The Guidelines on the international packaging and shipping of vaccines document has been one of the most widely-used manuals in the field of immunization. It is referenced by UNICEF and PAHO in all their invitations to bid for vaccine supplies and also by countries that directly procure their vaccines. The sixth edition brings several revisions for users to understand more on international shipping of vaccines that involves intricate processes to ensure their quality reaches end users. Challenges encompass package size, quality control checks, sustainability, and temperature maintenance. Though various transport methods exist, air freight is predominant for vaccine transportation, with these guidelines focusing primarily on this mode. These guidelines offer technical advice for every party involved in the international air shipment of vaccines, from manufacturers to recipient countries. Compliance is mandatory, considered a contractual obligation. All involved parties, including vaccine producers and logistics providers, must conduct risk assessments to address potential quality threats. An evolving quality system is essential, using various risk assessment tools to manage threats.
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