September is National Preparedness Month

As we approach the 15th anniversary of one of the worst attacks on US soil, we are reminded that September is National Preparedness Month.  No matter if it is a terrorist attack, a natural disaster or a man made disaster, we all need to be prepared to take care of ourselves for the first few days.

Do you have a plan in place??  Here is a good one to start with.

There is a link for kids as well as adults.  Everyone in the family needs to have a plan, fill them out together as a family (great time spent with the family, might create some laughs and great memories!).

Here is another good one to prepare.

What type of provisions do you have in your house in the event of a disaster?  Do you have enough food and water to feed your family for at least 72 hours, how about 120 hours or maybe even a full week?  There are even people in this county that have enough food to feed their family for one year!  That is amazing.  Granted I bet they didn’t just decide to go out and buy enough for one year in a weekend.  That took some planning and forethought.

Above is a good checklist.

It is never too late to start planning and purchasing.  Our recommendation if you haven’t started is to start small, maybe allow yourself an extra $5 in your weekly grocery budget and set those items aside and start creating your own preparedness bag.  Don’t forget drinks and water, paper products, personal hygiene products, important documents (copies are best!), manual can opener, pans to cook over an open fire (if you are able to!), matches, candles, the list can go on forever but you have time to prepare right?

Let us know what you are doing to prepare, we love sharing ideas, join our COAD if you can and be part of the solution not part of the problem.  My children know what their disaster plan is, they are coming home because they know we have enough food to feed them for at least a month!  The federal and state government is saying 72-96 hours at the very earliest they will be able to help people in a disaster.


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Interested in living a healthier life?

Follow this link to register.

LHL 9-20-16

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August is here and it will soon be back to school.

Do you have everything ready for back to school?  The school lists are out in stores, back to school ads in papers and the internet.  This weekend might be tax free weekend if you can find a community that participates (last year there was no town close to Callaway that opted to participate).  Clothes, shoes, school supplies, all this makes for a stressful time for many.

BUT, have you thought about your kids being up to date on shots?  Even if they aren’t attending school this fall, what about daycare, preschool and all those other places that require vaccines?

So here is a handy chart for you to follow

DTap-birth, two months, 6 months, 18 months, and 4-6 years old

Hib-2 months, 4 months, 6 months and 12-15 months

Hepatitis B-birth, 2 months, 4 or 6 months

Polio-2 months, 4 months, 6 months, and 4-6 years

PCV (Pneumococcal Conjugate) 2 months, 4 months, 6 months and 12-15 months

MMR-12-15 months and 4-6 years old

Chickenpox-12-15 months and 4-6 years old

Hepatitis A-12-15 months and 19-23 months

Rotavirus- 2 months, 4 months, and 6 months

Tdap-7-10 years, 11-12 years, 13-18 years

Meningococcal Conjugate (MCV)-11-12 years, 13-18 years

Influenza-every year.

Strive for 5 Vaccines-Help preteens and teens stay healthy for a good start to adulthood.

Meningococcal (MVC)-Protects against bacteria, which can lead to brain damage (2 doses)

Human Papillomavirus (HPV) Protects against the most common types of HPV, which could cause disease and many types of cancer (3 doses).

Varicella-Protects against chickenpox, which can lead to skin infection, scars and pneumonia (2 doses)

Influenza (flu)-Protects against flu, which can lead to pneumonia (1 dose annually)

Tdap-Booster dose protects against tetanus, diphtheria and pertussis (whooping cough) (1 dose).



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Please pay attention to this one!!

Gold Medal Flour has expanded their recall on flour.  IF you have any of this flour, make sure you don’t eat anything raw after you prepare it with this flour.  I have attached the information below, so please take the time to read this.  This recall is huge and continues to expand.  As they expand, we will continue with updates.


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RMSF- What is that rash

Rocky mountain spotted fever seems to be showing up more frequently in Callaway County.  Have you had a tick bite this summer?  Chances are you have because there seem to be so many ticks, they are everywhere.

After talking to our Communicable Disease nurse, we decided to educate everyone a little bit and give you information from the CDC website.

The first symptoms of Rock Mountain spotted fever typically begin 2-14 days after the bite of an infected tick.  A tick bite is usually painless and about half of the people who develop RMSF do not remember being bitten.  The disease frequently begins as a sudden onset of fever and headache and most people visit a healthcare provider during the first few days of symptoms.

Symptoms can be -fever-rash (occurs 2-5 days after fever, may be absent in some cases)-headache-nausea-vomiting-abdominal pain-muscle pain-lack of appetite-conjunctival injection (red eyes).  Most people with RMSF (90%) have some type of rash during the course of illness, but 10% never develop a rash.  The classic case of RMSF involves a rash that first appears 2-5 days after the onset of fever as small, flat, pink, non-itchy (macules) on the wrists, forearms, and ankles and spreads to include the trunk and sometimes the palms and soles.

Children with RMSF infection may experience nausea, vomiting, and loss of appetite.  Children are less likely to report a headache, but more likely to develop an early rash than adults.

If the doctor confirms RMSF (after being sent to a lab for confirmation), treatment is usually an antibiotic doxycycline which is the first line of treatment for adults and children of all ages and should be initiated immediately whenever RMSF is suspected.  This should be started within the first 5 days.

The Callaway County Health department has wallet cards and larger cards on proper tick removal and how to check for ticks.

The best thing you can do is apply insect repellent that contains at least 20-50% DEET as directed on the label.  We also have towelettes available to anyone asking for them.

If you have any questions, call your primary care doctor.

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Food Recalls

It has been a very busy month in the Food Recall area.  We have posted links to the recalls that Department of Health and Senior Services has asked us to investigate.  So far, none have shown up in our county but want everyone to be aware.  Listed below are the most recent 7 recalls to affect Missouri and these were just in the last week.  Please be aware if you have any of this product in your home.

Update: Tippin’s Gourmet Pies, LLC Announces the Recall of Tippin’s Key Lime Pie for the Presence of Undeclared Peanut Residue Due to Supplier Recall

Monogram Appetizers Issues Allergy Alert On Undeclared (Egg) In Poppers Brand Mozzarella Cheese Sticks

Kabob’s Acquistion, Inc. Recalls Not Ready-To-Eat Meat and Poultry Products Due to Possible E. Coli O121 Contamination

Kerry Inc. Recalls Golden Dipt® Jalapeño Breaders Because of Possible Health Risk

ConAgra Foods Recalls Frozen Chicken and Beef Products Due to Possible Foreign Matter Contamination

Two Flavors of Betty Crocker Cake Mix Recalled

Continental Mills Recalls Blueberry Pancake Mix Because of Possible Health Risk

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Finally!! New Food Handler Course

The food handler course is now updated and can be found on our environmental services page under Food Handler Course Updated.  You can study on line (and it is encouraged to study before you take this course.

It is more difficult than previously done and the test will be more comprehensive than previous testing.

You still have to come to the health department to take the test but if you feel comfortable after studying, you can make an appointment to take the test when we will be in the office.

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