Adult Immunization Clinics BCMH Visits Child Immunization Clinics Communicable Disease Investigations Disease Surveillance / Health Assessment Flu Clinics Health Promotion & Education HIV & AIDS Education Maternal & Newborn Home Visits Senior Clinics Senior Nutrition Education Specialty Clinics (Orthopedic & Neurological) TB Testing Walk-in Pregnancy Testing Well Child Clinics Women, Infant’s & Children (WIC)

Birth Certificates Death Certificates Burial Permits

Administration Registrar Fiscal Coordinator Computer Systems Support Bio-terrorism & Emergency Planning

Personal Health Services Extension 6577

Animal Bite Investigation County Camp & RV Park Inspections Manufactured Home Park Inspections Nuisance Complaint Investigations Plumbing Permits & Inspections Private Water Well Permits & Inspections Rabies Prevention & Surveillance Retail Food Establishment Inspections Restaurant / Food Service Inspections Temporary & Mobile Food Service Inspections School Environmental Inspections Semi-Public Sewage Certificates & Inspections Septage Land Application Site Inspections

Septic Tank Cleaner Permits & Inspections Sewage System Permits & Inspections For Sale of Property Permits & Inspections Solid & Infectious Waste Inspections Solid Waste & Water Hauler Truck Permits & Inspections Swimming Pool Inspections Tattoo & Body Piercing Permits & Inspections Vending Machine Inspections

Geauga County General Health District

Health District Advisory Council Composed of chairpersons of Township Trustees and Mayors of Villages and Cities, oversees the appointment of Board of Health members and reviews reports and finances of the Health District. Frank Gliha, President; Christine Livers, Secretary.

Board of Health One board member is appointed annually for a five year term. Board members serve as advocates for public health services and programs. This board is a quasi-judicial, policy development body tasked with determining, setting and monitoring public health policy. They are responsible for adopting the annual budget and ensuring adequate funding for the Health District.

Robert K. Weisdack, RS, MA, MPH Health Commissioner / Environmental Health Director

J. Bradley Moritz, M.D. Medical Director

Richard Lang, President Hambden Township, Term Exp 2009

J. David Benenati Chester Township , Term Expires 2006

Dr. Donald Bowers Burton Township, Term Exp. 2005

Nan Burr City of Chardon, Term Expires 2007

Melanie Eppich Chester Township, Term Expires 2008

Environmental Health Division Extension 6578

Vital Statistics Extension 6407

470 Center Street, Building 8 ● Chardon, Ohio 44024 (440) 285-2222 (440) 564-7131 (440) 834-1856

The Geauga County Health District is dedicated to providing public health services by detecting, educating and preventing personal and environmental health problems in our community.

A Note from the Health Commissioner

With Geauga County experiencing a severe raccoon-strain rabies outbreak, rabies has

become a major item on our daily agenda at the Health District. Untreated rabies is 100% fatal to humans. We must take precautionary measures as rabies can spill over into the

domestic pet population. A few simple rules can save your life; never feed or attempt to touch wild animals, feed pets indoors, securely cover garbage cans, and keep all domestic

pets immunized. If an exposure takes place wash the exposed site with soap and water, seek medical attention immediately, and report the exposure to the Health District.

It seems as though the latest buzz word in the field of public health is budget cuts.

Cuts at the federal government and State levels have a ripple down effect here at the local level. Although we had prepared ourselves for the earlier cuts, the recent cuts will

require us to readjust goals and priorities in our Personal Health Service Division. With grant funding cuts of 14% each of the last two years there has been a negative impact

on services provided to Geauga County residents. No budget can continue to withstand

dramatic cuts without seeing some decrease in the service area. It would appear that most local health departments will have no choice but to adopt a “fee for service”

increase to provide vital services to the residents. As you may know, once a government agency establishes a fee it will likely get bigger, not smaller. If we are forced to establish

any fee, it will be done so with the resident’s concern in mind.

House Bill 231, the sewage bill, has been signed into law. The Ohio Department of Health is in the process of writing the rules that every health department must abide by.

This new mandate will require periodic ODH surveys of the local Health District. If a Health District does not meet the standards the sewage program can be taken over by

ODH or another appointed agency. The rules are in the process of being adopted so we can only guess what types of sewage systems will be acceptable to ODH. If I were to

speculate on the price of the new technology, it will come with a hefty price tag to the

homeowner. The daily operation and maintenance of all sewage systems is crucial. The Health

District has been working on a video that will educate the homeowner on proper maintenance of their sewage disposal system.

Please visit our website http://www.geaugacountyhealth.org for updates and

important information services offered at the Health District.

Geauga County

General Health District

Annual Report

2004

Robert K. Weisdack

Health Commissioner

Residential Sewage Many of the homes in Geauga County are served by individual household sewage disposal systems, which are regulated by the Geauga County Health District. The Health District approves sewage permits for new construction and for updating an existing systems to

the current regulations. In 2004 the health district issued 311 permits for new construction and 263 permits for existing homes. An evaluation of the property is conducted by this office before a sewage permit is issued. This evaluation determines the size, type, and location of the proposed sewage system. The department conducted 793 lot evaluations in 2004. When a sewage system is installed it is inspected by a registered sanitarian before the system is covered with soil. The Geauga County Health District has a “For Sale of Property” regulation requiring that all homes served by a household sewage system be inspected by a registered Sanitarian sometime during the selling process. The fee is $200 or $250 depending on the type of sewage system. The health district conducted over 575 For Sale of Property inspections in 2004. Residents can obtain copies of forms and more information on this program at the Health District website at http://www.geaugacountyhealth.org.

The Ohio State legislature recently approved HB 231 which pertains to household sewage disposal systems. This will become law in May 2005 and the Ohio Department of Health will have one year from this date to adopt new rules for household sewage disposal systems. This program will now be administered by the Ohio Department of Health with one set of rules for the state of Ohio. The new rules may change the types of sewage systems commonly used in Geauga County. It is the responsibility of each homeowner to operate and maintain the sewage system located on their property. The department recommends pumping the septic tanks every 2 to 3 years. Other maintenance includes alternating the use of leach trench fields where applicable, cleaning and maintaining filters, keeping electrical components such as pumps, aerators, control panels, and alarm floats in good working order and adding chemicals for disinfection where required. Every homeowners needs to monitor what enters the sewage system and goes out into the environment. Homeowners can call the health department office to obtain information on the type, location, and operation and maintenance of their sewage disposal system. The department has an active nuisance investigation program and will investigate signed written complaints submitted to the office. In 2004 this department received 316 nuisance complaints which were submitted to this office. The department also licenses and inspects semi-public sewage commercial systems that treat less than 25,000 gallons of effluent per day. This includes 140 package (extended) aeration treatment systems and around 550 septic tank systems.

Private Water Systems The goal of the private water system program is to assure that everyone has a safe drinking water supply. There are a variety of steps in this process. Prior to drilling a well a permit must be obtained from the Health District. Water well drillers are registered by the Ohio Department of Health. Each drilled well is inspected by a registered Sanitarian to insure that it meets the requirements of the Private Water System Rules set forth by the State of Ohio. The water is sampled and analyzed to make sure it is bacteria free. It is equally important that each homeowner understand as much as they can regarding the operation and maintenance of their water well. We look forward to continuing to provide this service to our residents in the coming year. In the year 2004 the Health District issued 455 private water system permits and performed a total of 1,123 water sample tests and water system inspections.

Environmental Health Services Rendered 2004

Plumbing Permits ................................ 705 Plumbing Inspections ....................... 1,654 Private Water System Permits ............ 455 Private Water System Samples/Inspections ................... 1,123 Semi-Public Sewage Certificates ........ 525 Semi-Public Sewage Inspections ........ 601 Septic Tank Hauler Permits ................... 25 Sewage Permits ................................... 574 Sewage Inspections & Lot Evaluations ......................... 1,368 Solid/Infectious Waste Inspections ... 162 Animal Bite Investigations .................. 276 Positive Rabies Cases in Animals .......... 24 County Camp Inspections ....................... 9 Manufactured Home Park & RV Park Inspections ...................... 20 Nuisance Complaint Inspections ......... 316 School Inspections .............................. 144 Swimming Pool Inspections ................ 126

Food Service Protection

Food Service Operation Inspect ....... 1,187 Vending Machine Inspections ............... 62 Retail Food Establishment Inspect ..... 445

2004 Financial Report

Revenue Fees $ 1,283,856.56 Subdivision Assessment 0.00 State Subsidy 26,259.63 Levy 416,522.96 Miscellaneous 13,814.15 Cash Carryover 1,234,074.15 Grant Reimbursements 266,377.26

Revenue

Fees

40%

State

1%Levy

13%

Misc

0%

Cash

38%

Grant

8%

Vital Statistics There were a record 1,069 births at UHHS Geauga Regional Hospital. In addition, there were 17 home births and 119 births at the Middlefield Care Center for a total of 1,205 births in Geauga County. Of these births, 617 were male and 588 female.

There were 689-recorded deaths in Geauga County in 2004. The Health District Medical Director, J. Bradley Moritz, MD, reviews all death certificates and compiles statistics listing the most common causes of death.

2004 Most Common Causes of Death Heart Disease . . . . . . . . . . . . . .. . 236

Cancer (Lung Cancer Highest 31) 125 Neurological . . . . . . . . . . . . . .. . . 116 Infection (Pneumonia 36) . . . . . . 61 Lung Disease . . . . . . . . . . . . . . . 39

Certifies copies of birth and death records are available in our office or by mail for $15.00 each. They may be obtained by visiting the Vital Statistics office or by mail.

Geauga County Health District

For forms, information and news visit us at http://www.geaugacountyhealth.org

Expenditures Personnel Costs ................ $ 1,622,070.47 Supplies ................................... 23,188.88 Vaccine .................................... 26,919.45 Equipment ............................... 36,763.90 Maintenance & Repair ................. 8,819.31 Remit to State & Lab Fees ......... 37,486.00 Travel & Training ...................... 29,594.32 Other ..................................... 149,309.42 Total Expenditures ............ $ 1,934,151.75 Grant Revenues ...................... 346,197.22 Grant Expenditures ................. 377,519.94

Employees by Division Personal Health Services 12 Administration – Vital Statistics 5 Environmental Health 15 Women, Infant & Children 3

Food Program Division The goal of the Food Safety Program of the Geauga County Health District is to assure that safe and wholesome food is provided to the public. This goal is achieved when our sanitarians inspect food establishments as required by the Ohio Revised Code. Grocery stores, restaurants, mobile food services, vending machines, fairs and festivals are licensed and inspected. We strive to educate, as well as enforce, the Ohio Uniform Food Safety Code to the operators of the food establishments within Geauga County. Over 2000 food facility inspections were made in 2004. Inspection frequency is based upon state law and is determined by risk classification of the establishment. Areas addressed include staff hygiene, food handling, cleaning and sanitizing. Two ServSafe seminars were conducted and personalized consultations are offered. The staff provides food safety education to the public. Food-borne illness complaints are investigated and laboratory test collections done when an outbreak is suspected. The Food Safety Program met all food compliance regulations

mandated by the Ohio Department of Health. There were no major food-borne outbreaks linked to any of our licensed facilities during 2004.

Women, Infants & Children (WIC) The Geauga County WIC Program serves the women, infant’s and children’s nutritional needs under grants from the Ohio Department of Health. Experienced Registered Dieticians deliver prenatal and early childhood nutrition education information to families. The

fundamental goal is to detect potential nutritional concerns and educate the family in corrective measures to assure optimal growth and development for the young child. This includes a tailored food package appropriate for the age and assessed nutritional needs of the participant. Children with special needs can access tube feedings and therapeutic diet formulas with a prescription from their physician. The WIC program provides essential nutrients for newborn to five year old children including protein, Vitamin A, Vitamin C and iron rich foods. Iron fortified infant formulas are available when breastfeeding is not an option. Upon the arrival of the first birthday a child’s food package with an assortment of cheese, juice, milk, cereal, eggs, peanut butter and beans to help meet the needs of growing preschoolers. Pregnant, lactating and postpartum mothers also benefit from the WIC program. Special dietary needs are considered for motherhood and WIC nutritionists advise young mothers on optimal nutrition recommendations for childbearing years. Jobs & Family Services, United Way, immunization clinics, drug and alcohol addiction counselors and prenatal care providers are common referrals for families seeking support or intervention. Assisting families to meet not only the nutritional needs but also the social needs of WIC clients’ offers a healthier environment for the overall social, physical or mental development of the young child. Two dietitians staff the three convenient clinics located in Chardon, Middlefield and Bainbridge serving over 850 Geauga County residents. Many local grocery vendors participate in redemption of the WIC vouchers in Geauga County for easy access to WIC foods. Geauga County WIC also participates in the Farmer’s Market Nutrition Program that provide coupons for fruits and vegetables during the summer months.

THE 10,000 STEPS PROGRAM

In the spring, 17 employees of the Health District

participated in the Ohio Department of Health 10,000

steps walking program. Each participant in the program

received a pedometer and log forms. After establishing

a baseline daily step total, participants were challenged

to find ways to reach the 10,000 per day. Ideas

included:

Parking farther away from entrances

Using the stairs instead of riding the elevator

Carrying groceries one bag at a time

Taking the dog for a walk

At the end of the 10 week program, participants were

able to see the progress they had made in their activity

levels, even if they had not reached the 10,000 steps per

day goal. Many employees have incorporated the ideas

into everyday activities and continue to count steps in an

effort to maintain good health and fitness.

Raccoon-Strain Rabies Found in Geauga County Rabies is an infectious virus that affects the nervous system of humans and other mammals. The virus is found in the brain of an affected animal and may be transmitted through the saliva by a bite, scratch, or by getting infectious material into eyes, nose, mouth, or a wound. Animals such as raccoon, skunk, fox, coyote and bats are the most common source of rabies. There is still no cure for rabies once the symptoms develop, but the disease can be stopped in people if a series of rabies immunizations are given soon after exposure to the virus. Untreated, rabies is almost always fatal in both humans and animals. Since the mid-1970s, raccoon-strain rabies has spread along the entire East Coast of the United States. Raccoons are now a major reservoir of wildlife rabies from Florida to Maine, and the virus has moved into Canada as well. Raccoons can infect domestic animals and are putting humans at risk from this deadly disease. In 1996, raccoon-strain rabies began to move into northeast Ohio from Pennsylvania. There are specific identifiable strains of the rabies virus. Although there were only two cases of raccoon-strain rabies in Ohio that year, the disease quickly escalated in 1997 resulting in 62 raccoon-strain rabies cases confirmed in three northeast Ohio counties. The Ohio Department of Health, with the support of other state and federal agencies, implemented an ongoing program to immunize wild raccoons for rabies using an oral rabies vaccine (ORV). This program has been implemented in an attempt to reduce animal cases and prevent the spread of raccoon-strain rabies into the rest of Ohio. Beginning in 2001, neighboring states began to join the Ohio effort to control raccoon rabies. With support from United States Department of Agriculture - Wildlife Services, this multi-state effort is now called the Appalachian Ridge ORV Barrier and will ultimately extend to the Gulf of Mexico coastline.

For the past decade there have been some cases of rabies in bats in Geauga County. In July 2004, however, positive cases of raccoon-strain rabies were found in both Lake and Geauga County. This resulted in a collaborative effort to determine the extent of rabies in the raccoon population in Lake, Geauga and Cuyahoga

Counties. This emergency effort was conducted because the raccoon-strain rabies had not been found this far west of the Ohio-Pennsylvania border.

With the assistance of the Ohio Department of Health, the USDA - Wildlife Services, the US Centers for Disease Control, as well as the local Health Districts in Geauga, Lake and Cuyahoga Counties, a raccoon specimen collection was conducted. Most of the specimens collected by the local Health Districts were from road-killed wildlife. There were several specimens collected from suspect raccoon, i.e. raccoons that demonstrated behavior consistent with a sick or infected animal. The USDA Wildlife Services performed some raccoon trapping and accounted for nearly 85% of all the specimens collected. Of more than 1,200 specimens tested in Geauga, Lake, Cuyahoga, Portage, Summit, Medina and Trumbull Counties there were a total of 22 positive raccoons and one skunk in Geauga County, 22 positive raccoons in Lake County and one positive raccoon in Cuyahoga County. Geauga County had the highest rate of infection with 22 of 198 positive specimens, or 11.1%. Lake County has 22 of 282 positive specimens, or 7.8%. Of the 187 specimens collected by the Geauga and Lake County Health Districts over 10% were positive. Assisted by township officials, the Geauga County Park District, the Geauga County Sheriff and local police and fire departments, there was a significant effort to alert the residents of Geauga County. The Ohio Department of Health conducted an emergency oral rabies vaccination by airplane and hand delivery over all of Lake and Geauga Counties. Registered Sanitarians from the Geauga County Health District assisted by hand baiting that allowed for a distribution at locations more attractive to raccoons. Thanks to some local veterinarians and volunteer groups, a low cost household pet vaccination clinic was held at the Geauga County Fairgrounds. Surveillance of the raccoon population in Lake and Geauga Counties will resume in 2005 to monitor the effectiveness of the ORV baiting conducted in 2004 and additional ORV baiting in 2005. For the residents of the county the first line of defense against rabies is to avoid contact with wild animals, sick or injured animals, and animals you don’t know. Pet vaccinations should be kept current and pets should not be permitted to roam. Closing garbage lids and not feeding household pets outdoors can help eliminate food and nesting places for wild animals in residential areas. Residents should continue to report all animal bites to the Health District and contact us if they suspect the possibility of a rabies exposure to themselves or a household pet.

Solid Waste Program The Health District has as aggressive solid waste program and conducted 155 inspections of scrap tire generators, small and large infectious waste generators, infectious waste treatment facilities, closed landfills, compost sites and solid waste transporters. Some smaller compost facilities are no longer inspected under Ohio EPA regulation, allowing time and resources for larger facilities. For the last several years an emphasis has been put on the enforcement of solid waste laws pertaining to mosquito control and scrap tire generators due to the West Nile Fever that has been an endemic since 2001. The 50 registered scrap tire generators in Geauga County are inspected to ensure that scrap tires are stored and disposed of in accordance with Ohio law. Citizen complaints about scrap tires have decreased in 2004 as scrap tire generators as a group are becoming more proficient in mosquito control, either by larviciding or keeping the scrap tires dry and mosquito free. There were eight solid waste collection events held by the Geauga-Trumbull Solid Waste District in 2004 for scrap tires, appliances and hazardous waster materials. Some of the waste materials collected included:

The Geauga-Trumbull Solid Waste District is completing construction of the new Household Hazardous Waste Recycling Facility scheduled to open in June 2005 at 5138 Enterprise Blvd., just off U.S. Route 422, in Warren, Ohio… easily accessible to all residents. This new facility will operate several days a week from Spring through Fall. This should make disposal of household hazardous wastes safer and more convenient for residents of both Geauga and Trumbull counties.

Scrap Tires ......................................... 53,100 tires

Appliances ................................................ 90.3 tons

Appliance Freon Removals ...................... 616 units

Propane tanks & cylinders ...................... 647 units

Oils (including Antifreeze) ................... 6,646 gallons

Liquid pesticides ........................................ 50 drums

Mercury ................................................ 1,834 lbs.

Total Household Hazardous Waste ... 278,645 lbs.

Adult Services Communicable Disease Investigation – Many communicable

diseases or illnesses with an impact on the health of the public are

required by law to be reported to the Health District. The Personal

Health Services Division assures the effective surveillance of

communicable diseases reported in Geauga County in compliance

with the Ohio Department of Health Infectious Disease reporting

requirements and CDC recommendations. Assisted by sanitarians

from the Food Service Operations department, we investigate and

track food borne illnesses to prevent outbreaks within the

community. Public health nurses participate in the Regional

Infection Control Committee to meet with other NE Ohio agencies

to discuss current issues and share information.

Vector-borne Disease Surveillance – Together the Personal

Health Services and Environmental Health Divisions conduct data

collection and provide information for vector-borne diseases.

These include West Nile Virus, Lyme disease, Rocky Mountain

Spotted fever, Equine Encephalitis and others. The information is

reported to the Ohio Department of Health and the CDC who

monitor the diseases and plan effective control measures.

Tuberculosis Control – The Personal Health Services Division

provide tuberculosis control by screening high risk populations,

maintaining contact with positive reactors, and planning

treatment for individuals. The Geauga County Commissioners are

a partner in providing treatment to residents. Individual TB tests

are available at the Chardon Friday Morning Clinics.

Pregnancy Testing – The Personal Health Services Division

provides free pregnancy testing to women 18 years or older.

Adult Immunization Services – Personal Health Services

Division conducts weekly clinics at the office for adult

immunizations and blood pressure screenings. Flu vaccine clinics

are held at senior centers and occupational settings during the fall

months. Because of the vaccine shortage in 2004, flu clinics were

held only at the senior centers and at the Health District office. As

suggested by the Ohio Department of Health, vaccine was

distributed to high risk clients. The fee schedule for adult

immunizations is based on the current cost of vaccine and

supplies for administration.

Senior Services – Public health nurses visit the Senior Centers in

Geauga County on a monthly basis and provide free blood

pressure screening and free medication education. A public health

nurse is made available for health promotion to the Adult Day

Care clients who attend the Multi Purpose Senior Center in

Chardon. The Department on Aging selects Day Care clients to

receive nursing services that are funded by the Title III/

Community Block Grant. The Health District provides a full time

dietitian, which the Department on Aging funds, for individual

nutrition counseling and group classes on healthy diets, meal

planning, and food preparation.

Children’s Services Help Me Grow Newborn Home Visits – Public health nurses provide voluntary, free home visits to newly delivered mothers and their infants that include an evaluation of the mother’s recovery, an assessment of the infant’s early growth and development, information on a variety of preventive health issues for the family, and referral to other community agencies and resources. If needed, the nurses collect infant blood specimens for required newborn screening tests. Funding for this service comes through the Geauga County Family First Council as a grant from the Ohio Department of Health “Help Me Grow”. Maternity Survey – Our Personal Health Services Division participates in the annual maternity licensure survey of UHHS Geauga Regional Hospital, which is conducted by the Ohio Department of Health. After the site visit, the Board of Health is presented with the survey results, which are reviewed before the board votes to approve or deny re-licensure for the facility. The Personal Health Services division is responsible for investigating any complaints regarding the maternity facilities in the county. SIDS Home Visits – The Personal Health Services Division

provides a public health nurse home visit to families who have recently experienced the unexpected death of an infant during its first year of life, regardless of the cause. The purpose of the visit is to provide support, information, and referral services to bereaved families. There is no charge for this service. Children’s Immunizations – Public health Nurses hold clinics throughout the county to administer free childhood vaccinations to Geauga County residents. No appointments are necessary. The vaccines are supplied by the Ohio Department of Health. Well Child Services – Well child clinics funded by a grant from the Ohio Department of Health are conducted at the Middlefield Care Center in Middlefield twice a month. Children receive health screening for vision, hearing, development, dental, and nutrition. Physical exams are performed by a physician or nurse practitioner, immunizations are updated and the family receives appropriate health education. Fees for services are based on income, and no one is denied services due to inability to pay. Bureau for Children with Medical Handicaps (BCMH) – The BCMH program provides early identification, evaluation, referral, and coordination of services for children from birth to 21 years with handicapping conditions. The Health District serves as the local contact for families who participate in this program. The child’s family receives free home visits from the public health nurse which include child assessment, care plan development, health promotion, and advocacy on behalf of the family. Specialty Clinics (Orthopedic and Neurology) – In cooperation with the Ohio Department of Health and Rainbow Babies’ and Children’s Hospital, the Health District manages 8 specialty clinics per year. Orthopedic/Scoliosis Clinic are held quarterly at the Chardon office. Neurology Clinics are held quarterly at the Das Deutch Center in Middlefield. Children up to age 21 are seen at these clinics and appointments are necessary.

The Personal Health Services Division of the Geauga County Health District consists of Nursing Services, the W.I.C. program, Health Education services, and Disease Surveillance Coordination. The primary focus of these programs is to maintain a healthy Geauga County community through disease prevention, health education, and health promotion. Most of these services are available to residents of Geauga County either at no cost, at reduced cost, or on a sliding fee scale.

2005 Children’s Immunization Clinics

Chardon

Geauga County Health District 470 Center St., Building 8 2nd Wednesday—9:00 am to 11:30 am

Chardon Evening

Geauga County Health District 470 Center St., Building 8 3rd Tuesday 4:00 pm to 7:00 pm

Middlefield

First United Methodist Church

14999 S. State St. (State Route 608) 2nd & 4th Monday 9:00 am to 11:30 am

Middlefield Evening

First United Methodist Church 14999 S. State St. (State Route 608) 3rd Thursday - 4:00 pm to 7:00 pm

Parkman

Parkman Community Center 16295 Main Market (US Route 422) 3rd Monday—9:00 am to 11:30 am

Russell Russell Fire-Rescue Station 14810 Chillicothe Rd. (State Route 306) 1st Thursday—9:00 am to 11:30 am Feb., Apr., Jun., Jul., Aug., Oct, Dec. only

Troy

Troy Community Center 13950 Main Market (US Route 422) 3rd Monday—1:00 pm to 3:30 pm

Friday Morning Clinic Adult Immunizations

TB Testing Blood Pressure Screening

Geauga County Health District 470 Center St. Building 8

Fridays — 8:30 am to 11:00 am

There are no clinics on public holidays Check our website or call for a schedule

Personal Health Services Summary 2004

Communicable Disease Investigations140 Tuberculosis Tests Administered ......... 459 Maternal/Newborn Home Visits .......... 474 Well Child Service Visits ...................... 405 BCMH Home Visits ............................... 474 Geauga Families in BCMH .................... 405 Orthopedic Clinic Visits .......................... 91 Neurology Clinic Visits ......................... 100 Adult Immunizations Admin ................ 419 Children’s Immunizations Admin ..... 5,481 Adult Blood Pressure Screenings......... 650 Clinic Blood Pressure Readings ............. 83 Senior Clinic Visits (Nurses Clinic) ... 1,289 Flu Shots Administered ..................... 2,641 Pregnancy Testing ................................. 10