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18HOW MSF WORKS 1 2 3 4 5 6 7 89 WAREHOUSE Vaccines are stored in a refrigerated area of our warehouses. TRUCK TRANSPORT The vaccines are transported by truck in an ice- lined fridge in case of a power failure. CARGO PLANES Due to the need to maintain cool temperatures during transport vaccines are sent to the field on cargo planes during emergencies. CUSTOMS Plane lands in country and the vaccines pass through customs. CENTRAL MSF STORES Vaccines are taken to central MSF stores which can be anything from a warehouse to a small shed and placed in a refrigerated area or large fridge powered by a generator. STOCK REQUEST Field teams decide what they need and the logistician creates a stock request. MSF LAND CRUISER Coolboxes full of vaccines are transported by MSF Land Cruiser to smaller MSF projects in towns and countryside. CARS MOTORBIKES DONKEYS ETC. In many countries roads are unreliable if they exist at all. To reach our more remote projects we must therefore use the mode of transport best suited to the conditions. VACCINES ARRIVE Vaccines arrive at target location and patients receive their injections. Chain of Life Getting vital medicines where they need to be Ensuring that our teams in the field have the right medicines and equipment is a major logistical challenge. We work hard to get materials to our teams where and when they need them. Vaccines are a particular challenge. From the moment of manufacture to the point of injection in the field they must be kept at certain temperatures to avoid spoilage. A generalized version of the cold chain procedure MSF uses is mapped out below