Blogs

Vaccinations for Teenagers - age 15 and older Meningococcal B

Submitted by Doctors on Fri, 08/14/2015 - 05:08

Invasive Meningococcal Disase (IMD) is an important cause of death and disability for which teenagers and young adults are at particular risk.  IMD mortality is approximately 10%.  Of  IMD survivors 10-20% have long term sequelae including hearing loss, neurologic disabilities and digit or limb amputations .  In Canada, IMD is caused by the two most prominent strains -  B and C strains.   Other vaccine preventable strains are A, W and Y strains.  

Meningococcal ACWY (Menactra/Menveo) is given to Ontario teenagers at no cost in grade 7.   We also encourage a booster of Meningococcal ACWY   in grade 12.  

Meningococcal B vaccine (Bexsero) Is recomenneded to prevent IMD caused by B strain  which is the most common strain leading to IMD in Canada.     We  encourage immunization against Meningococcal B strain to all teenagers age 15  and older.  It is not currently paid for by OHIP  and is available for private purchase in our office.    

Please call our office to book an appointment to recieve Meningococcal B vaccine

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Vaccinatons for teenagers - age 14 dTaP

Submitted by Doctors on Fri, 08/14/2015 - 04:53

All Canadian teenagers are required to prove immunization with dTaP.  It provides booster coverage to immunizations typically recieved 10 years previously- Diptheria, Tetanus and Pertussis (Whooping Cough) .   It is given in all physicians offices along with the 14 year old checkup.    

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Vaccinations for Teenagers -HPV

Submitted by Doctors on Fri, 08/14/2015 - 04:45

 

HPV is a virus that is transmitted via sexual intercourse and other sexual behaviours.    It occurs  in males and females and is the commonest sexually transmitted  disease in Canada.  HPV  causes genital warts in males and females. It causes Cancer of the Cervix in females , as well as other  cancers of the genitals  and anus in males and females.   It causes cancers of the mouth and throat and head and neck in males and females. Once someone catches HPV there is no cure for it. 

HPV vaccines are recommended for males and females age 9 and over  .  In Ontario Gardisil is given by school public health nurses  to Ontario school boys and girls in grade  7 and to girls in grade 8 at no  cost .  It prevents 2 wart causing strains and 2 of the commonest cancer causing strains.   At present Ontario school boys in grade 8 and above are not given Gardisil via a school vaccination program and must purchase it privately.  

Recently Gardisil-9 has been released for  improved coverage of cancer causing strains of  HPV .  It prevents the same 2 wart causing strains and the 7 commonest cancer  causing strains of HPV.    It is not  covered by OHIP and can be purchased privately in our office.    

The Society of Obstetricians and Gynecologists of Canada (SOGC) recommends HPV vaccination using Gardisil-9 for all Canadians in the at risk age groups  

Please note that Ontario school girls  and boys will be offered Gardisil during the 2016-2017 school year  and not Gardisil-9 which has improved coverage.  We encourage all families to consider recieving  Gardisil-9  as we feel it is a better vaccine with improved coverage.    Please notify our office if you wish to recieve Gardisil-9 vaccination 

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Vaccinations for teenagers - Grade 7 Students Hepatitis B and Menactra

Submitted by Doctors on Wed, 08/12/2015 - 04:49

Grade 7 vaccines:   Hepatitis B and  Meningococcal A,C,W,Y  (Menactra/Menveo)   These vaccines are given during the school year by public  health nurses at Ontario schools.   

Hepatitis B  is given to students who have not had Hepatitis B vaccine previously.   If  he or she has  recieved 3  doses of Hepatitis B vaccine  or  3  doses of Twinrix (Hepatitis A and B) vaccine then he or she wont need  the vaccine givin in grade 7.   Hepatitis B is a disease that leads to jaundice and chronic liver  disease in some patients.  It is transmitted  through blood products and body fluids.  It is highly recommended that teenage people be up to date with Hepatitis B vaccination 

Meningococcal ACWY  (Menactra/Menveo)  is given to Ontario teenagers at no cost in grade 7 .  Invasive  Meningococcal Disease (IMD) is an important cause of sudden onset bacterial blood infections (Septicemia)  leading to Meningitis , disability and death.    IMD mortality is approximately 10%.  Of  IMD survivors 10-20% have long term sequelae including hearing loss, neurologic disabilities and digit or limb amputations Teenagers  and young adults are high risk age groups for this bacterial infection.   

The Centre for Disease  control  recommends a dose of Menactra/Menveo to be given in Grade 7 and  a booster dose in Grade 12 to  boost immunity post secondary school .  We agree and recommend a second  dose of Menactra/Menveo as a booster in Grade 12.  It is not covered by OHIP and is available for a fee at our office. 

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Vaccinations for teenagers - our recommendations

Submitted by Doctors on Wed, 08/12/2015 - 04:16

Vaccines  for adolescents need to kept up to date  and newer vaccine recommendations  are important for you to know about. This article will briefly indicate which vaccines are recommended  and then go into detail for each and why.   These assume that recommended vaccines up until age 4 to 6 years have been given previously.

Click on the links below for more information about each vaccine.

Grade 7:  Hepatits B and Menactra  given  in Ontario Schools during the school year

Grade 8: HPV/Gardasil given free of charge to Girls only in Ontario schools during the school year. Note recommendation for updated Gardisil 9 available for males and females  not covered by OHIP and available for a fee via  our office for teenage boys and girls age 10 and over 

Age 14: DPT Diptheria Pertussis Tetanus booster.  

Age 15+:  Meningococcal-b not covered by OHIP and availabe for a fee via our office

Grade 12: Menactra booster is not covered by OHIP and availabe for a fee via our office    

 

 

 

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Submitted by Doctors on Sun, 07/19/2015 - 22:41

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Important information regarding seasonal flu vaccine

Submitted by Doctors on Wed, 10/22/2014 - 01:10

Important information regarding seasonal flu vaccine can be accessed via the following link :

              http://www.health.gov.on.ca/en/pro/programs/publichealth/flu/uiip/uiip_f...

Saturday Walk- In Clinic Now available !!!

Submitted by Doctors on Mon, 05/20/2013 - 20:39

We  are pleased to announce the opening of our Saturday Walk- In Clinic in our office  for Urgent care of Pediatric patients.    We  will have  Pediatricians available from 10-12 am   no appointment needed.       

Toilet Training Advice!

Submitted by Doctors on Sat, 03/09/2013 - 18:53
Children toilet train at a variety of different ages and may be ready to train at different stages.  Some train before 2 years  of age others aren't ready until shortly before school starts.  Don't feel pressured by friends and relatives because they say that  their child trained at 15 months!  Here are some tips for toilet training that I have developed over the years:
  • Make sure your child seems ready and willing.  If he or she isnt ready, is fearful or resistant it won't go well .   
  • Off bottles please. We want your child to see him/herself as a big boy/girl who does big boy/girl things like toilet training.
  • Keep things soft !  If the bowels are hard and infrequent or painful your child will tend to hold and resist.  Why should he/she  willingly sit, strain and work hard anyway!!   Prepare your child ahead of time by having him/her on a diet that promotes soft, frequent and somewhat urgent or explosive stools.  It will increase your chance of "getting lucky' when he/ she sits. 
  • Frequently ask your child if  he or she wants to sit .  Don't just wait for your child to ask to go   Try to recognize his or her signals  and get him or her there when he or she seems ready.  Remember if he or she says no at the time its okay!
  • He or she is the boss - you are the helper.  If he / she doesnt want to go its ok!   You can  take, recommend and advise but your child has to decide whether or not to actually go. 
  • Use room changes.   If your child is busy playing or otherwise occupied he / she may not want to sit at that time.  But when he or she is changing rooms - going upstairs , going from the kitchen to the den, going inside or outside  he or she is likely passing a washroom at that time and isnt already busy, its a good time to suggest he or she sits then toilets, toilet seat inserts, potties are all ok and what is best is where your child feels most comfortable.  
  • Trying things  out before attempting toilet training is often helpful.  Some children find "facing backwards" on the toilet may feel more supportive.   
  • Boys should start toilet training by sitting  on the toilet for both urine and bowel movements, by sitting for pee it will increase his chance of "getting lucky" and having a bowel movement as well during training.
  • I believe that the diaper should continue  be worn instead of underwear  until he or she is toilet trained for both bowel and bladder.  Some children start wearing underwear when they are trained for urine only, this often leads to withholding stools  and severe constipation which is difficult to treat.   The underwear is an excellent incentive for the child to become a big boy or girl  and receive underwear  only when he or she is trained both ways.
  • Have your child toilet after a sibling or parent -  "now it's your turn"  may help if things dont go well consider putting away the toilet training for a while and try again when your child is more willing or ready.    

Travel advice

Submitted by Doctors on Sun, 03/03/2013 - 19:24

Those of you who are going away may consider the following important travel recommendations:

Make sure your regular vaccinations are up to date including flu shots  during influenza season.

Additional vaccines for travel may include Hepatitis A and or B,   Dukoral for travellers diarrhea, Typhoid vaccine and Yellow Fever vaccine.   We can help advise you.  

For areas such as Southeast Asia,  Indian subcontinent,  Africa, South America  and Domenican Republic Malaria prevention may be needed.  Please book an apppointment for travel advise. 

Insect precautions are often important and  include repellants to apply during typical insect biting periods such as dawn and dusk and clothing such as hats, sleeves, long pants and socks to make  less  available surface area to get bitten.

While many resorts have advanced water filtration and purfication systems it is still important to consider that foods may be washed with non purified water.  A good thing to remember are safer foods may be those that are Cooked, Boiled or Peeled.

For severe diarrehea and vomiting, infants and younger children should travel with an Oral Rehydration Solution available in powdered forms such as Pediatric Electrolyte Solution or Gastrolyte available in most pharmacies.  

Take Tylenol/Tempra or Advil / Motrin for fever reduction, headaches etc.    Take a good first aid kit with bandaids, topical antibiotic cream.   

Bring all of your  usual medicines including asthma medicines, allergy medicines and make sure that you have enough supply of all of your medicine that you are supposed to take daily , make sure that they have not expired and that puffers for asthma are full and able to be used. 

Take Sunscreen and sun protective clothing.  Young infants under 6 months  should not use sunscreen and should be shaded from the sun.

A good website for travellers health listing most destinations is: http://wwwnc.cdc.gov/travel/

For further travel information, vaccination and prescriptions please book an appointment in our office and indicate that your visit is for travel advice.