Health Screenings

TB (Mantoux) Tests

• TB Tests are done for a fee and by appointment

Tuberculosis (TB) Is caused by a bacterium called Mycobacterium tuberculosis. This bacteria typically attacks the lungs; however, TB can also attack other important parts of the body such as the kidney, spine, and brain. TB doesn’t always show symptoms resulting in the differentiation of TB conditions

• Latent TB Infection: Tb bacteria can live in the body making you sick. The body is able to stop the bacteria from growing after it’s breathed in. The TB bacteria remains inactive.Have no symptoms
• Don’t feel sick
• Can’t spread the disease
• May develop TB disease if it goes untreated
• TB Disease: the bacteria becomes active when the immune system can’t stop them from growing. Those with TB disease are at higher risk for spreading the disease to other people.
• How do you get TB?: TB travels through the air from one person to another. When someone with active TB sneezes, speaks, sings, coughs, etc.
• YOU CAN’T GET TB FROM: 
• Clothes
• Drinking glass
• Eating utensils
• Handshake
• Toilet
• Other surfaces
• Symptoms of TB disease:
• a bad cough that lasts 3 weeks or longer
• pain in the chest
• coughing up blood or sputum (phlegm from deep inside the lungs)
• weakness or fatigue
• weight loss
• no appetite
• chills
• fever
• sweating at night
• Symptoms of Latent TB Infection:
• do not feel sick,
• do not have any symptoms, and
• cannot spread TB to others.
• Who’s at risk:
• People with HIV infection
• People who became infected with TB bacteria in the last 2 years
• Babies and young children
• People who inject illegal drugs
• People who are sick with other diseases that weaken the immune system
• Elderly people
• People who were not treated correctly for TB in the past
• HIV?: People living with HIV are more likely than others to become sick with TB. Worldwide, TB is one of the leading causes of death among people living with HIV.
• HIV and TB can work together to shorten lifespan.
• Prevention: Avoid areas that can have a high concentrate of TB, particularly while traveling abroad (clinics, hospitals, prisons, homeless shelters) Bacille Calmette-Guérin (BCG) is a vaccine for tuberculosis (TB) disease. This vaccine is not widely used in the United States. However, it is often given to infants and small children in other countries where TB is common. BCG does not always protect people from getting TB. Those who work in health care should be considered for a TB vaccine depending on the infection rates in their areas.
• Treatment: There are many options for treatment that can take 4, 6 , or 9 months depending on the plan taken. 

https://www.cdc.gov/tb/statistics/reports/2022/national_data.htm 

Head Checks for Head Lice

• Head checks for head lice are done by appointment

Head Lice

Head lice infest the head and neck and attach their eggs to the base of the hair shaft. Lice move by crawling; they cannot hop or fly. Head lice infestation is spread most commonly by close person-to-person contact. Dogs, cats, and other pets do not play a role in the transmission of human lice. Both over-the-counter and prescription medications are available for treatment of head lice infestations.

Head lice are not known to transmit disease; however, secondary bacterial infection of the skin resulting from scratching can occur with any lice infestation. To help control a head lice outbreak in a community, school, or camp, children can be taught to avoid activities that may spread head lice.

Click here for more information about Head Lice

Prevention & Control

Head lice are spread most commonly by direct head-to-head (hair-to-hair) contact. However, sometimes they are spread by sharing clothing or belongings onto which lice have crawled or nits attached to shed hairs may have fallen. Head lice survive less than 1–2 days if they fall off a person and cannot feed; nits cannot hatch and usually die within a week if they are not kept at the same temperature as that found close to the scalp.

Click here for more information on What To Do If Your Child Gets Head Lice

The following are steps that can be taken to help prevent and control the spread of head lice:

• Avoid head-to-head (hair-to-hair) contact during play and other activities at home, school, and elsewhere (sports activities, playground, slumber parties, camp).
• Do not share clothing such as hats, scarves, coats, sports uniforms, hair ribbons, or barrettes.
• Do not share combs, brushes, or towels. Disinfest combs and brushes used by an infested person by soaking them in hot water for 5–10 minutes.
• Do not lie on beds, couches, pillows, carpets, or stuffed animals that have recently been in contact with an infested person.
• Machine wash and dry clothing, bed linens, and other items that an infested person wore or used during the 2 days before treatment using the hot water laundry cycle and the high heat drying cycle. Clothing and items that are not washable can be dry-cleaned OR sealed in a plastic bag and stored for 2 weeks.
• Vacuum the floor and furniture (daily or as required), particularly where the infested person sat or lay. However, spending much time and money on housecleaning activities is not necessary to avoid reinfestation by lice or nits that may have fallen off the head or crawled onto furniture or clothing.
• Any dirty clothes or bedding should be ran through the highest heat setting on the dryer on a daily basis until the infestation is over.
• Do not use fumigant sprays or fogs; they are not necessary to control head lice and can be toxic if inhaled or absorbed through the skin.

Information obtained and adapted from the CDC: https://www.cdc.gov/lice/index.html

Immunizations

• Vaccines available for eligible children and adults
• For more information on immunizations, CLICK HERE

STI (Sexually Transmitted Infection) Testing 

• Aware Home Test –The program is stalled at the moment as ODH has used up the funding allocated. They are working on getting additional funding and look forward to getting this program back up and running asap.
  Order a free testing kit that includes shipping both ways. With easy-to-follow instructions and videos, users can take their samples at home and send them to a lab for testing. If someone tests positive, they are connected to healthcare. In Defiance County, people who need care can go to Health Partners of Western Ohio, which has locations in Defiance, Bryan, and other nearby counties.
• Community Pregnancy Center-Women’s Health Resource
  Address: 1997 N. Clinton St. Defiance, Ohio 43512
  To schedule an appointment: 1-800-633-3339 & For more information: https://cpcnwo.org/free-services/sti-testing/
• Fulton County Health Department-Sexual Heath & Wellness Services
  Address: 606 S Shoop Ave., Wauseon, OH 43567
  To schedule an appointment: 1-419-337-0915 & for more information or to schedule a visit:  https://fultoncares.org/

Sexually transmitted infections are common. More than 25 million sexually transmitted infections occur each year in the United States. Around the world, an estimated 374 million sexually transmitted infections occur each year. According to the CDC, there were approximately 2.5 million cases of chlamydia, gonorrhea and syphilis in the U.S. in 2021. About half of these cases occur in people ages 15 to 24.

• What is it: 
• Sexually Transmitted Infections (STI) are caused by infection with certain bacteria, viruses, or other microorganisms that can be passed from one person to another through blood, semen, vaginal fluids, or other body fluids, during oral, anal, or genital sex with an infected partner.
• Common STI’s
• Chlamydia
• Gonorrhea
• Hepatitis
• Genital herpes
• HPV
• Trichomonas
• How are they spread: 
• Unprotected oral, anal, or genital sex with an infected partner 
• Vaginal fluids
• Semen
• Blood
• Dirty Needles Unregulated tattoos.
• Unregulated piercings.
• Sharing needles while using intravenous drugs
• Childbirth and breastfeeding from an infected person
•  Lack of communication between partners due to shame or a stigma about STI’s can put you and your partner at risk. Before having sex you should ask your partners questions such as:Do you have an active STI?
• When was your last STI test?
• Are you currently being treated for an STI?
• Do you consistently use protection with your sexual partners?
• Symptoms of sexually transmitted infection vary by type. You may never have symptoms, but some common symptoms may be:Bumps, sores or warts on or near your penis, vagina, mouth or anus.
• Swelling or severe itching near your penis or vagina.
• Discharge from your penis.
• Vaginal discharge that has a bad odor, causes irritation or is a different color or amount than usual.
• Vaginal bleeding that’s not your period.
• Painful sex.
• Painful urination or frequent urination.
• Although STIs are treatable and or manageable spending on the disease, they can cause complications if left untreated:
• HIV can lead to AIDS.
• Syphilis can damage your organs, nervous system and infect a developing fetus.
• Risk of spreading STIs to your sexual partners.
• Diagnosis and Tests:
• Tests are administered by a healthcare provider. Your symptoms will be reviewed and a test will be done to determine the cause. The consult prior to testing is because there are different tests for different STIs. STI testing can include:Urine test.
• Cheek swab.
• Blood test.
• A fluid sample from skin sores.
• A discharge or cell sample from your body (usually the vagina, urethra, cervix, penis, anus or throat).
• It is recommended to revive annual sexually transmitted disease testing. You may choose to get tested more often if you have multiple sexual partners. Regular testing helps find and treat STI’s you may not know you have.
• Treatment:Antibiotics
• Antiviral drugs

https://www.cancer.gov/publications/dictionaries/cancer-terms/def/sexually-transmitted-infection