Public Health Nursing Programs



pregnancy

At-Risk Pregnancy Counseling Program

This program provides education and counseling to pregnant women and new moms. Free pregnancy testing and counseling by a nurse are available to low income and teen women. The at-risk pregnancy program helps women to prepare for childbirth and to make sure that they have access to medical care while they are pregnant. A nurse provides the education and counseling. The goal of this program is for the mothers to experience a healthy pregnancy and delivery, and equip them to care for their newborn child. This program works closely with the WIC program, and a nurse travels to WIC satellite clinics around the county. Our nurses can help women get enrolled in Medicaid, WIC, Early Head Start, and other programs for low income, teen and first-time moms. For information call (740) 349-6829.


BCCP

Breast and Cervical Cancer Project (BCCP)

Multiple programs address the early identification of breast and cervical cancer with a goal of improving outcomes and reducing deaths due to these cancers. The BCCP is a statewide, high-quality breast and cervical cancer screening and diagnostic program offered at no cost to eligible women in Ohio. Eligible women will be scheduled for services with providers in their area.

The services include:
•Pelvic exams
•Pap tests
•Clinical breast exams
•Mammograms
•Case management
•Diagnostic testing, including biopsy and ultrasound, if needed

Women are eligible for screening and diagnostic services if they meet the following:
•Live in households with incomes less than 200 percent of the federal poverty level
•Have no insurance
•Are 40 years of age or older for pap tests, pelvic exams and clinical breast exams
•Are 50 years of age or older for mammograms

If you live in BCCP Central Region (Union, Delaware, Licking, Fairfield, Franklin, Pickaway, Fayette, Madison, Marion, Morrow, Knox, Richland, Ashland, and Logan counties) call the health department's BCCP staff at 1-866-418-4963 for more information. If you don't meet these guidelines, and you live in Licking County, you may still be eligible to receive services through the Licking County SASS for Breast Cancer program.

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Breastfeeding

Breastfeeding Support

The LCHD Nursing and WIC divisions work together to promote breastfeeding and help mothers who choose to breastfeed by providing education, classes and peer support.

Every woman’s journey to motherhood is different, but one of the first decisions a new mom makes is how to feed her child. The experience of breastfeeding is special for many reasons, including the bonding with the baby, cost savings on infant formula, and the health benefits for both mother and baby. LCHD can provide you facts about breastfeeding and practical tips on how to make breastfeeding work for you while getting the support you need.

Breastfeeding support is available through the at-risk pregnancy program, at (740) 349-6829, and the WIC program's Breast Feeding Peer, at (740) 349-6942. Breastfeeding support groups and classes are posted on our calendar, monthly.

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Breastfeeding Friendly Businesses in Licking County: One of the most important things businesses and the community can do is to allow mothers to feel comfortable while nursing in public. Ohio law (Section 3781.55 of the Ohio Revised Code) allows breastfeeding in public. Businesses can show their support by displaying the “Breastfeeding Welcome Here” decal and educating their staff on the acceptance of breastfeeding in their establishments.

Breastfeeding is a personal choice, but communities play a vital role in informing and supporting a mother’s decision to breastfeed her baby. Returning our communities back into a breastfeeding supportive culture will take efforts by family, friends, employers, educational institutions, hospitals and businesses. The Licking County Health Department recognizes the local businesses that have taken advantage of displaying the “Breastfeeding Welcome Here” decal at their establishments. Click the link below to see an updated list of Breastfeeding Friendly Businesses in Licking County.

Business List

BCCP

Children with Medical Handicaps (BCMH)

BCMH is a program sponsored by the Ohio Department of Health that assists Licking County families with children who have special needs.

Diagnostic services are available to any child until age 21. If a child is determined to have a qualifying disability and the parents meet income guidelines, then a treatment program is started. BCMH is a tax-supported program of the Ohio Department of Health that helps children with special health care needs, and their families. The program assists families in obtaining services to diagnose a potential handicapping condition (the Diagnostic Program) and assists with ongoing services for children with an eligible medical handicap (the Treatment Program). For both the diagnostic and treatment programs, children must be under the age of 21, live in Ohio, be a permanent U.S. resident, and be under the care of a BCMH-approved physician.

The Diagnostic Program assists families in obtaining an evaluation of a potentially handicapping condition regardless of the family’s income.

The Treatment Program is for children who have been diagnosed as having an eligible medically handicapping condition.

Families must meet financial eligibility guidelines. Some examples of eligible conditions are: Chronic Pulmonary Disease, Diabetes, Juvenile Arthritis, Cystic Fibrosis, Cancer, Cleft Lip/Palate, Cerebral Palsy, Hemophilia, Spina Bifida, Hearing Loss, Heart Defects and Seizure disorders. Families or agencies may apply to BCMH by contacting a public health nurse at (740) 349-6535, the child’s physician, or the BCMH office at the Ohio Department of Health. Parents may call toll free to 1-800 755-GROW (4769).

Click here for more information about BCMH from the Ohio Department of Health or email BCMH@lickingcohealth.org for more information.

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pregnancy

Communicable Disease Control

Identify, prevent and control infectious diseases that pose a threat to public health.

The LCHD Nursing, Environmental Health and Epidemiology programs work together with medical providers, laboratories, the Ohio Department of Health, CDC, and other partners to prevent the emergence and spread of communicable diseases , including emerging and re-emerging infectious diseases, vaccine-preventable agents, bacterial toxins, bioterrorism and pandemics. This includes collecting and analyzing disease reports, studying risk factors, protecting exposed individuals and families, developing guidelines for disease prevention and control, and planning and responding to public health emergencies involving communicable diseases. If you want to find out more about specific communicable diseases, visit Communicable Diseases A-Z.

Reports Reportable Diseases

 

Dental

Dental Sealants

Provides free dental screenings, oral health education and dental sealants to second and sixth grade students in income qualifying districts.

Sealants seal the tops of molars, reducing the risk of cavities. Dental sealants are a plastic material placed on the pits and fissures of the chewing surfaces of teeth. Sealants cover up to 90 percent of the places where decay occurs in school children’s teeth. Sealants prevent tooth decay by creating a barrier between a tooth and decay-causing bacteria. Sealants also stop cavities from growing and can prevent the need for expensive fillings. The combination of sealants and fluoride has the potential to nearly eliminate tooth decay in school age children. The program is offered to second grade students because they have newly erupted first permanent molars, and sixth grade students who have gotten their second (12 year) molars.

In 2017, the team will provide dental sealants to students in 32 schools in four counties: Coshocton, Knox, Licking, and Morrow. School districts include: River View Local and Ridgewood Local in Coshocton County; East Knox and Mt. Vernon City in Knox County; Heath City, Lakewood, Licking Valley, Newark City, and North Fork in Licking County; and Mount Gilead and Northmor Local in Morrow County

 

 

Diabetes

The ABC's of Diabetes Training Sessions

Licking County Health Department partners with the Licking County Family YMCA to provide the community education about living with diabetes and preventing diabetes. Diabetes training sessions are designed to bring awareness and education to our community about the risk factors related to diabetes and chronic illnesses associated with diabetes. Being diagnosed with diabetes can be daunting. This program can help ease the minds of you and your loved ones with education and information that can help you live healthy with diabetes.

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Breastfeeding

Early Head Start Home Visiting Program

Early head start serves families with children under the age of three whose income is below 100 percent of the poverty level.

Our home visitors all have a background in Early Childhood Education and have been trained in parenting skills. They make weekly visits to each of their families, following an educational curriculum from the National Parents as Teachers Center. Their goal is to make sure the children they serve are developmentally on target and the parents have the support and skills they need. This program is always looking for more children to serve. Questions and referrals can be directed to LEADS Head Start at (740) 349-8606.

 

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Flu

Flu Clinics

The flu is a contagious respiratory illness caused by influenza viruses that infect the nose, throat and lungs. It can cause mild to severe illness and at times can lead to death. The best way to prevent the flu is by getting a flu vaccine each year. Everyone six months of age and older should get a flu vaccine, each year. This recommendation has been in place since Feb. 24, 2010, when the CDC’s Advisory Committee on Immunization Practices (ACIP) voted for “universal” flu vaccination in the U.S. to expand protection against the flu to more people. While everyone six months and older should get a flu vaccine each year, it’s especially important for some people to get vaccinated. Those people include the following:

  • People who are at high risk of developing serious complications (like pneumonia) if they get sick with the flu.
  • People who have certain medical conditions including asthma, diabetes, and chronic lung disease.
  • Pregnant women.
  • People younger than five years, especially those younger than two, and people 65 years and older.
  • People who live with or care for others who are at high risk of developing serious complications.
  • Household contacts and caregivers of people with certain medical conditions including asthma, diabetes and chronic lung disease.
  • Household contacts and caregivers of infants younger than six months old.
  • Health care personnel.
  • A complete list is available at People Who Are at High Risk of Developing Flu-Related Complications.

Flu vaccines are available through LCHD for children and adults. Medicaid, Medicare and many other insurance plans are accepted and cover the full cost of the vaccination. Vaccine is provided at no cost to uninsured children through the Vaccines for Children Program. Call (740) 349-6535 for an appointment or to find a walk-in clinic in your area. Clinic dates are also posted on our calendar.

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vaccinate

Immunizations - Infants, Children, Teens, and Adults

Vaccines are among the most successful and cost-effective public health tools available for preventing disease and death. They not only help protect vaccinated individuals, but also help protect entire communities by preventing and reducing the spread of infectious diseases.

It is important that we continue to protect our children with vaccines because outbreaks of vaccine-preventable diseases can, and do occasionally, occur in this country. Vaccination is one of the best ways parents can protect infants, children and teens from 16 potentially harmful diseases. Vaccine-preventable diseases can be very serious, may require hospitalization, or even be deadly – especially in infants and young children. For pre-teens and teens, vaccination needs vary, but are still important and can protect against life-threatening diseases like meningitis.

For information on vaccine recommendations for children of all ages click HERE.

Adult immunizations protect adults from diseases and protect the ones they love from being exposed to a disease  that may be carried by their parent, grandparent or caregiver.  Adult vaccines include:
Influenza (Flu),
MMR (Measles, Mumps and Rubella)
Shingles (Herpes Zoster),
Diphtheria/Tetanus Pertussis (Whooping Cough),
Pneumococcal (Pneumonia),
and others.

For adult vaccination recommendations click HERE.

All immunization clinics are by appointment only and are offered at the Licking County Health Department on Mondays: 1:30 - 4 p.m., Tuesdays: 1:30 - 4 p.m. and 4:30 - 6:30 p.m., and Thursdays: 1:30 - 4 p.m. Medicaid, Medicare and many private insurance plans are accepted. Vaccines are provided at no cost to uninsured children through the Vaccines for Children Program. Call (740) 349-6535 to schedule an appointment

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Travel Immunizations

Immunizations - International Travel

The LCHD offers special vaccinations that may be required or recommended for travel to foreign countries.

 Travel Clinic Services:
Information for travelers including vaccination requirements, risk information, prevention information, country information, health precautions, disease risk summary, official health data and travel warnings. 
Immunizations for various diseases based on the prevalence of disease in specific countries.
International Certificate of Vaccination.
Educational material and counseling for safer international travel.

Vaccines Available include:
•Measles/Mumps/Rubella
•Yellow Fever
•Typhoid
•Polio
•Meningococcal Meningitis
•Japanese Encephalitis
•Tetanus/Diphtheria/Pertussis booster
•Rabies, pre-exposure only
•Hepatitis A
•Hepatitis B
•Varicella (Chicken Pox)
•Pneumonia
•Influenza

Travelers are encouraged to contact the travel clinic as soon as their travel itinerary is known, since some immunizations require a series of doses for maximum protection. Clinic hours are held every Thursday morning by appointment only. Contact Diane Kintner, Adult Nurse Practitioner, at (740) 349-6535 for more information.

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Newborn Home Visits

Infant Mortality Reduction

The infant mortality rate is calculated as the number of all live-born infants per 1,000 who die within the first year of life. In 2013 Ohio had the 6th highest infant mortality rate in the U.S. Only West Virginia, Arkansas, Alabama, Louisiana, and Mississippi had higher rates for infant mortality. Ohio had the 3rd highest Non-Hispanic Black infant mortality rate. Racial disparity contributes significantly to Ohio’s poor ranking, with black babies more than twice as likely to die before their first birthday compared to white babies.

The Licking County Health Commissioner called for the formation of the Licking County Infant Mortality Task Force in 2015 to develop strategies to reduce preventable infant deaths in Licking County. This group is made up of public health officials, health advocates, child and maternal health care providers, and other stakeholders. Its mission is to prevent infant mortality and improve the health of women of childbearing age and infants in Licking County by:

  •  Promoting or providing effective health care for all women before and during their childbearing years.
  • Employing evidence-based approaches to the reduction of infant mortality
  • Educating Licking County residents about having and raising healthy babies.
  • Maximizing the potential of interagency, public-private, and multi-disciplinary collaboration.

 Licking County Infant Mortality Reduction Plan

Newborn Home Visits

Newborn Home Visiting Program

A newborn home visit is available to every newborn who lives in Licking County. A newborn home visit will be scheduled in advance with each mother within the baby’s first two months.

During the newborn home visit, our registered nurse (R.N.) will welcome the new baby with a head-to-toe wellness check and weight check. The nurse also provides breastfeeding support and assistance, if needed, to the mother and answers any questions or concerns. A newborn home visit generally takes about one hour.

 

The Perks:

• $25 Wal-Mart gift card
• Halo Sleep Sack
• Help Me Grow informational packet with development
chart and baby’s first calendar
• Breastfeeding privacy covers
• Blanket or burp cloths
• Pack ‘n Play (to families who qualify)

To schedule a home visit or to speak with a nurse call (740) 349-6829. Click here for more programs available to local moms and babies.

Project DAWN

Project DAWN - Deaths Avoided with Naloxone (Narcan)

The Licking County Health Department was awarded a Project DAWN (Deaths Avoided with Naloxone) grant from the Ohio Department of Health which implements a community-wide naloxone (also known as narcan) distribution program. Naloxone/Narcan is a medication that can be used to quickly reverse an overdose caused by an opioid drug. The purpose of the project is first to educate opioid users, their family members or their friends on how to recognize the signs and symptoms of a drug overdose. Then, if necessary, how to call emergency medical services, perform rescue breathing and administer naloxone/narcan nasally. Naloxone/Narcan has been used safely for over 40 years. It has no potential for abuse. To receive more information or to participate in a free and confidential Project DAWN training for yourself, a friend, or a family member, please call LCHD at (740) 349-6685 or email mhagstad@lickingcohealth.org.

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Patient Navigation

Patient Navigation - Uninsured Assistance

Navigating the health care system that provides safety-net services can be challenging. LCHD provides referrals and recommendations to aid those seeking affordable health and dental care.

The expansion of Medicaid eligibility in Ohio provides the opportunity for many residents to get health insurance at no cost, and the Affordable Care Act provides tax incentives for those who have incomes slightly over the Medicaid limit. Information on enrolling in Medicaid and other assistance programs can be found at https://benefits.ohio.gov/.

For enrollment in a health plan available through the health insurance exchange visit https://www.healthcare.gov/.

Free and Reduced Cost Clinics:

  • Community Health Clinic, 144 W. Main Street, Newark, Ohio 43055, (740) 345-1113, www.lcchc.com/
  • Family Health Services of East Central Ohio, 155 McMillen Drive, Newark, Ohio 43055, (740) 344-9291 or 1-800-688-3266, email fhseco@alink.com 
  • Licking County Health Department, 675 Price Road, Newark, Ohio 43055, (740) 349-6535, www.lickingcohealth.org
  • The Look Up Dental Clinic, call 211 for information.
  •  Licking Memorial Hospital and Licking Memorial Health System Doctors participate in a Sliding Fee and Uncompensated Care program that may allow patients to pay a reduced charge for services, or even to pay no fee at all. Eligibility is based on income level. When you make and appointment to visit a LMHS health care provider, ask about "uncompensated care." There is an application that must be completed and proof of income may be required. It is up to you, as the patient, to request to participate in this program. Call Licking Memorial Hospital or your doctor for more information.

For information on referrals or health services available in the area call 211, or to speak with a nurse call (740) 349-6535.

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STD

STD - Reproductive Health Clinic

STD testing is available at the health department to anyone from age 13 and older. Pregnancy Tests are also available by appointment or during the STD clinics. No parental consent is required for testing. Most treatments are provided free of charge. Testing is done for chlamydia and gonorrhea. Additionally, HIV testing is offered to high risk individuals. Other tests may be offered based on symptoms and other criteria. Treatment is available for genital warts, herpes outbreaks, chlamydia and gonorrhea infections, bacterial vaginosis, syphilis and trichimoniasis. Birth Control is not provided at the clinics. PAP tests are not provided at the clinics. Average visit will take from 1 - 1.5 hours to complete. Licking County Health Department - 675 Price Road, Newark, Ohio 43055, (740) 349-6535. Appointments are available from 3 - 7 p.m. on most Wednesdays. 

We accept most insurance, for those who lack insurance our fees are based on a sliding fee schedule of charges based on gross weekly household income and the number of people supported by this income. We will ask you about your income or your family income and about how many people are in your family. We have a chart that determines what percentage of our full fee you should pay. No one is denied service in the STD Clinic because of inability to pay. However, it is very important that clients pay as much as they can so that we can continue to offer this service.

Other Local Clinic Providers:

Family Health Services of East Central Ohio - 100 McMillen Drive, Newark, Ohio 43055, (740) 344-9291 or 1-800-688-3266, email fhseco@alink.com. Sexually transmitted infection testing and treatment, birth control, rape counseling and breast and cervical cancer screening are available. HIV/AIDS testing and counseling are available by appointment. They also offer physical exams for women, pap tests, screening for high blood pressure, anemia pregnancy testing, birth control supplies and hormone replacement therapy. They can provide emergency contraception to women seen within 72 hours (emergency contraception will not work if your are pregnant). They use sliding fee scales for services, based on income.

For information on Sexually Transmitted Diseases, symptoms, prevention and vaccines available click HERE. Call (740) 349-6535 to schedule an appointment. 

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TB

Tuberculosis (TB) Control Program

LCHD is the designated TB control agency for Licking County.

The TB control program's mission is to protect the residents of Licking County from tuberculosis. Public health functions include disease surveillance, case finding, epidemiologic analysis and contact tracing. TB tests are required by many employers and provide a screening tool to determine if someone has been exposed to the TB bacteria at some point in their life. It does not indicate active TB infection. If the TB Skin test is positive, a chest x-ray or other tests may be required. Because the skin test injection site must be checked by a nurse 48 to 72 hours after the test is administered, tests are given on Mondays, Tuesdays, and Fridays by appointment only. Patients will return for a reading.

 

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