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Have purpose-built vaccine refrigerators reduced the cost of vaccine losses in South Australia?

Abstract：

OBJECTIVES:There is limited epidemiological data on the performance of different refrigerator types for vaccine storage in the real world. This study aims to measure if the introduction of purpose-built vaccine refrigerators has reduced the cost of vaccine losses in South Australia. METHODS:Data were taken from a register for all recorded vaccine storage cold chain events in South Australia from 2008 to 2009 and a survey of vaccine providers conducted in 2009. RESULTS:There were 531 respondents to the survey (51% response rate). A greater proportion of cold chain breaches in purpose-built vaccine refrigerators did not lead to a loss of vaccine (10.3%) compared with the other refrigerator types. Purpose-built vaccine refrigerators had a relative risk of 3.31 (95% CI, 2.15-5.11) of a heat event (as opposed to cold event) and were more likely to have a cold chain breach from electrical failure (relative risk ratio 15.05, 95% CI 4.04-56.05) than bar refrigerators. The average cost of loss of vaccine for purpose-built vaccine refrigerators was $2,321.20, which was greater than the cost of vaccine loss from a bar refrigerator of $1,339.06 (95% CI $61.47-1,902.82). CONCLUSIONS:Although purpose-built vaccine refrigerators were less likely to lead to vaccine loss per cold chain breach, they had a greater average cost of vaccine loss per cold chain event because they held a greater volume of vaccine. There is a need for development of Standards to guide purpose-built vaccine refrigerators manufacturing and a review of the National Vaccine Storage Guidelines to place a greater emphasis on the need for back up plans in the event of electrical failure.

journal_name

Aust N Z J Public Health

journal_title

Australian and New Zealand journal of public health

authors

D'Onise K,Almond S,MacDonald B,Watson M,Scrimgeour S

doi

10.1111/j.1753-6405.2012.00932.x

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

572-6

issue

6

eissn

1326-0200

issn

1753-6405

journal_volume

36

pub_type

杂志文章

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