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Welcome to the Marion County Health
Dept. Nursing
Division
   
Immunization
Program l Physicals l Bureau
for Children with Medical Handicaps
Newborn Visits l Communicable
Diseases l Birth/Death
Certificates
Community Resources | Privacy
Practices
The Marion County Health Department offers child, adolescent and adult
immunization clinics both at the health department and at various sites
throughout the community. Vaccine preventable diseases, although few in
number, have had a resurgence in recent years. Educational outreach to
schools, new mothers, and extended care facilities continue to be a
priority of the public health nurses. www.cdc.gov/nip
www.aap.org
Marion County Health Department
Immunization Clinics:
Family Immunization Clinic (walk-in
clinic):
(Post kindergarten immunizations and up thru adult)
Mondays 8:30-11:30am and 1-4pm
4th Tuesday of the Month (walk-in) 4:30-5:30pm
Charges Will Apply -- Medical Card Accepted
No appointment needed
Child Immunization Clinic
(walk-in clinic):
(Newborn through and including kindergarten immunizations)
Tuesdays 9:30-11:30am and 1-3pm
4th Tuesday of the Month (walk-in) 4:30-5:30pm
All costs are based on a sliding-fee scale. Medical card
accepted. No child refused shots due to inability to pay.
No appointment needed
Child Family Health Services:
Well Child Physicals and Immunizations
(scheduled Appointments):
(Age newborn - 20 years old)
Scheduled appointments every Thursday at the Health Department
All Costs are based on Sliding Fee scale -- Medical Card
Accepted
Call 740-387-6520 to schedule your appointment
Family Immunizations
Vaccines offered for adults include TD (tetanus), Hepatitis B,
Hepatitis A, and to a lesser extent, MMR (Measles, Mumps, Rubella) and IPV
(Inactivated Polio Vaccine).
Adolescent Immunizations
The 2nd MMR vaccine is required by the state upon entry into 7th
grade. We make available this booster vaccine along with encouraging the
booster Td, Varicella (Chickenpox) vaccine, and Hepatitis B series. The
nurses at the Marion County Health Department collaborate with the school
nurses to identify the students and to make the vaccinations available to
them.
Meningococcal Vaccine for College
Students
The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Practice (CDC) recommends that those who provide medical care to this group inform students and their parents about meningococcal disease and the benefits of vaccination.
Preventing Meningococcal Disease in College Students: http://www.aafp.org/afp/20010701/tips/7.html
The Marion County Health Department will be providing an opportunity to get the Meningococcal Vaccine at the Health Department during the summer months of June, July, & August. The cost for the vaccination is $65.00. Please call Nursing at the Marion County Health Department to place your name on a list to arrange for the vaccination.
Travelers Vaccinations
The public health nurses at the Marion County Health Department can
help the traveler determine what immunizations are required for foreign
travel. Some vaccinations are available at the health department and the
nurses will refer the traveler to a clinic in Columbus for vaccines we do
not stock. www.cdc.gov/travel
Vaccine Costs
PPD (TB test) - $15.00
(total cost)
Adult
Vaccinations:
Add $15.00 Nursing Assessment fee PER VISIT PLUS following cost of
vaccines
Td (Tetanus) $19.00
(Private vaccine)
$5.00 (State vaccine)
Tdap (Adacel) $34.00 (ages 11 and up)
Varicella (Chicken Pox) $72.00
MMR $45.00 (anyone 19 and older)
Meningitis: Menactra $82.00 (Private vaccine)
Hep B $26.00 (anyone 19 and older)
Hep A $20.00 (anyone 19 and older)
Twinrix (Hep A & Hep B) $39.00 (anyone 19 and older)
IPV (Polio) $22.00
Seasonal vaccines based on current cost (assessment fee
included):
FLU - $22.00
PNEUMONIA - $36.00
Childhood/Adolescent
Vaccinations:
Add $15.00 Nursing
Assessment fee PER VISIT PLUS following cost of
vaccines:
MMR $5.00 (thru 18 yr)
MMRV $5.00 (State vaccine)
Td (Tetanus) $5.00 (State vaccine)
Tdap (Boostrix) $5.00 (ages 10 thru 18)
Hep B $5.00 (up to & including age 18/finish series at
19)
Hep A (thru age 18) $15.00 (Private vaccine)
$5.00 (State vaccine)
Varicella $5.00 (State vaccine
$72.00 (Private vaccine)
IPV (Polio) $5.00 (traveling - VFC & State)
HPV (Gardasil) $5.00 (VFC vaccine - ages 9 thru 18 yr
old))
$121.00 (Private vaccine)
Rotavirus (up to 33 weeks) $64.00 (Private vaccine)
$5.00 (State vaccine)
Prevnar $5.00 (State vaccine)
Meningitis: Menactra $5.00 (State vaccine)
$82.00 (Private vaccine)
OTHER FEES
Nursing Educational/Counseling Service Fee - $25.00
Children's Service Communicable Disease Checks (per 1/2
hour) - $20.00
Nursing Assessment Fee (one charge per date of service)
- $15.00
Specimen Collection (capillary stick) - $4.50
Lead Test - $10.00
BCMH FEES
All Public Health Nursing services will be billed at
$10.00 for 15-minute increments
IF YOU ARE A NON-RESIDENT OF MARION COUNTY, THERE IS AN EXTRA $5.00 CHARGE PER VISIT.
ADULT
IMMUNIZATION
SCHEDULE
Lead
Screening
It is Ohio Law and a federal requirement for high risk
zip codes (all of Marion County is considered high
risk) that all children must have a documented blood
lead level test TWICE between 9 and 36 months of age,
with 12 months between tests, unless clinically needed
sooner, and at least once if between 3 and 6 years of
age without a documented test.
The Marion County Health Department has lead testing
available on Tuesdays and Thursdays. Please call (740)
387-6520 for more information about lead and testing
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Child Family Health Services (CFHS)/Well
Child Clinic
Our Well Child Clinic is available for ages newborn up to age 21 for
complete physicals and immunizations. Our physicals can include vision and
hearing screening, lab testing for iron and lead, nursing assessments,
immunizations, health education as well as a physical examination.
Community resource information is available and referrals are made as
needed. All costs are based on a sliding fee scale based on your income
and family size. The medical card is accepted. No one will be refused.
Appointments are necessary and can be scheduled by calling 740-387-6520.
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The Bureau for Children with Medical Handicaps (BCMH) is a
tax-supported, state administered program in the Ohio Department of
Health. This program was developed to help provide financial assistance to
eligible families who have children (under the age of 21) with special
health care needs. BCMH also offers diagnostic opportunities, regardless
of family income, to children with suspected medically handicapping
conditions.
The Marion County public health nurses (PHN)
make referrals to the appropriate medical providers (i.e.: Children's
Hospital) for testing of children who are having medical problems. The
physicians then assess and diagnose the child to determine what action
should be taken. If further medical attention is needed, the child (if
financially eligible) becomes active on a BCMH treatment program. Medical
follow up appointments, medications and/or equipment related to the
medical diagnoses can then be billed to BCMH.
The nurses at the Marion County Health
Department act as liaisons between BCMH and the children/families who
receive care through this valuable program. We assist in coordinating
services with local agencies as well as the various providers the children
may be seeing at Children's Hospital. As family advocates, the PHN does
lots of troubleshooting to be sure the child receives the medical, social,
and financial services he/she needs.
http://www.odh.state.oh.us/ODHPrograms/CMH/cmh1.htm
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Post-Partum/Newborn Visits
The public health nurses at the Marion County Health Department make
home visits to post-Partum county residents and their newborns. Important
information, a complimentary gift bag, as well as well child-care, immunization schedules, nutrition
and community resources are reviewed. In addition, the
nurses are available to answer questions or concerns on the phone. www.ohiohelpmegrow.org
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Communicable diseases are far from extinct and continue to cause
secondary infections and complications. Prevention of these diseases
occurs through our immunization program and educating the community on how
to protect themselves and others. To control the spread of communicable
diseases, we provide follow-up investigations for reported, confirmed
cases and offer counseling and education. In addition, we offer
educational classes about communicable diseases and control to agencies in
the area.
Head lice - The public
health nurses also work closely with school nurses to help detect and
prevent the spread of lice. We handle many phone consultations to
provide parents information on lice and to educate them on the proper
way to handle treatment and prevention of the spread of lice. Head
checks are generally done at the child's school. The school nurse may
occasionally refer a child to the health department. If a child is
referred to the health department they must come in before 8:30am. Check
with the child's school for that school's policy. www.headlice.org
The Marion County Health Department now carries "De-Bug" lice shampoo. The bottle contains 8-12 treatments, comes with a metal lice comb, is safe, effective and contains no pesticides. The cost is
$10.00 per bottle."
Tuberculosis Program - The
Marion County Health Department and the Ohio Department of Health work
together as active partners in the elimination of tuberculosis. Our TB
protocol is as follows:
- TB Skin testing (PPD) is done in our
walk-in clinic (by referral or self-request). The patient is
instructed to return within 48 hours to 72 hours to have the test
read.
- If the test is positive, the patient
is sent to his/her primary care physician for follow up and
treatment as necessary. If the patient does not have a physician
then we refer them for a chest x-ray. If the chest x-ray is
negative, either the family physician or Marion County Health
Department's contracted MD may prescribe preventive INH drug
therapy. The MCHD public health nurses monitor patients who are in
INH.
- If the chest x-ray is positive, a
sputum specimen is collected and the patient is put on TB
medication and monitored by a physician.
- If the sputum culture is positive
then a diagnosis of active TB is made. The progress of the
patient's treatment is followed by the public health nurse through
letters, phone calls and/or home visits. Follow up with the close
contacts of the patients occurs simultaneously during the whole
process.
In 2002, there were 257 (unofficial
count) cases of active TB reported in Ohio. This represents a 16%
decrease over last year's 306 confirmed cases.
www.stateoftheair.org
www.odh.state.oh.us/ODHPrograms/TCONT/tcont1.htm
STDs - See information
provided by the Marion City Health Department
Smallpox Vaccine Availability
- Routine smallpox vaccination among the American pubic stopped in 1972
after the disease was eradicated in the United States. Until recently,
the US government provided the vaccine only to a few hundred scientists
and medical professionals working with the smallpox and similar viruses
in a research setting.
After the events of September and
October, 2002, however, the US government took further actions to
improve its level of preparedness against terrorism. One of many such
measures - designed specifically to prepare for an intentional release
of the smallpox virus - included updating and releasing a smallpox
response plan. In addition, the US government ordered production of
enough smallpox vaccine to immunize the American public in the event of
a smallpox outbreak. Right now, the US government has access to enough
smallpox vaccine to effectively respond to a smallpox outbreak in the
United States.
The Marion County Health Department is
participating in the Phase I plan to vaccinate public health and health
care team volunteers to respond to a public health event. Phase II, when
announced, will make available smallpox vaccines to first responders:
police, EMS, and fire personnel. In the future, smallpox vaccinations
may become available to the general public during Phase III. At the
present, smallpox vaccination is not recommended for the general public.
For information specific to Marion County, see Bioterrorism/Emergency
Preparedness (link this). For additional
information, click on the following links:
www.cdc.gov/smallpox
www.odh.state.oh.us/New/SPInfo/smpox1.htm
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Birth and Death records are maintained at the City Health Department
for all of Marion County. They can be reached at Vital Statistics,
740-387-3604. The City Health Department is located on the 3rd floor of
City Hall, 233 W. Center Street, Marion. For more information, click
here.
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Adult and Child Dental
Services
Information on Adult and Child dental services is available by calling
the Center Street Community Clinic at (740) 375-6034Marion Area Society for the Handicapped
- The nurses at the Marion County and Marion City Health Departments both
work with the Handicapped Society, who has money available to aid those
people who have a medical need and do not have the funds to acquire what
is needed. This money can be used for a number of purchases, such as
medication, medical equipment, or gas vouchers to get an appointment. The
assistance is limited to one time per person per year. City residents call
740-387-3604; County residents call 740-387-6520.
Anonymous HIV Testing - Free,
anonymous, confidential HIV testing on the 3rd Thursday of every month at
the Center Street Clinic, Marion. Please call the clinic at (740) 375-6030
if you have questions.
Click on the
following links for other clinics that provide anonymous HIV testing:
www.ucaids.org
www.richlandhealth.org/hiv.html
For general information about HIV/AIDS, click
here
Healthy Start Healthy Families
www.state.oh.us/odjfs/ohp/bcps/hshf/
Health Care Coverage for Ohio's Families for little or no cost!
Healthy Start is free and low-cost health coverage for kids from birth to
age 19 and pregnant women who qualify based on family income.
Healthy Families provides no cost health
coverage for the entire family - parents and children. A family's income
will determine if they are eligible for Healthy Start or Healthy Families.
Call 1-800-3234-8680 to request an application or download an application
at the website listen above.
The Center Street Clinic - Call
(740) 375-6030 to schedule an appointment.
Mammograms and Pap Tests
Local Mammogram and Pap Tests are available at no cost to eligible women in Marion County. Women over the age of 40 who meet the income guidelines for this program can receive diagnostic tests as well as treatment for disease. Call 1-800-655-4707 or send an email with your questions
here.
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