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Public Health & Clinical Services Division
This Division provides those services necessary to protect the public health of the
community and non-emergency outpatient medical care to residents of Sutter County to
eligible individuals.
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California Department of Public Health (CDPH) Broadens Recommendations
for Vaccinating Against Pertussis: Immunization Key to Controlling Whooping Cough
Sutter County Public Health Division is offering two no-cost pertussis (whooping cough) shot clinics.
Parents must bring their children’s yellow immunization cards (shot records) to the clinic.
The first of two shot clinics will be held:
Tuesday, August 24, 2010 from 3:00 to 6:00 p.m.
Live Oak Senior Center
2750 Date Street, Live Oak [Map]
The second shot clinic will be held:
Saturday, August 28, 2010 from 8:00 to 11:00 a.m.
Yuba City Certified Farmers Market
Town Center on Plumas Boulevard, Yuba City [Map]
To protect Californians against the current epidemic levels of pertussis
(whooping cough) health experts at the California Department of Public
Health (CDPH) today broadened recommendations for immunizing against
pertussis and reiterated the importance of getting vaccinated.
"We are facing what could be the worst year for pertussis that this
state has seen in more than 50 years," said CDPH Chief of the Center
for Infectious Disease Dr. Gilberto Chávez, who also is the state's
epidemiologist. "We are urging health providers to broaden their use
of the pertussis vaccine and we are urging Californians to take the simple
step of getting vaccinated to prevent pertussis."
In addition to the typical series of childhood pertussis immunizations, CDPH
now recommends an adolescent-adult pertussis booster vaccine (Tdap) for:
- anyone 7 years and older who is not fully immunized, including those who are more than 64 years old,
- women of childbearing age, before, during, or immediately after pregnancy, and
- other people who have contact with pregnant women or infants.
"Considering that immunity from pertussis vaccine or disease wears off and
that most adults are susceptible to pertussis, now is the time for Californians to
get immunized to protect themselves and their families," said Chávez. "In
particular, all family members and caregivers of infants should get the booster vaccine."
California physicians expressed support for the new expanded vaccination guidelines.
"Pediatricians are extremely concerned about the pertussis epidemic in California,"
said Kris Calvin, Chief Executive Officer of the American Academy of Pediatrics,
California. "We appreciate and fully support CDPH's efforts." Family
physicians are equally concerned. "The new recommendations will help tremendously
in addressing pertussis prevention," said Jack Chou, M.D., president of the
California Academy of Family Physicians. "We support the efforts of the California
Department of Public Health."
Pertussis has reached an epidemic level in California. For the first six months of this
year, 1,337 cases of pertussis were reported, a five-fold increase from the same period
last year when 258 cases were reported. In addition, approximately 700 possible cases
of pertussis are under investigation.
Five infants, all under three months of age, have died from pertussis this year. Unimmunized
or incompletely immunized young infants are particularly vulnerable.
The pertussis vaccination series can begin when an infant is 6 weeks of age. Infants,
however, are not adequately protected by vaccination until the initial series of three
shots is complete. The series of shots that most children receive wears off by the time
they finish middle school. Neither vaccination nor illness from pertussis provides lifetime
immunity. For new mothers and anyone with close contact with infants, CDPH is providing Tdap
vaccine at birthing hospitals, community health centers, Native American health centers and
local health departments.
A typical case of pertussis in children and adults starts with a cough and runny nose
for one-to-two weeks, followed by weeks to months of rapid coughing fits that sometimes
ends with a whooping sound. Fever is rare.
California has taken the following steps to combat pertussis:
- Confirmed pertussis to be at epidemic levels in California, in line to break a 50 year record for recorded cases.
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Implementation of a free postpartum tetanus, diphtheria, and pertussis (Tdap) program
for hospitals with funds from the American Recovery and Reinvestment Act (ARRA).
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Promoted the infant "cocooning strategy," wherein individuals in close
contact with infants are vaccinated.
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The development of bilingual educational materials for distribution to local public
health departments, hospitals, and healthcare providers; news releases to inform the
public, and conducting statewide round-table meetings with ethnic media.
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Development of clinical guidance materials to 14,000 healthcare providers as well
as the California Medical Association and the California Hospital Association.
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Partnering with the federal Centers for Disease Control and Prevention (CDC)
on a pertussis investigation in the Central Valley region.
Complete information about the Department's response is available at
www.cdph.ca.gov/programs/immunize/Pages/TdapExpansionProgram.aspxCalifornia Department of Public Health Pertussis Radio Public Service Announcement
Additional Links
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Pertussis (Whooping Cough) Frequently Asked Questions
1. What is pertussis?
Pertussis (whooping cough) is highly contagious and one of the
most commonly occurring vaccine-preventable diseases in the United States.
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People with pertussis usually spread the disease by coughing or
sneezing while in close contact with others, who then breathe
in the pertussis bacteria.
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Many infants who get pertussis are infected by older siblings, parents
or other caregivers who might not even know they have the disease.
2. How can pertussis be prevented?
The best way to protect yourself from pertussis is by getting the pertussis vaccine.
Pertussis vaccines are safe and effective. Check with your doctor about
pertussis vaccines for yourself and your family. As an alternative,
whooping cough shots are available for free or low cost at some local
health departments.
The series for children starts at 2 months of age, and continues at
4, 6, 15-18 and 4-6 years of age. (DTaP)
The booster shot (Tdap) is recommended by 11 years of age because
immunity from the childhood vaccines wears off over time.
Teens and adults who haven't yet received a pertussis booster shot should
also receive a dose as soon a possible.
Newborn infants are at highest risk of dying from pertussis in part because
they are too young to be protected from vaccines. Therefore, all of those who
are in close contact with young babies should be immunized against pertussis.
Some hospitals are currently offering Tdap for mothers who have just delivered
or other close contacts.
If you are planning on becoming pregnant or are currently pregnant, talk to your
doctor about getting the Tdap vaccine. Don't risk spreading this disease to your
baby. Make sure all people around your baby are vaccinated with Tdap including
siblings, grandparents, aunts, uncles, nannies, caregivers, childcare staff, etc.
If pertussis is circulating in the community, there is still a chance that a fully
vaccinated person (of any age) can catch this very contagious disease. This is
because no vaccine is 100% effective. However, when a vaccinated person gets
pertussis, the infection is usually less severe.
Keep young infants away from people with cough illness. Likewise, people with
cough illness should always stay away from young infants.
Health care workers all need Tdap to protect themselves and their patients
3. What are the symptoms?
Pertussis symptoms can be different depending on how old you are or if you've been vaccinated.
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Pertussis usually starts with cold-like symptoms, and maybe mild cough, but not every runny
nose is pertussis. Pertussis is often not suspected or diagnosed until a persistent cough
with spasms sets in after 1–2 weeks.
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In infants, the cough may be mild or absent. However, infants may have a symptom known
as "apnea." Apnea is a brief pause in the child's breathing pattern.
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Infants and children with pertussis can cough violently and rapidly, over and over,
until the air is gone from their lungs and they're forced to inhale with a loud
"whooping" sound. This extreme coughing can result in vomiting and exhaustion.
Illness is generally less severe in adolescents and adults.
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The coughing fits usually last from 1 to 6 weeks, but can go on for up to 10 weeks or more.
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Although children are often exhausted after a coughing fit, they usually appear relatively healthy in-between coughing episodes.
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The illness can be milder (less severe) and the typical "whoop" absent in children,
adolescents, and adults who have been vaccinated.
4. Is pertussis treatable?
Seeking treatment when pertussis symptoms first start is important.
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If you or your child is having trouble breathing, seek medical attention immediately.
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Tell the doctor if you or your child has been around others with cough/cold symptoms
or if you've heard that pertussis is in your community.
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Antibiotic treatment may make the pertussis infection less severe if it is
started early, before coughing fits begin.
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Antibiotic treatment can help prevent spreading the disease to close contacts (people
who have spent a lot of time around the infected person) and is necessary for
stopping the spread of pertussis.
5. What's the recommended vaccine dosage for all ages?
Everyone should make sure they are up to date with recommended pertussis vaccines
(DTaP for infants/children and Tdap for adolescents/adults). If not sure, call your
doctor to see what's best for you and your family.
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No serious reactions have been associated with DTaP or Tdap and getting these
vaccines is much safer than getting the dangerous kinds of diseases they prevent.
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Infants and children are recommended to receive the childhood pertussis vaccine,
or DTaP, at 2, 4, and 6 months of age. A fourth shot is given between 15 and 18
months of age, and a fifth shot is given when a child enters school, at 4–6 years of age.
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To maximize protection, all 5 doses of DTaP are needed on time according to the
recommended immunization schedule.
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Since 2005, there has been an adolescent/adult pertussis booster vaccine (Tdap)
that can be used for prevention and control of pertussis.
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The protection received from DTaP, the childhood vaccine, fades over time. Adolescents
and adults need Tdap, even if they were completely vaccinated with DTaP as children.
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Pre-teens going to the doctor for their regular check-up at age 11 or 12 years
should get a dose of Tdap.
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Adults 19-64 years old who didn't get Tdap as a pre-teen or teen should get
one dose of Tdap instead of their next Td booster.
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The dose of Tdap can be given earlier than the 10-year mark since the last Td
booster, so it's a good idea for adults to talk to a healthcare provider
about what's best for their specific situation.
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Getting vaccinated with Tdap is especially important for family members with
and caregivers of new infants.
6. Is there a shortage of pertussis vaccine?
We are not aware of any shortage of the vaccine. If a particular vaccine distributor
lacks pertussis vaccine, then a provider seeking vaccine should contact another distributor.
7. Why are doctors reluctant to vaccinate seniors against pertussis?
The pertussis vaccine is currently not licensed for adults ages 65 and older. However,
off-label use of any medication by any physician is permitted. There is no reason
to think vaccination of seniors would be harmful and there are ongoing studies to
determine the efficacy of the vaccine among this population. Seniors should talk with
their physician about getting a booster shot, especially is they are going to have
contact with a young infant.
8. Why hasn't the pertussis vaccine eradicated the illness like polio?
Even with the success of pertussis vaccines, people continue to get pertussis in the US.
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It will be difficult to eradicate pertussis since neither the vaccine or disease provides life-long immunity.
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Since the 1980s, there's been an increase in the number of reported cases of
pertussis, especially among teens (10–19 years of age) and babies younger than 6 months of age.
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Multiple factors have likely contributed to the increase, including waning immunity from
childhood pertussis vaccines, increased recognition, better diagnostic testing and increased reporting.
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In 2008 there were more than 13,000 reported cases including 18 deaths from pertussis nationally.
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Most deaths occur in babies who are too young to be fully vaccinated.
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In 2005, the last peak year, there were more than 25,000 reported cases of pertussis.
But, many cases of pertussis are not recognized or reported so this is likely a
substantial underestimate.
10. Has the epidemic reached its peak?
It is too early to know. In past years California has seen pertussis peak during
late summer or early fall. We're very concerned that this may also happen this year.
Pertussis occurs in a cyclical pattern, with the number of cases peaking every 3
to 5 years as people's immunity from the vaccine wears off and enough susceptible
people are in the population to sustain transmission of the bacteria.
11. Why are we seeing such an increase?
The incidence of pertussis is cyclic with peaks occurring every two to five
years as the number of susceptible people in the population increases.
Factors leading to increase number of susceptibles include:
- New birth cohorts.
- Waning immunity to vaccine.
- Waning immunity to natural disease.
12. What is the California Department of Public Health (CDPH) doing about it?
CDPH has implemented a number of interventions aimed at mitigating the effect of pertussis,
particularly in young infants, including:
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Dissemination of educational materials to local public health departments, hospitals,
and healthcare providers, press releases to inform the public, and conducting
statewide round-table meetings with ethnic media.
- Dissemination of clinical guidance materials for healthcare providers;
- Promotion of the infant cocooning strategy;
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Implementation of a free postpartum tetanus, diphtheria, and acellular
pertussis (Tdap) program for hospitals with Tdap immunization policies;
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Initiation for a CDC investigation (Epi-Aid) into increased pertussis incidence in
the Central Valley region of California;
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Offering free Tdap vaccine to local health jurisdictions to increase Tdap
immunization and community immunity levels;
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Investigation of potential ways to reduce financial barriers to immunization
with Tdap; and
- Development of forthcoming recommendations about administration of Tdap vaccine to improve uptake.
13. Why are babies more susceptible?
Babies are susceptible until they have received 3 or more doses of pertussis
vaccine by age 6 months. Children aren't fully protected until they receive
5 shots between infancy and 5 years of age.
Newborn infants are at highest risk of dying from pertussis because they are
too young to be protected from vaccines. Therefore, all of those who are in
close contact with young babies should be immunized against pertussis.
Some hospitals are currently offering Tdap for mothers who have just
delivered or other close contacts: This includes parents, siblings,
caregivers, and health care professionals.
14. Is pertussis as serious for adults as for children and babies?
Pertussis is most severe for infants, who often catch the illness
from a family member or other caregiver.
- More than half of infants less than 1 year of age diagnosed with pertussis are hospitalized.
- About 1 in 20 infants with pertussis get pneumonia (lung infection).
- About 1 in 100 infants will have convulsions.
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In rare cases, pertussis can be deadly, especially in infants less
than 3 months of age. This is the age group we're most concerned
about when it comes to pertussis.
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Many infants who get pertussis are infected by older siblings, parents,
or other caregivers who might not even know they have the disease.
15. What is the department’s recommendation to health care providers?
Providers should:
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Make sure patients of all ages are up to date on pertussis-containing vaccines (see immunization
schedules at
www.cdc.gov/vaccines/recs/schedules/default.htm).
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Consider the diagnosis of pertussis in their patients and close contacts. The diagnosis of pertussis
is often delayed or missed. In the youngest infants, atypical presentation is common – the cough
may be minimal or absent and the primary symptom can be apnea.
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Test for pertussis in their patients, using the correct tests (see
http://bit.ly/PertussisTesting ).
- Treat appropriately for pertussis. Because pertussis may progress rapidly in young infants, treat suspected and confirmed cases promptly.
- Quickly report cases of pertussis to their local public health department to assist with prevention of additional cases.
- Public health professionals can try to raise awareness among the community about pertussis vaccines, working with local immunization coalitions and other partners to maximize outreach.
- Public health professionals should continue with pertussis surveillance and reporting.
16. What is CDPH's advice to the general public?
There is now a vaccine available for adults and adolescents that was not available prior
to May 2005. Parents, family members and caregivers of infants should be vaccinated to
provide a cocoon of protection around the infant. Neither vaccination nor illness
from whooping cough provides lifetime immunity. The vaccine wears off by the time
a child finishes middle school, so adolescents and adults need pertussis booster shots.
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Local Organizations and Businesses Recognized for Promoting Tobacco Free Environments
Several local organizations and businesses were recognized by the Sutter
County Board of Supervisors at the July 13, 2010 meeting for their proactive
efforts in assuring that those in our community are not exposed to the deadly
effects of tobacco.
Tobacco is the number one preventable cause of death in the United States,
killing more people each year from their own smoking than AIDS, car crashes,
illegal drug use, alcohol, and murders combined. Second hand smoke has
been linked to heart and lung disease, cancer, complications of diabetes,
bronchitis, and Sudden Infant Death Syndrome. In fact, the National Cancer
Institute states that there is no safe amount of second hand smoke
exposure. According to the Center for Disease Control (CDC), 35,000
Americans die annually from heart disease as a result from exposure to
secondhand smoke.
The Sutter County Public Health Tobacco Control Program is encouraging
local businesses and managers to adopt voluntary "no smoking" policies
and appreciates those stores that do not sell harmful tobacco products at all.
The Sutter County Board of Supervisors presented a Tobacco Free Work in
Sutter County Resolution to the following entities:
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Sopa Thai Restaurant, Kaffe T' Latte, The Cookie Tree and Starbucks, for providing tobacco free outdoor dining areas;
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Yuba City Certified Farmer's Market, Candace and Dan Silva, managers, for creating the only local tobacco free farmer's market;
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Fremont-Rideout Health Group and Sutter Medical Foundation for adopting a tobacco free medical complex;
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The Yuba City Council and Parks and Recreation Commission for creating 100% tobacco free community parks and prohibiting smoking within 50 feet of city buildings;
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Yuba Sutter Mall for prohibiting smoking within 50 feet from mall entrances;
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Target and Kmart for discontinuing the sale of tobacco products in their stores.
For more information on tobacco control or for assistance in adopting a tobacco free policy
for your organization or business, contact the Sutter County Tobacco Control Program at 822-7215.
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H1N1 Vaccine Information:
Free H1N1 vaccines are available for Sutter County residents on a walk-in basis (while supplies last) at
Sutter County Public Health Department, 1445 Veterans Memorial Circle, Yuba City, Monday - Friday, 8:30 a.m. - 11:00 a.m.
and 1:00 p.m. - 3:30 p.m.
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At the current time, we do not have nasal spray; only injectable vaccine.
If nasal spray is received before the clinics, all healthy 2-49 year olds
WILL be given nasal spray, while supplies last.
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Second doses will be available for children under 10,
only if it has
been at least 28 days since their first dose
, while supplies last.
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Children and teens under 18 years of age MUST be accompanied by parent or legal guardian.
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Wear clothing that quickly bares the upper arm near the shoulder in case an injection is needed.
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No smoking in or near lines.
For more H1N1 information call 530-822-7215.
General Vaccine Information:
We do NOT have seasonal flu vaccine shots available.
We DO have FluMist nasal spray vaccine for healthy
2-49 year olds.
You CANNOT get nasal vaccine if you:
- are pregnant
- have asthma
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have any chronic medical
problems such as diabetes or
heart disease
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Safely Surrendered Baby Law
If you are in a situation where you believe there is no way you can care for your baby, now there’s a way to safely surrender your baby. California law permits the parent or person with legal custody to safely and confidentially surrender a baby within three days of birth.
The law requires that the baby be taken to a county designated site such as a hospital displaying this logo.
Designated Safe Surrender Sites for Sutter County:
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Fremont Medical Center Outpatient Department,
970 Plumas Street, Yuba City
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Rideout Emergency Department,
726 4th Street, Marysville
For more information, please visit:
http://www.babysafe.ca.gov/
Or call:
Toll free 1-800-371-3177
Toll free access provided by Sutter County Maternal, Child and Adolescent Health Program
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Chronic Diseases in Sutter County – Where we are now…Where do we want to be?
Chronic diseases are persistent or recurring conditions that generally result from factors
such as poor diet and living conditions, using tobacco, or other harmful substances, or a
sedentary lifestyle. Chronic diseases include heart disease, stroke, diabetes, and high
blood pressure. The links below show that chronic disease, obesity, and smoking rates in
Sutter County are much higher than overall rates in California. The good news is that
many of these conditions can be improved through simple lifestyle modifications like:
- Eating more fruits & vegetables
- Walking more
- Quit using tobacco: Call 1-800-NO-BUTTS for free help
In June 2009, Sutter County Public Health hosted a one day summit to bring together
representatives from schools, work sites, and healthcare facilities to begin to address
this critical situation. The group decided as an initial goal to educate colleagues
regarding the chronic disease situation in Sutter County and to promote smoking cessation.
The summit will reconvene in November to assess progress in meeting these goals and to
develop long term strategies that will result in a healthier community. For further
information on how you can help, contact Amerjit Bhattal, Assistant Director – Health Division.
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Bioterrorism - Disaster Preparedness
Public Health Professionals from the 13 Northern California counties in the Office of
Emergency Services Mutual Aid Region III joined together to develop a Bioterrorism /
Disaster Preparedness website.
The NorCalBT.com Project was funded by a Department of Health Services, Emergency
Preparedness Office grant to enhance a regional approach to bioterrorism / disaster
preparedness and response.
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Skin and Staph Infections
Staphylococcus aureus
(staph)
are bacteria that many healthy people carry
on their skin or in their nose.
Staph can sometimes cause serious infections
like pneumonia, blood, or joint infections, and deep skin infections.
Methicillin-resistant Staphylococcus aureus
(MRSA)
is a type of staph that is
not killed by penicillin and similar antibiotics. It causes skin infections
especially among school children. Students, faculty and staff at schools
should be sensitive to the possibility of disease transmission.
The California Department of Public Health has released information to
address the concerns of the educational community in California about
MRSA.
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Poison Oak, Ivy and Sumac
Now that Summer is here, more people are taking to outdoor activities such as hiking
and walking. Poison oak, ivy and sumac have long been a hazard for people who enjoy
the outdoors and are found in every state except Alaska and Hawaii. Poison ivy is only
found in the eastern half of the United States, while poison oak is found all over the west
coast. The following links should provide you with the facts:
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Public Health Information Brochures
Shaken Baby Syndrome
Shaken Baby & Shaken-Impact Syndrome are serious and often fatal forms
of abusive head trauma. These brochures explain the damage caused and provide
strategies for parents and caregivers who are frustrated with a baby's crying.
Early Prenatal Care
Medical care in the first three months of pregnancy plays an important part
in having a healthy baby. These brochures explain why and contain information
about accessing pregnancy-related Medi-Cal and AIM insurance.
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Child Development Behavioral Specialist
Provides early screening and assessment, intervention and referrals for children 0-5 in Sutter
County who exhibit behavior problems to the extent that they may have difficulty successfully
entering pre-school, daycare or kindergarten. Classes on parenting, behavioral problems and
interventions, are also provided. This service is part of the Sutter County Children and
Families Commission’s Child Development Initiative. Phone 822-7215 for an appointment to
discuss your child’s needs.
Clinical Services Division
The Clinical Services Branch provides basic preventive medical care and complete family health
care in a family practice setting. The clinic provides immunizations, confidential HIV testing,
family planning, pregnancy testing, Prenatal Clinic, and physical exams for DMV, Immigration
and school sports requirements. The Medical Clinic provides general medical services five days
each week.
For further information regarding services call (530) 822-7240 or visit our clinic at
1445 Veterans Memorial Circle, Yuba City, CA 95993.
Health Education
Program provides information and services regarding Tobacco Education, Dental Disease prevention,
Lead Program, and HIV/AIDS.
For further information regarding services call: (530) 822-7215.
HIV/AIDS Education Website
This website is brought to you by the HIV/AIDS Educators of Sutter County Health Division.
WebsitePublic Health Laboratory
This section provides testing of patient specimens to assist in the identification of various diseases
caused by bacteria, parasites and viral agents including Rabies. Tick identification and subsequent
testing for Lyme disease is offered through referral to a laboratory that performs this type of testing.
The Laboratory also tests potable water for bacterial levels. Tick identification, Lyme and water tests
are performed on a fee basis. The Laboratory staff is also available as a resource for consultation to
health care providers for further information regarding services call: (530) 822-7225.
Public Health Nursing
This unit provides care in the prevention and control of infectious disease, health services,
assessment and education. Programs include Child Health & Disability Prevention Program
(CHDP), Maternal Child Health, AIDS, Tuberculosis Program, Lead Prevention, Immunization, Jail
Medical Care, and California Children's Services (CCS).
For further information regarding services call: (530) 822-7215.
Toll free 1-800-371-3177
Toll free access provided by Sutter County Maternal, Child and Adolescent Health Program
Safe Sleep for Your Baby
Safety Tips for Infants
WebsiteTeen Pregnancy Education
Teen pregnancy continues to be a problem nationwide. This section provides teens
and parents of teens with tips to prevent an unplanned pregnancy. This section is
brought to you by the Sutter County Public Health Maternal, Child and Adolescent
Health Program. For more information, please call 822-7215.
WebsiteTobacco Education
This section of the website is brought to you by the Tobacco Education Program of the Sutter
County Human Services Administration.
WebsiteWomen's, Infant, Children Supplemental Food Program (WIC)
WIC provides nutritional counseling and education to eligible clients in addition to provision of
supplemental food coupons for specific food items.
For further information regarding services call: (530) 822-7224.
Website
THIS BRANCH DOES NOT PROVIDE SERVICES REGARDING ENVIRONMENT HEALTH
ISSUES OR ANIMAL BITES. PLEASE CONTACT THE SUTTER COUNTY DEPARTMENT OF COMMUNITY SERVICE AT
(530) 822-7400 FOR INFORMATION ON THESE TOPICS.
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Assistant Director of Human Services:
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Amerjit Bhattal |
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Health Officer:
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Dr. Lou Anne Cummings |
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Address:
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1445 Veterans Memorial Circle
Yuba City,
CA
95993 |
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Phone Number:
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(530) 822-7215 |
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Fax Number:
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(530) 822-7223 |
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E-mail:
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