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#vaccine administration

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Vaccine

BCG vaccine is administered via:

BCG vaccine is administered via intradermal route which is uniquely specified among routine childhood immunizations. Technique involves injection of small volume 0.05 ml for infants under 12 months and 0.1 ml for older children into superficial dermis of lower insertion of deltoid muscle left arm using 26G or 27G needle inserted bevel upward at approximately 10-15 degree angle pushing needle 2 mm subepidermal creating characteristic peau d orange wheal 6-8 mm bleb that disappears within 30 minutes indicating correct placement. Dermis abundant in Langerhans cells expressing langerin CD207 and d

Ref: WHO BCG vaccine position paper 2018 intradermal; Plotkin BCG route; CDC intradermal.

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Vaccine

Edible vaccines should preferably be consumed:

Edible vaccines rely on oral exposure to gut associated lymphoid tissue, so preservation of antigen structural integrity is crucial. Cooking, drying at high temperature, roasting, fermentation involving microbial proteases and acidic boiling denatures protein tertiary structure, unfolding alpha helices and beta sheets, disrupting disulfide bonds essential for conformational B cell epitopes required for neutralizing antibody induction, aggregating proteins into insoluble forms, destroying T cell epitopes via hydrolysis. For example HBsAg virus like particles dissociate into monomers losing part

Ref: Mason et al. 2002 Trends Biotech Edible consumption raw; Streatfield Kwon 2007 Should be raw.

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