#4: An example of a good temperature monitoring device in action (KWAME)

Number 4: An example of a good temperature monitoring device in action

Malawi is currently experiencing severe electricity power shortage. There is power rationing taking place the across and health facilities are not spared. Power outages take almost twelve hours.
Today I went for measles second dose post introduction evaluation field tour . At one health facility I inspected  a Vestfrost Defy chest refrigerator  that has a Fridge tag (FT). The FT had several alarms registered for temperatures above 8 degrees Celsius and each event was over  8 hours.  The fridge contains polio vaccine which is heat sensitive.

#4 An example of a good temperature monitoring device in action (DELALI)

This is a digital temperature recorder for one of our small clinics which use a medium-sized fridge to keep their vaccines and other cold chain products.
It gives the maximum and minimum temperatures inside the fridge as well as outside and serves as an appropriate temperature monitoring
The refrigerator holds vaccines used in the immunisation of babies. It also holds insulin products as well as ophthalmic products and other temperature sensitive products.

This is the temperature chart that is used to document and monitor the temperature readings. Readings are recorded from Monday's to Saturday's . Not on Sunday's and public holidays. Because the clinic is not open on those days.
Temperature readings are taken twice daily, with the maximum and minimum temperatures recorded by the Sister on duty.

#5 A refrigerated truck used outside the pharmaceutical cold chain (UMIT)

Dear All,

This space if for you to hunt the situations listed in the first posting. As I did in the posting on Temperature Violation, I am making a new one to showing an example of being more elaborative on the story behind the photograph. When you make your postings, please explain more, don't give just a couple of descriptive phrases what the photo shows. There is always a good story behind every single photograph...

Here we go...

Once in a while, on my way to the office, I stop in this Café Léo in Rive, Geneva to have a cup of tea with lemon. 

Rive is one of the busiest places in Geneva, a hub for many public transport bus lanes and connections as well as for some restaurants and a big shopping hall (with meat and mostly food shops) around. And every morning, many refrigerated trucks make their stops in the circle to offload the daily supplies, mostly vegetables and meat to these restos. 

As  you see in the map above, only within a perimeter of 50 meters, there are 10 locations that require temperature controlled distribution of food items. 

Here I see two refrigerated trucks... The Petit Forestier one parked before, and I watched the driver getting out, opening the back door of the truck, loading his trolley with supplies and going off to drop it to whatever resto. But he left the back door of the truck open. He came several times back for more loads... It took him around 8 minutes to distribute all he had to do with an open back door which exposes the inner space of the truck to heat up. Maybe he finds closing the heavy door each time a bit cumbersome. The thermodynamics of leaving the door open in a refrigerated truck deserves a different level of discussion in our discussion forum. I mean, how the thermodynamics work here and the inner space heats up? Does the cold air inside escapes out from the door, or the warm air enters the truck?

Though this is not a recommended practice, the impact on the products would be minimal and I only stop in this spot to have my lemon tea, which does not require any temperature controlled distribution supplies to have. It is CHF 3.80 which is 4 USD. Well, welcome to Geneva, things are expensive here... 

Wishing you a very good day...

UMIT

#9 Refrigerator with vaccines organized (Kwame)

Number 9: In 2010 Ice lined refrigerator  at a health facility  in Malawi with vaccine boxes well arranged. The vaccine boxes have spaces between then to allow air circulation. The boxes are placed in the fridge baskets and the vaccine vials are inside the box packages. The vaccines kept in this fridge are rota and PCV 13. A Fridge Tag is placed at the top of the boxes. This was the first time Fridge tags were introduced a few health facilities in Malawi. Before that dial and stem thermometers were in use. Now FTs are in use in over 80% of health facilities across Mlawi .

#15 A temperature violation (Naglaa)

Temperature violation  of heat sensitive product in health facility providing immunization service, These photos were taken in February 2013 during my mission to assess the health facilities. The first 2 photos  VVM grade 4 and the expiry 8/2013 of OPV.
The 3rd photo shows the thermometer reading is 12 .

#4: A good temperature monitoring (Hoa)

This is my institute's cold store. It has a temperature monitoring system automatically, camera system, warning in case of incidents, power cut, sending notifications to 5 people's phone.

#11 - A temperature recording form (Arnulfo)

As shown above photos, a temperature monitoring chart for the month of August 2016 posted in the cold room (1989 Toshiba model) wherein we record  the temperature twice a day (morning and afternoon) using Fridge-tag 2 temperature monitoring tool.