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Communicable Diseases
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Flu Vaccine

Flu shots are available through the Lafayette County Health Department.

Cost for flu shots for the 2016-17 flu season are as follows:

  • School age children can have a flu shot at no charge
  • We accept all Badgercare/Medicare patients
  • High dose flu shot is $60/shot.
  • An adult flu shot is $40/shot if we are unable to bill insurance.  Please call to verify if your insurance is accepted.
  • Please note that all of our vaccine is the Quadrivalent excluding the High dose.

The health department accepts the following insurance: Medicare, Badgercare, and most County Insurance Plans.

Flu vaccine is not always available. Please check the current Flu Clinic Schedule or call the Health Department for inquiries. 776-4895

What is influenza (flu)?
The flu is a contagious respiratory illness caused by influenza viruses. It can cause mild to severe illness, and at times can lead to death. The best way to prevent the flu is by getting a flu vaccine each year.

Symptoms of flu
People who have the flu often feel some or all of these symptoms:

  • fever* or feeling feverish/chills
  • cough
  • sore throat
  • runny or stuffy nose
  • muscle or body aches
  • headaches
  • fatigue (very tired)
  • Some people may have vomiting and diarrhea, though this is more common in children than adults.
  • It’s important to note that not everyone with flu will have a fever.

How flu spreads
Most experts believe that flu viruses spread mainly by droplets made when people with cough, sneeze or talk. These droplets can land in the mouths or noses of people who are nearby. Less often, a person might also get flu by touching a surface or object that has flu virus on it and then touching their own mouth, eyes or nose.

Period of contagiousness
You may be able to pass on the flu to someone else before you know you are sick, as well as while you are sick. Most healthy adults may be able to infect others beginning 1 day before symptoms develop and up to 5-7 days after becoming sick. Some people, especially children and people with weakened immune systems, might be able to infect others for an even longer time.

infections, dehydration, and worsening of chronic medical conditions, such as congestive heart failure, asthma, or diabetes.

Preventing seasonal flu: Get vaccinated
The single best way to prevent the flu is to get a flu vaccine each season. There are three types of flu vaccines:

  • The "flu shot"–an inactivated vaccine (containing killed virus) that is given with a needle. The seasonal flu shot is approved for use in people 6 months of age and older, including healthy people, people with chronic medical conditions and pregnant women.
  • The “high dose flu shot” – a higher dose of the regular “flu shot” that is given with a needle. This “super vaccine” is approved for older adults ages 65 and greater. Since the aging immune system has been proven to have a lesser immune response, the cdc

About two weeks after vaccination, antibodies develop that protect against influenza virus infection. Flu vaccines will not protect against flu-like illnesses caused by non-influenza viruses.

When to get vaccinated against seasonal flu
Yearly flu vaccination should begin in September, or as soon as vaccine is available, and continue throughout the flu season which can last as late as May. This is because the timing and duration of flu seasons vary. While flu season can begin early as October, most of the time seasonal flu activity peaks in January or later.

Who is at high risk for developing flu-related complications?
  • Children younger than 5, but especially children younger than 2 years old
  • Adults 65 years of age and older
  • Pregnant women
  • Also, last flu season, American Indians and Alaskan Natives seemed to be at higher risk of flu complications
  • People who have medical conditions including:
    • Asthma
    • Disorders of the brain, spinal cord, peripheral nerve, and muscle such as cerebral palsy, epilepsy (seizure disorders), stroke, intellectual disability (mental retardation), moderate to severe developmental delay, muscular dystrophy, or spinal cord injury
    • Chronic lung disease
    • Heart disease
    • Blood disorders
    • Endocrine disorders (such as diabetes mellitus)
    • Kidney disorders
    • Liver disorders
    • Metabolic disorders
    • Weakened immune system due to disease or medication (such as people with HIV or AIDS, or cancer, or those on chronic steroids)
    • People younger than 19 years of age who are receiving long-term aspirin therapy
    • People who are morbidly obese

Who should not be vaccinated against seasonal flu?
Some people should not be vaccinated without first consulting a physician. They include:

  • People who have a severe allergy to chicken eggs.
  • People who have had a severe reaction to an influenza vaccination in the past.
  • People who developed Guillian-Barré syndrome (GBS) within 6 weeks of getting an influenza vaccine previously.
  • Children younger than 6 months of age (influenza vaccine is not approved for use in this age group).
  • People who have a moderate or severe illness with a fever should wait to get vaccinated until their symptoms lessen.

What are High Dose Flu Shots?
 This vaccine is recommended for people get. It has been proven that human immune defenses become weaker with age, which places older people at greater risk of severe illness from influenza. Also, ageing decreases the body’s ability to have a good immune response after getting influenza vaccine. A higher dose of antigen in the vaccine is supposed to give older people a better immune response and therefore better protection against flu. Since the vaccine is essentially the same, just a higher dosage the same apply for who should not receive the vaccine.

There is a LOT of information available online about flu vaccine. We recommend the following sites:

Or for more information go tot he CDC:

Inactive Influenza Vaccine Facts

Hepatitis B

Why get vaccinated?

Hepatitis B is a serious disease that affects the liver.  It is caused by the hepatitis B virus.  Hepatitis B can cause mild illness lasting a few weeks, or it can lead to a serious, lifelong illness.Hepatitis B virus infection can be either acute or chronic.Acute hepatitis B virus infection is a short-term illness that occurs within the first 6 months after someone is exposed to the hepatitis B virus. This can lead to:
  • fever, fatigue, loss of appetite, nausea, and/or vomiting
  • jaundice (yellow skin or eyes, dark urine, clay-colored bowel movements)
  • pain in muscles, joints, and stomach
Chronic hepatitis B virus infection is a long-term illness that occurs when the hepatitis B virus remains in a person's body.  Most people who go on to develop chronic hepatitis B do not have symptoms, but it is still very serious and can lead to:
  • liver damage (cirrhosis)
  • liver cancer
  • death
Chronically-infected people can spread hepatitis B virus to others, even if they do not feel or look sick themselves. Up to 1.4 million people in the United States may have chronic hepatitis B infection. About 90% of infants who get hepatitis B become chronically infected and about 1 out of 4 of them dies.Hepatitis B is spread when blood, semen, or other body fluid infected with the Hepatitis B virus enters the body of a person who is not infected. People can become infected with the virus through:
  • Birth (a baby whose mother is infected can be infected at or after birth)
  • Sharing items such as razors or toothbrushes with an infected person
  • Contact with the blood or open sores of an infected person
  • Sex with an infected partner
  • Sharing needles, syringes, or other drug-injection equipment
  • Exposure to blood from needlesticks or other sharp instruments
Each year about 2,000 people in the United States die from hepatitis B-related liver disease.Hepatitis B vaccine can prevent hepatitis B and its consequences, including liver cancer and cirrhosis.

For more information go the CDC:
Hepatitis B Vaccine Facts




What Is Pneumonia?
Pneumonia is an infection of the lungs that can cause mild to severe illness in people of all ages. Signs of pneumonia can include coughing, fever, fatigue, nausea, vomiting, rapid breathing or shortness of breath, chills, or chest pain. Certain people are more likely to become ill with pneumonia. This includes adults 65 years of age or older and children less than 5 years of age. People up through 64 years of age who have underlying medical conditions and people 19 through 64 who smoke cigarettes or have asthma are also at increased risk for getting pneumonia.

Reduce Your Risk
Pneumonia can be prevented with vaccines. Following good hygiene practices can also help prevent respiratory infections. This includes washing your hands regularly, cleaning hard surfaces that are touched often (like doorknobs and countertops), and coughing or sneezing into a tissue or into your elbow or sleeve. You can also reduce your risk of getting pneumonia by limiting exposure to cigarette smoke and treating and preventing conditions like diabetes and HIV/AIDS.

Who should get the Pneumonia Vaccine?
We recommend that all adults 65 years of age and older ask their healthcare professional about this vaccine. Some younger adults should also be vaccinated if they live in a long-term care facility or have a medical condition that puts them at high risk.

How often can I receive the shot?
The pneumonia shot can only be given two times in an adult’s life. Be sure to make a plans with your physician before receiving the vaccine, as we do not give the vaccine at the Health Department.

For more information go the CDC:
Pneumonia Vaccine Facts

TB Skin Test

Mantoux tuberculin skin test
The TB skin test is performed by injecting a small amount of fluid (called tuberculin) into the skin in the lower part of the arm. A person given the tuberculin skin test must return within 48 to 72 hours to have a trained health care worker look for a reaction on the arm. If you need a 2 step TB Skin Test, the tests must be applied 1-3 weeks apart.

Who Should Get Tested for TB
Most of the TB Skin tests that we perform are requirements for employment (either medical careers or teaching typically) or persons who must report to jail

Cost: $15 per TB Skin test applied. Please let us know if we are to bill your employer.

Basic TB Facts
"TB" is short for tuberculosis. TB disease is caused by a bacterium called Mycobacterium tuberculosis. The bacteria usually attack the lungs, but TB bacteria can attack any part of the body such as the kidney, spine, and brain. If not treated properly, TB disease can be fatal.

How TB Spreads
TB is spread through the air from one person to another. The TB bacteria are put into the air when a person with active TB disease of the lungs or throat coughs, sneezes, speaks, or sings. People nearby may breathe in these bacteria and become infected.

TB is NOT spread by:

  • shaking someone’s hand
  • sharing food or drink
  • touching bed linens or toilet seats
  • sharing toothbrushes
  • kissing
Please call the Health Department for an appointment 776-4895

Tdap (Tetanus, Pertussis, and Diphtheria) or Td

*Tetanus (lockjaw) is a serious disease that causes painful tightening of the muscles, usually all over the body. It can lead to "locking" of the jaw so the victim cannot open his mouth or swallow. Tetanus leads to death in about 1 in 10 cases. Several vaccines are used to prevent tetanus among children, adolescents, and adults including DTaP, Tdap, DT, and Td.

*Diphtheria causes a thick covering in the back of the throat. It can lead to breathing problems, paralysis, heart failure, and even death. There are several combination vaccines used to prevent diphtheria: DTaP, Tdap, DT, and Td.

*Pertussis— commonly known as Whooping cough — is a highly contagious respiratory tract infection. Although it initially resembles an ordinary cold, whooping cough may eventually turn more serious, particularly in infants. Whooping cough is most contagious before the coughing starts. The best way to prevent it is through vaccinations. The childhood vaccine is called DTaP. The whooping cough booster vaccine for adolescents and adults is called Tdap. Both protect against whooping cough, tetanus, and diphtheria

In the past few years, the United States has seen an increase in cases of Pertussis, otherwise known as “Whooping Cough.” As a parent, one of the most important things you can do to protect your children from Pertussis is to surround them with people who have been vaccinated against the disease.

For the BEST Protection, who should get vaccinated?

  • Mothers – before pregnancy or after giving birth
  • Anyone who lives with the child (Fathers, siblings)
  • Anyone who is in contact with a baby or young child (childcare providers, grandparents, other close relatives)
  • Since immunity to whooping cough fades 5-10 years after childhood vaccination, the CDC recommends that all adults ages 19-64 get the Tdap vaccine.

*Memorial Hospital of Lafayette County offers the Tdap vaccine to mothers who have just given birth before they leave the hospital. Most of the other hospitals in our area have adopted the same practice. For everyone else in your family, please contact your regular provider or the Health Department to schedule an appointment for this vaccine.

What is the vaccine?
Tdap is a vaccine given to older children and adults that contains vaccines for Tetanus, Diphtheria and Pertussis. We recommend that anyone over 10 years of age receive the Tdap booster at least two weeks before they have contact with a baby.

Td is a vaccine for older children and adults that contains vaccines for Tetanus and Diphtheria.

How often should adults receive a Tdap shot?
The Tdap is only needed one time after the childhood series. Tetanus is recommended every 10 years. (If an injury occurs, it is recommended that a tetanus shot be given if the patient has not received one is 5 years or more.)

For More Information regarding Pertussis, Tetanus or Diphtheria, please visit or call the Health Department and speak to a nurse. 776-4895.

Download the fact sheet from the CDC:
TDAP TD Vaccine Fact Sheet