Number 15: A temperature violation
This picture was taken in September 2016 at an outreach clinic during measles second dose post-introduction evaluation. At an outreach clinic, vaccines are put directly on top of a frozen ice pack. No condition of the ice packs was done and no foam pad was used. Take note of the vial of tetanus toxoid vaccine, a freeze sensitive vaccine. At another clinic, the practice was different. Foam pad was in use.
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