Immunizations

Vaccines are safe and effective. Vaccine-preventable diseases are at an all time low thanks to more people being vaccinated, saving lives and millions of dollars in health care costs, but this doesn't mean the diseases have disappeared. Many Viruses and bacteria are still circulating.

It is important that we continue to protect our children with vaccines because outbreaks of vaccine-preventable diseases like pertussis, mumps, and measles can and do occur in this country. Vaccination is one of the best ways parents can protect infants, children, and teens from 16 potentially harmful diseases.

Influenza: What is Influenza?

Influenza, or the flu, is a viral infection spread from person-to-person primarily by respiratory droplets created by coughing, sneezing, or talking. The flu can cause mild to severe illness, and at times can lead to death. Complications of the flu can include ear and sinus infections, bronchitis, pneumonia, dehydration, and worsening of chronic medical conditions such as asthma, diabetes, and congestive heart failure.

Anyone can get flu. Flu strikes suddenly and can last several days. Symptoms vary by age, but can include:

  • fever/chills
  • sore throat
  • muscle aches
  • fatigue
  • cough
  • headache
  • runny or stuffy nose

Why get a flu vaccination every year?

Flu viruses are constantly changing; flu vaccine may be updated from one season to the next to protect individuals against the most recent and most commonly circulating viruses. A person's protection from vaccination declines over time and an annual vaccination is needed and recommended for optimal protection.

Who should get the flu vaccine?

The Missouri Department of Health and Senior Services recommends annual vaccination against flu for all people six months of age and older, unless they have a condition or medical reason not to get the vaccine. It is especially important for young children, pregnant women, older people and people with chronic health problems.

Can I get the flu from the vaccine?

No.The most common side effect associated with receiving a flu vaccine is a sore arm when receiving the flu shot. You are not fully protected from the flu until two weeks after receiving the vaccine. There is no live flu virus in flu shots. They cannot cause the flu.

If I had the flu already this season, am I protected for the rest of the year?

No. While you may have developed immunity against the virus that infected you, it does not guarantee that you have immunity against other flu viruses that are circulating the same season.

What can I do to protect myself from getting the flu?

  • Wash your hands.
  • Get the flu vaccine each year.
  • Avoid touching your eyes, nose, or mouth.
  • Avoid close contact with people who are sick.
  • Cover you mouth and nose when coughing or sneezing.

Who should not get the flu vaccination?

  • If you have any severe, life-threatening allergies.

                If you ever had a life-threatening allergic reaction after a dose of flu vaccine, you may be advised not to get vaccinated. Most, but not all, types of flu vaccine contain a small amount of egg protein.

  • If you ever had Guillain-Barre Syndrome (also called GBS).

               Some people with a history of GBS should not get this vaccine. This should be discussed with your doctor.

  • If you are not feeling well.

               It is usually okay to get the flu vaccine when you have a mild illness, but you might be asked to come back when you feel better.

Women’s Health

Show Me Healthy Women (SMHW) offers free breast and cervical cancer screenings for Missouri Women who meet age, income and insurance guidelines

Guidelines for SMHW

  • Income at or below 200 percent of the federal poverty level for household.
  • Age 35 to 64, or older if they do not receive Medicare Part B
  • No insurance to cover program services
Size of Household SMHW Annual SMHW Monthly SMHW Weekly SMHW Hourly
1 $36,450 $3,038 $701 $17.52
2 $79,300 $4,108 $948 $23.70
3 $62,150 $5,179 $1,195 $29.88
4 $75,000
$6,250 $1,442 $36.065
5 $87,850
$7,321 $1,689 $42.24
6 $100,700
$8,392 $1,936 $48.41
7 $113,550 $9,463 $2,183 $54.59
8 $126,400 $10,533 $2,430 $60.77
Each additional person, add: $12,850 $1,070 $247 $6.18

Services Offered:

Screening services

  • Clinical breast exams (CBE)
  • Screening mammograms for women age 50-64
  • Screening mammograms for women 40-49 using donated funds, if available
  • Pap tests
  • Pelvic exams

Diagnostic services

  • Specialist consultation (breast and cervical)
  • Diagnostic mammograms
  • Ultrasound
  • Fine needle aspiration
  • Cold knife conization (diagnostic purposes)
  • Breast biopsies
  • Loop electrode biopsy (LEEP)
  • Colposcopy (with or without biopsy)

Family Planning/Birth Control

The primary objectives of the Family Planning Clinic are

  • improve maternal and infant health
  • lower the incidence of unintended pregnancy
  • reduce the incidence of teen birth
  • lower rates of sexually transmitted diseases

Family Planning Clinics are held once a month at the New Madrid County Health Department

Family Planning provides confidential, low-cost, preventative health care for females to help with their sexual health and reproductive health needs.

Services include pap smears, breast and pelvic exams, prescription and dispensing of various birth control methods, pregnancy testing, common screening and treatment of sexually transmitted infections/diseases (specifically Chlamydia and Gonorrhea).

Birth Control Options Available

The Pill

The birth control pill is a combination estrogen/progestin pill, which prevents ovulation. It is a small pill that is taken by mouth every day to ensure protection from pregnancy. The pill is more than 99% effective if taken correctly.

Nuvaring with prescription

The ring is a combination estrogen/progestin flexible ring, which is placed into the vagina. It works the same as the patch and the pill in preventing pregnancy. The ring is worn for 3 weeks and then left out for 1 week. It is more than 99% effective.

Condoms

Male condoms, either latex or non-latex, are fitted over the penis prior to each act of intercourse. If used each and every time correctly, condoms are 97% effective and if used in conjunction with contraceptive foam the effectiveness rise to 99%. The female condom fits up inside the vagina and must be put in place with every act of intercourse. It's effectiveness is similar to the male condom. Condoms are the only birth control method to protect against HIV and Sexually Transmitted Diseases.

STI / HIV Testing

The New Madrid County Health Department provides screening and treatment for the following (STD's) Sexually Transmitted Diseases, Chlamydia, Gonorrhea, Syphilis, and HIV. If you would like to be tested for STD's, please call the Health Department at (573) 748-5541 to set up an appointment. Client must meet certain criteria in order to be tested. Call the New Madrid County Health Department at 573-748-5541 for more information about these screenings.

GONORRHEA

  • DEFINITION: Gonorrhea is a sexually transmitted disease that is most common in people ages 15 to 30; many of those infected with gonorrhea also have chlamydia. Gonorrhea is caused by a bacterium known as Neisseria gonorrhoeae
  • SYMPTOMS
    • MALES: Most infected men have symptoms, which can include a milky discharge from the penis and burning sensation upon urination.
    • FEMALES: Most women have no symptoms; if symptoms are present, there is often a vaginal discharge and/or painful urination.
    • MALE/FEMALE: Rectal: itching, pain and discharge with blood or pus. Oral: sore throat, swollen glands.
  • TREATMENT: Can cure with antibiotic therapy. If not treated can cause serious health problems.

CHLAMYDIA

  • DEFINITION: Chlamydia is the most common bacterial sexually transmitted disease in the country. It is caused by a bacterium known as Chlamydia Trachomatis and is often without symptoms. Chlamydia is frequently diagnosed in teenagers and young adults.
  • SYMPTOMS
    • MALES: Infected men commonly have no symptoms; if symptoms are present, there is often a watery or milky discharge from the penis and a burning sensation upon urination.
    • FEMALES: Infected women commonly show no symptoms; if symptoms are present, there is most often vaginal discharge and/or bleeding; low abdominal pain and painful urination.
    • MALE/FEMALE: Rectal: Pain, itching and discharge with blood or pus.
  • TREATMENT: Can be cured with antibiotic therapy. If not treated can cause serious health problems.

SYPHILIS

  • DEFINITION: A sexually transmitted disease caused by a bacterium known as Treponema pallidum that may be transmitted sexually for from mother to child before or at the time of birth (congenital syphilis)
  • SYMPTOMS
    • PRIMARY STAGE: Small painless sore where organism enters the body (genital, oral or rectal); in women the sore may be internal and go unnoticed.
    • SECONDARY STAGE: Rash that can involve the palms and soles of the feet; swollen lymph glands, fever, and painless sores often found in the mouth.
    • LATENT STAGE: Patient does not have symptoms-stage could last for years.
    • LATE STAGE: If left untreated can cause damage to the brain, or heart, blindness and/ or death.
  • TREATMENT: Can cure with antibiotic therapy.

Lead

Such screenings are used to determine levels of lead in the blood. Follow-up and counseling is provided to children with elevated levels of lead.

What is Lead Poisoning?

A disease caused by swallowing or inhaling lead - even small amounts of chipped lead paint or leaded dust. Lead is most harmful to young children (under 6 years). Why? They put everything into their mouths and their bodies absorb lead more easily than adults. Pregnant women who are exposed to lead are also at risk because the ingested or inhaled lead can cross the placenta and expose the unborn fetus.

What can be done if a child has Lead Poisoning?

Good and frequent hand washing is the best defense against lead poisoning in small children. Since lead must be ingested to cause poisoning, it is vital to keep hands and fingers clean before the child puts them into their mouth. Always wash hands before eating, nap-time, and at bedtime. Severely poisoned children are treated with a medication - chelation therapy - which requires hospitalization. This may reduce the level of lead in the body, but may not completely eliminate it. The most important thing is to prevent exposure or prevent further exposure to lead.

Are you or your child at risk for lead poisoning?

      Answer the following questions?

Does your child...

  • have siblings (brothers/sisters) or playmates that have or did have lead poisoning?
  • have cousins with whom they visit frequently that have or did have lead poisoning?
  • live in or frequently visit a house or daycare built before 1950?
  • reside in or visit a house built before 1978 with recent or on-going renovations or remodeling within the last six months?
  • eat or mouth non-food items - dirt, starch, clay, ashes, plaster?
  • play in soil or reside in a lead smelting area?
  • receive unusual medicines or folk remedies?

If the answer to any of the about questions is yes, then a lead test should be done for your child.

Contact the New Madrid County Health Department for more information. (573) 748 -5541.

Other Services

Health Education

The New Madrid County Health Education program is designed to provide educational programs and be a resource to civic groups, schools, worksites, senior citizens and residents of New Madrid County requesting health related information

The Health Educator is responsible for developing and implementing programs, health fairs, creating brochures, and newsletters for the New Madrid County Health Department. The programs that are provided by the New Madrid County Health Department are listed below:

  • Tobacco
  • Nutrition
  • Hygiene
  • Substance Abuse
  • Cancer Screenings
  • Aquatics ( 8 weeks during summer)

Information on health related issues are available at the New Madrid County Health Department. Our staff is well educated on health issues and is available to answer any questions you may have.

Any person, group or organization is welcome to schedule a program with our Health Educator on a variety of topics. We encourage you to take advantage of our resources in order to improve the general public health of New Madrid County.

For more information, please contact the New Madrid County Health Department at 573-748-5541.

Head Lice

What are head lice?

The head louse, or Pediculus humanus capitis, is a parasitic insect that can be found on the head, eyebrows, and eyelashes of people. Head lice feed on human blood several times a day and live close to the human scalp. Head lice are not known to spread disease.

Head lice move by crawling: they cannot hop or fly. Head lice are spread by direct contact with the hair of an infested person. Anyone who comes in head-to-head contact with someone who already has head lice is at greatest risk.

Where are head lice most commonly found?

Head lice and head lice nits are found almost exclusively on the scalp, particularly around and behind the ears and near the neckline at the back of the head. Head lice hold tightly to hair with hook-like claws at the end of each of their six legs. Head lice nits are cemented firmly to the hair shaft and can be difficult to remove. They're oval shaped and about the size of a knot in thread. Nits can be light gray, tan, yellowish, or white.

What are the signs and symptoms of head lice infestation?

Tickling feeling of something moving in the hair.
Itching, caused by and allergic reaction to the bites of the head louse.
Irritability and difficulty sleeping; head lice are most active in the dark.
Sores on the head caused by scratching. These sores can sometimes become infected with bacteria found on the persons's skin.

How did my child get head lice?

Head-to-head contact with an already infested person is the most common way to get head lice. Head-to-head contact is common during play at school, at home, and elsewhere (sports activities, playground, slumber parties, camp).

Dogs, cats, and other pets do not play a role in the spread of head lice. Pets cannot get head lice.

How is head lice infestation diagnosed?

The diagnosis of a head lice infestation is best made by finding a live nymph or adult louse on the scalp or hair of a person. Because nymphs and adult lice are very small, move quickly, and avoid light, they can be difficult to find. If crawling lice are not seen, finding nits firmly attached within a ¼ inch of base of the hair shafts strongly suggests, that a person is infested and should be treated. If you are not sure if a person has head lice, the diagnosis should be made by their health care provider, local health department, or other person trained to identify live head lice.

Treatment

Treatment for head lice is recommended for persons diagnosed with an active infestation. All household members and other close contacts should be checked. All infested persons (household members and close contacts) and their bedmates should be treated at the same time.

Treat the infested person(s): Requires using an Over-the-counter (OTC) or prescription medication. Be sure to check with your doctor if your child needing treatment is age 2 or younger.

1. Apply lice medicine, according to the instructions contained in the box or printed on the label. If the infested person has very long hair (longer than shoulder length), it may be necessary to use a second bottle. Pay special attention to instructions on the label or in the box regarding how long the medication should be left on the hair and how it should be washed out.

Nit (head lice egg) combs, often found in lice medicine packages, should be used to comb nits and lice from the hair shaft. Many flea combs made for cats and dogs are also effective
After each treatment, checking the hair and combing with a nit comb to remove nits and lice every 2–3 days may decrease the chance of self–reinfestation. Continue to check for 2–3 weeks to be sure all lice and nits are gone.
Follow these steps to help avoid re-infestation by lice that have recently fallen off the hair or crawled onto clothing or furniture.

1. Machine wash and dry clothing, bed linens, and other items that the infested person wore or used during the 2 days before treatment using the hot water (130°F) laundry cycle and the high heat drying cycle. Clothing and items that are not washable can be dry–cleaned

OR

sealed in a plastic bag and stored for 2 weeks.

2. Soak combs and brushes in hot water (at least 130°F) for 5–10 minutes.

3. Vacuum the floor and furniture, particularly where the infested person sat or lay, that may have the infested person's hairs that might have viable nits still attached.

Teach your child not to share certain items such as hats, combs and brushes, headphones, pillows, or towels that come in contact with the hair of an infested person.