Another confusion is on the colour change of the
multi-dose vial contents even after a single poke. Many
vets consider this as contamination or inferior product
profile. This is a tricky aspect for the pharmaceutical
scientists !

Let us put it in this way. When you buy a multi-dose
vaccine vial, are you sure that it contains the exact volume
or whether 1 ml has been taken out of that ? The vial
closure will behave intact as closure materials are of high
specifications to seal the pores after repeated use so as to
prevent contamination.

So there should be a way out to find if a vaccine is 100% '
fresh '. A few manufacturers add specific dormant colour
indicators which gets activated upon first use based on
certain characteristics. This is in fact a safety feature for
the veterinarian. Of course, not many formulators have
made use of this technique and professionals may confuse
such ' magic ' products to be inferior. A lot of research
have gone into this colour coding for integration with the
basic vaccine formulation.

Meanwhile, one of our earlier issues had also discussed
whether a single dose or multi-dose vial is to be
recommended for various pharmaceutical reasons. Now,
we shall also look into some of the practical aspects of cold
chain maintenance.

Frankly speaking, we should acknowledge that, it is quite
difficult to deliver vaccines under cold chain to other parts
of the country for several logistical reasons or may be held
up at tax and security check points. The in-transit storage
facility is also inadequate in many cases. Obviously,
manufacturers have a deep insight into these issues and
the overages compensate the deterioration of the product.

On the other hand, drug authorities in some countries
have made compulsory for the trade channels to invest in
'power invertors' and even power generators are not valid.
Perhaps, the precaution is to protect the cold chain, but
the fact is that refrigerators are capable to retain the
temperature for a certain period even during power
failures and generators can be used to power up
occasionally.

The idea of insisting power invertors is pretty confusing, as
such devices are used mainly for power critical functions or
when you need to watch TV without a few seconds lost !
The major field assumptions are made just by citing
references in veterinary text books both ' for' and 'against'.
                                                                                            
                                                                        
November 2006
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