1. School Vaccine Clinics Grade 7 and 8

2. What you will learn The grade 7 immunization program (click here) Hepatitis B disease and the vaccine given Hepatitis B: Test your knowledge Meningococcal disease and the Menactra ® vaccine given Meningococcal: Test your knowledge Grade 7 program Frequently asked questions The grade 8 immunization program (click here) Human Papillomavirus disease and the vaccine given Human Papillomavirus: Test your knowledge Grade 8 program Frequently asked questions

3. School Vaccine Clinics Hepatitis B Vaccine Menactra ® Vaccine Grade 7

4. Grade 7 Vaccines Publicly funded (free) vaccines for Grade 7 students: Hepatitis B (Hep B) Meningococcal (i.e. Menactra®) The vaccines are provided at school clinics in Durham Region

5. HEP B DISEASE AND THE VACCINE GIVEN Grade 7 Program

6. About Hep B Disease: Grade 7 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

7. About Hep B Disease: Grade 7 Signs and Symptoms Fever Appetite Loss Nausea Vomiting Abdominal Pain Rash Jaundice: yellow colored skin and eyes Risk of developing: chronic liver disease, liver scarring, liver cancer

8. About Hep B Disease: Grade 7 How you can get Hep B? It is spread through contact with an infected person’s blood or body fluid Examples : 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

9. About Hep B Disease: Grade 7 How you don’t get it ? Hep B virus cannot be spread by: Sneezing Coughing Hugging Dry kissing Other casual contact (i.e. holding hands)

10. About Hep B Vaccine: Grade 7 It protects against the hep B disease Two injections are given 4-6 months apart Free for Grade 7 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

11. About the Hep B Vaccine: Grade 7 Side Effects Redness, pain and swelling where needle was given Headache, fussiness in children, and/or tired Use a cold compress or take acetaminophen to minimize pain, swelling, or fever Mild side effects usually go away within 2 days

12. About Hep B Vaccine: Grade 7 Who will not receive the 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

13. TEST YOUR KNOWLEDGE Grade 7: Hep B

14. Test Your Knowledge: Grade 7 Hep B attacks your: A.Bones B.Skin C.Liver Click for Answer ANSWER: If you said C, you are correct

15. Test Your Knowledge: Grade 7 Hep B is given in how many doses? A.One dose B.4 doses over the course of 3 months C.2 doses 4-6 months apart Click for Answer ANSWER: If you said C, you are correct

16. MENINGOCOCCAL DISEASE & THE MENACTRA ® VACCINE Grade 7 Program

17. About Meningococcal Disease: Grade 7 Facts About Meningococcal Disease : Is 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 11-19% of cases) and death (in 8- 15% of cases)

18. About Meningococcal Disease: Grade 7 Signs and Symptoms High fever Severe headache Nausea and vomiting Stiff Neck Rash Sensitivity to light Fatigue Confusion Coma (severe cases only)

19. About Meningococcal Disease: Grade 7 How can you get it? 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

20. 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. About Menactra ® Vaccine: Grade 7

21. Side Effects 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 2 days About Menactra ® Vaccine: Grade 7

22. Who will not receive the 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 About Menactra ® Vaccine: Grade 7

23. TEST YOUR KNOWLEDGE Grade 7: Meningococcal disease and Menactra ®

24. Meningococcal disease can lead to severe infections of the: A.Blood and lining of the brain and spinal cord B.Lungs and liver C.Joints and bones Click for Answer Test Your Knowledge: Grade 7 ANSWER: If you said A, you are correct

25. Test Your Knowledge: Grade 7 The Menactra® vaccine is given in how many doses? A.Two B.Three C.One Click for Answer ANSWER: If you said C, you are correct

26. FREQUENTLY ASKED QUESTIONS Grade 7: Hep B and Menactra ®

27. Frequently Asked Questions: Grade 7 QUESTION: How big is the needle? ANSWER: The needle is small and the same size as a baby needle given by your healthcare provider QUESTION: Will it hurt? ANSWER: The needle is very quick and feels like a pinch. Most people find it is over before they know it

28. Frequently Asked Questions: Grade 7 QUESTION: Where do they give the needle? ANSWER: The needle is given in the upper arm in the deltoid muscle QUESTION: Do they use a new needle for everyone? ANSWER: All needles are disposable, single-use needles. Every person gets a new, sterile needle each time they are immunized

29. Frequently Asked Questions: Grade 7 QUESTION: Do I have to get the Hep B needle? ANSWER: The needle is not required to attend school It is only free through school vaccine clinics There is a charge to get it from health care providers QUESTION: Do I have to get the Menactra® vaccine? ANSWER: The needle is required to attend school

30. Frequently Asked Questions: Grade 7 QUESTION: How many Menactra® doses do I need? ANSWER: One dose is needed and is known to provide protection for at least 5 years Ask your teacher about school clinic dates QUESTION: How many hep B doses do I need? ANSWER: Two doses are needed 4-6 months apart. Ask your teacher about school clinic dates

31. QUESTION: What can I do if I miss a dose? ANSWER: 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 school clinic Frequently Asked Questions: Grade 7

32. CONGRATULATIONS!!! You have completed the Grade 7 module

33. School Vaccine Clinics Human Papillomavirus (HPV) Vaccine Grade 8

34. Grade 8 Vaccine: HPV Publicly funded (free) vaccine for Grade 8 female students: HPV The vaccine is provided at school clinics in Durham Region

35. About the HPV Disease: Grade 8 Signs and Symptoms HPV can lead to: Cervical Cancer Vaginal Cancer Anal Cancer Penile Cancer Cancer of the head Cancer of the neck Lesions Genital warts (most common symptom)

36. How you can get it? 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 You can get HPV without knowing you have it, and infect others even though you are not showing any signs About the HPV Disease: Grade 8

37. About the HPV vaccine: Grade 8 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 Given in a two-dose series given 6 months apart Best time to receive the vaccine is before becoming sexually active

38. About the HPV vaccine: Grade 8 Side Effects Studies show the HPV vaccine to be safe Redness, pain and swelling where needle was given Mild side effects usually go away within 2 days Use a cold compress or take acetaminophen to minimize pain, and swelling

39. About the HPV vaccine: Grade 8 Who will not receive the 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

40. TEST YOUR KNOWLEDGE Grade 8: HPV

41. 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 (most common) Test Your Knowledge: Grade 8 ANSWER: If you said True, you are correct Click for Answer

42. The HPV vaccine is given in: A.1 dose B.2 doses C.3 doses D.4 doses Test Your Knowledge: Grade 8 Click for Answer ANSWER: If you said B, you are correct 1 st dose is given 2 nd dose is given 6-12 months after the 1st

43. The following about HPV is true: A.Is a common virus found in females B.About 4 out of 5 sexually active people will be exposed to HPV at sometime C.Is most effective when given prior to becoming sexually active D.B and C E.All of the above Test Your Knowledge: Grade 8 ANSWER: If you said D, you are correct. Note that HPV is found in males and females Click for Answer

44. FREQUENTLY ASKED QUESTIONS Grade 8: HPV

45. HPV Frequently Asked Questions: Grade 8 QUESTION: Do I have to get the Human Papillomavirus (HPV) vaccine? ANSWER: It is not required to attend school QUESTION: Why are there two doses for the HPV vaccine series? ANSWER: Each needle gives a small dose of the vaccine Each dose allows the body to produce fighter cells (antibodies) against HPV

46. Frequently Asked Questions: Grade 8 QUESTION: Can I get the HPV vaccine from my healthcare provider? ANSWER: Should you decide to get the HPV vaccine series from your healthcare provider, it could cost more than $250 for the two-dose series. If you are in grade 8 to 12, you can have the series completed for free through Durham Region Health Department clinics

47. CONGRATULATIONS!!! You have completed the Grade 8 module