Defiance County Health Department tracks, reports, and conducts surveillance of Communicable Disease in Defiance County. Nursing staff receives reports of Communicable Diseases from laboratories and healthcare providers. When a report is received, nursing staff follows Ohio’s Communicable Disease Reporting Requirements. The purpose of disease reporting is control and prevent the disease being reported, document the distribution of disease in Ohio, and to identify outbreaks of disease.

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In addition to tracking, reporting and surveillance, the health department receives many calls from people concerned about the risk of exposure to various germs and illnesses. A person can become infected in many different ways, including:

  • From person to person through direct contact, or close contact to an infectious person.
  • From touching infectious material and then touching eyes, nose or mouth.
  • From a healthy person who is not sick, or not showing illness symptoms, but is a “carrier” and spread illness to others.
  • From household pets and other animals that may be a carrier of germs. 
  • The rabies virus (spread through saliva), which can infect cats and dogs, is one of the more serious illnesses that can infect humans. Pet reptiles, such as turtles and chickens can transmit Salmonella bacteria to humans.
  • From tiny critters, such as mosquitoes and ticks, that carry a variety of germs such as the germs that cause West Nile Virus and Lyme disease.
  • From contaminated water and food resulting in food-borne illness or “food poisoning”. 

The number one tool for preventing the spread of germs is practicing good hand washing. This seems so simple, yet many people do not pay attention to this very basic germ stopper. It is best to wash hands with soap and clean water for 20 seconds (for as long as it takes to sing “Happy Birthday” twice), rubbing hands together to make a lather. If soap and water are not available, an alcohol- based hand sanitizer can be used to clean the hands, rubbing the product over all surfaces of the hands and fingers until hands are dry.

image of a person washing their hands.

Nursing staff must follow State reporting requirements to track and control communicable disease in Defiance County. Reporting requirements are based on diseases on Ohio’s ABC list. An explanation of reporting requirements can be found here. The Community Health division issues a monthly report to the Board of Health, and to notify the public of communicable diseases in Defiance County.

In the event of a Class A Reportable Disease please contact the Defiance County Health Department (419)784-3818 after hours call Defiance County Sheriff at (419) 784-1155 or call 911.

Have questions or need to schedule an appointment? Please call 419-784-3818.

What is the flu: Influenza (flu) is a contagious respiratory illness caused by influenza viruses that infect the nose, throat, and lungs. Some people, such as people 65 years and older, young children, and people with  certain health conditions, are at higher risk of serious flu complications. There are two main types of influenza (flu) viruses: types A and B. The influenza A and B viruses that routinely spread in people (human influenza viruses) are responsible for  seasonal flu epidemics each year.

The best way to reduce the risk of flu and its potentially serious complications is by getting  vaccinated each year.

  • Symptoms: 
  • Fever 
  • Cough
  • Sore throat
  • Stuffy nose
  • Body aches
  • Headaches
  • Fatigue
  • Vomiting and diarrhea 

At risk group: Children are most likely to get sick from the flu and people who are 65 or older are least likely to get sick. Median incidence values (or attack rate) by age group were 9.3% for children 0-17 years, 8.8% for adults 18-64 years, and 3.9% for adults 65 years and older.
Causes

The flu spreads primarily through droplets made when people who have the flu sneeze, cough, or talk. Those droplets from the infected people can land in proximity of the unaffected which will cause them to be sick. Sometimes a person can get the flu from touching a surface than touching their mouths, nose, or eyes prior to washing their hands. 

Diagnosis: A number of tests are available to detect flu viruses. Rapid influenza diagnostic tests (RIDTs) are the most common types of tests. This test will detect the parts of the virus that triggered your immune system to fight off the sickness. These tests take 10-15 minutes. A more accurate flu test is rapid molecular assays. These detect the genetics of the flu virus. The test approximately takes 15-20 minutes but provide more accurate results than the RIDTs. If in need for a flu test you can contact your health provider for more information.  

Prevention:

  • Getting the vaccine yearly (flu vaccine has been shown to reduce flu related illness and the risk of potential outcomes including hospitalization and or death)
  • Staying away from people who are sick
  • Covering your mouth when coughing or sneezing
  • Washing your hands religiously 

https://www.cdc.gov/flu/about/keyfacts.htm 

Hepatitis

Heavy alcohol use, toxins, some medications, and certain medical conditions can cause hepatitis. However, hepatitis is often caused by a virus. 

  • Hepatitis A: Contagious and spreads through close person-to-person contact or by eating or drinking contaminated food or drink.
  • Usually causes a mild, short-term illness.
  • Vaccination is the best way to prevent infection.
  • Hepatitis B: Contagious and spreads through bodily fluids.
  • Infection can result in acute (short-term) or chronic (long-term) illness.
  • Vaccination is the best way to prevent infection
  • Hepatits C: Many people with hepatitis C don’t look or feel sick, so they might not know they have the virus.
  • Untreated, hepatitis C can lead to serious liver problems, like damage, scarring, or cancer.
  • There isn’t a vaccine for hepatitis C, but it can be cured with oral medication (pills)

Symptoms

Symptoms of all types of viral hepatitis are similar and can include one or more of the following:

  • Dark urine or clay-colored stools
  • Diarrhea (hepatitis A only)
  • Feeling tired
  • Fever
  • Joint pain
  • Loss of appetite
  • Nausea, stomach pain, throwing up
  • Yellow skin or eyes (jaundice)

Symptoms of chronic viral hepatitis can take decades to develop.

For more information on Hepatitis, visit: https://www.cdc.gov/hepatitis/about/index.html

Measles
Measles is a childhood infection caused by a virus, morbillivirus.

Causes : Measles is caused by a virus found in the nose and throat of the individual that is infected. When someone with measles coughs, sneezes, or talks, their infected droplets are released into the air where people can breathe them. These droplets stay in the air for about an hour. They can also land on surfaces that can stay infected for several hours. You can contract the virus by touching your face, rubbing your eyes, and putting your fingers in your mouth after being in contact with the virus. Measles is highly contagious for about four days. 

90% of people who haven’t had measles or been vaccinated against measles will become infected when in contact with someone with the virus. 

Symptoms:

  • Fever
  • Dry cough
  • Runny nose
  • Sore throat
  • Inflamed eyes
  • Koplik spots (add a picture)
  • A skin rashSigns and symptoms show around 10-14 days after being exposed. Infection occurs for about 2-3 weeks

More serious symptoms:

  • Ear infection
  • Bronchitis, laryngitis, or croup
  • Pneumonia
  • Encephalitis
  • When pregnant: Premature birth, low birth weight, or fetal death

Diagnosis: a doctor will suspect the virus based on the symptoms presented. Lab blood and tissue tests from a throat or nose swab can confirm a diagnosis. A urine sample can also detect the virus.

Risk group:

Those unvaccinated (especially children and those who are pregnant and unvaccinated) , travel internationally, vitamin A deficiency.

Prevention


MRSA
MRSA stands for methicillin-resistant staphylococcus aureus, which is bacteria that is resistant to several antibiotics.

Symptoms

Most MRS infections appear as an infected area of the skin. Some skin symptoms include:

  • Red
  • Swollen
  • Painful
  • Warm to the touch
  • Pus or drainage 
  • Rash
  • A wound that will not heal

Other symptoms include:

  • Chest pain
  • Cough or shortness of breath 
  • Fever general ill feeling
  • Headache 

Diagnosis/treatment:

The only way to know for sure if you have MRSA or staph is to see a provider. A cotton swab is used to sample an open wound or skin rash. Lab tests are used to identify which bacteria are present. If staph is found it will be tested to see which antibiotics are and are not effective against fighting the bacteria. If you have an open, infected wound DO NOT try to pop it. This could lead to a worse infection. See a health care provider. 

Prevention:

  • Wash your hands
  • Wash your hands after leaving a healthcare facility 
  • Keep cuts and scrapes clean and covered with bandages until healed
  • Avoid contact with other people’s wounds or bandages 
  • Do not share personal items such as towels, clothing, or cosmetics.
  • Shower after physical activity
  • Do not share soap, razors, or towels. 


Mumps
Mumps is a contagious disease caused by a virus that affects the salivary glands. Mumps is still a common disease in many countries, so it’s important to get vaccinated to protect yourself. Most people with mumps recover completely within 2 weeks.

Symptoms: 

  • People who are infected with mumps don’t get sick right away. It can take 2 to 4 weeks for them to show signs of infection.
  • Common signs of mumps are puffy cheeks and a tender, swollen jaw.

Prevention:

  • Protect yourself with the vaccine. Getting two doses of the mumps vaccine is the best protection against mumps.
  • It is usually given as a combination vaccine called measles, mumps, and rubella (MMR) vaccine, which protects against all three diseases. 

After the U.S. mumps vaccination program started in 1967, there has been a more than 99% decrease in mumps cases in the United States.

For more information on mumps visit: https://www.cdc.gov/mumps/about/index.html

Pertussis

Pertussis is also known as Whooping Cough. This is a respiratory illness caused by a type of bacteria called Bordetella pertussis. The disease is only found in humans. Babies younger than 1 year old are at greatest risk for getting whooping cough and having severe complications from it.

Symptoms

It usually takes 5 to 10 days for symptoms to appear after exposure to the bacteria that cause whooping cough. Sometimes symptoms don’t develop for as long as 3 weeks. Early symptoms can last for 1 to 2 weeks and usually include:

  • Runny or stuffed-up nose
  • Low-grade fever (less than 100.4°F)
  • Mild, occasional cough

One to 2 weeks after the first symptoms start, people may develop coughing fits

Coughing fits can cause people to

  • Make a high-pitched “whoop” when they inhale after a coughing fit
  • Vomit during or after coughing fits
  • Feel very tired after the fit, but usually seem well in-between fits
  • Have difficulty sleeping at night
  • Struggle to breathe
  • Fracture (break) a rib

 Prevention

  • The best way to prevent whooping cough is to get vaccinated.

There are 2 types of combination vaccines that include protection against whooping cough:

  • DTaP
  • Tdap

The letter “T” in DTaP and Tdap shows they also help protect against tetanus. The letter “D/d” in DTaP and Tdap shows they also help protect against diphtheria.

For more information on Whooping Cough visit: https://www.cdc.gov/pertussis/about/index.html