Latest News

RECall alert expands: powdered infant formula

For Immediate Release: 03-02-2022

The FDA is advising consumers not to use Similac, Alimentum, or EleCare powdered formula if:

• the first two digits of the code on the container are 22 through 37, and
• the code on the container contains K8, SH, or Z2, and
• the "use-by" date is 4-1-2022 (APR 2022) or later.

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.

RECall alert: powdered infant formula

For Immediate Release: 02-18-2022

The FDA is advising consumers not to use Similac, Alimentum, or EleCare powdered formula if:

• the first two digits of the code on the container are 22 through 37, and
• the code on the container contains K8, SH, or Z2, and
• the "use-by" date is 4-1-2022 (APR 2022) or later.

FDA & CDC Advisory PDF

Receive narcan by mail order

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:

https://forms.office.com/Pages/ResponsePage.aspx?id=Z9qSQ353ika5NzAK9Y6KGsOSFkd1CWdBkTWcDtzin29UNlZYQ0tFSlM3TFBUV1JCR1NQUVVDUEVHTC4u

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 

 

NCHD ACCEPTS BIDS FOR VACCINE REFRIGERATOR

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. 

 

NCHD ADJUSTS RESPONSE TO COVID-19 CASES DUE TO HIGH VOLUME

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 

COVID-19 VACCINE UPDATED BOOSTER Guidance

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. 

  Vaccine Registration Form (18 and Over) - Click Here

• Call the Noble County Health Department directly at 740-732-4958 and we will schedule you an appointment over the phone.

Updated Isolation & Quarantine Guidance

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)

CDC Media Statement

COVID-19 Vaccine Updated Booster guidance

For Immediate Release: 11-19-2021

Ohio Department of Health FAQ Vaccine Booster Dose Update

Ohio Department of Health Fact Sheet on COVID-19 Vaccine Booster Doses

Ohio Department of Health Booster Chart

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. 

  Vaccine Registration Form (18 and Over) - Click Here

• Call the Noble County Health Department directly at 740-732-4958 and we will schedule you an appointment over the phone.

COVID-19 Vaccines for children
5-11 years old

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.

COVID-19 Vaccine Booster guidance

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. 

  Vaccine Registration Form (18 and Over) - Click Here

• Call the Noble County Health Department directly at 740-732-4958 and we will schedule you an appointment over the phone.

community health assessment

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

FREE SPORTS PHYSICAL CLINIC

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.

COVID-19 Vaccine appointments

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. 

  Vaccine Registration Form (18 and Over) - Click Here

• Call the Noble County Health Department directly at 740-732-4958 and we will schedule you an appointment over the phone.

Southeast ohio COMMUNITY HEALTH surveys

 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

Community Health Assessment

 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

COVID-19 Vaccine Registration Form

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

• By completing this form your general information will be submitted to the Scheduling Call Center.
•  The Call Center will contact you by the phone number provided and ask you for additional information. This call back will not take place on the same day you submit the form. ***(Please answer all your calls, what you assume may be a tele-marketing call could be the Call Center trying to contact you)***
• During this call you will be assigned a time and location - You will not be able to request specific times and dates.  
• Completing this form does not guarantee that you will be able to receive a vaccine, this is a screening process to get a list of eligible people. Scheduling is prioritized by age, need, governor’s orders and vaccine availability. 
• This survey may also be closed after all of our registration spots are filled.

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.

VACCINATION PHASES  2C & 1E

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.

Community Health Assessment

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

COVID-19 Vaccination Scheduling

For Immediate Release: 01-15-2021

Following the Guidelines from Governor DeWine and the Ohio Department of Health…

Dates to receive COVID vaccination:

• Week of January 19, 2021

Ohioans 80 years of age and older

• Week of January 25, 2021

Ohioans 75 years of age and older

Those with severe congenital or developmental disorders 

• Week of February 1, 2021

Ohioans 70 years of age and older

Employees of K-12 schools that agree to in-person or hybrid teaching

• Week of February 8, 2021

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)

Statewide curfew

For Immediate Release: 11-17-2020

"𝘞𝘦'𝘳𝘦 𝘯𝘰𝘵 𝘴𝘩𝘶𝘵𝘵𝘪𝘯𝘨 𝘥𝘰𝘸𝘯, 𝘸𝘦'𝘳𝘦 𝘴𝘭𝘰𝘸𝘪𝘯𝘨 𝘥𝘰𝘸𝘯,"

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:

• Those going to and from work
• Those who have an emergency, or those who need medical care

 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)

NOBLE COUNTY'S FIRST DEATHS FROM COVID-19

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)

NOBLE COUNTY POP-UP COVID-19 TESTING

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)

PUBLIC HEALTH POSITION

 

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)

OPEN, WITH SAFETY MODIFICATIONS

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)

NEWS RELEASE 05-01-2020

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

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:

1. 1. Recommend face coverings for employees and clients/customers.
       
   2. Conduct daily health assessments by employers and employees (self-evaluation) to determine if “fit for duty.”
       
   3. Maintain good hygiene at all times – hand washing, sanitizing and social distancing.
       
   4. Clean and sanitize workplaces throughout workday and at the close of business or between shifts.
       
   5. Limit capacity to meet social distancing guidelines.
      • Establish maximum capacity at 50% of fire code. 
      • And, use appointment setting where possible to limit congestion.

TAKE THE FOLLOWING ACTIONS WHEN A COVID-19 INFECTION IS IDENTIFIED:

• • Immediately report employee or customer infections to the local health district.
     
  • Work with local health department to identify potentially exposed individuals to help facilitate appropriate communication/contact tracing.
     
  • Shutdown shop/floor for deep sanitation if possible.  
     
  • Professionally clean and sanitize site/location.
     
  • Reopen in consultation with the local health department..
    
    CONTINUED BUSINESS CLOSURES PER THE OHIO DEPARTMENT OF HEALTH
    

    The following businesses and operations are to remain closed per existing Stay at Home Orders:

    • • K-12 schools and daycares.
         
      • Restaurants and bars.
        • Carry-out and delivery services are permitted.
           
      • Personal appearance/beauty services.
        • Includes hair salons, day spas, nail salons, barber shops, tattoo parlors, body piercing locations, tanning facilities, massage therapy locations and similar businesses.
           
      • Older adult day care services and senior centers.
         
      • Adult day support or vocational habilitation services in congregate settings.
         
      • Rooming and boarding houses, and workers’ camps.
         
      • Entertainment/recreation/gymnasium sites.
         
      • Includes, but is not limited to:
        • All places of public amusement, whether indoors or outdoors, such as:
          • Laser tag facilities, roller skating rinks, ice skating rinks, arcades, indoor miniature golf facilities, bowling alleys, indoor trampoline parks, indoor water parks, arcades, and adult and child skill or chance game facilities remain closed.
          • Gambling industries.
          • Auditoriums, stadiums, arenas.
          • Movie theaters, performance theaters, and concert and music halls
          • Public recreation centers and indoor sports facilities.
          • Parades, fairs, festivals, and carnivals.
          • Amusement parks, theme parks, outdoor water parks, children's play centers, playgrounds, and funplexes. 
          • Aquariums, zoos, museums, historical sites, and similar institutions.
          • Country clubs and social clubs.
          • Spectator sports, recreational sports tournaments and organized recreational sports leagues.
          • Health clubs, fitness centers, workout facilities, gyms, and yoga studios.
          • Swimming pools, whether public or private, except swimming pools for single households.
          • Residential and day camps.
          • Campgrounds, including recreational camps and recreational vehicle (RV) parks.
          • Excludes people living in campground RVs with no other viable place of residence.
          • Excludes people living in cabins, mobile homes, or other fixed structures that are meant for single families and where preexisting residential activity already has been established. (E.g., for people who have part-time preestablished residences at campgrounds for the summer months.)

 

 

COVID Careline (May 2020)

COVID CARELINE

       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)

NEWS RELEASE - 04/24/2020

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)

Shopping for Food during covid-19

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:

1. Prepare a shopping list in advance. Buy just 1 to 2 weeks-worth of groceries at a time. Buying more than you need can create unnecessary demand and temporary shortages.
2. Wear a face covering or mask while you are in the store. Some stores and localities may require it. Check your state, county or city guidelines for any other requirements.
3. Carry your own wipes, or use one provided by the store to wipe down the handles of the shopping cart or basket. If you use reusable shopping bags, ensure they are cleaned or washed before each use.
4. Practice social distancing while shopping – keeping at least 6 feet between you, other shoppers, and store employees. Keep your hands away from your face.
5. Wash your hands with warm water and soap for at least 20 seconds when you return home and again after you put away your groceries.
6. Again, there is no evidence of food packaging being associated with the transmission of COVID-19. However, if you wish, you can wipe down product packaging and allow it to air dry, as an extra precaution.

As always, it is important to follow these food safety practices to help prevent foodborne illness:

7. Before eating, rinse fresh fruits and vegetables under running tap water, including those with skins and rinds that are not eaten. Scrub firm produce with a clean produce brush. For canned goods, remember to clean lids before opening.
8. When unpacking groceries, refrigerate or freeze meat, poultry, eggs, seafood, and other perishables—like berries, lettuce, herbs, and mushrooms—within 2 hours of purchasing.
9. Regularly clean and sanitize kitchen counters using a commercially available disinfectant product or a DIY sanitizing solution with 5 tablespoons (1/3rd cup) unscented liquid chlorine bleach to 1 gallon of water or 4 teaspoons of bleach per quart of water. WARNING: Do not use this solution or other disinfecting products on food.
10. Always keep in mind the basic 4 food safety steps — Clean, Separate, Cook, and Chill.
    
    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)

NEWS RELEASE - 04/14/2020

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)

NEWS RELEASE - 04/12/2020

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)

NEWS RELEASE - 04/08/2020

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?

• Practice social distancing by avoiding crowds and keeping at least 6 feet away from other people as much as possible.
• Stay home if you are sick. If someone in your household is diagnosed with COVID-19, everyone should quarantine themselves for 14 days.
• Wash your hands often with soap and water for at least 20 seconds. Use an alcohol-based hand sanitizer if soap and water are not available.
• Avoid touching your mouth, nose or eyes. Don’t share food or drinks.
• Cover coughs and sneezes with your arm or a tissue.
• Clean and disinfect frequently touched objects and surfaces.
• Ask your employer about the possibility of working from home.

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)

Stay at Home Order

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)

COVID-19 (Novel Coronavirus)

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:

• A void close contact with people who are sick.
• A void touching your eyes, nose, and mouth with unwashed hands.
• Wash your hands often with soap and water for at least 20 seconds. Use an alcohol-based hand sanitizer that contains at least 60% alcohol if soap and water are not available.
• Stay home when you are sick.
• Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
• Clean and disinfect frequently touched objects and surfaces.

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)

2019-NOVEL CORONAVIRUS

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:

·         Wash your hands often with soap and water for at least 20 seconds. If soap and water are not available, use an alcohol-based hand sanitizer.

·         Avoid touching your eyes, nose, and mouth with unwashed hands.

·         Avoid close contact with people who are sick.

·         Stay home when you are sick.

·         Cover your cough or sneeze with a tissue, then throw the tissue in the trash and wash your hands.

·         Clean and disinfect frequently touched objects and surfaces.

 

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:

• 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.

 

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:

• 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.

 

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.-

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.

 

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:

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:

• 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

 

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:

• 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.

 

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.

• 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:

1. Get a seasonal flu vaccine every year
2. Wash your hands
3. Cover your Cough
4. Have Healthy Habits

• Ohio Department of Health Seasonal Flu
• Prevent Flu Actions Video

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

Acute Flaccid Myelitis (AFM) Fact Sheet