Address: 44069 Marietta Rd. Caldwell, OH 43724
Phone: (740) 732-4958
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The Noble County Health Department enters into a new era next week with some familiar faces at the helm.
PHOTO: Moore (seated left) new Noble County Health Commissioner, Shari Rayner (seated right), Director of Nursing at the Health Department . . Also pictured are (standing): Noble Co. Commissioners Gary Saling, Allen Fraley, and Tyler Moore.
Kirby Moore has been named to take over as the new Noble County Health Commissioner on June 1.
Moore replaces Shawn Ray who retired after 31 years at the health department, and was honored recently with a retirement reception.
The new health commissioner is a lifelong resident of Noble County having graduated from Shenandoah High School In 1984. He graduated from Marietta College in 1988 with a degree in athletic training and sports medicine. Moore received his Masters degree in Public Health from Kent State.
In 2008, Moore was tabbed by the Noble County Health Department as Public Health Emergency Preparedness Coordinator. He later became sanitarian in training and then sanitarian. Moore has been a registered environmental health specialist since 2011. Moore served as deputy county Health Commissioner starting in 2021 working directly with Ray on all Department matters.
Moore and his wife, Debbie, have been married for 35 years and live south of Caldwell. “I look forward to involving the community in providing sickness and injury prevention awareness,” Moore stated. “There is a common misconception that the health department serves only low income families and individuals. We are committed to correcting that and getting everyone involved.”
Shari Rayner is a 28 year employee at the Noble County Health Department. She began her service there as a home health nurse in January of 1996. She has worked in the early childhood, “help me grow “ program and newborn home visiting.
Rayner was promoted to assistant director of nursing in 2006 and has been serving as Director of Nursing since 2012.
She and her husband Jim have three grown sons and a grown daughter. “We are committed to making our community the healthiest it can be,” Rayner stated. “Our keys are prevention, promotion, and education.”
Moore and Rayner, recently met with the Noble County Commissioners recently to discus future plans and goals for their agency.
“We love the continuity of excellent personnel and service the Noble County Health Department is known for, “ stated Allen Fraley, President of the Noble County Commissioners. “We switch from working with Shawn and Kirby to now Kirby and Shari without a noticeable difference.”
For Immediate Release: 9/15/2023
The Noble County Health Department will be hosting a flu shot clinic on Sunday, October 1st from 9am-1pm. Call ahead to schedule an appointment at 740-732-4958 or drive through the day of. Be sure to bring your insurance card if you have one and a valid ID. Call us for self-pay pricing. COVID-19 and Pneumonia Vaccines are also available.
To pre-register go to: https://docs.google.com/forms/d/e/1FAIpQLSeKhyW_JWRkQcn24QEvgaE-Clxjenc5zVn72q8HlYKVywLJCw/viewform
For Immediate Release: 4/25/2023
The Noble County Health Department will be offering a FREE sports physical clinic on Tuesday, July 18th from 10am-6pm. Call 740-732-4958 for an appointment. All vaccines are available during visit and billed as appropriate. If under the age of 18, written parental consent is required which is found here: Consent Form
To fill out paperwork ahead of time go to: https://ohsaaweb.blob.core.windows.net/files/Sports-Medicine/2023-24PPE(English).pdf
For Immediate Release: 3/3/2023
Public Notice
The calendar year 2022 Annual Financial Report has been completed for the Noble County Health Department. It can be reviewed at the Health Department office, 44069 Marietta Road, Caldwell, Ohio during regular business hours or on the agency’s website, under the data and resources section – www.noblecohd.org/data-resources. Hours of operation are Monday, 8 a.m. to 6:00 p.m. and Tuesday through Friday, 8 a.m. to 4:00 p.m.
Regular monthly meetings of the Board of Health will be held on the second Thursday of each month, at 5:30 pm.
For Immediate Release: 1/30/2023
For Immediate Release: 1/16/2023
Job Opening: For a full-time Parent Educator, the position is grant funded in the Early Head Start Program. Duties include working with an assigned caseload of families to support parents in strengthening their skills as the primary educators of their children. The home visitor is expected to complete home visits, socials, develop and apply expertise in prenatal, infant and toddler development, assessment, and implementation of individualized services. Work will also include additional training and certification as determined by the Health Department and its grant sources. Regular work hours are Monday through Friday; 8:00 a.m. to 4:00 p.m. However, some evening home visits, out of county travel and training are required. Position has an excellent benefit package, close to home and a pleasant working environment.
Applicant must possess good communication and computer skills. Minimum qualifications require a valid Ohio driver’s license; have a reliable vehicle for required travel, acceptable driving record and proof of current vehicular liability coverage. Education requires a minimum of an Associates Degree in Early Childhood Education or related field. Applicants must be up to date with COVID-19 vaccinations. Send resume by the close of business January 27, 2023, to: Noble County Health Department, 44069 Marietta RD, Caldwell, Ohio 43724. Attn: Shawn Ray, Health Commissioner.
An Equal Opportunity Employer
For Immediate Release: 1/9/2023
Job Opening: Full-time position will include working in the Environmental Health Program as a Registered Environmental Health Specialist (REHS) or training as an Environmental Health Specialist in Training (EHSIT). The areas of work will focus on Food Safety, Sewage, Drinking Water, Public Swimming Pools, and Campgrounds performing inspection and enforcement of all Ohio mandated environmental health programs. Position requires extensive report writing. Work will include additional out of county travel, training and certification as determined by the Health Department and the State of Ohio. Work hours are primarily Monday through Friday; 8:00 a.m. to 4:00 p.m. with some weekend hours on occasion. Position has an excellent benefit package, close to home and a pleasant working environment.
Applicant must possess good verbal and written communication skills and computer proficiency. Minimum qualifications require a valid Ohio driver’s license; have a vehicle for required travel and proof of current vehicular liability coverage. Must provide proof of being fully vaccinated against COVID-19. Must be a Registered Environmental Health Specialist (REHS) or eligible for EHSIT status with a Bachelor of Science degree including a minimum of 30 semester hours of Biology, Chemistry, Geology, Physics, Math, or Statistics approved by the Ohio Environmental Health Specialist Board. Send your resume by the close of business January 20, 2023, or until the position is filled to: Attn: Shawn Ray, Health Commissioner Noble County Health Department, 44069 Marietta RD, Caldwell, Ohio 43724.
An Equal Opportunity Employer
For Immediate Release: 11/8/2022
Join us for Lifestyle Medicine classes put on by Marietta Memorial’s Dr. Drozek beginning Thursday, January 26, 2023 and running until Thursday, March 30, 2023. These weekly classes will be in the Health Department Conference room on Thursdays from 12:30pm-2pm. The cost is $50 for the entire 10 class series, which includes lab work before and after the class series, food samples, and educational material. It is free to: MHS Employees and their spouses, Primary Care First Participants, and Discounted for those with a coupon. Check out the flyer for more details and to register. A free information session on the classes will be held Thursday, December 8th at 12:30pm.
freshstart.mhsystem.org/live/class/html
**Please note: Our office will be closed for services on Thursdays at this time (12:30pm-2pm) so our employees can participate with the community in this wellness benefit. Call our office with any questions at 740-732-4958.**
For Immediate Release: 10/24/2022
Job Opening: Full-time position will support the clinic front office operations. Position involves meeting the public, answering the phone, scheduling clients, issuing certified documents to the public, medical billing, and extensive time sensitive data entry. Work will also include some additional training and certification as determined by the Health Department and its grant sources. Work hours are Monday; 10:00 a.m. to 6:00 p.m. and Tuesday through Friday; 8:00 a.m. to 4:00 p.m. Some out of county travel and training will be required. Position has an excellent benefit package, close to home and a pleasant working environment.
Minimum qualifications require a valid Ohio driver’s license; have a vehicle for required travel and proof of current vehicular liability coverage. Fully vaccinated and up to date against SARS-Cov-19. Education requires a minimum of a certified medical assistant, and/or an associates or bachelor’s degree preferred with previous experience. Must demonstrate MS Word, Excel and electronic medical record computer skills. Send resume by the close of business November 11, 2022 to: Noble County Health Department, 44069 Marietta RD, Caldwell, Ohio 43724. Attn: Shawn Ray, Health Commissioner.
An Equal Opportunity Employer
For Immediate Release: 10/12/2022
The Noble County Health Department will be hosting a flu shot clinic on Monday, October 17th from 4pm-7pm. Call ahead to schedule an appointment at 740-732-4958 or come in the day of. Be sure to bring your insurance card if you have one. Self Pay: 6 months-18 years $21, Adults $25, and High-Dose 65+ years $79. COVID-19 Vaccines are also available free of charge, including the Bivalent Booster.
For Immediate Release: 8/18/2022
For Immediate Release: 8/15/2022
Registered Nurse
Job Opening: Registered Nurse, Part-time clinic contract position, work will include phlebotomy services; administering pediatric and adult vaccinations; providing direct patient care in well child, women’s health, and general clinic setting. Office hours are Monday through Friday; 8:00 a.m. to 4:00 p.m.
Applicant must possess good clinical, communication and computer skills. Minimum qualifications require a valid Ohio driver’s license; have a vehicle for required travel and proof of current vehicular liability coverage. Education requires a minimum of an Associate Degree in Nursing with a valid Ohio Registered Nurse License and be able to work flexible hours. Send resume by the close of business August 26, 2022, to: Noble County Health Department, 44069 Marietta RD, Caldwell, Ohio 43724. Attn: Shawn Ray, Health Commissioner.
An Equal Opportunity Employer
For Immediate Release: 8/11/2022
Waterborne Diseases Fact Sheet
For Immediate Release: 6/27/2022
Parents of infants, toddlers and preschoolers who did not have access to COVID-19 vaccine protection before, can now choose to vaccinate their children for protection against serious illness from the disease. The Noble County Health Department is now offering the Moderna COVID-19 Vaccine for children 6 months and older. Please call our office to schedule an appointment at 740-732-1458. We are administering all COVID-19 vaccinations on Mondays and Thursdays free of charge. The Moderna
COVID-19 Vaccine is given as a primary series of two doses, one month apart. The immunocompromised in this age group can also receive a third dose at least one month after their second dose. We encourage you to have a conversation with your pediatrician to discuss the benefits and risks of the COVID-19 Vaccine.
CDC COVID-19 Vaccination Schedule
For Immediate Release: 6/1/2022
Attached is an updated chart with quarantine and isolation guidance if you or someone you know was exposed or tests positive for COVID-19, click on this link: COVID-19 Quarantine & Isolation Guidance
For more information, check out this quarantine and isolation calculator from the CDC as well: https://www.cdc.gov/coronavirus/2019-ncov/your-health/quarantine-isolation.html.
For Immediate Release: 05-11-2022
The Noble County Health Department will be offering a FREE sports physical clinic on Tuesday, July 19th from 10am-6pm. Call 740-732-4958 for an appointment. All vaccines are available during visit. If under the age of 18, written parental consent is required which is found here: Consent Form
To fill out paperwork ahead of time go to: https://noblecohd.org/wp-content/uploads/2022/07/2022-23PPEEnglish.pdf
For Immediate Release: 03-02-2022
The FDA is advising consumers not to use Similac, Alimentum, or EleCare powdered formula if:
In addition to the products described above, Abbott Nutrition has recalled Similac PM 60/40 with a lot code 27032K80 (can) / 27032K800 (case). At this time, Similac PM 60/40 with lot code 27032K80 (can) / 27032K800 (case) are the only type and lots of this specialty formula being recalled. For more information visit: http://go.usa.gov/xzgQ3.
For Immediate Release: 02-18-2022
The FDA is advising consumers not to use Similac, Alimentum, or EleCare powdered formula if:
For Immediate Release: 2-15-2022
Naloxone, also known as Narcan, is a medication that is administered nasally to quickly reverse an overdose caused by an opioid drug. It has been used safely for over 40 years and has no potential for abuse. Project DAWN (Deaths Avoided With Naloxone) is a network of opioid overdose education and naloxone distribution programs (OENDP) coordinated by the Ohio Department of Health.
Champaign Health District in Urbana invites the NCHD to share their Narcan (naloxone) Nasal Spray mail order link with residents in our community so everyone can have access to naloxone:
The link above will take you to a Microsoft Forms page, ask some questions, and it includes a training video. The Narcan is then shipped to the address provided for free, due to grant funding through ODH. For more information, visit http://www.champaignhd.com/narcan.
Champaign Health Department Narcan PDF
For Immediate Release: 02-07-2022
The Noble County Health Department is accepting sealed bids for a used vaccine refrigerator. It is a 2006 model, 20 cu foot pharmacy refrigerator, glass front door, six sliding drawers. It was working well until replacement unit was obtained. Highest bid takes the unit as is and where is your own transportation required. Send written bid with contact information NLT 2/18/2022 to: Attn: Sealed Bid, Noble County Health Department, 44069 Marietta RD, Caldwell, OH 43724-9124.
For Immediate Release: 01-20-2022
The Noble County Health Department is asking people who test positive for COVID-19 to isolate and notify those in their households and their close contacts. Those exposed to someone who has tested positive should self-quarantine, watch for symptoms and take a COVID-19 test within five to seven days, sooner if symptoms show up.
Due to the recent overwhelming surge in COVID-19 cases, the health department staff will no longer be individually contacting every Noble County resident who tests positive for the virus.
Our priority continues to be giving newly diagnosed people guidance on how and why to isolate. With the sheer volume of current and expected cases, we need the public’s help to make these notifications for quarantine in a speedy manner and to let people know of their risk.
To report new positive COVID-19 cases of Noble County residents ONLY, click here to be taken to our online form, or call us at 740-732-4958.
NCHD is also asking people who need a return to work/school/daycare letters to please use your test result as your letter to return to work/school/daycare. For more information follow us on Facebook, Twitter, and Instagram.
NCHD Quarantine and Isolation Flow Chart
For Immediate Release: 1-5-2022
Ohio Department of Health Flowchart
Ohio Department of Health Fact Sheet: COVID-19 Vaccine Booster Doses
for Adults and Adolescents
CDC COVID-19 Vaccine Booster Shots Guidance
We have openings available to receive your COVID-19 Vaccination Booster Dose. Use one of the options below to schedule now:
Noble County Health Department COVID-19 Vaccine Registration Form (18 and Over) – click the link below to utilize this Form, a Google account is required.
For Immediate Release: 12-30-2021
The Ohio Department of Health aligns with the updated CDC Quarantine & Isolation Guidance. The CDC has updated and shortened the recommended time for COVID-19 isolation and quarantine. Learn more about what to do if you test positive or have close contact with someone who tested positive for COVID-19. If you have questions, call the Health Department at 740-732-4958.
Ohio Department of Health Flow Chart
Ohio Department of Health Mask to Stay/Test to Play Option (K-12 Schools Quarantine Alternative)
For Immediate Release: 11-3-2021
Ohio Department of Health Fact Sheet on COVID-19 Vaccine for Children 5-11 Years Old
Noble County Health Department Pediatric COVID Vaccine Information
We have openings available to get your child vaccinated.
Call the Noble County Health Department directly at 740-732-4958 and we will schedule an appointment over the phone.
For Immediate Release: 10-26-2021
Ohio Department of Health Fact Sheet on COVID-19 Vaccine Booster Doses
Noble County Health Department COVID Booster Information
We have openings available to receive your COVID-19 Vaccination Booster Dose. Use one of the options below to schedule now:
Noble County Health Department COVID-19 Vaccine Registration Form (18 and Over) – click the link below to utilize this Form, a Google account is required.
For Immediate Release: 07-26-2021
Quality of Life Survey
We are taking steps to complete our community health assessment. Please take a moment to respond to this important questionnaire, see link below, regarding local health and community concerns. The survey responses will help to enhance our understanding and awareness of issues facing our county. We would also appreciate it if you would share this survey link with others in the community. The survey closes on August 27th.
You can access the survey here: https://rb.gy/5rmk6f
For Immediate Release: 06-16-2021
Sports Physical Clinic – Tuesday, July 13th from 10:00am-4:00pm
The Noble County Health Department will be holding a special clinic for sports physicals. Tuesday, July 13th from 10:00am to 4:00pm, all sports physicals done this day will be free of charge. We will be reviewing immunization records and can give needed vaccinations during the visit as well.
For Immediate Release: 04-08-2021
We have openings available to receive your COVID-19 Vaccination. Use one of the options below to schedule now:
Noble County Health Department COVID-19 Vaccine Registration Form (18 and Over) – click the link below to utilize this Form, a Google account is required.
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.
For Immediate Release: 03-29-2021
Southeast Ohio Community Health Surveys Begin This Week
Caldwell, Ohio – March 29, 2021 – This week, the Southeast Ohio Health Improvement Collaborative will begin its survey of Southeast Ohio residents as part of a community health assessment process. The Southeast Ohio Health Improvement Collaborative are working closely with the Hospital Council of Northwest Ohio, Ohio University, and researchers at the University of Toledo to conduct the survey. Over the next two months, 15,000 Southeast Ohio residents will be randomly selected to participate in a survey of adults ages 19-years and older. Residents of Southeast Ohio who are randomly selected are urged to complete and return the survey.
The anonymous survey asks participants to answer questions about general health, risk and protective health factors, and access to health care. These answers will create a snapshot of the health of Southeast Ohio residents. The results will guide many public and private agencies in their program planning over the next several years by identifying key health problems. The final community health assessment report will be published in the summer of 2021 at which time the results will be used to prioritize needs and create a community health improvement plan.
The Southeast Ohio Health Improvement Collaborative are composed of many public and private agencies that make up the public health system. The partners include: Coshocton City Health Department, Coshocton County Health Department, Genesis Healthcare System, Morgan County Health Department, Noble County Health Department, Ohio Alliance for Innovation in Population Health, Ohio University, Perry County Health Department, and Zanesville/Muskingum County Health Department.
For More Information, Contact:
Rick Hodges | Assistant Clinical Professor
Ohio University
Phone: (614) 793-5645 | Fax: (614) 793-5688
Email: hodgesr@ohio.edu
For Immediate Release: 03-24-2021
The Noble County Health Department is inviting you to review the draft 2021 Community Health Assessment. If needed, a printed version is available upon request for you at the Health Department. We appreciate your comments, concerns, or questions which can be directed to either Kirby Moore at Kirby.Moore@noblecohd.org or Samantha Hesson at samantha.hesson@noblecohd.org, they can also be reached by calling the Health Department at 740-732-4958. Please click here to access the Assessment
For Immediate Release: 03-24-2021
Noble County Health Department COVID-19 Vaccine Registration Form (18 and Over)
In an effort to provide the community with an additional option for COVID-19 Vaccine registration we have created a Google Form that can be used to help register individuals for the vaccine. Please read all the information and click the link below to utilize this Form, a Google account is required.
Vaccine Registration Form (18 and Over) – Click Here
PLEASE DO NOT CALL TO ASK IF YOU WERE SCHEDULED. THE SCHEDULING CALL CENTER WILL CALL YOU. People who are unable or uncomfortable with using online registration can now contact the Noble County Health Department at 740-732-4958 to schedule an appointment.
For Immediate Release: 03-17-2021
Governor Mike DeWine has announced the individuals who are included in Phase 1E of Ohio’s vaccination plan, which will go into effect on Friday, March 19, 2021.
In addition, age-eligibility requirements for the vaccine will also expand to age 40 and older under Phase 2C, also beginning Friday, March 19.
Phase 1E extends eligibility to approximately 766,000 Ohioans with certain underlying medical conditions not included in previous phases or under Ohio’s age-based approach to vaccine eligibility.
This phase includes:
Individuals who have the specified medical conditions listed below that may increase their risk of severe illness and death from COVID-19. These individuals are not already eligible through Ohio’s age-based approach to vaccine eligibility. Eligible individuals can receive a vaccine from the provider of their choice. Individuals may be asked to confirm during the registration or screening process that they are eligible to receive the vaccine based on a qualifying medical condition.
MEDICAL CONDITIONS – Individuals with at least one of the following medical conditions:
Cancer.
Chronic kidney disease (CKD).
Chronic obstructive pulmonary disease (COPD).
Heart disease.
Obesity.
For Immediate Release: 01-21-2021
We want to hear your opinions!
Noble County Community Health Assessment: The Noble County Health Department would really appreciate if you could take just a few minutes to share your opinions about Noble County’s Health.
Please click on this link to provide your input – http://s.alchemer.com/s3/Noble-County
For Immediate Release: 01-15-2021
Following the Guidelines from Governor DeWine and the Ohio Department of Health…
Dates to receive COVID vaccination:
Ohioans 80 years of age and older
Ohioans 75 years of age and older
Those with severe congenital or developmental disorders
Ohioans 70 years of age and older
Employees of K-12 schools that agree to in-person or hybrid teaching
Ohioans 65 years of age and older
To Schedule your COVID vaccination at the Noble County Health Department, call the centralized scheduling line at:
866-395-1588
PLEASE- call 1 week prior to your age group. Calling too soon will extend wait times and create high call volumes
Lines are OPEN Monday – Saturday 9am to 7pm
Thank you for your patience!
Statewide Curfew (November 2020)
For Immediate Release: 11-17-2020
Columbus, Ohio –Governor DeWine announced on Tuesday, November 17 that the Ohio Department of Health will be issuing a 10 p.m. to 5 a.m. statewide curfew beginning on Thursday, November 19th. The curfew will be in effect for 21 days.
The curfew will not apply to:
The curfew is not intended to stop anyone from getting groceries or going to a pharmacy. Picking up carry-out or a drive-thru meal and ordering for delivery will be permitted, but serving food and drink in person must cease at 10 p.m.
“We’re not shutting down, we’re slowing down,” said Governor DeWine. The curfew is aimed at helping reduce the number of person-to-person contacts because the only way the virus lives is when it goes from one person to another. We have to flatten this curve again and get this under control”.
The decision to impose a 21-day curfew was made with input from the medical and business communities with consideration to the economic and mental health impacts that another shutdown could cause.
Governor DeWine also encouraged Ohioans to do one thing each day that will decrease the virus through mask wearing, social distancing and limiting daily contacts.
For more information visit: coronavirus.ohio.gov.
Noble County’s First Deaths from COVID-19 (November 2020)
For Immediate Release: 11-03-2020
Contact: Noble County Health Department
Noble County Ohio – It is with much sorrow that we must share with you that Noble County has experienced it first two confirmed deaths from COVID-19. Both individuals recently passed away on the same date and within hours of each other. The first passing occurred at our local nursing home. The second passing occurred at the OSU Wexner Medical Center and was an inmate incarcerated in the state prison facility here.
This is a landmark in Noble County’s COVID-19 experience that we hoped to never reach. Our thoughts and prayers go out for the deceased and their grieving families. Our thoughts and prayers also go out to the staff, administration and the residents of these facilities. They have sacrificed and worked tirelessly, to keep this disease out and are continuing their efforts to bring it under control within their institutions.
Pop-Up COVID-19 Testing (November 2020)
For Immediate Release: 11-18-2020
Contact: Noble County Health Department (740-732-4958)
Noble County Ohio – Want to get tested for COVID-19? There will be a Pop-Up testing location in Caldwell. Anyone can get a NO COST test at this location:
Where: Noble County Fairgrounds 44163 Fairground Road, Caldwell OH 43724
When: Friday, November 20th from 12:00 p.m. to 5:00 p.m.
Public Health Position (August 2020)
For Immediate Release: 08-31-2020
Contact: Noble County Health Department
Job Opening:
Emergency Preparedness Coordinator and Environmental Health Position, Full-time position will include coordinating activities of the Public Health Emergency Preparedness Grant to achieve deliverables and public health disaster response planning. This will include working closely with department staff, management, other agencies and emergency responders by educating and building relationships to best protect the public’s health during emergencies and disaster response. Position will also include training as a Sanitarian in Training (S.I.T.) working for the Environmental Health Program in the areas of Food Safety, Sewage, and Drinking Water, performing inspection and enforcement of all Ohio mandated environmental health programs. Extensive written planning to Federal Standards is required. Position requires extensive reporting and grant writing. Work will include additional out of county travel, training and certification as determined by the Health Department and its grant source. Work hours are Monday through Friday; 8:00 a.m. to 4:00 p.m. Position has an excellent benefit package, close to home and a pleasant working environment.
Applicant must possess good communication and computer skills. Minimum qualifications require a valid Ohio driver’s license; have a vehicle for required travel and proof of current vehicular liability coverage. Must be a Registered Sanitarian or eligible for S.I.T. status with a Bachelor of Science degree including a minimum of 30 semester hours of Biology, Chemistry, Geology, Physics, Math, or Statistics approved by the R.S. Board. Send resume by the close of business September 11, 2020 to: Attn: Shawn Ray, Health Commissioner Noble County Health Department, 44069 Marietta RD, Caldwell, Ohio 43724.
An Equal Opportunity Employer
Noble County Health Department Remains Open (July 2020)
For Immediate Release: 07-05-2020
Contact: Noble County Health Department
The Noble County Health Department reamins open, Monday – Friday from 8:00 to 4:00, with important safety modifications due to COVID-19:
¨ A face covering MUST be worn at all times.
¨ A temperature and wellness check MUST be completed upon entering the building.
¨ We highly recommend to scheduled appointments for Health Department services in advance. To schedule an appointment call the Health Department at 740-732-4958.
¨ Call from the parking lot upon arrival for needed services, 740-732-4958.
These modifications are for the safety of our staff and visitors.
The Noble County Health Department does not provide any testing or treatment for COVID-19. If you feel ill, please contact your primary care physician. Local medical providers in our county:
¨ Amy Welch, CNFP at Welch Urgent Care
¨ Becky Hall, CNFP at Superior Family Med Family Practice Caldwell
¨ Dr. Overmiller at Caldwell Family Health Center
¨ Dr. Spencer at Marietta Memorial Hospital Department of Primary Care
*Please call these facilities for more information about testing*
Symptoms of COVID-19:
¨ Fever or chills
¨ Cough or sore throat
¨ Shortness of breath or difficulty breathing
¨ Fatigue, muscle or body aches
¨ Headaches
¨ Loss of taste or smell
¨ Congestion or runny nose
¨ Nausea or vomiting
¨ Diarrhea
Responsible Restart (May 2020)
For Immediate Release: 05-01-2020
Contact: Noble County Health Department: (740) 732-4985
Responsible Restart Ohio & Noble County
Shawn Ray, MPH, RS – Health Commissioner – Noble County Health Department
Governor DeWine unveiled his plans early last week to “Responsibly Restart Ohio” during the ongoing COVID-19 pandemic. “Responsible Restart Ohio” allows more Ohioans to return to work, thus more people back into circulation within the community. With that increased circulation, increased safety measures are being placed upon employers to prevent new outbreaks. “Responsible Restart Ohio” is about protecting the health of employees, customers and their families; supporting community efforts to control the spread of the virus; and, responsibly getting Ohio back to work.
The Ohio Director of Health on March 22nd ordered that “Non-Essential business and operations must cease”. With this week’s announcement; starting May 1st, all health procedures that can be done without an overnight hospital stay or do not require inpatient hospital admission may move forward. This includes regular doctor visits, out-patient surgeries, imaging procedures, and diagnostic tests. Dentists and veterinarians may also open if a safe environment can be established. Beginning May 4th, office workplaces can reopen, along with manufacturing, distribution and construction services. All businesses must follow strict health protocols if they choose to reopen, which include: requiring face coverings/mask for all employees, recommending them for clients and customers, implementing strict social distancing guidelines, limiting capacity to meet social distancing guidelines, cleaning workplaces throughout the day, and conducting daily health assessments of employees. Office personnel should work from home if possible. On Tuesday, May 12th, consumer, retail and service businesses can open as well, if they can follow those same guidelines mentioned above.
The following businesses and operations are to remain closed per existing Stay at Home Orders: Schools, daycares, personal appearance and beauty businesses, older adult day care services and senior centers, adult day support or vocational habilitation services in group settings, entertainment and amusement facilities, parades, fairs and spectator sports, campgrounds, restaurants, bars, and gyms. Restaurants and bars that have been operating with only carry out and delivery options are still permitted. For greater detail on the types of businesses that must stay closed, visit www.coronavirus.ohio.gov/ResponsibleRestartOhio.
Today, May 1st, the Noble County Health Commissioner has issued Public Health Orders to ensure consistency in the Required Safe Business Practices for Getting Back to Work. The five requirements mentioned earlier are detailed on the colored page elsewhere in this paper. There are six exceptions to the Employee face cover requirement. These can be found in the orders on our website. If an exception is used, it must be documented with evidence supporting the reason for the exception. These orders will begin with start of business on May 4th, 2020, for all business and government entities in Noble County that are allowed to be in operation on that date. If a business or government cannot meet these requirements, they cannot be open for business.
Because the danger of COVID-19 still exists, Ohio’s stay-at-home order, will remain in place through at least the end of the month with modifications. The state will continue its ban on gatherings of more than 10 people. Ohioans are encouraged to continue making reasonable, rational decisions about leaving home.
Responsible Restart Ohio is about protecting the health of employees, customers and their families; supporting community efforts to control the spread of the virus and, leading in responsibly getting Ohio back to work.
5 PROTOCOLS FOR ALL BUSINESSES:
TAKE THE FOLLOWING ACTIONS WHEN A COVID-19 INFECTION IS IDENTIFIED:
CONTINUED BUSINESS CLOSURES PER THE OHIO DEPARTMENT OF HEALTH
The following businesses and operations are to remain closed per existing Stay at Home Orders:
COVID Careline (May 2020)
The COVID CareLine is a new, toll-free number and emotional support call service created by the Ohio Department of Mental Health and Addiction Services. Behavioral health professionals will staff the CareLine from 8 a.m. to 8 p.m., 7 days/week. They will offer confidential support in times of personal crisis when individuals may be struggling to cope with current challenges in their lives. After 8 p.m., the CareLine will forward to the National Suicide Prevention Helpline, allowing those calling to have access to someone 24 hours/day. Call 1-800-720-9616.
News Release 04-24-2020 (April 2020)
For Immediate Release: April 24, 2020
Contact: Noble County Health Department (740)732-4958
Noble Correctional Institute (NCI) Staff Member Tests Positive for COVID-19
Noble County Ohio – The Noble County Health Department wishes to acknowledge that the Ohio Department of Rehabilitation and Corrections (ODRC) – Noble Correctional Institute (NCI) has had a staff member test positive for COVID-19. Warden Jay Forshey informed us shortly after they received this confirmation. NCI has informed their staff, the inmate population and key community partners. We understand, they have proceeded with contact tracing within the facility for those who may have been in contact with the employee. Those contacts have been informed and are under proper quarantine.
The Noble County Health Department and EMA are in regular contact with the Warden and his staff. We do wish to inform the public that while we have a good relationship with NCI, we have no jurisdiction of this State of Ohio run facility. It is with great mutual respect that we support each other and work together to protect the health and safety of our respective communities.
This staff member is not a part of the Noble County Case Count as the staff member does not reside in Noble County. Should an inmate become positive, that individual would then be part of Noble County’s Case Count.
Should the public, staff and/or inmates families have concerns about NCI they should be directed to the ODRC, 614-387-0588.
Shopping for Food During Covid-19 (April 2020)
From the U.S. Food and Drug Administration: Click here to visit FDA site.
As grocery shopping remains a necessity during this pandemic, many people have questions about how to shop safely. We want to reassure consumers that there is currently no evidence of human or animal food or food packaging being associated with transmission of the coronavirus that causes COVID-19. This particular coronavirus causes respiratory illness and is spread from person-to-person, unlike foodborne gastrointestinal or GI viruses, such as norovirus and hepatitis A that often make people ill through contaminated food.
Although your grocery store may be temporarily out of certain products, there are no nationwide shortages of food. Food production and manufacturing are spread throughout the United States. During this pandemic, consumers are getting most of their food from grocery stores, and many stores have modified their operating hours to allow for more time to restock shelves and clean. In addition, many stores are providing special hours for seniors or other high-risk individuals to shop and are offering pick-up and delivery services. Check the store’s website or call the store to learn more.
To help protect yourself, grocery store workers, and other shoppers, it is important to keep a few things in mind:
As always, it is important to follow these food safety practices to help prevent foodborne illness:
Food is a source of comfort, as well as nourishment for you and your family – especially now – and we hope this advice will help you continue to buy groceries with care and confidence.
News Release 04-14-2020 (April 2020)
For immediate release: April 14, 2020
Contact: Noble County Health Department (740) 732-4958
Noble County’s Third Local Case: COVID-19
Noble County Ohio – The Noble County Health Department tonight was notified of the third confirmed case of COVID-19 in Noble County.
The individual has been quarantined at home and we are monitoring the individual’s health. We have also contacted the individuals who have been in close personal contact with the case and are assessing their situations.
Health Commissioner Shawn Ray states, “Each time I sit down to give you a report like this it is with great concern for our community. We have all sacrificed so much in the last month and yet battle is not yet ended. We have been successful in keeping this disease at bay but… Each of our neighboring communities have had larger battles. From each direction our community keeps experiencing the contacts and ultimately the confirmed cases. I know we are weary of the fight but please keep up your sacrifice for the health and safety of us all.”
Future announcements of confirmed and/or probable cases from the Noble County Health Department will be announced on our website, Facebook and Twitter.
News Release 04-12-2020 (April 2020)
For immediate release: April 12, 2020
Contact: Noble County Health Department (740) 732-4958
Noble County’s Second Local Case: COVID-19
Noble County Ohio – The Noble County Health Department tonight was notified of the second confirmed case of COVID-19 in Noble County. The individual has been quarantined at home and we are monitoring the individual’s health. We have also contacted the individuals who have been in close personal contact with the case and are assessing their situations.
Health Commissioner Shawn Ray states, “This confirms what we have already know, COVID-19 is here. It is essential that we follow the Ohio Department of Health Director Dr. Amy Acton’s orders, this means stay at home. The changes we make now will save lives.” Residents should continue to practice social distancing while the Noble County Health Department continues its Covid-19 prevention efforts in partnership with the community.
Future announcements of confirmed and/or probable cases from the Noble County Health Department will be announced on our website, Facebook and Twitter.
News Release 04-08-2020 (April 2020)
For immediate release: April 8, 2020
Contact: Noble County Health Department (740) 732-4958
Noble County’s First Local Case: COVID-19
Noble County Ohio – The Noble County Health Department tonight was notified of the first confirmed case of COVID-19 in Noble County. The individual has been quarantined at their home and we are monitoring their health. We have also contacted the individuals who have been in close personal contact with them and are assessing their situations.
Health Commissioner Shawn Ray states, “This confirms what we have already know, COVID-19 is here. It is essential that we follow the Ohio Department of Health Director Dr. Amy Acton’s orders, this means stay at home. The changes we make now will save lives.” Residents should continue to practice social distancing while the Noble County Health Department continues its Covid-19 prevention efforts in partnership with the community.
Noble County Health Department (NCHD) staff are following the guidelines regarding any infectious disease. They are regularly communicating with the Ohio Department of Health (ODH) as well as other public health partners in the county to work as efficiently as possible to handle each case and their close contacts. NCHD will work to identify and notify any close contacts who may have been exposed to positive COVID-19 cases.
If you are sick, stay at home and isolate yourself from other people until you have experienced no symptoms for at least 72 hours. However, you still need to follow the precautions listed below. NCHD does not provide testing, sick care or treatment for COVID-19. Call your health care provider only if symptoms are severe, and if an office visit is necessary, call prior to arriving at your health care provider’s office so they can take steps to protect other patients.
What can I do?
Please be aware this is a rapidly evolving situation. For Noble County COVID-19 Updates follow: the Noble County Health Department at www.noblecohd.org, on Facebook and Twitter along with the Noble County EMA on Facebook.
For general questions about COVID-19, visit www.coronavirus.ohio.gov or call the Ohio Department Health COVID-19 hotline at 1-833-4-ASK-ODH (1-833- 427-5634) between 9:00 and 8:00 p.m. 7 days a week.
The Noble County Health Department is working closely with all of our local partners especially the Noble County EMA, the Ohio Department of Health and the Center for Disease Control to combat the current outbreak of COVID-19. We are asking that you do your part as well to help battle this virus. STAY AT HOME!
Stay at Home Order (March 2020)
For immediate release: March 22, 2020
On Sunday March 22, under the direction of Ohio Governor Mike DeWine, Ohio Department of Health Director Amy Acton, M.D., MPH issued a director’s order to require all Ohioans to stay in their homes to prevent further spread of COVID-19. This order begins at 11:59 p.m. on Monday, March 23, 2020 and will be in effect until 11:59 p.m. on April 6, 2020. This order prohibits gatherings of any size and closes all non-essential businesses. It does NOT prohibit essential activities like going to the grocery store, receiving medical care or going for a walk. Residents can return home from out of state and can leave the state. For more information see the Q&A document here.
You can also view the official order by clicking here.
COVID-19 (February 2020)
For immediate release: February 28, 2020
By: Shawn Ray, RS, MPH Health Commissioner – Noble County Health Department
Unless you live in a bubble, you have heard news about the new novel coronavirus, now called COVID-19. What exactly is COVID-19? COVID-19 is a respiratory illness that causes fever, cough and shortness of breath. So why is there alarm with COVID-19? Mainly because it is a new virus and therefore, there are many unknowns. We do not know if the virus will change, how much it will change and when or if it will change. We have no vaccines, no proven treatments, and no existing immunity within the human population. Now, many of you are concerned and are wondering, is this the time to panic? The answer is a NO! However, it is time to prepare.
Prevention of COVID-19, is the same as other respiratory diseases including influenza. There are
simple everyday preventive actions to help prevent the spread. These include:
What is being done to protect the community? From the very beginning of this new disease, the United States Public Health system has been working to limit the spread of disease in this country. These efforts have been very effective. The Noble County Health Department routinely works with local healthcare providers, the Ohio Department of Health and the Centers for Disease Control and Prevention to share information and best practices for protecting the public from disease. The Noble County Health Department has been on calls with the Ohio Department of Health, other local health departments, and hospitals. We have kept up with the latest guidance and shared them with our local partners including medical providers, EMS, EMA, law enforcement, and the schools.
You will hear more from us in the future, we are working to protect you, your family and all of Noble County.
For additional news and resources click here or go to the News and Events tab above and click on Latest News. Links, videos and print communications are listed there.
Novel Coronavirus (January 2020)
The Ohio Department of Health, along with the Centers for Disease Control, has been closely monitoring an outbreak of a respiratory illness caused by a novel, which means new, coronavirus. This coronavirus is called “2019-nCoV”. The illness was first detected in Wuhan China and has started to spread. The illness is considered a low risk to the American public, according to the CDC. To date no cases have been reported in Ohio. However, one case has been reported in the state of Washington.
A number of countries, including the United States, have been actively screening incoming travelers from Wuhan. Ohio’s public health system includes a team of state experts, local health departments, and local partners that perform daily monitoring of diseases. The Ohio Department of Health is closely monitoring the 2019-nCoV virus and is ready to respond if a case is reported in Ohio.
What is 2019-nCoV?
2019-nCoV is from a large family of viruses that are common in animals, including camels, cattle, cats, and bats. While it is rare, sometimes an animal virus can infect people and then begin to spread from person-to-person. Many of the patients who are ill in China had some link to a large seafood and live animal market. This suggests an animal-to-person spread. However, a growing number of patients reportedly have not had contact with animal markets. This implies that person-to-person spread may be occurring. This likely happened from droplets produced when an infected person coughs or sneezes, similar to how the seasonal flu is spread.
It is important to note that how easily a virus spreads person-to-person can vary from one illness to another. Some viruses are highly contagious (like measles), while other viruses are less so. It’s not clear yet how easily this illness may spread from person-to-person. There is much more to learn about 2019-nCoV and investigations are ongoing
Symptoms reported from those infected with 2019-nCoV are fever, cough and shortness of breath. If you suspect you may have been exposed to this virus because you have traveled to China or have been around people who may have been exposed and/or are exhibiting symptoms, contact your healthcare provider and let them know you may have been exposed to 2019-nCoV before visiting the healthcare facility. This will help the healthcare provider’s office take precautionary steps to protect other people.
What can you do to limit risk?
There is currently no vaccine to prevent 2019-nCoV. The best way to prevent infection is to avoid being exposed to this virus by avoiding travel to areas where it is present. As a reminder, it is always recommended to follow these everyday preventive actions to help prevent the spread of any virus:
For more information about 2019-nCoV visit The Ohio Department of Health website at www.odh.ohio.gov.
Fight the Flu (December 2019)
Flu Vaccine is the BEST way to protect against the Flu
Influenza, commonly called the flu, is a potentially serious disease that can lead to hospitalization and sometimes even death. The flu is a virus that causes respiratory symptoms such as fever, sore throat, headache, nasal congestion, fatigue or weakness and muscle aches (many people mistake stomach illness causing vomiting and diarrhea as the flu). Every flu season is different, and influenza infection can affect people differently, but millions of people get the flu every year, hundreds of thousands of people are hospitalized and thousands of people die from flu-related causes every year. An annual seasonal flu vaccine is the best way to help protect against flu. Here are some frequently asked questions about the flu vaccine and the flu.
How do flu vaccines work?
Flu vaccines cause antibodies to develop in the body about two weeks after receiving the vaccination. These antibodies provide protection against the flu. The vaccine protects against the flu viruses that research indicates will be most common this year.
Who should get vaccinated this season?
Everyone 6 months of age and older should get a flu vaccine each year. This recommendation has been in place since February 24, 2010 to expand protection against the flu to more people. Vaccination is particularly important for people who are at high risk of serious complications from the flu such as adults age 65 years of age and older, pregnant women and young children.
When should I get vaccinated?
The CDC recommends that people get a flu vaccine before the end of October. You should get a flu vaccine before flu begins spreading in the community. Getting vaccinated later, however, can still be beneficial and vaccination should continue to be offered throughout the flu season, even into January or later.
Why do I need a flu vaccine every year?
A flu vaccine is needed every season for two reasons. First, the body’s immune response from vaccination declines over time, so an annual vaccine is needed for continued protection. Second, because flu viruses are constantly changing, the formulation of the flu vaccine is reviewed each year and updated as needed to keep up with changing flu viruses.
Does flu vaccine work right away?
No. It takes about two weeks after receiving the shot for the antibodies to develop and protect you from getting the flu. If you come down with the flu within two weeks of getting the flu shot, then it is not the shot that gave you the flu. This is why it is important to get the vaccine before the end of October when the peak flu season starts.
Can I get seasonal flu even though I got a flu vaccine this year?
Yes. It’s possible to get sick with the flu even if you have been vaccinated, however you will not know for sure unless you get a flu test. This is possible for the following reasons:
In general, a flu vaccine works best among healthy younger adults and older children. Some older people and people with certain chronic illnesses may develop less immunity after vaccination. Flu vaccination is not a perfect tool, but it is the best way to protect against flu.
Legal Notice Environmental Fees (November 2019)
REGULATION ESTABLISHING LICENSE AND PERMIT FEES IN THE NOBLE COUNTY GENERAL HEALTH DISTRICT
A regulation adopting fees for the Retail Food Establishment & Food Service Operation Program; Household Sewage Treatment Systems (HSTS) and Small Flow on-Site Sewage Treatment System (SFOSTS) Programs; Private Water Systems Program; Resident Day Camp Program, Beaches and Bathing Area Program; and Solid Waste Hauler Program.
Therefore, under authority of sections 3709.09 and 3709.21 of the Ohio Revised Code (O.R.C.), Be it resolved by the Board of Health of the Noble County General Health District, state of Ohio, that the regulation in reference to fees be adopted. A complete copy of the regulation maybe obtained or viewed at the board clerk’s office located at the Noble County Health Department, 44069 Marietta RD, Caldwell, Ohio 43724 or at the Noble County Commissioners Office, 2nd Floor Courthouse, Caldwell, Ohio 43724.
The effective date of this regulation shall be January 1, 2020.
Adopted by the Board of Health of the Noble County General Health District at regular meeting this 14th day of November, 2019.
Linda Van Fleet, President Noble County Board of Health
ATTEST: Shawn E. Ray, MPH, RS, Clerk of the Noble County Board of Health
Fight the Flu (October 2019)
Flu Vaccine is the BEST way to protect against the Flu
Influenza, commonly called the flu, is a potentially serious disease that can lead to hospitalization and sometimes even death. The flu is a virus that causes respiratory symptoms such as fever, sore throat, headache, nasal congestion, fatigue or weakness and muscle aches (many people mistake stomach illness causing vomiting and diarrhea as the flu). Every flu season is different, and influenza infection can affect people differently, but millions of people get the flu every year, hundreds of thousands of people are hospitalized and thousands of people die from flu-related causes every year. An annual seasonal flu vaccine is the best way to help protect against flu. Here are some frequently asked questions about the flu vaccine and the flu.
How do flu vaccines work?
Flu vaccines cause antibodies to develop in the body about two weeks after receiving the vaccination. These antibodies provide protection against the flu. The vaccine protects against the flu viruses that research indicates will be most common this year.
Who should get vaccinated this season?
Everyone 6 months of age and older should get a flu vaccine each year. This recommendation has been in place since February 24, 2010 to expand protection against the flu to more people. Vaccination is particularly important for people who are at high risk of serious complications from the flu such as adults age 65 years of age and older, pregnant women and young children.
When should I get vaccinated?
The CDC recommends that people get a flu vaccine before the end of October. You should get a flu vaccine before flu begins spreading in the community. Getting vaccinated later, however, can still be beneficial and vaccination should continue to be offered throughout the flu season, even into January or later.
Why do I need a flu vaccine every year?
A flu vaccine is needed every season for two reasons. First, the body’s immune response from vaccination declines over time, so an annual vaccine is needed for continued protection. Second, because flu viruses are constantly changing, the formulation of the flu vaccine is reviewed each year and updated as needed to keep up with changing flu viruses.
Does flu vaccine work right away?
No. It takes about two weeks after receiving the shot for the antibodies to develop and protect you from getting the flu. If you come down with the flu within two weeks of getting the flu shot, then it is not the shot that gave you the flu. This is why it is important to get the vaccine before the end of October when the peak flu season starts.
Can I get seasonal flu even though I got a flu vaccine this year?
Yes. It’s possible to get sick with the flu even if you have been vaccinated, however you will not know for sure unless you get a flu test. This is possible for the following reasons:
In general, a flu vaccine works best among healthy younger adults and older children. Some older people and people with certain chronic illnesses may develop less immunity after vaccination. Flu vaccination is not a perfect tool, but it is the best way to protect against flu.
E-Cigarettes & Vaping Facts (August 2019)
In 2018, more than 3.6 million U.S. middle and high school students used e-cigarettes. Which translated into 1 in 5 high school students and 1 in 20 middle school students.Research shows that more high school students are vaping than adults.-
Sorry parents but it is highly likely our high school students all know someone who vapes or have possibly tried it themselves.
What Is Vaping?
Vaping is the inhaling of a vapor created by an electronic cigarette. E-cigarettes are sometimes called “e-cigs,” “vapes,” “e-hookahs,””juuls”, “vape pens,” and “electronic nicotine delivery systems (ENDS).” Some e-cigarettes look like regular cigarettes, cigars, or pipes. Some look like USB flash drives, pens, and other everyday items.
E-cigarettes are battery-powered smoking devices. They have cartridges filled with a liquid that usually contain nicotine, flavorings, and chemicals. The liquid is heated into a vapor, which the person inhales. That’s why using e-cigarettes is called “vaping.” Once a cartridge is empty the user simply purchases another cartridge. Cartridges come in numerous flavors making them even more appealing to adolescents.
What Are the Health Effects of Vaping?
Vaping puts nicotine into the body. Nicotine is highly addictive and can affect brain development, especially in young adults and adolescents.
Because vaping is new, we don’t yet know how it affects the body over time. We do know that the nicotine in e-cigarettes is very addictive and that it can slow brain development in teens. This can affect memory, concentration, learning,self-control, attention, and mood. Nicotine can also increase the risk of other types of addiction later in life. E-cigarettes also irritate and damage the lungs and can lead to smoking cigarettes and other forms of tobacco use.
Some people use e-cigarettes to vape marijuana,THC oil, and other dangerous chemicals. Besides irritating the lungs, these drugs also affect how someone thinks, acts, and feels.
What is JUUL?
JUUL (pronounced ‘jewel’) is a brand of e-cigarette that is shaped like a USB flash drive. it is currently the top selling e-cigarette brand in the United States. Like other e-cigarettes, JUUL is a battery-powered device that heats a nicotine-containing liquid to produce an aerosol that is inhaled.
All JUUL e-cigarettes have a high level of nicotine. According to the manufacturer, a single JUUL pod contains as much nicotine as a pack of 20 regular cigarettes.
News outlets and social media sites report widespread use of JUUL by students in schools, including classrooms and bathrooms.
Other companies sell e-cigarettes that look like USB flash drives. Examples include the MarkTen Elite, a nicotine delivery device, and the PAX Era, a marijuana delivery device that looks like JUUL.
The bottom line e-cigarettes are being used by middle and high school students in alarming numbers. As traditional cigarettes have lost their appeal, the vaping culture has replaced it with fancy devices and flavors to choose from. Tobacco companies produce these e-cigarettes and have done a wonderful job marketing the products.
We need to take action now, educate our children and turn this trend around. Ohio recently increased the legal age to purchase tobacco products to 21 years old in an effort to combat this growing concern. Talk to your children today about the dangers of vaping and e-cigarettes.
Does it sound bad?………. because it is.
Extreme Heat (July 2019)
State officials remind that extreme heat is severe weather
Older adults are at increased risk for heat-related illness and complications.
Forecasters are predicting high temperatures in the 90s and triple-digit heat indexes around the state over the next several days. The Ohio Department of Aging and the Ohio Department of Health remind residents that extreme heat should be treated with the same care and preparation as a summer storm.
“Our bodies are usually very good at controlling their temperature, but extremely hot conditions over an extended period of time can stress even the most efficient system,” said Dr. Amy Acton, director of the Ohio Department of Health. “Factors that can interfere with a body’s ability to adapt to hot weather include age, obesity, dehydration, heart disease, and medications.”
To stay cool during extremely hot days:
It is also important to learn the warning signs of heat-related illnesses.
Heat cramps: Are muscle pains and spasms, mostly in the legs, caused by dehydration and exertion. Though not life-threatening, heat cramps can be very painful. To prevent and treat heat cramps, drink plenty of cool, non-alcoholic liquids, rest, and stay in a cool environment.
Heat exhaustion: Is caused by heavy sweating and results in not enough fluids to support your vital organs. Symptoms include cool, moist, pale, flushed, or red skin; heavy sweating; headache; nausea or vomiting; dizziness; and lack of energy. Heat exhaustion is a serious and potentially life-threatening illness, so seek medical attention and take steps to reduce the body temperature and increase hydration. These include moving to a cooler environment; drinking cool, non-alcoholic liquids; loosening or removing clothing; and cooling the body with wet towels or a cool shower or bath.
Heat stroke: Is a life-threatening condition in which the individual’s body is no longer able to control its own internal temperature. Signs of heat stroke include hot, red, and dry skin, no sweating; rapid, weak pulse; rapid, short breathing; and high fever. Heatstroke can also cause disorientation or strange behavior, which may be more difficult to identify in an individual with dementia. Seek emergency medical attention immediately if you suspect you or a loved one is experiencing heat stroke.
Hepatitis A Vaccination (June 2019)
Hepatitis A is a liver infection caused by a virus. The virus is very contagious and spreading from person to person continuing to cause an outbreak in Ohio.
Hepatitis A is most likely to occur among the following at-risk populations:
• People who use or inject street drugs
• People who have had direct contact with someone who has hepatitis A, including household & sexual contact.
• People who are or were recently in jail or prison
• People who have unstable housing or are homeless
• People with liver disease, such as cirrhosis, hepatitis B, or hepatitis C
Hepatitis A can be prevented with a safe and effective vaccine, but it MUST be given to the at-risk populations above.
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 not required to specify which at-risk area an individual falls in, individuals must only state they are in the at-risk population. 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.
Symptoms of Hepatitis A include: yellowing skin or eyes, feeling tired, loss of appetite, stomach pain, joint pain, dark urine, light colored stools, fever, throwing up, upset stomach and diarrhea. Symptoms can take 15-50 days to develop. Making it more difficult, the virus can be spread prior to these symptoms occurring.
Currently the vaccination recommendations remain as the at-risk populations above. Contact the Noble County Health Department today at 740-732-4958 for more information.
Tick Bite Prevention (May 2019)
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:
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 these parts of your body and your child’s body for ticks:
Learn more at: https://www.cdc.gov/ticks/index.html
Neonatal Abstinence Syndrome (NAS) (April 2019)
What is NAS?
Neonatal Abstinence Syndrome (NAS) occurs when a baby is exposed to drugs in the womb; therefore, the baby goes through withdrawal from the drug following birth.
Babies can experience withdrawal due to the mother taking prescribed narcotics or by abusing street drugs. Almost every drug, prescription or non-prescription, passes from the mother’s bloodstream through the placenta to the fetus. Illicit substances and street drugs that cause dependence and addiction in the mother also cause addiction in the fetus. At birth, the baby’s dependence on the substance continues, but since the drug is no longer available, the baby’s central nervous system becomes overstimulated, causing withdrawal.
Why is NAS a concern?
When a mother uses illicit substances, she places her baby at risk for many serious health problems. A mother using drugs may be less likely to seek prenatal care, which can increase the risks for her and her baby. In addition, women who use drugs are more likely to use more than one type of drug, which can complicate the treatment. In addition to the specific difficulties of withdrawal after birth, problems in the baby may include, but are not limited to: Poor intrauterine growth, Premature birth, Birth defects and Seizures.
What are the symptoms of NAS?
Symptoms of NAS may vary depending on the type of substance used, the last time it was used, and whether the baby is full-term or premature. Symptoms of withdrawal may begin as early as 24 to 48 hours after birth, or as late as five to 10 days. The following are the most common symptoms of neonatal abstinence syndrome. However, each baby may experience symptoms differently. Symptoms of withdrawal in full-term babies may include: Tremors (trembling), Irritability (excessive crying), Sleep problems, High-pitched crying, Tight muscle tone, Hyperactive reflexes, Seizures, Yawning, Stuffy nose or sneezing, Poor feeding and suck, Vomiting, Diarrhea, Dehydration, Sweating and Fever or unstable temperature. The symptoms of NAS may resemble other conditions or medical problems.
How is NAS diagnosed?
An accurate report of the mother’s drug usage is important, including the time of the last drug taken. A neonatal abstinence scoring system may be used to help diagnose and grade the severity of the withdrawal. Using the scoring system, points are assigned for certain signs and symptoms and the severity of each. This scoring may also help in planning treatment. Treatment for neonatal abstinence syndrome Specific treatment for NAS will be determined by a doctor. Babies suffering from withdrawal are irritable and often have a difficult time being comforted. Swaddling, or snugly wrapping the baby in a blanket, may help comfort the baby. Babies also may need extra calories because of their increased activity and may need a higher calorie formula. Intravenous (IV) fluids are sometimes needed if the baby becomes dehydrated or has severe vomiting or diarrhea. Some babies may need medications to treat severe withdrawal symptoms, such as seizures, and to help relieve the discomfort and problems of withdrawal. The treatment drug is usually in the same family of drugs as the substance the baby is withdrawing from. Once the signs of withdrawal are controlled, the dosage is gradually decreased to help wean the baby off the drug.
Can NAS be prevented?
NAS is a TOTALLY PREVENTABLE problem. However, it requires that a mother stop using drugs before pregnancy, or as soon as she learns she is pregnant.
Measles (February 2019)
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 (January 2019)
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:
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.
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 www.aging.ohio.gov/safeathome 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 (www.aging.ohio.gov) for contacts or call 1-866-243-5678 to be connected to the agency serving your community.
Hepatitis A Statewide Outbreak (January 2019)
The Ohio Department of Health (ODH) has declared a statewide community outbreak of hepatitis A after observing an increase in cases linked to certain risk factors since the beginning of 2018. ODH and affected local health departments are investigating these cases.
Outbreak case statistics are updated on the ODH website each Monday by 2 p.m. Outbreaks of hepatitis A are occurring in several states across the United States, including neighboring states of Indiana, Kentucky, Michigan and West Virginia. Hepatitis A is a vaccine-preventable liver disease that usually spreads when a person ingests fecal matter – even in microscopic amounts – from contact with objects, food or drinks contaminated by the stool of an infected person. Hepatitis A can also be spread from close personal contact with an infected person, such as through sex.
Symptoms of hepatitis A include fatigue, low appetite, stomach pain, nausea, clay-colored stools and jaundice. People with hepatitis A can experience mild illness lasting a few weeks to severe illness lasting several months.
People who believe that they are at high risk for hepatitis A infection should contact their healthcare provider or local health department for information about vaccination. People who know that they have been exposed to someone with hepatitis A should contact their healthcare provider or local health department to discuss post-exposure vaccination options. Individuals who experience symptoms of hepatitis A should contact their healthcare provider.
Good Habits to prevent the Flu
The easiest way to protect yourself from the flu:
Acute Flaccid Myelitis (AFM)
AFM is a rare neurological condition that affects less than 1 in a million people in the U.S. each year, however if your child develops any sudden weakness of the arms or legs seek medical attention right away. AFM affects the spinal cord and is characterized clinically by a sudden onset of asymmetric limb weakness. A majority of cases were preceded by fever and/or upper respiratory symptoms; other cases have reported vomiting and diarrhea. These symptoms tended to precede weakness by 5 days.
Please click on the AFM Fact Sheet link below for more information
