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| Public Health Nursing |
The Marion Public Health 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.
http://www.cdc.gov/vaccines/
http://www.aap.org
Marion Public Health 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 -- Medicaid, Molina and CareSource Accepted
No appointment needed
Infant & Childhood 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. Medicaid, Molina and CareSource accepted. No child refused shots due to inability to pay.
No appointment needed.
Family Immunizations
Vaccines offered for adults include Tdap, TD, Hepatitis B, Hepatitis A, and to a lesser extent, MMR (Measles, Mumps, Rubella), IPV (Inactivated Polio Vaccine) and Varicella (Chickenpox).
Adolescent Immunizations
The Tdap (TD) vaccine is required by the state upon entry into 7th grade. We make this vaccine available along with encouraging the Varicella (Chickenpox), Menactra, HPV vaccines, and the Hepatitis A and Hepatitis B series. The nurses at Marion Public Health 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.
Meningococcal Vaccine
Travelers Vaccinations
The public health nurses at Marion Public Health 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 $14.50 Nursing Assessment fee PER VISIT PLUS following cost of vaccines
Td (Tetanus) $21.00 (Private vaccine)
Td (Tetanus) $10.00 (State vaccine)
Tdap (Adacel) $34.00 (ages 19 and up)
Tdap (Adacel-State) $10.00 (Limited:Parents/caretakers/daycare wkrs of child <5 yr)
Varicella (Chicken Pox) $84.00
MMR $51.00 (anyone 19 and older)
Meningitis: Menactra $104.00 (Private vaccine)
Hep B $33.00 (anyone 19 and older)
Hep A $23.00 (anyone 19 and older)
Twinrix (Hep A & Hep B) $53.00 (anyone 19 and older)
IPV (Polio) $26.00
Seasonal vaccines based on current cost (assessment fee included):
FLU $25.50
PNEUMONIA - Not Available
Childhood/Adolescent Vaccinations: Add $14.50 Nursing Assessment fee PER VISIT PLUS following cost of vaccines:
MMR $10.00 (thru 18 yr)
MMRV $10.00 (State vaccine)
Td (Tetanus) $10.00 (State vaccine)
Tdap (Boostrix) $10.00 (ages 10 thru 18)
Hep B $10.00 (up to & including age 18/finish series at 19)
Hep A (thru age 18) $17.00 (Private vaccine); $10.00 (State vaccine)
Varicella $10.00 (State vaccine)
IPV (Polio) $10.00 (traveling - VFC & State)
HPV (Gardasil) $10.00 (VFC vaccine - ages 9 thru 18 yr old); $131.00 (Private vaccine)
Rotavirus (up to 8 months 0 days) $70.00 (Private vaccine); $10.00 (State vaccine)
Prevnar $10.00 (State vaccine)
Meningitis: Menactra $10.00 (State vaccine – ages 11 thru 18 yr old)
Flu (>6 month thru 18 yr) $10.00 (State vaccine)
Flu Mist (2 thru 18 yr) $10.00 (State vaccine)
If you are a non-resident of Marion County there is an extra $5.00 charge per visit.
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) - $14.50
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
IMMUNIZATION SCHEDULES: http://www.cdc.gov/vaccines
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.
Marion Public Health has lead testing available on Tuesdays. Please call (740) 387-6520 for more information about lead and testing. |
| Bureau for Children with Medical Handicaps |
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.
Marion 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 Public Health 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.ohio.gov/odhPrograms/cmh/cwmh/bcmh1.aspx
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| Communicable Disease Program / Sexually Transmitted Diseases |
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
Marion Public Health carries "De-Bug" lice shampoo. The bottle contains 8-16 treatments, comes with a metal lice comb, is safe, effective and contains no pesticides. The cost is $10.00 per bottle. The De-Bug shampoo can be used with the De-Bug lice oil which sells for $5.00.
Tuberculosis Program - Marion Public Health 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.
- The public health nurses provide referral, monitoring and case management for positive skin tests, TB disease and latent infection.
www.odh.ohio.gov/odhPrograms/idc/tcont/tcont1.aspx
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Adult and Child Dental Services
Information on Adult and Child dental services is available by calling the Center Street Community Health Center at (740) 751-6380
Handicapped Needs Fund - The nurses at Marion Public Health have 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 medical equipment or gas vouchers to get to a medical appointment. Call 740-387-6520 for information.
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 1-800-324-8680 to request an application or download an application at the website listed above.
The Center Street Community Health Center - Call (740) 751-6380 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.
Other helpful links:
www.cdc.gov
www.odh.ohio.gov
http://www.ohiohelpmegrow.org/
http://www.cdc.gov/germstopper/
http://healthyohioprogram.org/
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