HEALTH, SAFETY & BENEFITS School District 36 (Surrey) Avenue, Surrey, B.C. V3X 3A3 Phone: ; Fax:

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1 HEALTH, SAFETY & BENEFITS School District 36 (Surrey) Avenue, Surrey, B.C. V3X 3A3 Phone: ; Fax: M E M O TO: FROM: Principals / Department Heads / Supervisors All District Offices & Sites Linda Smith Health, Safety & Benefits Department DATE: September 21, 2010 RE: 2010 Flu and Hepatitis B Vaccine Program The Flu Vaccine Program is back for another year and is available to all staff of the Surrey School District. Participation in this program is voluntary - no one is required to be vaccinated. Travel Medicine & Vaccination Centre have been contracted to administer the vaccine. We will also be offering the Hepatitis B vaccine to school district employees who have or who may have occupational exposure to hepatitis B virus. See the attached Hepatitis B Vaccine Program registration form for clarification. Five separate clinics will be held from October 25 th to 29 th between 2:30 pm to 6:30 pm daily. The sites and dates are as follows: Monday, October 25, 2010 T.G. Ellis Facilities Centre, th St., Surrey, B.C. Tuesday, October 26, 2010 Lord Tweedsmuir Secondary, th St., Surrey, B.C. Wednesday, October 27, 2010 Earl Marriott Secondary, th Ave., Surrey, B.C. Thursday, October 28, 2010 Queen Elizabeth Secondary, th St., Surrey, B.C. Friday, October 29, 2010 North Surrey Secondary, th Ave., Surrey, B.C. A FINAL CLINIC, in the event that you missed your scheduled date, will be held on: Monday, November 29, Conference Centre, 1:00 6:00 pm, Rm 1, th St., Surrey, B.C. Flu clinics are for Surrey School District staff only. In order to be eligible for the vaccines, staff must present one of the following: School District picture ID or a current staff Go Card or a paystub copy accompanied with other photo ID.

2 Attached is the following documentation. Please make photocopies available for all staff members. a sign-up sheet for the flu vaccine; information sheet (one for each flu vaccine and hepatitis B vaccine); consent forms/questionnaire (one for each - flu vaccine and hepatitis B vaccine)*; registration form for hepatitis B vaccine; after care protocols sheet regarding this year s flu vaccine, and reminder poster *The consent form(s) is to be given to the nurse at the time of vaccination. Do NOT return it to Human Resources. Please ensure all staff members have the opportunity to register, including custodians, caretakers, safe school liaisons, bus drivers, grounds keeper, grounds helper and first aid attendants. How do you participate?... Follow these steps: 1) Complete the Flu Vaccine Employee Sign Up Sheet and Hepatitis B Vaccine Registration form (if applicable): List all employees who will be receiving the flu vaccine and indicate the date they will be attending a clinic, 2) Return both documents to Human Resources by: October 14, Courier #481 OR Fax: Attn: Linda Smith 3) Ensure staff members are informed: To complete and give the consent form to the nurse. To wear appropriate clothing - vaccine will be given in upper arm area (short sleeved shirts are recommended). To bring School District ID, as vaccines will NOT be given unless it is shown to the nurses (a current Go-Card and a current copy of a payslip along with other photo ID will suffice if School District picture ID is not available). That immunization will be given on a first come, first served basis there are no specific appointments. What If...? 1) You missed the deadline or need to add more names to your list or have any questions: Contact Linda Smith at Health, Safety & Benefits, or fax your form to as soon as possible. Enclosures

3 2010 Flu Vaccine EMPLOYEE SIGN UP SHEET School/Site: Courier #: Principal/Manager: Phone No.: PLEASE PRINT Name Date Attending IMMUNIZATION SCHEDULE Monday, October 25/10 2:30 6:30 pm TG Ellis Facilities Tuesday, October 26/10 2:30 6:30 pm Lord Tweedsmuir Secondary Wednesday, October 27/10 2:30 6:30 pm Earl Marriott Secondary Thursday, October 28/10 2:30 6:30 pm Queen Elizabeth Secondary Friday, October 29/10 2:30 6:30 pm North Surrey Secondary Catch-Up Monday, November 29/10 1:00 6:00 pm Conference Centre Please return to Linda Smith at Courier #481 OR Fax: by October 14, 2010

4 . HEPATITIS B FACT SHEET What is Hepatitis B? Hepatitis B is a serious disease caused by a virus that attacks the liver. It can cause permanent liver damage, scarring of the liver, liver cancer and even death What are the symptoms of Hepatitis B? When the virus enters the body it can take between six weeks to six months (usually 2-3 months) to develop signs of the illness. Many people may experience the following signs and symptoms: Tiredness Tenderness in the upper right side of the abdomen Fever Dark-coloured urine Loss of appetite Clay-coloured bowel movements Nausea Yellowing of the skin and eyeballs (jaundice) Up to half of the people who have the virus are unaware that they are infected and show no symptoms. How is the virus spread? Hepatitis B is found in the blood and body fluids of infected people. The virus can be spread through: Blood to blood contact through sharing infected needles or an accidental needle stick injury Intimate sexual contact Sharing toothbrushes, razors (less common) Infected mothers can transmit the virus to their newborns during delivery N.B. Hepatitis B is not spread by sneezing, coughing, hugging or sharing dishes and cutlery. How long are people able to spread the virus? The virus can be found in blood and other body fluids several weeks before symptoms appear and may persist for several months afterward. Approximately 10 percent of infected adults may become long-term carriers of the virus. Children infected as infants have a 90 percent chance of becoming long-term carriers of the virus. The Hepatitis B virus is 100 times more infectious than human immunodeficiency virus (HIV) and, unlike HIV, it can live outside the body in dried blood for longer than a week. Reviewed TMVC May 2009

5 . HEPATITIS B FACT SHEET Is there treatment for Hepatitis B infection? There is treatment available that can help some people with chronic Hepatitis B. For additional information, contact your family doctor. How can you protect yourself from infection? Practice safe sex - using a condom and limiting the number of sexual partners Avoid intravenous drug use and DO NOT share needles Get vaccinated for Hepatitis B Is there a vaccine to protect against Hepatitis B? And is it safe? A vaccine providing long-term protection is available. It is usually administered in a series of three injections over a course of six months. Depending on your personal occupational risk, this vaccine can be administered in a course of three months each dose given one month apart. Hepatitis B is both a safe and effective vaccine. Side effects tend to be mild and usually include redness, soreness and minor swelling at the injection site. Other less common side effects may include a mild fever, headache, and fatigue. Acetaminophen is recommended for these symptoms. As with any vaccination there is the rare possibility of an anaphylaxis reaction (severe allergic reaction). This can include hives, wheezy breathing or swelling of any part of the body, throat or face. If any of these symptoms occur please seek the immediate attention of a Doctor or the nearest hospital emergency department. Reviewed TMVC May 2009

6 2010/11 School District No. 36 (Surrey) Dates of Clinics: 1ST SHOT: Same days/times/locations as flu vaccine clinics, except the one on Nov. 29/10 (you may receive the flu shot AND the Hep B at the same time): Oct. 25/10 2:30-6:30 pm T.G. Ellis Facilities Centre Oct. 26/10 2:30-6:30 pm Lord Tweedsmuir Secondary Oct. 27/10 2:30-6:30 pm Earl Marriott Secondary Hepatitis B Vaccine Program REGISTRATION FORM WorkSafe BC Regulation requires the Surrey School District to provide vaccinations against the hepatitis B virus, upon request, to all our employees who have, or who may have, occupational exposure to hepatitis B virus. The determination of who may have occupational exposure is made in consultation with the School Medical Health Offi cer (Fraser Health Authority), who specializes in bloodborne pathogens. You may register for this series of three shots if you are in one of the employee groups listed below, and if you haven t had the hepatitis B vaccine series previously. If you have been vaccinated previously and are wondering if you need to repeat the series, please consult your physician. To register to receive the hepatitis B vaccination series, complete the information below and fax it to Health & Safety no later than noon on Thursday, October 14, Check your employee group from the following categories: Oct. 28/10 2:30-6:30 pm Queen Elizabeth Secondary Oct. 29/10 2:30-6:30 pm North Surrey Secondary 2ND SHOT: Nov. 29/10 1:00 6:00 pm Conference Centre Rm #1 3RD SHOT: Date and time to be announced Registration Deadline: October 14, 2010 at Noon Grounds Keeper/Grounds Helper Custodian Caretaker Safe School Liaison First Aid Attendant Other staff member who routinely performs fi rst aid duties. Bus Driver Special Education Teacher who CURRENTLY works with students who bite or scratch or are known to carry Hepatitis B. Special Education Assistant who CURRENTLY works with students who: bite or scratch, or are known to carry Hepatitis B,or require tube feeding, catherizing, or diapering. Physical Education Teacher or Coach Technical Education Teacher Home Economics Teacher Register by faxing in this form to the number below. Fax to: Sign and date the consent statement below. Yes, I wish to receive the hepatitis B vaccine three-dose series and I willingly consent to being immunized against Hepatitis B. I do not hold Travel Medicine & Vaccination Centre or School District No. 36 (Surrey) liable for any resultant side effects. Employee Name (legible) Employee s Work Location Questions? Call Linda Health & Safety #481 Employee Signature Date

7 FLU VACCINE INFORMATION SHEET WHAT IS INFLUENZA? HOW IS INFLUENZA TRANSMITTED? WHY DO I NEED A FLU SHOT ANNUALLY? CAN I GET THE FLU FROM THE FLU SHOT? WHO SHOULD RECEIVE THE FLU SHOT? WHO SHOULD NOT RECEIVE THE FLU SHOT? CAN YOU STILL GET COLDS AFTER RECEIVING THE FLU SHOT? Influenza is an acute respiratory infection caused by two viruses, influenza A and influenza B. Outbreaks of influenza occur every winter, often affecting as many as 10%-30% of the population. The usual symptoms are fever, sore throat, coughing, and aching muscles, lasting up to a week. Influenza can also lead to pneumonia especially in older individuals or in people with underlying medical conditions. Influenza viruses are transmitted from infected people by tiny respiratory droplets created by talking, coughing, and sneezing. Infected people are most contagious during the first 48 hours of illness. Every winter different strains of influenza circulate throughout Canada. Each year a new vaccine is manufactured with the flu viruses that are expected to be most widespread. Because the flu vaccine contains only killed viruses, there is no risk of infection from the shot. Anyone who wishes to reduce their chance of contracting influenza and high-risk groups according to BCCDC guidelines, the vaccine is recommended. Please ask your health care provider for details on who is eligible for free influenza vaccine. The vaccine should not be given to anyone with a history of severe allergy to eggs, previous flu shot reaction, are ill with an infection/fever, or have an active neurological condition. The flu vaccine does not prevent all colds and upper respiratory tract infections. The current vaccine only protects against three of the most virulent strains of influenza A and B viruses. Therefore, it is still possible for an immunized person to acquire other respiratory viruses that cause the common cold. The primary goal of the influenza vaccination program is to reduce the significant toll of serious illness that occurs every year as a result of true influenza infection.

8 TRAVEL MEDICINE & VACCINATION CENTRE SSB Health Profile for Recipients of Hepatitis B Vaccine [Engerix-B] Last Name: First Name: Address: Birth Date: (m) (d) (y) Age: Sex: M / F City: Postal Code: School: Telephone: (H) (W) Care Card: DO ANY OF THE FOLLOWING APPLY TO YOU? Yes No Have you ever had Hepatitis disease or jaundice? Have you received a Hepatitis B vaccination in the past? (Engerix-B, RecombivaxHB) Do you have any allergies? (if yes, please explain) Do you have a history of an anaphylactic (severe allergic) reaction to Yeast, Thimerosal or a previous vaccine? Are you currently taking any medication or have you any chronic-ongoing medical problems? If yes, please explain: Are you currently pregnant or breastfeeding? Are you feeling well today? A Three Dose Series of This Vaccine Is Needed To Provide Long-Term Protection The Hepatitis B vaccine is generally well-tolerated; however, you may experience slight soreness, and redness at the injection site, which should not interfere with daily activities. Other less common side effects may include a mild fever, headache and fatigue. Acetaminophen (Tylenol) is recommended for these symptoms. A three dose series of this vaccine is needed to provide long-term protection. As with any vaccine there is the rare possibility of an anaphylactic reaction (severe allergic reaction) occurring. This can include hives, wheezy breathing or swelling of any part of the body, throat or face. If any of these symptoms occur please seek the immediate attention of a physician or the nearest hospital emergency department. My signature below signifies that I have read and understand the information provided to me concerning the Hepatitis B vaccine including the risks and benefits. I have had the opportunity to have my questions answered and understand that I must have three doses of the vaccine to provide long-term protection. I hereby give my consent to receive the vaccine and give my permission to the Travel Medicine and Vaccination Centre to inform my Employer (if so requested) of the administration of the Hepatitis B vaccine. SIGNATURE: DATE: For Office Use Only Vaccine Administered: Engerix B 1.0ml I.M. Vaccine Lot #: Expiry: Vaccination Site: L / R del Date: Nurse Signature: Other: Lot#: Cash Inv. Cheq. Vaccine Administered: Engerix B 1.0ml I.M. Vaccine Lot #: Expiry: Vaccination Site: L / R del Date: Nurse Signature: Other: Lot#: Cash Inv. Cheq. Vaccine Administered: Engerix B 1.0ml I.M. Vaccine Lot #: Expiry: Vaccination Site: L / R del Date: Nurse Signature: Other: Lot#: Cash Inv. Cheq. Schedule (circle one): [A] months or [B] months for high risk occupations; serology recommended &/or booster 1 yr THIS FORM IS GIVEN TO THE NURSE AT THE TIME OF THE VACCINATION Your Personal Information is protected under the B. C. Personal Information Protection Act August 2010

9 TRAVEL MEDICINE & VACCINATION CENTRE Health Profile for Recipients of Seasonal Influenza Vaccine HP06-10 Last Name: First Name: Telephone: (H) (W) Birth date: (m) (d) (y) Age: Sex: M / F Company: Care Card #: DO ANY OF THE FOLLOWING APPLY TO YOU? Yes No Have you ever received an influenza (flu) vaccination in the past? Do you have a history of an anaphylactic (severe allergic) reaction to Eggs, Egg Products? Any severe allergies? Have you ever fainted from having an injection? Have you ever been diagnosed with Guillain-Barré Syndrome? Are you currently taking any medication, or have you any chronic-ongoing medical problems? If yes, please explain: If you are pregnant, is your family physician / midwife aware and has given consent to receive this vaccine? Note: BCCDC recommends all pregnant women to receive the flu shot during the flu season. Do you currently have a fever or feel unwell today? The seasonal flu vaccine is generally well tolerated; however, you may experience slight soreness and redness at the injection site that should not interfere with daily activities. Other less common side effects could include a mild fever and muscle aches within 6-12 hours after vaccination; this may last for 1-2 days, Acetaminophen (Tylenol) is recommended for these symptoms. Vaccination is not 100% protective. You can help protect yourself by washing your hands often with soap and water and avoiding contact with people who are ill. The flu virus can survive for a number of days on surfaces or objects that an infected person touches. As with any vaccine there is the rare possibility of an anaphylactic reaction (severe allergic reaction) occurring. This can include hives, wheezy breathing or swelling of any part of the body, throat or face. If any of these symptoms occur please seek the immediate attention of a physician or the nearest hospital emergency department. My signature below signifies that: I have read and understand the information provided to me concerning the seasonal flu vaccine including the risks and benefits. I have the opportunity to have my questions answered and hereby give my consent to receive the seasonal flu vaccine. I give my permission to TMVC to inform my Employer (if so requested) of receiving the seasonal flu vaccine. SIGNATURE: DATE: For Office Use Only Vaccine Given, Dose & Route: Agriflu / Vaxigrip / Fluviral 0.5 ml/im Lot #: Site: L / R del Date: Nurse Signature: Cash Invoice Cheque THIS FORM IS GIVEN TO THE NURSE AT THE TIME OF THE VACCINATION Your Personal Information is protected under the B. C. Personal Information Protection Act June 2010

10 AFTER FLU VACCINATION CARE The most common side effects of flu vaccination are local reactions of tenderness and redness at the injection site. This can be treated by applying a cool damp cloth or ice pack at the injection site and if pain is severe enough, taking acetaminophen. You cannot get the flu from the flu vaccine, as it is a killed virus. Some vaccines occasionally cause general side effects such as fever, headache, achiness and fatigue ( flu-like symptoms). These should be treated with acetaminophen and/or rest. In extreme, rare cases, a vaccine may cause a severe allergic reaction which can be potentially life threatening. The majority of these reactions occur within the first few minutes after vaccination. This is the reason why we ask clients to remain at the clinic site for at least fifteen minutes after having their injection. Allergic reactions may also occur at a later interval after vaccination. Symptoms consist of: shortness of breath difficulty breathing hoarseness or wheezing widespread severe itchiness swelling around the mouth or of the tongue Any of these symptoms are a medical emergency and medical help should be sought immediately, preferably at a hospital emergency department. Please remember that any serious reaction to a vaccine should be reported to our clinic. For your comfort and safety, please remain at the clinic site for next 15 minutes following your vaccination.

11 Keep yourself HEALTHY in 2010 and 2011! Remember to Sign Up