School Vaccine Clinics Grade 7 & 8

What you will learn The grade 7 & 8 immunization program Hepatitis B disease and the vaccine given Hepatitis B: Test your knowledge Meningococcal disease and the Menactra® vaccine given Meningococcal: Test your knowledge

Additional learnings The grade 7 & 8 immunization program Human Papillomavirus disease and the vaccine given Human Papillomavirus: Test your knowledge Grade 7 & 8 program Frequently asked questions What you will learn about Hepatitis B, Meningitis, and the vaccines.

Grade 7 and 8 vaccines

Publicly funded vaccines The following vaccines are offered for free at school clinics: Hepatitis B (Hep B) Meningococcal (i.e. Menactra®) Human Papillomavirus (HPV)

Who will be receiving the vaccines The Hep B, HPV and Menactra vaccines are provided at school clinics in Durham Region to grade 7 students Grade 8 students who missed a vaccine in grade 7 can still receive the missed vaccine in grade 8 For the 2016/2017 school year, grade 8 girls will be offered the HPV vaccine

Hepatitis B disease and the vaccine

About Hep B disease Hep B virus attacks and could cause permanent damage to your liver You can get it without knowing you have it and still infect others You can become a life long carrier of the disease There is no cure

Signs and symptoms of Hepatitis B Fever Appetite Loss Nausea Vomiting Abdominal Pain Rash Jaundice: yellow colored skin and eyes Risk of developing: chronic liver disease, liver scarring, liver cancer

How can you get Hep B? It is spread through contact with an infected person’s blood or body fluid, such as: Drug injection and accidental needle pricks Piercings or tattoos Contact with open wounds Sexual Contact Sharing toothbrushes, razors, or other personal items Infected mother passing the disease to her baby at birth Saliva, vaginal fluids, semen

How Hep B is not spread? Hep B virus cannot be spread by: Sneezing Coughing Hugging Other casual contact (i.e. holding hands)

Purpose of the vaccine It protects against the Hep B disease Two injections are given 4-6 months apart Free for Grade 7 & 8 students at school clinics The vaccine has been used in Canada for many years The vaccine has a 99% protection rate for immunized individuals between the ages of 5-15 years

Side effects of Hepatitis B Redness, pain and swelling where needle was given Headache and/or tired Use a cold compress or take acetaminophen to minimize pain, swelling, or fever Mild side effects usually go away within a few days

Who will not receive Hep B vaccine? There are some medical reasons why the vaccine is not given The nurse will speak to each student on the day of the clinic to decide if they are able to receive the vaccine

Hep B Test Your Knowledge

Hep B - Question #1: Hep B attacks your: Bones Skin Liver Click for Answer ANSWER: If you said C, you are correct The correct answer is C: liver.

Hep B - Question #2: Hep B is given in how many doses at school clinics? One dose 4 doses within 3 months 2 doses at least 4-6 months apart Click for Answer ANSWER: If you said C, you are correct The correct answer is C: 2 doses at least 4-6 months apart.

Meningococcal disease and the Menactra® vaccine

About meningococcal disease Caused by bacteria Can lead to severe infections of the blood, and swelling of the lining of the brain and spinal cord Can also lead to permanent disability (in 10-20% of cases) and death (in approximately 10% of cases)

Signs and symptoms of meningococcal disease High fever Severe headache Nausea and vomiting Stiff Neck Rash Sensitivity to light Fatigue Confusion Coma (severe cases only)

How can you get meningococcal disease? Meningococcal disease is spread through saliva (spit) and close contact Examples: Contact with a person who has the disease and is coughing and/or sneezing Sharing toothbrushes, chap stick, water bottles or other personal items in contact with saliva Kissing

Purpose of Menactra It protects against the four most common strains of meningococcal bacteria (groups A, C, Y and W-135) Grade 7 students receive 1 free dose at school clinics As of July 2014 one dose of Menactra® is required under the, “Immunization of School Pupils Act” to attend school in Ontario. * *Parents must contact the Health Department if you object to immunization based on conscious or religious beliefs, or if your child cannot be immunized for medical reasons.

Side effects of Menactra Redness, pain and swelling where needle was given Headache, fussiness in children and fatigue Use a cold compress or take acetaminophen to minimize pain, swelling, or fever Mild side effects usually go away within a few days

Who will not receive Menactra? There are some medical reasons why the vaccine is not given The nurse will speak to the student on the day of the clinic to decide if they are able to receive the vaccine

Meningococcal Disease & Menactra® Test Your Knowledge

Menactra - Question #1: Meningococcal disease can lead to severe infections of the: Blood and lining of the brain and spinal cord Lungs and liver Joints and bones Click for Answer ANSWER: If you said A, you are correct The correct answer is A: blood and lining of the brain and spinal cord.

Menactra - Question #2: The Menactra vaccine is given in how many doses? Two Three One Click for Answer ANSWER: If you said C, you are correct The correct answer is C: one dose.

Human Papillomavirus (HPV) and the vaccine

Ministry of Health Website for more information on HPV About HPV disease NEW for the 2016-2017 year: Ontario will offer the cancer-fighting HPV vaccine to all boys and girls in Grade 7 as part of its routine school-based HPV immunization program Girls entering grade 8 will also be offered the HPV vaccine for this year Ministry of Health Website for more information on HPV

HPV can lead to: Cervical Cancer Vaginal Cancer Anal Cancer Penile Cancer Cancer of the head Cancer of the neck Lesions Genital warts

How can you get HPV? HPV is spread through skin-to-skin contact (i.e. during sexual touching) with someone infected with the virus. This may or may not include intercourse 3 out of 4 adults will have at least one HPV infection in their lifetime You can get HPV without knowing you have it, and infect others even though you are not showing any signs

Purpose of HPV vaccine Protects against HPV types 6, 11, 16 and 18 In Canada, strains 16 and 18 cause 70% of cervical cancer Strains 6 and 11 cause about 90% of genital warts Regular Pap tests and cervical screening are encouraged even after receiving the vaccine Best time to receive the vaccine is before becoming sexually active

What is the schedule? Given in a two-dose series, 6 months apart Students who are immunocompromised, or 14 years and older when they receive the first dose of HPV vaccine, should complete a 3 dose series

Side effects of HPV vaccine Redness, pain and swelling where needle was given Mild side effects usually go away within a few days Use a cold compress or take acetaminophen to minimize pain, and swelling

Who will not receive HPV vaccine? There are some medical reasons why the vaccine is not given The nurse will speak to the student on the day of the clinic to decide if they are able to receive the vaccine

HPV Test Your Knowledge

HPV - Question #1: True or False: HPV can cause cervical cancer, vaginal cancer, anal cancer, penile cancer, cancer of the head, cancer of the neck, lesions and genital warts True False Click for Answer ANSWER: If you said A, you are correct The correct answer is A: True.

HPV - Question #2: The HPV vaccine is given in how many doses? One Two Three B and C Click for Answer ANSWER: If you said D, you are correct The correct answer is D: B and C. The dosing is dependent on the age and health status of the student (e.g. immunocompromised).

HPV - Question #3: The following about HPV is true: Is an uncommon virus found in adults 3 out of 4 adults will have at least once infection in their lifetime Is most effective when given prior to becoming sexually active B and C Click for Answer ANSWER: If you said D, you are correct The correct answer is D: B and C. HPV is a common virus found in adults, and is found in both males and females.

Frequently asked questions (FAQs)

How big is the needle? The needle is small and the same size as a baby needle given by your healthcare provider.

Will it hurt? The needle is very quick and feels like a pinch. Most people find it is over before they know it.

Where do they give the needle? The needle is given in the upper arm in the deltoid muscle.

Do they use a new needle for everyone? All needles are disposable, single-use needles. Every person gets a new needle each time they are immunized.

Do I have to get the needles? The Hep B and HPV needles are not required to attend school. The Menactra® needle is required to attend school.

How many doses do I need? Menactra®: one dose is needed for adolescents. Hep B: Two doses are needed at least 4-6 months apart. HPV: Two doses are needed at least 6 months apart. NOTE: students who are immunocompromised, or 14 years and older when they receive the first dose of HPV vaccine, should complete a 3 dose series

Why are there multiple doses for the HPV and Hep B vaccine series? Each needle gives a small dose of the vaccine, which allows the body to produce fighter cells (antibodies) against the virus (e.g. HPV or Hep B).

Can boys entering grade 8 get the HPV vaccine free as well? No, grade 8 boys will not be able to receive the vaccine for free.

Are the 3 vaccines free through my healthcare provider? They are not publicly funded (free) through your healthcare provider. However, they are free through school vaccine clinics for eligible students.

What can I do if I miss a dose? You will receive your missed dose at the next school clinic. If you don’t finish your doses in grade 7, you can finish them in grade 8 at the next school clinic.

Congratulations! You have completed the School Vaccine Clinics Module!