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
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:
- You may be exposed to a flu virus shortly before getting vaccinated or during the period that it takes the body to gain protection after getting vaccinated. This exposure may result in you becoming ill with flu before the vaccine begins to protect you.
- You may be exposed to a flu virus that is not included in the seasonal flu vaccine. There are many different flu viruses that circulate every year. A flu vaccine is made to protect against the three or four flu viruses that research suggests will be most common.
- Unfortunately, some people can become infected with a flu virus a flu vaccine is designed to protect against, despite getting vaccinated. Protection provided by flu vaccination can vary widely, based in part on health and age factors of the person getting vaccinated.
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
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.
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:
- Drink plenty of cool, non-alcoholic beverages (avoid extremely cold liquids and beverages with high levels of sugar or caffeine);
- Wear loose-fitting, lightweight clothing and rest frequently;
- Plan outdoor activities for cooler parts of the day, such as early morning or late evening;
- Take cool baths or showers; and
- Seek an air-conditioned environment, such as a store, restaurant, public library, or a family member’s or neighbor’s home.
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 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.
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
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 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.
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.
- 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 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.
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.
- People at increased risk for hepatitis A in this outbreak include:
- People with direct contact with individuals infected with the virus
- Men who have sex with men
- People who use street drugs whether they are injected or not
- People who are incarcerated
- People experiencing homelessness
- People who have traveled to other areas of the United States currently experiencing outbreaks.
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.
OHIO HEPATITIS A OUTBREAK CASES BY COUNTY (JANUARY 22, 2019):
Good Habits to prevent the Flu
The easiest way to protect yourself from the flu:
- Get a seasonal flu vaccine every year
- Wash your hands
- Cover your Cough
- Have Healthy Habits
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