Between 2016-2018 there has been six cases of tetanus in Queensland.Pertussis (whooping cough) is a highly contagious respiratory disease resulting in a severe cough that may last for months.Infected people may gasp for air causing a ‘whooping’ sound and they may have severe coughing spasms followed by gagging and vomiting.Infections in adolescents and adults are common and can lead to prolonged illness.Whooping cough is highly contagious and can be deadly for newborn babies too young to be vaccinated.Complications can include convulsions, pneumonia, coma, inflammation of the brain, permanent brain damage and long-term lung damage.Vaccines given in childhood to protect against whooping cough, or having had whooping cough disease, do not provide lifelong protection.Six Queensland babies died of whooping cough between 2000 and 2013.Between 2016 and 2018 there was more than 3000 cases reported in Queensland.Worldwide, extensive clinical trials and post implementation safety surveillance data indicate that these vaccines are well tolerated and extremely safe.These vaccines are being provided in Year 7 as adolescents receiving vaccines before age 14 develop a stronger immune response than those receiving vaccines later in adolescence due to changes in the immune system after this age. Class or Teacher’s Name . Please print a copy for your information. Advice … If you select No, please indicate why your child is not receiving the vaccination.If you do not submit an immunisation form, you may be contacted by the Gold Coast Public Health immunisation team to check that you have been offered the opportunity for your child to participate in the free program. It is the professional and legal responsibility of health care providers to obtain informed consent prior to immunization. In the U.S., children are vaccinated primarily in their pediatrician’s or family doctor’s office (Groom, 2007). (Note: FERPA and HIPAA issues are discussed below under “State and local planners may consider distributing consent forms to parents in advance of influenza vaccine availability. ... then complete this form and return it to the school before the vaccination is due to be given. First Name . The Resource kit for vaccine service providers (PDF 3066 kB) provides detailed information on each of the steps to implement a school immunisation clinic. Contact the Immunisation Program, your local public health unit, or the local SIP Coordinator. For each vaccination where you wish to give consent please fill and sign Parts 1 and 2. Please also refer to the section below on “Vaccine Information Statements (VISs) are information sheets produced by the CDC that explain to vaccine recipients, their parents, or their legal representatives both the benefits and risks of a vaccine. Day . Year 7 consent card (PDF 207 kB) Year 7 Information sheet (PDF 607 kB) Year 10 consent card (PDF 183 kB) Year 10 Information sheet (PDF 260 kB) Australian Immunisation Handbook . Month . Please note only a parent or legal guardian can consent or refuse consent for students. Despite a signed consent form being provided, a parent/legal guardian is entitled to revoke or withdraw their consent at any time prior to a vaccination taking place. Parent / Legal Guardian Name (please print) Parent / Legal Guardian Daytime Phone . NSW Health works in partnership with schools to offer the vaccines recommended for adolescents by the National Health and Medical Research Council (NHMRC) in a school-based vaccination program.Parent information kits are sent home to parents early in the school year. Because the idea of vaccinating children at school may be unfamiliar to some parents/guardians, there may be reluctance to consent to influenza vaccination at school. Each of the following materials should be translated and available in various languages, as locally appropriate.Among materials provided to parents/guardians should be a letter announcing that influenza SLV clinics will be offered at their child’s school. They can use their own Medicare online account through myGov. If planning on obtaining advanced consent, planners should discuss this approach with state and local legal advisors before deciding to implement it. The three vaccines available at your child’s school are: Meningococcal-quadrivalent Human papillomavirus (HPV) Hepatitis B Please note that if you choose to get the vaccines at your doctor’s office, the estimated cost for three doses of human papillomavirus vaccine is […]