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11. VACCINATION IN THE INTENSIFIED PROGRAMME<br />

Table 1 1.12. WHO quality control of freeze-dried <strong>vacc<strong>in</strong>e</strong> used <strong>in</strong> <strong>the</strong> lntensified Smallpox Eradication<br />

Programme: results of tests carried out <strong>in</strong> WHO reference centres for <strong>smallpox</strong> <strong>vacc<strong>in</strong>e</strong> <strong>in</strong><br />

Bilthoven <strong>and</strong> Toronto on samples submitted from <strong>the</strong> field<br />

Year<br />

Number unsatlsfactory<br />

Number of Number of batches Number satlsfactory<br />

producers submitted (90) lnitlal Heat<br />

potency stability<br />

Total - 377 279 79 19<br />

<strong>the</strong>re was a general improvement <strong>in</strong> quality, countries. Although <strong>the</strong>re was a dist<strong>in</strong>ct<br />

suggest<strong>in</strong>g that <strong>vacc<strong>in</strong>e</strong> supplies were be<strong>in</strong>g overall improvement, problems cont<strong>in</strong>ued to<br />

more carefully h<strong>and</strong>led <strong>in</strong> <strong>the</strong> countries <strong>in</strong> occur. Table 11.13 shows <strong>the</strong> results of quality<br />

which <strong>the</strong>y were used. control tests by WHO reference laboratories<br />

of batches produced dur<strong>in</strong>g <strong>the</strong> period 1971-<br />

Results <strong>in</strong> dgerent regions<br />

1974.<br />

In South America, Brazil was <strong>the</strong> onlv<br />

By 1971 <strong>the</strong> quality control operation country <strong>in</strong> which <strong>smallpox</strong> was still endemic<br />

covered 41 laboratories produc<strong>in</strong>g <strong>vacc<strong>in</strong>e</strong> for <strong>in</strong> 1967, but <strong>the</strong> quality of <strong>the</strong> <strong>vacc<strong>in</strong>e</strong><br />

national eradication campaigns, for donation produced <strong>in</strong> 3 of its 4 production laboratories,<br />

to WHO or for bilateral assistance to endemic most of which was grown <strong>in</strong> eggs, often failed<br />

Table 1 1.13. WHO quality control of <strong>vacc<strong>in</strong>e</strong> <strong>in</strong> use for <strong>the</strong> lntensified Smallpox Eradication Programme:<br />

results of tests carried out, by WHO region<br />

WHO region<br />

1971 1972 1973 1974<br />

Number<br />

of<br />

Number of batches Number of batches Number of batches Number of batches<br />

Tested Satisfactory Tested Satisfactory Tested Satisfactory Tested Satlsfactory<br />

Africa 2a 5 5 32 28 2 2 24 2 1<br />

Amerlcas I lb 24 14 58 29 30 28 33 17<br />

South-East Asia BC 107 103 120 108 253 245 86 83<br />

Europe 1 3 ~ 27 2 1 17 15 29 27 42 38<br />

Eastern<br />

Medlterranean 3e I I 4 67 54 54 49 29 29<br />

Western Paciflc 4f 6 6 6 6 9 9 - -<br />

Total 41 180 153 300 240 377 360 214 188<br />

htlsfactory (90) 85 80 95 88<br />

a Gu<strong>in</strong>ea, Kenya.<br />

Argent<strong>in</strong>a, Brazil (4), Canada, Colombia, Ecuador, Peru, Venezuela, USA.<br />

C Bangladesh, Burma, Indh (4), Indonesia, Thail<strong>and</strong>.<br />

Belgium, Czechoslovakia, Flnl<strong>and</strong>, France, German Democratlc Republlc, Federal Republlc of Germany, Hungary, Ne<strong>the</strong>rl<strong>and</strong>s, Sweden,<br />

Switzerl<strong>and</strong>, USSR, United K<strong>in</strong>gdom, Yugoslavia.<br />

elran, Iraq, Syrian Arab Republic.<br />

f~h<strong>in</strong>a (Provlnce of Talwan), New Zeal<strong>and</strong>, Philipp<strong>in</strong>es, Vlet Nam.<br />

561

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