The cold chain has been implemented for years. After EPI was initiated, over 700,000 measles deaths were prevented, and millions of the target diseases have been prevented. There has been a huge milestone in the vaccine industry as scientists create more vaccines for new types of diseases. Therefore, it has a direct impact on the cost of transportation and different kinds of refrigerator storage either at +2° to +8 °C or +20° to +25 °C. This urge EPI to create a strategy to encompasses both vaccines and medicines to be able to sustain their components without the need of storage. The term 'cold chain' has now been replaced with 'supply chain'. The current system of vaccine cold chain still continues for delivering particular vaccines. WHO has made improvements by introducing the "controlled temperature chain" (CTC), which is an innovative approach allowing the vaccine to be taken out of the cold chain for a limited period of time, but CTC is still in the development process and will not be available for all vaccines for many years. Nowadays, engineers is still thinking of a way to eliminate refrigeration at +2 to +8C from the entire supply chain for all vaccines. With the initiatives of reducing temperature sensitivity of vaccines and regulation permits, it could eliminate the need for refrigeration in the supply chain. It will be suitable for an undeveloped country as less handling of vaccines needs to be done.
