latest in cervical cancer prevention

latest in cervical cancer prevention - gardasil 9!

5/27/2017

The new GARDASIL 9 vaccine is now available at Katong Family Clinic, covering HPV types 6, 11, 16, 18, 31, 33, 45, 52, and 58. It protects against the main cancer causing strains for Cervical cancer and also offers coverage for vulva, vaginal, anal and oro-pharyngeal (off label usage) cancers.

Cervical cancer is the 10th most common cancer in females (from Singapore Cancer Registry Interim Annual Report 2010 - 2014) and the 3rd leading cause of cancer deaths for women aged 15-44 years in Singapore (from ICO HPV info centre, HPV and related diseases report, Singapore).

Compared to the earlier version Gardasil 4, it protects against additional high-risk strains of human papillomavirus and it reduces the risk of HPV-related cervical cancer by approximately 90%. It also protects against HPV-related vaginal, vulvar and anal cancers and genital warts to a similar degree.

It is indicated for males and females from 9-26 years - do vaccinate your children of suitable age!

Remember, completing the vaccine course reduces the risk of cervical cancer but it is still important for sexually active women to undergo regular cervical cancer screening!!!

19 Comments

Lin

6/24/2017 06:43:08 am

Hi,

I am writing to ask whether an international visitor can get Gardasil-9 vaccine in your clinic. If so, how to schedule. Also, how much is it and can I pay one dose every visit or I must pay for three doeses at my first visit. Thanks!

Dr Sarah Packer @ Katong Family Clinic

6/25/2017 09:57:15 pm

Dear Lin,

Yes a visitor may proceed to have Gardasil vaccine provided he or she has no medical contraindications. Do contact us at katongfamilyclinic@gmail.com or on 6203 4192 for further details.

Jessica Teo

7/21/2017 07:47:05 pm

whats the cost for gardasil 9

7/22/2017 09:23:14 am

Dear Jessica,

Please email us at katongfamilyclinic@gmail.com or call us on 6203 4192 and we will be happy to advise you of the costs.

Celest

9/17/2017 09:01:17 pm

Hi, I took the the old gardasil vaccine (4 types protection) before few years back, do i need to inject this gardasil 9 ?

9/19/2017 11:25:19 am

Dear Celest,

GARDASIL 9 offers protection against additional strains of HPV when compared with the older GARDASIL vaccine (which covers 4 HPV subtypes: 6,11,16,18). GARDASIL 9 protects against the subtypes in GARDASIL plus types 31, 33, 45, 52, and 58.

This may be more important in our local context. Worldwide, HPV types 16 and 18 cause about 70% of cervical cancers and precancers with another 20% being associated with other high risk HPV subtypes. In Singapore, infection with HPV 16 and 18 is less common than elsewhere and infection with other high-risk HPV subtypes, especially types 51, 52 and 58 is more common. This means that vaccinating against the additional high risk HPV subtypes contained in GARDASIL 9 may offer more benefit locally.

To decide whether GARDASIL 9 after GARDASIL is right for you, do contact us for consultation and discussion of your particular medical history and circumstances. You can contact us at 6203 4192 or via email at katongfamilyclinic@gmail.com

Studies have shown that GARDASIL 9 after GARDASIL is safe and effective in generating an immune response. We would generally advise a one year gap after GARDASIL before having the first dose of GARDASIL 9.

I hope this helps to clarify your query, please contact me if I can be of further help.

Yours sincerely,

Dr Sarah Packer
Family Physician
Katong Family Clinic

Nina

10/18/2017 10:43:18 am

Dear Dr. Packer,

Just to clarify, is it safe to receive 3 doses of Gardasil-9 after having received 3 doses of Gardasil Quadrivalent?

Thank you!

10/18/2017 12:29:06 pm

Dear Nina,

Yes, studies show it is safe and effective. However it is advisable to have a gap of one year between the last dose of the GARDASIL Quadrivalent vaccine and the first dose of GARDASIL 9.

Do contact us if you would like to know more.

Yours sincerely,

Dr Sarah Packer
Family Physician
Katong Family Clinic

Thida

11/22/2017 03:04:35 pm

Gadasil-9 is recommended to go the injection for below 26. Should the patient go the injection after 26 years? Please advise me.

Thank you.

11/22/2017 04:48:43 pm

Dear Thida,

The ideal time for GARDASIL 9, and when it offers the most benefit is before a person becomes sexually active. However, a person older than 26 years can still receive the vaccine after a discussion of the risks and benefits in his or her particular case.

Generally the more partners a person has had the higher the likelihood that they have been exposed to more types of HPV but of course each person's personal risk differs.

We would be delighted to see you to discuss the potential benefits and concerns in your particular case and allow you to come to an informed decision of whether or not you wish to proceed with the vaccination.

You may contact us on 62034192 or by email at katongfamilyclinic@gmail.com if you wish to schedule an appointment.

Yours sincerely,

Dr Sarah Packer
Family Physician
Katong Family Clinic

Jingcan Yang

2/12/2018 04:01:42 pm

Hi,

Is the GARDASIL 9 still available? Do I need to make a appointment if I want to do it next week?

Regards,
Jingcan

2/13/2018 03:07:44 pm

Dear Jingcan,

There is currently a global stock shortage for GARDASIL 9 vaccine. If you’d like us to contact you or reserve the vaccine for you once new stocks arrive (which should hopefully be in May 2018) then do email us at katongfamilyclinic@gmail.com or contact us at 6203 4192 as we will need to take some personal details for preregistration.

Yours sincerely,

Dr Sarah Packer
Family Physician
Katong Family Clinic

Claria Lim

3/4/2018 07:52:54 pm

Hi, I wish to check on the price of gardasil9 and the stock on it. Please advise.

3/5/2018 12:16:19 pm

Dear Claria,

As above, there is still currently a global stock shortage for GARDASIL 9 vaccine. If you’d like us to contact you or reserve the vaccine for you once new stocks arrive (which should hopefully be in mid 2018) then do email us at katongfamilyclinic@gmail.com or contact us at 6203 4192 as we will need to take some personal details for preregistration. We will be happy to advise you of the costs by email or phone, so do drop us a line if you'd like further information.

Yours sincerely,

Dr Sarah Packer
Family Physician
Katong Family Clinic

Nway

5/11/2018 10:06:34 am

How much is the price for cervical cancer vaccination 1st shoot (GARDASIL 9 vaccine)?
We have to do 3 shoot and how much is the total price?

5/11/2018 06:15:23 pm

Dear Nway

Please email us at katongfamilyclinic@gmail.com or call us on 6203 4192 and we will be happy to advise you of the costs.

Yours sincerely,

Dr Sarah Packer
Family Physician
Katong Family Clinic

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