From April 1, 2023 onwards, we are preparing to use the " recombinant adsorbed 9-valent human papillomavirus-like particle vaccine (Sylgard 9) " as a routine immunization (including catch-up vaccination ).
We will inform you as soon as the details are decided.

We have sent the HPV vaccine pre-screening form

On November 26, 2021, the positive recommendation withholding recommendation ( June 14, 2013 Kenhatsu 0614 No. 1 ) was abolished (November 26, 2021 Kenhatsu 1126 No. 1 ).
Nakano Ward has also resumed its active recommendation, and has sent pre-examination slips to all eligible people this fiscal year.

• Eligibility, costs (those who cannot receive vaccinations, and those who need to consult a doctor when receiving vaccinations )
• Number of inoculations
• Method of inoculation ( sending a preliminary examination slip, making an appointment with a medical institution, on the day of vaccination, after vaccination )
• Effects of HPV vaccine
• Side reactions ( heavy side reactions )
• Catch-up vaccination (for those who have passed the target age for vaccination during the period of withholding active recommendation)

Leaflet

Important Notice for 6th grade elementary school to 1st grade high school girls and their parents

Important Notice for 6th grade elementary school to 1st grade high school girls and their parents (detailed version)

Target audience, cost

Target audience, cost

Target audience	Girls who live in Nakano Ward and are between the 6th grade of elementary school and the 1st grade of high school.
cost	free

If you have passed the vaccination age

Girls who will be in the third year of junior high school or the first year of high school in 2022 can still be vaccinated until March 31, 2025 using the same pre-screening form even after passing the above target age (March 31, 2025 (Because it is said that catch-up vaccinations, which are carried out until April 2019, can be treated sequentially for those who are out of the target age for vaccination). For more information, please go to Catch-up HPV vaccination .

Those who cannot receive vaccination

• pregnant
• Those with a fever of 37.5 degrees Celsius or higher
• Those with serious acute illness
• Those with immune disorders
• Those who are allergic to vaccine components
• Those who have previously experienced anaphylactic shock within 30 minutes after vaccination
• Those judged by a doctor to be unsuitable

Those who need to consult with a doctor when receiving vaccinations

• Those who may be pregnant
• breastfeeding
• Those with underlying diseases such as heart disease, kidney disease, liver disease, blood disease, and developmental disorders
• Those who have had fever, rash, hives, etc. within 2 days after vaccination before
• Those who have had previous seizures

Number of inoculations

• Three doses are required to obtain sufficient immunity.
• There are two HPV vaccines, Cervarix and Gardasil , each with different recommended intervals ( Sylgard 9 is not yet available ).
• Vaccination is a medical practice, and depending on the doctor's judgment, it may not be possible to vaccinate at the recommended intervals.

Inoculation method

before inoculation, For those who wish to receive the cervical cancer preventive vaccine (Cervarix) (PDF format: 279KB) or Please read the HPV vaccine (Gardasil) for those who are vaccinated (PDF format: 365KB) carefully and be sure to take it.

Preliminary examination slip dispatch

• When you receive routine immunizations , you need a pre-examination form.
• Preliminary examination slips were sent at the following times.
• If you do not have a pre-examination slip, such as when you lost it, please proceed to apply for reissuance.

Those who are equivalent to 1st year high school students (those who will be 1st year high school students in April 2022)

Sent on Friday, March 4, 2022.

6th grade elementary school students to 3rd grade junior high school students

Sent on Friday, April 8, 2022.

enclosure

• Pre-examination form 3 copies
• Sticker to be pasted on the preliminary examination slip (name and address)
• Leaflet "Important Notice for 6th grade elementary school to 1st grade high school girls and their parents (detailed version)"
• 2022 List of medical institutions conducting cervical cancer vaccination in Nakano Ward
• Information for Children and Parents

Make an appointment with a medical institution

• Depending on the medical institution, the day of the week, time, cost, etc. for inoculations differ. Be sure to contact each medical institution in advance and make a reservation before going out.
• For medical institutions in Nakano Ward, please refer to the List of Medical Institutions Providing Vaccinations in Nakano Ward.
• If you wish to be vaccinated at a medical institution other than a medical institution in Nakano Ward, please proceed if you wish to be vaccinated outside Nakano Ward .

On the day of vaccination

• Please bring the pre-examination slip and maternal and child health handbook to the medical institution.
• Girls over the age of 13 can be vaccinated without being accompanied by a guardian as long as they fill in the parental consent column on the pre-screening form. Therefore, in accordance with the principle of immunization for minors, it is recommended to be accompanied by a guardian.
• Girls over the age of 16 can be vaccinated without parental consent.

After inoculation

Please see the leaflet "For children and parents who have received the HPV vaccine" .

• For general post-inoculation precautions, go to After Inoculation .
• Do not rub the injection site vigorously.
• Syncope , thought to be a vasovagal reflex, may occur 30 minutes after inoculation. In order to prevent falls due to fainting, follow the doctor's instructions and wait for a while, avoiding standing up as much as possible in a chair with a backrest or other place where you can put your weight.
• In addition, pay attention to side effects for one week after vaccination, and if you have any symptoms that you are concerned about, please consult with the doctor who administered the vaccine.

reference

• Ministry of Health, Labor and Welfare Cooperating medical institutions for medical treatment of symptoms after vaccination against human papillomavirus infection (opens in new window)
• Japan Medical Association Guide to medical care for symptoms after HPV vaccination (opens in new window)

Effects of cervical cancer prevention vaccine

• Among uterine cancers , cervical cancer is cancer that occurs at the entrance of the uterus, and it is estimated that about 1 in 300 women in Japan will die of cervical cancer during their lifetime (cancer information). service latest cancer statistics ).

• The main cause of cervical cancer is HPV (human papillomavirus) (Cancer Information Service Cervical Cancer and Preventive Vaccines ).
• The HPV vaccine prevents HPV infection, which in turn prevents cervical cancer.

• Since HPV is primarily transmitted through sexual contact, cervical cancer prevention vaccination is recommended before first sexual intercourse.
• Since cervical cancer can be easily detected through screening, it is important to receive regular checkups even after vaccination, even after reaching the age of 20, in order to prevent cervical cancer. For more information, go to Cervical Cancer Screening .

vaccine safety

According to the Ministry of Health, Labor and Welfare's expert panel, ``no serious safety concerns have been identified based on reports of side effects so far.''
The WHO (World Health Organization) Expert Committee also issued a safety statement on December 17, 2015.

• GACVS Statement on Safety of HPV vaccines (English) (opens in new window)

reference

• Opinions of related academic organizations for promoting HPV vaccination (opens in a new window)
• Understanding VPD and Protecting Children Concept of HPV (cervical cancer prevention) vaccine status (opens in a new window)
• Cervical Cancer Basic Knowledge National Cancer Center Cancer Information Service General Information (Opens in a new window.)
• Welfare Science Council, Immunization and Vaccine Subcommittee, Adverse Reactions Review Subcommittee (opens in a new window)
• Nikkei Medical HPV Vaccine has a preventive effect against oral infections (opens in a new window)

side reaction

Local reactions (about 1 in 10)

• pain at the injection site
• The injection site turns red
• swelling at the injection site

systemic reaction

• Muscle pain, joint pain, headache, abdominal pain (about 1 in 10)
• Hives, dizziness, fever (less than 1 in 10)

severe side effects

• Anaphylactic shock and severe systemic allergic symptoms such as vomiting, dyspnea, and hypotension (approximately once per 960,000 vaccinations)
• Guillain-Barré syndrome (= rapidly deteriorating muscle weakness in limbs, systemic symptoms such as hypoesthesia) (approximately once per 4.3 million vaccinations)
• Acute disseminated encephalomyelitis (ADEM = systemic symptoms such as fever, headache, blindness, muscle weakness in the hands and feet, and hypoesthesia) (approximately 1 dose per 4.3 million vaccinations)
• Complex Regional Pain Syndrome (CRPS = various chronic pains) (approximately 1 in 8.6 million doses)
• Vasovagal reflex (syncope) (incidence unknown)

PMDA Manual for Serious Adverse Drug Reactions (opens in a new window)

• Anaphylaxis (opens in new window)
• Guillain-Barré Syndrome (opens in new window)
• Acute disseminated encephalomyelitis (opens in new window)

reference

• Cervical Cancer Prevention Vaccine Q&A (opens in a new window)
• For children and parents considering HPV vaccination (opens in new window)
• For children and their parents who receive the HPV vaccine (opens in a new window)