Human Papillomavirus (HPV) August 2012

Only for children aged 13-18 years who have not been immunised as part of the Year 7 School Immunisation Program, the Whitehorse City Council offers HPV vaccinations for a fee.

What is HPV (human papillomavirus)?
Human Papillomavirus (HPV) is the name for a group of viruses that cause skin warts, genital warts and some cancers.
Can HPV infection be treated?
No. Treatments are only available for the effects of the virus, such as abnormal changes to cell in the cervix and genital warts.
Don’t confuse human papillomavirus (HPV) with human immunodeficiency virus (HIV) or herpes virus as they are different infections.
Why should my child be vaccinated at this age:
Vaccination with HPV vaccine is most effective when it is given to males and females before they are likely to be exposed to HPV, that is, before they start having sexual contact. /

How is the vaccine given:

GARDASIL® is given as a series of three injections into upper arm muscle. It is usually given within a six month period:
·  Dose one: at a chosen date
·  Dose two: 1-2 months after the first dose
·  Dose three: 4-6 months
The vaccine is most effective when all three doses have been given, that is, the full course is complete. Missed doses should be given as soon as possible.
Please note:
Currently the human papillomavirus vaccine is only free for students in Year 7. Those students who commenced a course in Year 7 and require dose 2 and/or dose 3 the vaccine is free only during the following school year (Year 8).
For more information please visit the Cancer Council website:
www.cervicalcancervaccine.org.au

Information on possible reactions to the vaccine are listed overleaf.

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BEFORE ATTENDING THE IMMUNISATION SESSION YOU MUST:

Detach this consent slip and forward with your payment to: or detach this slip and pay at one of Council’s

City of Whitehorse Customer Service Centres*

Locked Bag 2

Nunawading Delivery Centre Vic 3131. *Please turn over for centre details

Name of person to be immunised (Print)......

Parent/Guardians name (for persons under 18 years)......

Address......

Suburb...... Post Code...... Phone No......

Date of Birth...... School attending......

Amount to be paid - $165.00 per dose or a 3 Dose Course - $495

I hereby declare that I have read and understood the information attached to this consent slip and wish to have myself/my child to be vaccinated against the human papillomavirus.

Signature of consent ...... Date ......

The personal information requested on this form is collected for the management of immunisation in accordance with the Public Health and Wellbeing Act. Your personal information will be included on the Australian Childhood Immunisation Register but will not be disclosed to any other party unless required by law. The information may also be used for the purpose of reminder letters or to ascertain your satisfaction with our services. You may access this information by contacting Council’s Environmental Health Unit on 9262 6197

RECEIPT PLEASE ü RC435 – Human Papillomavirus Vaccine TRIM 12/44335

Precautions
Before immunisation, please tell the nurse if your child:
·  is unwell on the day of immunisation
·  have had a severe reaction to any vaccine
·  are pregnant ( the person to be vaccinated)
·  Are known to have a hypersensitivity to neomycin.
·  is receiving immunosuppressive treatment of have a disease which causes low immunity. For example, cancer, radiotherapy, chemotherapy, leukaemia, HIV/AIDS.
·  Has had any other immunisations in the last month, in particular, Measles/Mumps/Rubella, typhoid, yellow fever
·  Has received immunoglobulin or a blood transfusion, (immunisation should be delayed for at least three months).
·  Are taking steroids of any sort (for example, oral cortisone).
Common Side Effects:
·  Mild temperature ( below 39° C)
·  Pain, redness and swelling at the injection site
·  Feeling unwell
·  A mild papular-vesicular rash which may be generalised
If these mild reactions occur, the symptoms can be reduced by:
·  Drinking extra fluids
·  Not overdressing
·  Applying a cold wet cloth on sore injection site
·  Taking paracetamol to reduce any discomfort
Most side effects are minor and quickly disappear.
Whitehorse Civic Centre
8.40am-4.45pm
379-397 Whitehorse Road
Nunawading 3131 / Box Hill Service Centre
9.00am-4.45pm
Box Hill Town Hall
1022 Whitehorse Road
Box Hill 3128 / Forest Hill Service Centre
Mon-Fri 9.00am-4.45pm
Sat 9.00am-12.00pm
T275 Level 2 (next to Big W)
Forest Hill Chase
Shopping Centre
Canterbury Road
Forest Hill 3131

If you have any queries regarding immunisation please contact the Environmental Health Unit on 9262 6197