The Coastal Health District of Georgia serves the counties of Bryan, Camden, Chatham, Effingham, Glynn, Liberty, Long & McIntosh

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Two Flu-Related Deaths Confirmed in Coastal Health District

December 8, 2014 – The Georgia Department of Public Health (DPH) has confirmed the flu-related deaths of two elderly females in the Coastal Health District – one from Chatham County and one from Effingham County. These are the first confirmed flu-related deaths in the Coastal Health District; however, there have been five additional confirmed flu-related deaths statewide. The Coastal Health District is made up of Bryan, Camden, Chatham, Effingham, Glynn, Liberty, Long, and McIntosh counties.
The Centers for Disease Control and Prevention (CDC) recommends everyone six months and older get vaccinated against the flu. The influenza virus is very contagious and is spread mainly by droplets from infected people when they cough, sneeze, or talk. While the flu vaccine may not protect against every strain of flu it is still the best protection against the flu. Antiviral medications such as Tamiflu® or Relenza® are an important second line of defense against the flu. Treatment with antiviral drugs is especially important for people at high risk of serious flu complications or people who are very sick with flu. Antiviral drugs work best when started within two days of coming down with the flu, so it is important to call your doctor as soon as the first symptoms appear.
There are also several simple, everyday precautions people can take to avoid getting and spreading the flu including:
• Cover your cough (try to cough into the crook of your elbow, not your hand).
• Wash your hands frequently with soap and water. If soap and water is not available use an alcohol-based hand sanitizer.
• Clean common surfaces like countertops and desks.
• Avoid touching your eyes, nose or mouth because germs spread this way.
• Stay home from work or school and away from others when you’re sick.
Flu symptoms include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills, and fatigue. According to the CDC, symptoms start one to four days after the virus enters the body which means that you may be able to pass on the flu to someone else before you know you are sick, as well as while you are sick.

Don’t Procrastinate; Schedule a Time to Vaccinate

The holidays are special times for gatherings with family and friends, decorations and indulging in delicious meals. Don’t let the flu virus keep you stuck in bed. National Influenza Vaccination Week (NIVW) is Dec. 7-13, and the Georgia Department of Public Health (DPH) encourages all Georgians 6 months of age and older to get a yearly flu vaccine. The Centers for Disease Control and Prevention (CDC) established NIVW week in 2005 to take a proactive approach to educating the community and health care sector about influenza disease. Take this time and schedule an appointment with your health care provider or your local public health department to get your flu vaccine.
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“We want Georgians to understand how simple and convenient it is to receive a flu vaccine,” said Steven Mitchell, immunization director for the Georgia Department of Public Health. “Doctors’ offices, health departments, clinics, pharmacies and even some schools and employers offer the vaccine. It’s a short time to commit to staying healthy through the holidays.”
Influenza can be a serious disease that leads to hospitalization and sometimes death. Regardless of race, age, gender or ethnicity, everyone can get sick from the flu. Those especially at risk are adults 65 years of age and older, children younger than 5, pregnant women, people with certain chronic diseases such as asthma, diabetes, heart disease or other long-term medical conditions.
The best protection against the flu is a flu vaccine. With “flu season” beginning as early as August and sometimes lasting until May, it is never too late to vaccinate. The vaccination is available in both the shot and nasal spray form. Antiviral medications such as Tamiflu® or Relenza® are an important second line of defense against the flu. Treatment with antiviral drugs is especially important for people at high risk of serious flu complications or people who are very sick with flu. Antiviral drugs work best when started within two days of coming down with the flu, so it is important to call your doctor as soon as the first symptoms appear.
National Influenza Vaccination Week emphasizes the importance of receiving an annual flu vaccination. Even healthy children and adults can get very sick from the flu. So this winter, Georgia Department of Public Health encourages all Georgians take those few minutes to call your doctor’s office, pharmacy or health department and make a date to vaccinate.
For more information on immunization, visit:
http://dph.georgia.gov/seasonal-flu-influenza

Raccoon Tests Positive for Rabies after Attacking Family Dog in Chatham County

November 20, 2014 – A raccoon that attacked a family dog in the Quarterman Drive area of Wilmington Island in Savannah has tested positive for rabies. The dog is up-to-date on rabies vaccinations but will receive a rabies booster as a precaution.
Rabies is a potentially deadly virus that is primarily spread by infected animals. Symptoms of rabies in animals include a change in behavior, biting, aggression, showing no fear of natural enemies (such as humans), foaming at the mouth, and paralysis.
The Chatham County Health Department Environmental Health Division offers these tips to protect you and your family from rabies:
• Avoid contact with animals you don’t know.
• Make sure your pets receive the proper immunizations. Dogs and cats should get rabies vaccines by four months of age, followed by a booster shot one year later, and another one every one to three years as prescribed by your veterinarian.
• Do not handle, feed, or unintentionally attract wild animals with open garbage cans or by leaving pet food out at night.
• Never adopt wild animals or bring them into your home. Do not try to nurse sick animals to health. Call animal control or a properly licensed animal rescue agency for assistance.
• Teach children to never handle unfamiliar animals, wild or domestic, even if they appear friendly. “Love your own, leave other animals alone” is a good principle for children to learn.
If an animal ever bites you, seek medical care immediately and contact Chatham County Animal Control at 525-2408 and the Chatham County Health Department Environmental Health Division at 356-2160.

HPV Vaccines Offer Disease Protection Pre-Teens Can Grow Into

When it comes to their kids, parents are always planning. Healthy dinners. Safe activities. One plan that’s easy to make could have a tremendous benefit, even saving a life. That’s planning to have pre-teens vaccinated against HPV, the leading cause of cervical and anal cancers.
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“There are about 12,000 new cervical cancer cases each year in the United States,” said Dr. Melinda Wharton, deputy director of the National Center for Immunization and Respiratory Diseases at the Centers for Disease Control and Prevention (CDC). “Cervical cancer causes about 4,000 deaths in U.S. women each year. But vaccinating boys and girls against HPV greatly reduces the chances that today’s girls will ever have to face this devastating disease.”
CDC recommends HPV vaccination for 11- and 12-year-old girls and boys, as well as for young women ages 13 through 26 and young men ages 13 through 21 who have not yet been vaccinated.
Two HPV vaccines–Cervarix and Gardasil–are available for girls to protect against the HPV types that cause most cervical and anal cancers. Gardasil also protects against the HPV types that cause most genital warts. Gardasil is the only vaccine approved for boys.
Both brands of HPV vaccine are given in three doses (shots) over six months, and protection requires all three doses. “Completing the three-dose HPV vaccine series is very important to ensure protection against HPV-related disease,” Dr. Wharton said.
While vaccinating against a sexually transmitted virus at age 11 or 12 might seem unnecessary, the preteen years are the best time to vaccinate. “The HPV vaccine only provides protection if it is given before exposure to HPV,” said Dr. Wharton. “Someone can be infected with HPV the very first time they have sexual contact with another person.” To get the most benefit from HPV vaccination, all three doses must be received before any kind of sexual activity with another person begins.
Atlanta mom Amber Zirkle recognizes the importance of vaccinating her children now for protection they’ll need in the future. Her 11-year-old daughter will get an HPV vaccine this year at her regular check-up. As for getting HPV vaccine for her 16-year-old son, Amber said, “I didn’t know it was available for boys. I’ll talk with the pediatrician about it.” She added, “Genital warts aren’t something I want my son to deal with.”
Other vaccines recommended specifically for pre-teens include meningococcal conjugate, which protects against bacterial meningitis, and Tdap, which boosts immunity against pertussis (whooping cough). Everyone age six months and older should get an annual flu vaccine.
To learn more, click HERE, visit http://www.cdc.gov/vaccines/teens/ or call 800-CDC-INFO.

Tobacco Use Among Youth In Georgia Declines Significantly; Help to Quit Smoking Available Statewide

November 19, 2014 – New information from the Georgia Department of Public Health (DPH) shows fewer young people are using tobacco in the state. In fact, the rates are falling steadily and significantly.

Over the past decade, rates of youth who have used any form of tobacco have dropped from 26.1 percent in 2003 to 19.4 percent in 2013. The percentage of high school students who smoked cigarettes on at least one day during the 30 days before the survey, declined from 20.9 percent to 12.8 percent.

Adult smoking rates are also falling, down from 21.2 percent in 2011 to 18.8 percent in 2013. That’s a prevalence rate slightly lower than the U.S. average of 19.0 percent.

More than 1.5 million Georgians aged 18 and older smoke cigarettes. Another 315,000 adults in Georgia use some form of smokeless tobacco like chewing tobacco, snuff, or snus.

“Each year, 11,000 Georgians die from tobacco-related diseases – that’s more than alcohol, cocaine and heroin, AIDS, murders, suicides, auto accidents and fires combined,” said Jean O’Connor, JD, DrPH, chronic disease prevention director, Georgia Department of Public Health. “Tobacco users die on average 10 years earlier than non-tobacco users, so keeping youth from starting to use tobacco is one of the best ways to protect them from tobacco-related illness.”

Tobacco use is the number one preventable cause of death in Georgia. Annually, tobacco-related illness costs more than $5 billion dollars in direct healthcare costs and indirect costs, such as lost wages.

More than half of Georgians who use tobacco want to quit. Quitting is the most important step current tobacco users can take to protect their health and the health of their families. Tobacco use and secondhand smoke cause heart disease, lung disease, cancer, stroke, and diabetes. The benefits of quitting start immediately. Within 20 minutes of quitting, a tobacco user’s heart rate decreases.

The Georgia Department of Public Health and its partners have set goals to decrease youth smoking to less than 10 percent and adult smoking to less than 15 percent of the population by 2020. To achieve these goals, DPH and its partners are encouraging businesses, schools, and government agencies to create tobacco-free environments and to support tobacco users who want to quit.

Tobacco users across Georgia can work toward meeting those goals with a quit attempt during the Great American Smokeout, Thursday, Nov. 20. The day encourages smokers to quit or to use the day to make a quit plan. Help is available. Talk with your doctor, pharmacist, or call the Georgia Tobacco Quit Line. The Quitline is currently offering free nicotine replacement therapy to Medicaid participants, the uninsured, and certain other groups that qualify.

English: 1-877-270-STOP (877-270-7867)
Spanish: 1-877-2NO-FUME (877-266-3863)
Hearing Impaired: 1-877-777-6534

The Georgia Tobacco Quitline is a free, confidential and effective service available 24 hours a day, 7 days a week (including holidays) to help Georgians quit smoking or using any forms of tobacco, including electronic cigarettes or other electronic nicotine delivery devices.

Coastal Health District Ebola Update, October 28

The following statement is from Diane Z. Weems, M.D.
District Health Director, Coastal Health District
Today, public health was contacted regarding an individual complaining of flu-like symptoms who had recently returned from Nigeria. In an overabundance of caution, the individual was transported to a local hospital. After further investigation of the individual’s travel history, it was determined that this person does not meet the criteria for being at risk from Ebola based on the travel dates to that country. The World Health Organization declared Nigeria Ebola-free on October 20.*
*According to WHO recommendations, the end of an Ebola virus disease outbreak in a country can be declared once 42 days have passed and no new cases have been detected. The 42 days represents twice the maximum incubation period for Ebola (21 days). This 42-day period starts from the last day that any person in the country had contact with a confirmed or probable Ebola case.
For credible information on Ebola:
www.cdc.gov/ebola
www.dph.ga.gov/ebola

Glynn Health Department to Host HPV Educational Event Oct. 28

October 22, 2014 – If there were a vaccine against cancer for kids, wouldn’t you get it? Human Papillomavirus (HPV) vaccine is cancer prevention. That’s the message the Glynn County Health Department hopes to get across to parents and pre-teens at an HPV informational event scheduled to be held at 4 p.m. on Tuesday, October 28, at the Brunswick Housing Authority located at 1126 Albany Street. The event is free and open to the public and will include information on HPV and the HPV vaccine, light refreshments, and door prizes.
“We want to encourage the parents of pre-teen girls and boys to consider getting their children vaccinated against HPV to prevent several cancers that can occur as a result of the virus,” said Glynn County Health Department Administrator Karen Mikell, R.N., MSN.
HPV vaccines are given in a series of three shots over six months at ages 11 or 12. For the best protection against the most dangerous types of HPV, it is very important to get all of the recommended doses long before being exposed to HPV. Also, HPV vaccine produces a higher immune response in preteens than in older teens and young adults.
For more information about HPV and HPV vaccine, go to www.coastalhealthdistrict.org/hpv. To find out more about the event, please contact LeKara Simmons at 912-223-9590.
The event is being sponsored by the health department in conjunction with the Coastal Health District Adolescent Health and Youth Development Program and the Brunswick Housing Authority.

Don’t Fall for the Flu

Fall is in the air and soon, the flu virus will be, too. Flu seasons are unpredictable but can begin as early as October and go as late as May. And while it takes two weeks after getting vaccinated for the flu vaccine to take effect, the vaccine offers protection throughout flu season. Health departments in Bryan, Camden, Chatham, Effingham, Glynn, Liberty, Long, and McIntosh counties have flu vaccine available and public health officials are encouraging residents not to wait until flu season is in full swing to get vaccinated.
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Cost for both the injectable (shot) and nasal spray form is $28. A high dose flu vaccine is also being offered for people ages 65 and older, and it is designed to provide the best protection for that age group. The high dose vaccine will be $45 per dose. Cost of the flu vaccine is covered under both Medicare and Medicaid.
Getting vaccinated against the flu is recommended for everyone six months of age and older. Neither the flu shot nor the nasal spray can cause the flu. The shot is approved for use in healthy people 6 months of age and older, people with chronic medical conditions, and pregnant women. The nasal spray is approved for use in healthy people 2 to 49 years of age who are not pregnant.
The flu virus is easily spread through coughs and sneezes and by touching something with the virus on it and then touching your eyes, nose, or mouth. That’s why good health habits are also important including staying home when you’re sick; avoiding close contact with people who are sick; coughing or sneezing into your elbow and not your hand; washing your hands often with soap and water; and avoid touching your eyes, nose and mouth.
General Information on Flu
Flu viruses are through to spread mainly from person to person through droplets made when people with flu cough, sneeze, or talk. Flu viruses may also spread when people touch something with flu virus on it and then tough their mouth, nose, or eyes. Many other viruses spread these ways, too.
People infected with flu may be able to infect others beginning one day before symptoms develop and up to 5-7 days after becoming sick. That means you may be able to spread the flu to someone else before you know you are sick as well as while you are sick. Young children, those who are severely ill, and those who have severely weakened immune systems may be able to infect others for longer than 5-7 days.
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Click on image for full view.
Everyday Preventive Actions to Avoid the Flu
– Try to avoid close contact with sick people.
– If you or your child gets sick with flu-like illness, CDC recommends that you (or your child) stay home for at least 24 hours after the fever is gone except to get medical care or for other necessities. The fever should be gone without the use of a fever-reducing medicine.
– While sick, limit contact with others as much as possible to keep from infecting them.
– Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
– Try to cough or sneeze into the crook of your elbow.
– Wash your hands with soap and water. If soap and water are not available, use an alcohol-based hand rub.
– Avoid touching your eyes, nose, and mouth. Germs spread this way.
– Clean and disinfect surfaces and objects that may be contaminated with germs like the flu.
Vaccine Information
Flu Shot Vaccine Info. 2014-2015 [PDF]
Flu Nasal Spray Vaccine Info. 2014-2015 [PDF]
Flu Shot Vaccine Info. 2014-2015 Spanish [PDF]
Flu Nasal Spray Vaccine Info. 2014-2015 Spanish [PDF]
For more information, please call your health department

Family Planning Program Changes Announced

Making sure that women have access to family planning care has always been a central focus of public health. While that is still the case, Family Planning Programs in health departments across the state of Georgia are undergoing some changes and as a result, there will be some new requirements for patients seeking those services, such as birth control. Effective September 29, 2014, patients seeking family planning services in Bryan, Camden, Chatham, Effingham, Glynn, Liberty, Long, and McIntosh counties should be prepared to present a photo ID and proof of income* and will be expected pay low cost fees for services.
*(Proof of income will not be required for clients 19 and under).
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It is our goal to provide family planning services at the lowest cost possible. In order to accomplish this, patients over the age of 19 must provide verification of income so that we can determine fair and affordable fees for services provided. Without verification of income, patients will be asked to pay the full amount for services they receive.
Accepted proof of income includes:
• W-2 form
• Current tax return
• Current paychecks and/or pay check stubs for 1 month
• Unemployment / Department of Labor compensation notice or check stub
• Notarized statement of income from employer on letterhead
• WIC or SNAP approval letter including family size and income
Accepted Photo ID includes:
• State issued driver’s license
• Government issued ID
• Student ID
There will be payment options for family planning services and accepted forms of payment include:
• Cash
• Debit/credit card (Visa, Master Card, Discover)
• Medicaid
• Peachcare for Kids
• Amerigroup, Peachstate, Wellcare
To qualify for a fee discount, patients must provide proof of income. Patients who do not provide proof of income will be asked to pay the full amount for services received at the time of visit.*
*(Patients who do not proof of income may be offered a 20% discount if paying with cash or debit card at the time of visit).
We value all of our patients and strive to provide the highest quality family planning services in an atmosphere of caring and respect. The Coastal Health District will continue to offer a broad spectrum of family planning services including physical exams, counseling and education, and provision of effective contraceptive methods.
We appreciate the patience and understanding of all public health Family Planning Program patients. Any questions about changes to the Family Planning Program can be directed to your county health department.

Drive-through Flu Vaccination Clinic Scheduled for October 9 at McIntosh County Health Department

September 25, 2014 – The McIntosh County Health Department will hold a drive-through vaccination clinic from 9 a.m. to 4p.m. on Thursday, October 9, at the health department located on Highway 57 in Townsend. No appointment is necessary. For anyone who can’t get to the drive-through clinic, flu vaccine will be available Monday through Friday at the health department. Cost for both the injectable (shot) and nasal spray form is $28. A high dose flu vaccine is also being offered for people ages 65 and older, and it is designed to provide the best protection for that age group. The high dose vaccine will be $45 per dose. Cost of the flu vaccine is covered under both Medicare and Medicaid.
Getting vaccinated against the flu is recommended for everyone six months of age and older. Neither the flu shot nor the nasal spray can cause the flu. The shot is approved for use in healthy people 6 months of age and older, people with chronic medical conditions, and pregnant women. The nasal spray is approved for use in healthy people 2 to 49 years of age who are not pregnant.
The flu virus is easily spread through coughs and sneezes and by touching something with the virus on it and then touching your eyes, nose or mouth. That’s why good health habits are also important including staying home when you’re sick; avoiding close contact with people who are sick; coughing or sneezing into your elbow and not your hand; washing your hands often with soap and water; and avoid touching your eyes, nose and mouth.
For more information please call the McIntosh County Health Department at 832-5473 or click HERE.