Efficiency and Safety of Vaccination-Free-Samples for Students

Question: Discuss about the Efficiency and safety of vaccination in the pediatric population. Answer: Introduction: There are various different reasons behind the onset of medical adversities; however, the communicable diseases pose the most threatening of the medical adversities that pose the biggest and most critical to overcome challenge. There is a vast variety of different communicable diseases, and most of them contribute to the increasing mortality rates and co-morbidity in different age groups, although it has to be mentioned that the most of the detrimental impact of the communicable diseases is imparted on the health and wellbeing of the children. The annual rates of the pediatric mortality rate due to different communicable diseases are extremely high in this particular sector, and that is the reason the vaccination activity is the most emphasized for the pediatric populations (Al-Salem et al. 2012). The vaccines can be defined as one of the greatest achievements of the medical science and health care in general that has effectively revolutionized the heath care delivery when it comes to the communicable disease outbreaks. Now it has to be mentioned that the roles that vaccination has played is great; when considering the communicable outbreaks that have been endemic and epidemic scale in the absence of any sound intervention strategy like smallpox, polio, measles, rubella, and many more; and almost all of the mentioned communicable diseases outbreaks have the highest risk of targeting the pediatric populations. Hence, in order to implement a preventative strategy that can effectively decrease the alarmingly increasing mortality rates in the pediatric and neonatal population the vaccination procedure has a global emphasis on the pediatric population, and the strategy has been effective as well (Baggs et al. 2011). Although it has to be understood in this context that the vaccinat ion procedures have a lot of risks associated as well and if a strong safety and efficiency protocol in place, there can be many severe consequences that can potentially threaten the health and wellbeing of the children receiving the vaccination. This assignment will attempt to explore the need for safety and efficacy in vaccination and the procedures in place in the pediatric population emphasizing on the Saudi Arabian demographic context. Need For Safety and Efficiency: According to the Black et al. (2010), the vaccination procedure is designed and implemented in the hopes of providing mostly the children population, with a few adult vaccination exceptions, in order to provide acquired immunity against a few selective communicable infections. There are different types of vaccines that provide differential immunity and the type and dosage of the vaccination depends on the need of the recipient as per the age group that the individual must have. However, regardless of the type of vaccination pr the dosage of the vaccination that is being administered, the procedure must follow a meticulous and detailed safety protocol for the vaccines to be effective and avoid any chances of contamination and infection (Buttery et al. 2011). It has to be mentioned in this context that the safety procedures that are implemented for the vaccination procedures are multi- dimensional, and the safety and efficiency checking procedures are carried out in both the manufacturing- licensing phase and while in the health care facility as well. There are different authorative bodies that direct control and monitor the safety and efficacy of the different vaccines and dosage specifications and the centre for disease control and prevention or the CDC can be considered the most effective one. It has to be mentioned that the safety and efficacy of the vaccines are a serious concern in the public health scenario as there are many adverse effects that are associated will ill- controlled vaccination procedure implemented to the children. One prime example of the adverse effect of overwhelming impact of too many vaccines with too much dosage has a possible impact on development of autism and similar developmental disorders in the pediatric population. Hence, the efficiency and the relevance of the vaccines are meticulously checked and evaluated before it is even released in the market by the authorative bodies. However only checking the efficiency is nowhere near enough as the most of the threat to the children when it comes to faulty vaccination procedure is the safety protocol implemented in the vaccine administration procedure in the health care facility (Gee et al. 2011). According of a recent statistics the phenomenon of safe immunization process can be considered still a massive concern for the developing countries. There are major concerns that the emerging nations are facing when it comes to safe and effective immunization procedure, they are, right vaccine composition, handling, scheduling and administering the vaccines or injections, and the surveillance and evaluation of the vaccines being administered to the pediatric patients. Along with that, it has to be mentioned in this context that the safe waste disposal during the vaccine administration procedure, according to a recent statistics there are closely 1 billion injections administered annually on the patients for the immunization procedure. And along with that the unsafe injection administration is a regular event that occurs routinely in the developing nations and leads to many health adversities for the patient population. Hence, it can be mentioned here that the developing countries, ho wever very little are attempting the need for safe and effective monitoring on the vaccine administration procedure (Glanz et al. 2011). Safety practices in vaccine administration in Saudi Arabia: The country under emphasis in the vaccine administration safety review assignment is Saudi Arabia, and it has to be mentioned in this context that the nation has successfully achieve tremendous accomplishments in the sector for basic immunization coverage. In addition, the country has been able to successfully achieve the same by the means of a series of structured vaccination programs carried out in a well controlled a connected network of primary health care centres (Lee et al. 2011). However, there has been a brewing consensus regarding the safety of the programs both in design and implementation procedure mostly due to the lack of effective surveillance framework or program in the remote areas. In a pilot study, the incidence of adverse effects after immunization has been studies after the different vaccination programs that have been carried out on children aged 6 and lower. And hence it has to be mentioned in this context that in case of the DTP vaccination, which is the most c ommon and most abundantly administered vaccine in the pediatric populations can be the fact that the rate for adverse effects after immunization or AEFI are alarmingly high in the remote and rural areas. The incidence rate of the AEFI depended heavily upon the age of the child, vaccine preparation, clinical setting involved and the dosage schedule of the vaccination involved (Memish et al. 2013). It has to be mentioned in this context that the increase in the rte of adverse events after immunization is intricately linked with the different factors and the most of the adverse events occurred in the children during the first twenty four to forty eight hours of the vaccine administration. Despite the regular vaccination safety administration procedures the statistics of adverse events associated with the different kinds of adverse events associated with the vaccination process in Saudi Arabia is more than 90%. Elaborating more, close to more than 80% of the adverse events were discovered to be local reactions after the vaccine administration and along with that systemic reactions were reported soon after in the recipients in the 79% of the recipients. Fever has been discovered as the most crucial adverse event associated with the faulty and unsafe vaccination procedure closely followed by systemic reactions like vomiting, hypotonicity and irritation. Along with that, few of the studies focusing on the vaccination safety scenario of Saudi Arabia has also revealed the prevalence of behavioral reactions after the vaccination and the percentage of these long term reactions are almost more than 40%. There it can be concluded based on the statistical data represented above that the safety situation of vaccination procedure is in dire need of reform and the condition is worsening in case of the remote and rural areas (Al-Qatari 2010). Challenges and recommendations: In order to address the alarming condition of the vaccination safety and efficacy monitoring and implementation in the Saudi Arabia, it is crucial to discover all the different challenges associated with this situation. Now elaborating on the challenges it is also extremely important to explore and evaluate all the contributing factors associated with this situation so that a interventional strategy can be designed that can address all the challenges and successfully overcome the said challenges. First and foremost, it has to be mentioned that the most of the incidence rate in the pediatric population of AEFI has been reported in the remote areas where the health care delivery is limited and there is a significant lack of any surveillance and monitoring body overlooking the safety protocol compliance in the above mentioned demographic. it has to be mentioned in this context that the compliance rate to the vaccination safety procedures in place for Saudi Arabia primary health care fac ilities in the urban areas are much higher than what is observed in the rural or remote areas (Al-Qatari 2010). Hence, two of the most important contributing factors behind the present alarming condition are the lack of compliance rate and any surveillance or monitoring body in the remote areas overlooking the lack of compliance and care quality. Another very important factor that has been discovered in this context is the lack of knowledge and training in the existing staff in the remote areas in regards to the new and effective vaccination safety or safe vaccine administration activities that is being utilized globally. According to the Rehmani and Memon (2010), the most of training procedure and professional development programs are held in the urbanized clinical settings and hence the already understaffed facilities in the remote areas do not get the opportunity to adapt to the innovative safety techniques and protocols and hence the rate of ADFI keeps escalating. Lastly, the la ck of effective government initiative cannot be ignored in this discussion as well. It has to be mentioned that the lack of infrastructure in the rural areas are another grave contributing factor behind the escalating issue. A few recommendations that the Saudi Arabian health care authorities can atke into consideration in order to improve the present situation are: First and foremost, there is need for a strong and strict surveillance framework that will overlook the safety handling and administration procedure of the vaccines, and along with that, care needs to be taken to ensure that the remote areas are being regularly monitored as well for compliance to the protocols in place (Tse et al. 2012). Secondly, the lack of skills and training in the existing nursing staff also needs to be taken into consideration along with the low staffing situation in the primary health care facilities in the rural areas when compared to the urbanized regions (Weber et al. 2013). Training and professional development program involving the global authorities, executed in all the remote areas will eventually help the health care staff acquire better competence in handling and administering vaccines safely and effectively (Yih et al. 2011). Lastly, there is need for effective and collective efforts being invested from both the national government and the global health acre improvement authorities so that staffing and infrastructure of these regions can be improved and the children are no longer in risk for vaccine safety related health adversity (Yousif et al. 2013). Conclusion: On a concluding note, it has to be mentioned that there are various concerns and issues with the safety and efficiency maintenance of the vaccinations that are being implemented in the pediatric population. In addition, the most of the adverse situation is in case of the developing nations. This assignment effectively discussed the challenges and issues prevalent in this are taking the assistance of the Saudi Arabian context, although the scenario is very similar in all pf the developing nations. Hence, there is need for a more effective and innovative surveillance and monitoring coupled with adequate staffing and training, which can attempt to address the concerns that are prevalent in this issue as discussed. And with co-operative and collaborative efforts invested from all kinds of national and global authorities, these challenges can be hoped to be overcome. References: Al-Qatari, G., 2010. Vaccination Practice in Saudi Arabia: Is It Safe?. Al-Salem, A.H., Kothari, M.R., AlHani, H.M., Oquaish, M.M., Khogeer, S.S. and Desouky, M.S., 2012. Safety of intradermal Bacillus Calmette-Guerin vaccine for neonates in Eastern Saudi Arabia.Saudi medical journal,33(2), pp.172-176. 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