Hepatitis - A 

There continues to be a growing outbreak of Hepatitis A in Ohio  - Help protect our Community 

Hepatitis A is a liver infection caused by a virus. The virus is very contagious and spreading from person to person creating an outbreak.

Hepatitis A is most likely to occur among:

  • People who use drugs (injection or non-injection)
  • People who are currently or were recently incarcerated
  • People with chronic liver disease, including cirrhosis, hepatitis B, or hepatitis C
  • People experiencing unstable housing or homelessness
  • Men who have sex with men (MSM)

Hepatitis A can be prevented with a safe and effective vaccine, but it MUST be given to the at-risk populations above.

We are asking for your help to put an end to this outbreak. Our focus as a community must be on the vaccination of the at-risk populations. Vaccination of individuals not among or not in extremely close contact with these groups will not slow the outbreak.

We need to ensure this message is shared with the right people and that action is taken. The Ohio Department of Health has made vaccination available for these at-risk individuals, who are un-insured or under-insured, at no cost. It is now our duty to educate the public to ensure individuals take advantage of this opportunity. Until we do this, the outbreak can and will continue to grow.

Please contact or encourage someone you know at risk to contact the Health Department at 740-732-4958 for more information today.



Protect yourself from tickborne disease. Tick exposure can occur year-round, but ticks are most active during warmer months (April-September)

Before You Go Outdoors:

  • Know where to expect ticks. Ticks live in grassy, brushy, or wooded areas, or even on animals.
  • Treat clothing and gear with products containing 0.5% permethrin. Alternatively, you can buy permethrin- treated clothing and gear.
  • Use Environmental Protection Agency (EPA)-registered insect repellents. Always follow product instructions.

Do not use insect repellent on babies younger than 2 months old. Do not use products containing OLE or PMD on children under 3 years old.

After You Come Indoors:

  • Check your clothing for ticks.
  • Tumble dry clothes in a dryer on high heat for 10 minutes to kill ticks on clothing after you come indoors. If the clothes require washing, hot water is recommended. Cold and medium temperature water will not kill ticks.
  • Examine gear and pets. Ticks can ride into the home on clothing and pets, then attach to a person later.
  • Shower soon after being outdoors. Showering within two hours of coming indoors has been shown to reduce your risk of getting Lyme disease and may be effective in reducing the risk of other tickborne diseases.
  • Check your body for ticks after being outdoors. Conduct a full body check. Use a hand-held or full-length mirror to view all parts of your body. 

Check these parts of your body and your child’s body for ticks:

  • Under the arms
  • In and around the ears
  • Inside belly button 
  • Back of the knees
  • In and around the hair
  • Between the legs
  • Around the waist

Learn more at: https://www.cdc.gov/ticks/index.html


Make Sure Your Child is Protected - MMR Vaccine

Measles is a very contagious disease caused by a virus. It spreads through the air when an infected person coughs or sneezes. Measles starts with fever. Soon after, it causes a cough, runny nose, and red eyes. Then a rash of tiny, red spots breaks out. It starts at the head and spreads to the rest of the body. Cases are being reported to the Center for Disease Control (CDC) from California, Colorado, Connecticut, Illinois, New Jersey, New York, Texas and Washington.

Measles can be prevented with MMR vaccine. The vaccine protects against three diseases: measles, mumps, and rubella. CDC recommends children get two doses of MMR vaccine, starting with the first dose at 12 through 15 months of age, and the second dose at 4 through 6 years of age. Teens and adults should also be up to date on their MMR vaccination.

The MMR vaccine is very safe and effective. Two doses of MMR vaccine are about 97% effective at preventing measles; one dose is about 93% effective.

Children may also get MMRV vaccine, which protects against measles, mumps, rubella, and varicella (chickenpox). This vaccine is only licensed for use in children who are 12 months through 12 years of age.

Before the measles vaccination program started in 1963, an estimated 3 to 4 million people got measles each year in the United States. Of these, approximately 500,000 cases were reported each year to CDC; of these, 400 to 500 died, 48,000 were hospitalized, and 1,000 developed encephalitis (brain swelling) from measles. Since then, widespread use of measles vaccine has led to a greater than 99% reduction in measles cases compared with the pre-vaccine era. However, measles is still common in other countries. Unvaccinated people continue to get measles while abroad and bring the disease into the United States and spread it to others. Visit the CDC's website for more information on Measles Cases in 2019.


After Hours Emergency Protocol

The Noble County Health Department has an after-hours emergency answering service system.  This system gives the caller a prompt in the case of a public health emergency to leave a message in a specified mailbox. Any message left in this voice mailbox will cause the system to contact the Nurse on call, who within the required time-frame shall call in to retrieve the message and follow up as required based on the situation protocol. All calls received after normal working hours that are determined to be a public health emergency will be relayed to the Health Commissioner or Medical Director.  The phone number of the answering service system is the same as the health department and is available 24 hours a day at 740-732-4958.

Facebook Feed

3 hours ago
Two types of HPV linked to cervical cancer have declined since the advent of the HPV vaccine

An analysis of cervical precancers over a period of seven years showed that two strains of human papillomavirus (HPV) that have been targeted by vaccination since 2006 have declined, accounting for a ... See more

5 days ago
Photos from Noble County Health Department, Caldwell Ohio's post

Women Infants and Children

June Newsletter

6 days ago

Hepatitis A - Stop the Spread

Help protect our community by becoming educated and sharing the information.

1 week ago


Annual Super-Sitter Seminar
The Noble County Health Department will be hosting a Super-Sitter Seminar this Wednesday, June 12, 2019. The seminar will ... See more

1 week ago

Family Freedom Fun Run & Walk
Saturday June 29th at Noble County Fairgrounds

T-Shirt Order Forms Due - June 12th.