1. School Vaccine Clinics
Grade 7 & 8

2. 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

3. 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.

4. Grade 7 and 8 vaccines

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

6. 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

7. Hepatitis B disease and the vaccine

8. 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

9. 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

10. 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

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

12. 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

13. 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

14. 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

15. Hep B Test Your Knowledge

16. 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.

17. 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.

18. Meningococcal disease and the Menactra® vaccine

19. 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)

20. 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)

21. 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

22. 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.

23. 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

24. 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

25. Meningococcal Disease & Menactra® Test Your Knowledge

26. 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.

27. 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.

28. Human Papillomavirus (HPV) and the vaccine

29. Ministry of Health Website for more information on HPV
About HPV disease
NEW for the 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

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

31. 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

32. 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

33. 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

34. 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

35. 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

36. HPV Test Your Knowledge

37. 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.

38. 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).

39. 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.

40. Frequently asked questions (FAQs)

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

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

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

44. 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.

45. 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.

46. 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

47. 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).

48. 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.

49. 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.

50. 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.

51. Congratulations!
You have completed the School Vaccine Clinics Module!