Our mission is to prevent disease, assure a healthful environment, prolong life, and promote well being for the citizens of Medina County.
Promote, Protect and Prevent
Local Calls: 330-723-9688
1-888-723-9688
4800 Ledgewood Drive, Medina, OH 44256

HCP News June 2018

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The Healthcare Provider News is compiled quarterly.
Your comments and suggestions are welcome. Click here.

 

 

 

 

In this Issue:

 


Pertussis (Whooping Cough)

 
Pertussis in its early stages appears to be nothing more than the common cold. Therefore, healthcare professionals often do not suspect or diagnose it until the more severe symptoms appear. Medina County has recently seen several (unrelated) cases. Many with only mild symptoms. We are encouraging healthcare professionals to be vigilant about pertussis.

Pertussis (whooping cough) can cause serious illness in babies, children, teens, and adults. Symptoms of pertussis usually develop within 5 to 10 days after you are exposed. Sometimes pertussis symptoms do not develop for as long as 3 weeks. The disease usually starts with cold-like symptoms and maybe a mild cough or fever. In babies, the cough can be minimal or not even there. Babies may have a symptom known as “apnea.” Apnea is a pause in the child’s breathing pattern. Pertussis is most dangerous for babies. About half of babies younger than 1 year who get the disease need care in the hospital. 

Early symptoms can last for 1 to 2 weeks and usually include:
  • Runny nose
  • Low-grade fever (generally minimal throughout the course of the disease)
  • Mild, occasional cough
  • Apnea – a pause in breathing (in babies)

The Centers for Disease Control and Prevention (CDC) offers many resources for healthcare professionals.

For a great video from the CDC to share with your expecting patients, click here.

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MOBI, TIES, AFIX, and IMPACT SIIS - Oh My


Amy Lesak, BSN, RN, will again be contacting your offices beginning in July to offer the MOBI (Maximizing Office Based Immunization), TIES (Teen Immunization Education Session), AFIX (Assessment Feedback Incentive and Exchange, assessment of your practice’s immunization rates), and/or IMPACT SIIS training. These trainings are a great way for your staff to get the latest updates on immunizations, Impact SIIS, and find out your practices’ immunization rates, and strategies to improve your rates. Plus MOBI and TIES also provides your staff with one hour of continuing education! You may also contact Amy to schedule your training: 330-723-9688, extension 625 or email her by clicking here.

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Back to School Immunizations





We know that the school year just ended, but we are already looking to immunization needs for the 2018-2019 school year! The Medina County Health Department has clinics scheduled and designated for each school district in Medina County. Call Jeannie Bunch, at 330-723-9688, extension 630.

We can also offer vaccinations in our Health Center, so please refer patients who may need our services by having them call 330-723-9688, option 1.


Click here for the latest guidelines for back to school immunizations. Click here for the Director's Journal Entry from the Ohio Department of Health regarding approved means of immunization pursuent to sections 3701.13 and 3313.671 of the Ohio Revised Code.


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Pink Book Webinar Series


This online series of 15 webinars provides an overview of the principles of vaccination, general recommendations, immunization strategies for providers, and specific information about vaccine-preventable diseases and the vaccines that prevent them. Each one-hour webinar explores a chapter from the 13th edition of “Epidemiology and Prevention of Vaccine-Preventable Diseases,” also known widely as “The Pink Book.”

2018 Webinar Schedule (All events begin at noon eastern time.)
 
Date Topic
June 6 Principles of Vaccination
June 13 General Recommendations: Part 1
June 27 General Recommendations: Part 2, and Vaccine Safety
July 11 Vaccine Storage and Handling and Administration
July 18 Immunization Strategies
July 25 DTap/Tdap
August 1 Rotavirus and Hepatitis A
August 8 Meningococcal Vaccines
Aug 15 Varicella/Zoster
August 22 Polio and Hib
August 29 Measles, Mumps, Rubella
September 5 Hepatitis B
September 12 HPV
September 19 Pneumococcal Vaccines
September 26      Influenza























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Children with Medical Handicaps (CMH) 


CMH (formerly BCMH) is a program that helps children with special healthcare needs by providing a safety net and may assist with obtaining payment for approved services by approved providers.

Children who are Ohio residents from birth to age 21 are eligible for the program. The Diagnostic program lasts for 6 months and is not income based. All services must be through approved CMH providers and include office visits, lab work, diagnostic testing, and therapy evaluations.

The Treatment program includes ongoing treatment services from approved providers. Children must have a medically eligible condition, see an approved managing physician at least once a year, and be financially eligible. Services include those provided on the Diagnostic program along with services related to each child’s medical condition.

Services provided could include:

  • medications
  • medical supplies
  • surgeries
  • medical equipment
  • therapies


A local public health nurse skilled in working with children with special healthcare needs and their families will provide case management services, help a family find local resources, help families find approved providers, and help with completing needed paperwork. 

For further information or help with CMH applications/questions, call Cathy McEvoy, RN at 330-723-9688, extension 632.

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WIC Income Guidelines


Medina County Women, Infants, and Children (WIC) program can help families to be healthy. Family households at or below 185 percent of the federal poverty level can receive nutrition education, breastfeeding education and supports, supplemental foods, and referrals to other community resources.

For more detailed information about the Medina County WIC program and to obtain WIC brochures with the new guidelines for your patients, call us at 330-723-9688 option 4.

Qualifying participants include pregnant women, breastfeeding and non-breastfeeding moms, infants, and children up to age 5 who meet the following income guidelines:


 

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We will provide tick ID for Medina County residents!

 
The Medina County Health Department (MCHD) will provide tick identification for residents of Medina County for ticks that were found on or attached to humans only. 

Once the tick species is identified, we can advise what diseases are associated with that particular tick. Testing of the ticks for the presence of diseases is not a service we are able to provide. In order to have a tick identified, please take the following steps:
  1. MCHD will only accept ticks that were found on or attached to humans, not pets. Please contact your veterinarian if a tick was found on your pet.
  2. The tick must be removed from the person. Please take the following steps to remove it. Try to avoid crushing the tick or destroying it in any way as this makes proper identification difficult. Please seek medical attention if unable to remove the tick.
  3. Ticks must be dropped off at our Environmental Health lobby during business hours, 8:00am - 4:30pm Monday thru Friday. We will not pick up ticks.
  4. Ticks must be kept and transported in a small air-tight crush-proof container such as a pill bottle or baby food jar. If one is not available a sealed plastic bag will suffice.
  5. Place into the container with the tick several drops of rubbing alcohol or an alcohol pad and tightly seal the container. Do not saturate the tick and do not place the tick on tape.
  6. The person dropping off the tick will be required to complete a Tick Identification Submission Form available at the MCHD Environmental Health Division lobby.
  7. MCHD will forward a photograph of the tick to the Ohio Department of Health Zoonotic Disease Laboratory.
  8. An emailed report will be sent to the person listed on the Submission Form, usually within one week. This report will include the species of tick identified, if it was engorged, and what diseases are associated with it.
  9. If you have any medical concerns, please discuss the situation with a doctor. He/she should explain and advise you on the signs and symptoms of tickborne diseases.
Ticks must be dropped off at our Environmental Health lobby during business hours, 8:00am - 4:30pm Monday thru Friday. Call 330-723-9688, option 3 with questions.

For more information:

Tickborne Diseases in Ohio (Ohio Department of Health - ODH)
Ticks (Centers for Disease Control and Prevention - CDC)

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Travelers Health



Vaccines or prophylactic drugs are available to protect against some vectorborne diseases such as yellow fever, Japanese encephalitis, and malaria; however, travel health practitioners should advise travelers to use repellents and other general protective measures against biting arthropods. The effectiveness of malaria prophylaxis is variable, depending on patterns of drug resistance, bioavailability, and compliance with medication, and no similar preventive measures exist for other mosquitoborne diseases such as dengue, chikungunya, Zika, and West Nile encephalitis, or tickborne diseases such as Lyme borreliosis, tickborne encephalitis, and relapsing fever.

CDC recommends that consumers use repellent products that have been registered by EPA. EPA registration indicates the materials have been reviewed and approved for both efficacy and human safety when applied according to the instructions on the label. Click here for additional information from the yellow book. 


Services that the Medina County Health Department can offer your patients who are traveling:
  • The Health Center has a travel clinic. Encourage your patients to call us well in advance of their travel time at 330-723-9688, option 1.
  • Our Vital Statics office can provide a birth certificate to anyone born in Ohio - a much needed document for traveling abroad. Call 330-723-9688, option 6.
 
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You Are the Key: Best Practices for HPV Cancer Prevention
Tuesday, June 12, 2018 2:00:00 PM EDT - 3:00:00 PM EDT

Low HPV vaccination rates are leaving boys and girls vulnerable to devastating HPV cancers. 

Have you been making an effective HPV vaccination recommendation for kids 11 and 12 years old? 

This presentation will provide up-to-date information on HPV infection/disease, the HPV vaccine, ACIP recommendations, and ways to successfully communicate with patients and their parents about HPV vaccination. Find out how to reduce missed opportunities by recommending HPV vaccine the same way and same day you recommend other routinely recommended adolescent vaccines. Learn best practices from other medical offices across the nation that are making HPV vaccination a priority. Click here for information and to register.

Summer Safety Resources:


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