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.

Extreme temperatures - are severe weather  


Columbus, Ohio – With sustained, bitter cold temperatures and dangerous wind chills predicted for all of the state this week, the Ohio Department of Aging reminds all Ohioans to treat extreme temperatures just as you would a coming snow or ice storm. Be prepared and check on older loved ones and neighbors before, during and after the mercury drops.

“Extremely cold temperatures can take a physical toll on all of us, but also threaten important parts of community and home infrastructure that we and our older loved ones rely upon to stay safe and comfortable in our homes,” said Ursel McElroy, director of the department. “Take some time before the temperature drops to ensure you are ready for the worst and have a plan in place should your health be affected, or it becomes unsafe to stay in your home.”

Body changes as we age, prescription medications and more can make older adults more susceptible to the ravages of bitter cold temperatures. In addition, prolonged cold conditions like those expected this week raise the risk of freezing home plumbing, community water main breaks, automobile failure, transportation interruptions, power outages, home heating system failures and more.

To prepare:

  • Assemble an emergency kit that includes a battery-operated radio, a flashlight and extra batteries, extra blankets and warm clothing, food that you can open and prepare easily and plenty of clean drinking water (at least one gallon per person per day), in case water supply lines are compromised.
  • Open cabinet doors under sinks on exterior walls of your home and turn faucets to a slow drip to help prevent pipes from freezing. Place rolled-up towels or blankets around drafty windows and doors to help keep the cold air outside and the warm air inside.
  • Know where the main valves and switches are for gas, water and electricity and ensure you or someone you trust can operate them should you need to shut them off.
  • If you must use portable space heaters to warm your home, check that yours has been tested and certified to the latest safety standards. Keep heat sources at least three feet from combustible items, like papers, blankets and curtains. Never leave a fireplace or portable heater unattended; turn off heaters and extinguish flames when you leave the room or go to bed. Never use appliances that weren’t designed to heat your home, such as cooking stoves and ovens, for that purpose.
  • Have a plan for a safe, warm place to go, and a way to get there, if it becomes unsafe to stay in your home.

Throughout the week, call or visit older loved ones and neighbors to ensure they are safe, warm and healthy, and have the means to stay that way.

  • Is the temperature in their home comfortable? Do they have safe means to keep it that way if outdoor temperatures remain frigid?
  • Do they need medical attention? Do they appear alert and aware? Have they fallen? Are they staying warm enough? Are they taking their medications as prescribed?
  • Do they have safe food and water? Are they eating and drinking regularly?
  • Whom will they call if they need help? Do they have access to a phone that will work without power or landline service?

Ohioans who live in nursing homes also can be at increased risk from severe winter weather. The Office of the State Long-Term Care Ombudsman at the Department of Aging advises family members and concerned friends to call loved ones’ nursing homes to check conditions there and ask how the facility is staffed.

Visit for additional tips and resources to prepare for severe weather and other emergencies.

If you or an older loved one become ill or injured during the storm, or if it becomes unsafe to stay in your home for any reason, call 9-1-1 for emergency assistance. Check local media or call local law enforcement to learn about the availability of warming centers or emergency shelters. Your area agency on aging can help identify emergency resources and services in your community. Visit the Ohio Department of Aging’s website ( for contacts or call 1-866-243-5678 to be connected to the agency serving your community.

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

19 hours ago

4 days ago

Noble County Community Baby Shower

May 2, 2019