ADULT HEALTH

Blood Pressure Screening

Blood pressures are available by appointment at the Health Department office.

Resource: http://www.nhlbi.nih.gov/health/dci/Diseases/Hbp/HBP_WhatIs.html

Community Health Improvement Process and Plans (CHIPPS)

Since 1993, Wisconsin statutes have required communities throughout Wisconsin to develop and implement local health plans to address health conditions impacting their residents. This process has been referred to as the "Community Health Improvement Process" (CHIP), named in part, due to the resulting health status changes in a community and the people that live there. Local health departments are required by Wisconsin Statute Chapter 251.05 to (a) Regularly and systematically collect, assemble, analyze and make available information on the health of the community, including statistics on health status, community health needs and epidemiologic and other studies of health problems; (b) Develop public health policies and procedures for the community; (c) Involve key policymakers and the general public in determining and developing a community health improvement plan that includes actions to implement the services and functions specified under s. 250.03(1)(L); and (d) Submit data, as requested, to the local public health data system established by the department.

Resources:
http://dhs.wisconsin.gov/chip/
http://www.dhs.wisconsin.gov/statehealthplan/
http://www.thecommunityguide.org/index.html

Jail Health

The Pepin County Sheriff’s Department contracts annually with the Pepin County Health Department to provide jail health nursing services. The jail health program goal is to ensure that each inmate has the availability of adequate health care during the time of their incarceration. Adequate health care includes emergency services and treatment for life threatening conditions, assessment of overall physical and mental health status including pre-existing conditions and any recent health concerns or complaints that might require initial follow up and/or ongoing treatment. In keeping with good health practices, it is believed that an inmate released in an improved state of physical and mental well-being is better prepared for a successful transition into society.

Wisconsin Well Woman Program (WWWP)

WWWP promotes wellness and early detection of breast and cervical cancer through public education and direct contact with enrolled women. The program is available for women 45 to 64 who are uninsured or underinsured, meet specific income guidelines (250% of poverty), and are not eligible for Medicaid or BadgerCare. Annually, active and previously enrolled women are reminded of the need for routine screening to find disease early. Mammograms are recommended every two years after the age of 40 and annually after the age of 50. Pelvic exams with Pap smear are recommended every three years after a series of three healthy annual exams. Though no longer a component of the WWWP, routine screening to address risk for cardiovascular disease, depression, diabetes, domestic violence, high blood pressure, and osteoporosis are recommended.

Resource:
http://dhfs.wisconsin.gov/womenshealth/wwwp/

ENVIRONMENTAL HEALTH

Environmental Safety/Screening
The PCHD is responsible for investigation and follow-up of health and human hazard concerns. Education and referrals are provided concerning other environmental hazards.

Resource:
http://www.co.pepin.wi.us/Emergency%20Management/EOP/Municipal%20Plan.doc
http://library6.municode.com/default-now/home.htm

Lead Testing
All children, ages 1 – 6, are eligible for a blood lead screening at no charge through the PCHD. Elevated blood lead levels are followed up with education and a home inspection including suggestions for environmental changes.

Resource:
http://www.dhfs.state.wi.us/lead/

Water Testing
If you are pregnant or have an infant under 1 year, free testing is available at PCHD for fluoride, nitrates, and bacteriology. Free fluoride testing is available for households with children under 16. Bacteriology testing is available at Pepin County Zoning for a fee. For more information, call Pepin County Health Department at (715) 672-5961.

Resource:
http://www.dhfs.state.wi.us/eh/Water/index.htm

COMMUNICABLE DISEASE

Communicable Disease Prevention & Identification
All reportable communicable diseases are reported to the Local Public Health Department (influenza and chicken pox are not reportable diseases). The PCHD is responsible for the follow-up, investigation, control, and prevention of any spread among the population.

Resource:
http://www.dhfs.state.wi.us/communicable/index.htm

HIV/AIDS Counseling & Testing

Resource:
http://dhfs.wisconsin.gov/aids-hiv/
http://www.arcw.org

Immunization
Immunizations for preventable diseases are a major emphasis for the Pepin County Health Department. Immunization clinics are held every 2 nd and 4 th Thursdays of the month from 2 – 5:00 PM in Durand, and by appointment in Pepin. Appointments may also be scheduled at the Health Department office as needed. The following vaccines are available to children under 18 years of age: DTaP, Tdap, Pentacel, Menactra, HIB, IPV, MMR, Varicella, Prevnar, Rotavirus, Hepatitis B, and Hepatitis A. Tetanus shots are available to any age. PCHD also offers Hepatitis B and Meningococcal vaccinations to adults for a fee. Adult vacine availability and cost varies.

Resource:
http://www.immunize.org/index.htm

Tuberculosis Screening and Dispensary
Tuberculosis (TB) is a disease caused by a bacterium called Mycobacterium tuberculosis. The bacteria usually attack the lungs, but TB bacteria can attack any part of the body such as the kidney, spine, and brain. If not treated properly, TB disease can be fatal. TB disease was once the leading cause of death in the United States.The Health Department provides screening via the mantoux test as well as medication and educational services to prevent and control infection and disease caused by Mycobacterium tuberculosis.

Resources:
Wisconsin Tuberculosis Program http://dhs.wisconsin.gov/tb/index.htm

INFANT/CHILD HEALTH

Childhood Lead Testing
Blood lead testing is available free of charge. It is recommended for all children ages 1 to 6. Lead poisoning can cause developmental problems and other serious problems for children.

Resource:
http://www.dhfs.state.wi.us/lead/

Child Passenger Safety
The Child Passenger Safety (CPS) Program works to ensure that correct child passenger safety seats are properly installed in vehicles, and that correct CPS educational information is disseminated. Certified CPS Technicians perform CPS safety seat inspections for any individual that provides written consent. CPS Techs follow the National Highway Traffic Safety Administration�s (NHTSA) Standardized Child Passenger Safety Technician Training Guidelines for evaluating safety seats for proper use and installation.

Resources:
Safe Kids http://www.safekids.org/
Wisconsin Information Network for Safety http://www.wcpsa.com/
Wisconsin Department of Transportation http://www.dot.wisconsin.gov/safety/vehicle/child/resources.htm

Poisoning Prevention
Call Children’s Hospital of Wisconsin Poison Center toll free 7 days a week
1-800-222-1222

Resource:
http://www.wisconsinpoison.org/

Resource:
http://www.dhfs.state.wi.us/eh/Water/index.htm

Children and Youth With Special Health Care Needs
The Children and Youth with Special Health Care Needs Program works to improve systems of care for anyone from birth through age 21 with a chronic physical, developmental, behavioral or emotional illness or condition. The program goals are to identify early, provide high quality coordinated care and assure families receive the supports they need. Some examples include ADHD, asthma, autism spectrum disorders, childhood cancers, cerebral palsy, deaf or blind, diabetes, Down syndrome, heart disease, and mental health conditions. The Children and Youth with Special Health Care Needs Program collaborates with national, state and community-based partners to link children to appropriate services, close service gaps, reduce duplication and develop policies to better serve families.

Resources:
Wisconsin Department of Health Services http://dhs.wisconsin.gov/health/children/index.htm

Immunizations
Immunizations for Preventable Diseases are a major priority for the health department. Preventing illness and disease begins at an early age and continues throughout life.

Immunization clinics are held every 2 nd and 4 th Thursdays of the month from 2 – 5:00 PM in Durand, and on the 1 st Tuesday of the month in Pepin (appointments are required for the Pepin clinic). Appointments may also be scheduled at the Health Department office as needed. The following vaccines are available to children under 18 years of age: DTaP, Tdap, Pentacel, Menactra, HIB, IPV, MMR, Varicella, Prevnar, Rotavirus, Hepatitis B, and Hepatitis A. Tetanus shots are available to any age. Adult vaccine availability and cost varies.

For more information, use the following link - http://www.immunize.org/index.htm

Maternal Child Health Services
The Prenatal Care Program provides support and education to pregnant women.

Home visits are available for parents of newborns for support and education.

Well-child screenings are provided to children with no insurance, high deductible insurance, or those with Medical Assistance.

Resources:
http://dhfs.wisconsin.gov/DPH_BFCH/MCH/
http://dhfs.wisconsin.gov/DPH_BFCH/Newborn_Screen/

Oral Health
Fluoride Supplements – Free for children 6 months – 16 years with un-fluoridated water.

Sealant Program – provides free exams and sealants to income eligible Pepin County 2 nd graders. Volunteer dentists, hygienists and assistants provide these services (offered annually through the schools).

Varnish Program – Flluoride varnishes are offered to W.I.C. clients up to three times a year to strengthen tooth enamel. Varnishes are applied and are covered by Medical Assistance or the MCH grant.

Resource:
http://dhfs.wisconsin.gov/health/Oral_Health/

Women, Infants, & Children Program (W.I.C.)
W.I.C. is a preventive health and nutrition program for women (pregnant, breastfeeding, or postpartum), infants, and children under 5 years of age. W.I.C. serves families who are at or below 185% of the federal poverty level or who have a health or nutrition need. The program provides nutritious food, nutrition education, health screening for growth, anemia, lead poisoning, and referrals to other support programs. W.I.C. is funded annually by the United States Department of Agriculture through federal tax dollars.

Resource:
http://www.fns.usda.gov/wic/

SCHOOL HEALTH SERVICES

School Health Services
Durand and Pepin School Districts contract with PCHD to provide school nurse services. They regularly screen for vision, hearing, scoliosis, and provide pre-school and kindergarten entrance screenings. Parent/Nurse conferences are held as needed. Screenings are also offered to the Pepin County Parochial and Amish Schools.

Resources:
Durand-http://www.durand.k12.wi.us/
Pepin- http://www2.dpi.state.wi.us/sst/nwps/pepin_high.html

FAMILY PLANNING/REPRODUCTIVE HEALTH

Family Planning & Early Identification of Pregnancy
Goal of reproductive health is to provide affordable services and to inform individuals how to:

Protect yourself from an unplanned pregnancy
Space pregnancies two or more years apart
Protect yourself against Sexually Transmitted Infections (STI’s)

Confidentiality
All inquiries and services are confidential, regardless of age.

Birth Control Options
Natural family planning and contraceptive methods are discussed on a one-on-one basis.

Counseling
Available onsite or referred to off site clinic for further follow-up needs. Discuss various hormonal and non-hormonal methods birth control, how to obtain and/or how to use the different methods, and how to arrange follow-up care.

Education
All clients will receive situation specific information as appropriate. A PH nurse is available by appointment for small or large group presentations or discussions as appropriate.

Referrals
Free Clinic of Greater Menomonie Area at Red Cedar Clinic
* Does not offer reproductive health services
2211 Stout Road
Menomonie, WI 54751
(No appointments – walk-ins only on Tuesdays 5:15 p.m. – 7:00 p.m.)

Chippewa Valley Free Clinic
421 Graham Avenue
Eau Claire, WI 54701
(715) 839-8477

Pregnancy testing
Offered onsite at PCHD. Relative to the outcome, various referrals are made to private physicians, W.I.C., Healthy Start, and/or Prenatal Care Coordination as appropriate.

Testing for STI/HIV/AIDS, counseling, and referrals available – Call for information or an appointment at (715) 672-5961.

HIV/AIDS/STI

Testing, counseling, and referrals available. Call for information or an appointment at (715) 672-5961

Resources

For information about the Family Planning Waiver and to sign up for the program - https://access.wisconsin.gov/access/
Google Search: contraceptives or family planning
HPV information on condition and vaccination http://www.cdc.gov/std/HPV/STDFact-HPV-vaccine.htm
Are you depressed? http://www.cdc.gov/nasd/docs/d001201-d001300/d001247/d001247.html
Violence – need help? http://www.cdc.gov/reproductivehealth/violence/index.htm
STI information http://www.womenshealth.gov/faq/stdsgen.htm
Breast Cancer resource page http://www.womenshealth.gov/breastcancer/

PUBLIC HEALTH PREPAREDNESS

What does public health do during an emergency?
Just as public health was there when you needed immunizations for your children, state and local public health agencies are working for you today to prepare for emergencies including bioterrorism, infectious disease outbreaks and other public health threats and emergencies. Public Health Preparedness means planning and putting in place programs to respond quickly and effectively to threats endangering the health of the public.

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