetyl-L-Tyrosine - 5.176g/l, N-Acetyl-L-Cysteine - 0.70g/l, L-Malic Acid - 2.62g/l	10%	Injectable solution	880,217 L.L
B05XA03	0.45% SODIUM CHLORIDE INJECTION USP	G	Sodium chloride - 0.45%	0.45%	Injectable solution	137,902 L.L
C07AG01	LABETALOL HYDROCHLORIDE INJECTION	G	Labetalol HCl - 100mg/20ml	100mg/20ml	Injectable solution	2,955,110 L.L
H02AB02	DEXAMETHASONE SODIUM PHOSPHATE USP - EIPICO	G	Dexamethasone (sodium phosphate) - 8mg/2ml	8mg/2ml	Injectable solution	185,450 L.L
L04AB01	ENBREL	BioTech	Etanercept - 50mg	50mg	Injectable solution	52,197,598 L.L
B05BA01	AMINOPLASMAL B. BRAUN	B	Amino acids - 10%	10%	Injectable solution	1,036,103 L.L
B05XA03	0.45% SODIUM CHLORIDE INJECTION USP	G	Sodium chloride - 0.45%	0.45%	Injectable solution	155,139 L.L
H02AB02	DEXASINA	G	Dexamethasone Phosphate - 8mg/2ml	8mg/2ml	Injectable solution	3,471,145 L.L
L01BB04	LITAK 10	B	Cladribine - 2mg/ml	2mg/ml	Injectable solution	130,295,163 L.L
L04AB01	ERELZI	BioTech	Etanercept - 50mg	50mg	Injectable solution	59,029,176 L.L
B05XA03	HYPOTONIC SALINE	G	Sodium chloride - 0.45%	0.45%	Injectable solution	149,393 L.L
H02AB02	RADOLINE	G	Dexamethasone sodium phosphate - 8mg/2ml	8mg/2ml	Injectable solution	3,711,565 L.L
L01BB04	LITAK 10	B	Cladribine - 10mg/5ml	10mg/5ml	Injectable solution	39,016,157 L.L
L01FC01	DARZALEX	BioTech	Daratumumab - 1800mg	1800mg	Injectable solution	514,508,612 L.L
L04AB01	ERELZI	BioTech	Etanercept - 50mg	50mg	Injectable solution	40,824,526 L.L
L03AB07	REBIF	BioTech	Interferon beta-1a - 44mcg/0.5ml	12MIU	Injectable solution	L.L
B05XA03	HYPOTONIC SALINE	G	Sodium chloride - 0.45%	0.45%	Injectable solution	163,184 L.L
L04AB01	ALTEBREL	BioTech	Etanercept - 25mg/0.5ml	25mg/0.5ml	Injectable solution	27,383,989 L.L
B01AB01	HEPARINE MEDIS	G	Heparin sodium - 25,000UI/5ml	25,000UI/5ml	Injectable solution	6,853,597 L.L
B05XA03	SODIUM CHLORIDE	G	Sodium chloride - 0.45%	0.45%	Injectable solution	133,856 L.L
H02AB02	DEXAMETHASON-PANPHARMA	G	Dexamethasone - 5mg/1ml	5mg/1ml	Injectable solution	368,213 L.L
L01BB05	FLUDARABIN EBEWE	G	Fludarabine Dihydrogenophosphate - 50mg/2ml	50mg/2ml	Injectable solution	3,567,902 L.L
L04AB01	ENBREL	BioTech	Etanercept - 25mg	25mg	Injectable solution	28,768,353 L.L
B01AB01	HEPARINE SODIQUE PANPHARMA	G	Heparin sodium - 25,000IU/5ml	25,000IU/5ml	Injectable solution	6,134,641 L.L
B05XA03	SODIUM CHLORIDE	G	Sodium chloride - 0.45%	0.45%	Injectable solution	149,393 L.L
H02AB02	DEXAMETHASONE MEDIS	G	Dexamethasone Phosphate - 4mg/1ml	4mg/1ml	Injectable solution	1,154,361 L.L
J02AC01	FLUCONAZOLE PANPHARMA	G	Fluconazole - 200mg/100ml	200mg/100ml	Injectable solution	11,256,652 L.L
L01BB05	FLUDARABINE PHOSPHATE NEAPOLIS	G	Fludarabine Dihydrogenophosphate - 50mg/2ml	50mg/2ml	Injectable solution	4,031,528 L.L

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