Cold Chain Protocol - Vaccines and Biologics
1. Introduction and the Importance of Cold Chain
This protocol has been developed in order to assist Manitoba immunization providers with the storage and handling of vaccines and biologics. It is based on the National Vaccine Storage and Handling Guideline for Immunization Providers 2007 (PHAC), and is designed to increase immunization provider awareness, understanding and compliance of appropriate storage and handling requirements. Procedures have been established in order to protect the potency and effectiveness of vaccines and biologics.
The Appendices, Resources and Worksheets enclosed at the end of the Protocol are to provide assistance to immunization providers to operationalize the cold chain monitoring of vaccines and biologics.1.1 What is Cold Chain?
“Cold Chain” refers to the process used to  maintain optimal conditions during the transport, storage, and handling of  vaccines and biologics, starting at the manufacturer and ending with the  administration to the patient or client.
      There are three basic elements needed to ensure  that vaccines and biologics are handled properly:
- Well trained staff
- The right equipment
-  Standard  operating procedures or guidelines
 
Storage issues can occur as a result of  malfunctioning equipment or human error.
      Vaccines and biologics are sensitive. Their  potency and effectiveness may be negatively impacted if they are exposed to:
    
- freezing temperatures
- heat
- direct sunlight or fluorescent light
| Products that have been improperly stored and/or handled can permanently lose their potency. | 
| Communicable Disease 
          
          Control (CDC) Health Links – Info Santé | 


