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We are in the Colombus Medical Building in Woodbrige, near Highways 400 and 407
8333 Weston Road, Suite 310
Woodbridge ON L4L 8E2
Monday to Friday
9am to 5pm
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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
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.
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
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.
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
Important information regarding seasonal flu vaccine can be accessed via the following link :
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.
- 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.
Those of you who are going away may consider the following important travel recommendations:
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.