First flu case confirmed in Lexington

Flu season has officially started in Lexington.

The Lexington-Fayette County Health Department is reporting the city’s first lab-confirmed case of the flu for the 2019-20 flu season. Information about the case cannot be provided because of federal privacy laws.

Last year, Lexington had 5 deaths from flu-related causes and 506 confirmed cases of the flu, which only represents a small fraction since most flu cases are not lab-confirmed). The CDC estimates as many as 25 percent of the population gets the flu annually.

“A seasonal flu shot is recommended to all people ages 6 months and older and is the best way to avoid getting the flu,” LFCHD spokesperson Kevin Hall said.

The health department is providing free flu shots to the community 1-7 p.m. Oct. 10 at Fayette Mall, near the interior entrance of Dillard’s, as part of its annual preparedness exercise.

Flu shots are also available 9 a.m.-3 p.m. Monday, Tuesday and Friday and 9 a.m.-6 p.m. Wednesday in the Public Health Clinic, 650 Newtown Pike, starting Sept. 30. No appointment is necessary. The cost of a flu shot varies based on insurance, so call 859-288-2483 for details. Medicaid/Medicare, cash, checks, credit cards and most insurance plans are accepted.

Free Flu Shots at the Mall, Y’all: annual event returns 10/10

The Lexington-Fayette County Health Department is once again giving you the chance to fight the flu for free.

The department’s annual free flu shot event will be held 1-7 p.m. Thursday, Oct. 10, at Fayette Mall, near the interior entrance of Dillard’s.

“An annual flu shot is the best way to fight the flu each fall and winter,” LFCHD spokesman Kevin Hall said. “The special clinic lets us test our emergency preparedness skills by giving a large amount of shots in a short amount of time.”

The seasonal flu shot is recommended for all people ages 6 months and older. Last flu season, Lexington had 5 deaths from flu-related causes and 506 confirmed cases. The health department provided 1,767 flu shots throughout the season, including 1,165 at last year’s free flu shot clinic.

“Lexington had 506 confirmed flu cases last year, but that represents a small fraction since most flu cases aren’t lab-confirmed,” Hall said. “The CDC estimates 5-20 percent of the U.S. population gets the flu each year, costing an estimated $10.4 billion in medical expenses and $16.3 billion in lost earnings.”

For community members unable to get their flu shots at the special free event, the health department will offer flu shots 9 a.m.-3 p.m. Monday, Tuesday and Friday and 9 a.m.-6 p.m. Wednesday in the Public Health Clinic, 650 Newtown Pike, starting Oct. 1. No appointment is necessary. The cost of a flu shot varies based on insurance, so call 859-288-2483 for details. Medicaid/Medicare, cash, checks, credit cards and most insurance plans are accepted.

Hepatitis A: Get vaccination, wash your hands for prevention

(Updated Aug. 2, 2019) Hepatitis A is a liver disease that can easily be passed from person to person and can be spread through close contact with someone infected with it. Washing your hands with soap and warm water after using the bathroom, changing a diaper or before making food and drinks can help stop the spread of hepatitis A.

More than 4,790 cases have been reported across Kentucky since the fall of 2017, compared to around 20 cases that are typically recognized each year. There have been 59 deaths associated with hepatitis A in this outbreak. Though the outbreak was initially centered in the Louisville area, outbreak-related cases have now been reported in 110 counties across the state, including Fayette. Learn more about which counties have hepatitis A in this Kentucky hepatitis A report.

The best prevention is with a hepatitis A vaccination. The hepatitis A vaccine, given in two doses six months apart, is available from some medical providers and many pharmacies in Lexington and is covered by most insurance plans. The vaccine is also available at the health department’s Public Health Clinic by appointment. Call 859-288-2483 to check availability and to schedule an appointment. You can learn more in our Hep A Q&A!

Starting in the 2018-19 school year, Kentucky students are required to have the vaccination. Please check with your medical provider to see if your child has been vaccinated.

Good handwashing can also help control the spread of hepatitis A. Consistent and careful handwashing, including under the fingernails, for at least 20 seconds with soap and water can help stop the spread of the virus.

You can learn more about hepatitis A in this interview from Healthy Times, our radio show on Lexington Community Radio: hepatitis A interview.

Hepatitis FAQs

Please check out our new page with frequently asked questions about hepatitis A: hepatitis A FAQs.

Information for Providers

  • The Lexington-Fayette County Health Department is urging providers to vaccinate all adult patients against hepatitis A, not just those in a high-risk category.
  • Consider providing Twinrix® to those who have previously not been vaccinated for hepatitis B.
  • Per Immunization Regulation 902 KAR 2:060, two doses of hepatitis A (HepA) vaccine will be required for all children aged 19 months through 18 years who attend daycare, primary and secondary school beginning on or after July 1, 2018 for the 2018‐2019 school year. Children aged 12 months through 18 months will require one dose of HepA vaccine. Providers should now catch‐up children aged two years and older to assure hepatitis A immunity.

Community Flyers

Click on a flyer below for a larger format to share:

Wash Your Hands

What You Should Know

High-Risk Groups

 

Health department to spray for mosquitoes July 16

To help control mosquitoes, the Lexington-Fayette County Health Department will conduct mosquito-spraying activities in the pre-dawn hours on July 16 in the 40504 ZIP code. The spraying is due to a high mosquito population found in a monitoring trap in the 40504 ZIP code region.

Spraying will be done between 3-6 a.m. Tuesday. For spraying to occur, the wind speed must be less than 10 mph, the temperature must be greater than 55o F and there can be no rain or dense fog. The mosquito spray used by the health department only affects adult mosquitoes that are in the air at the time of spraying. The health department uses Duet, an EPA-approved agent that features a component that stimulates resting mosquitoes in trees and foliage, causing them to fly into the air and come into contact with the spray’s mosquito-killing agent, sumithrin. Duet has been rigorously tested for human and animal safety and is registered for outdoor residential and recreational areas.

Lexington residents can also take steps at home to fight mosquitoes:

Mosquito-proof your home and yard. Fix or install window and door screens. Mosquitoes lay their eggs in standing water. Cover or eliminate empty containers with standing water. Limit the number of places around your home for mosquitoes to breed by getting rid of items such as tires, buckets, barrels and cans. Refresh the water in your pet’s water dishes and birdbaths at least every five to seven days.

Be aware of peak mosquito activity times. The twilight hours around dusk and dawn are times of peak mosquito activity. Use insect repellent when outdoors especially during peak activity times, including early morning hours. Look for EPA-labeled repellents containing active ingredients, such as DEET, Picaridin (KBR3023) or oil of lemon eucalyptus (p-menthane 3,8-diol). Apply repellent according to label instructions. When weather permits, wear long sleeves, long pants and socks outdoors. Mosquitoes can bite through thin clothing, so spraying clothes with repellent containing permethrin or another EPA-registered repellent helps prevent bites.

The health department also conducts surveys in neighborhoods around Lexington to identify standing water problems that can serve as a location for mosquitoes to lay their eggs. Elimination of standing water is the ultimate goal, but in areas where standing water cannot be eliminated the water can be treated to kill mosquito larvae with a chemical called a larvicide.

To report a standing water problem in your neighborhood, please call the health department’s Environmental Health section at (859) 231-9791.

For additional information, like the Lexington-Fayette County Health Department on Facebook at www.facebook.com/LFCHD, or follow us on Twitter at twitter.com/LFCHD and Instagram at @lexpublichealth.

Update: Health department to spray for mosquitoes July 11

Due to equipment issues, the Lexington-Fayette County Health Department was unable to complete mosquito spraying on July 10. The issues have been resolved and mosquito spraying will continue 3-6 a.m. on July 11 in parts of the 40505 and 40511 ZIP codes. The spraying is due to a high mosquito population found in a monitoring trap in the 40505 ZIP code region. To provide adequate spray coverage of the area, portions of 40511 ZIP code will also be sprayed.

For spraying to occur, the wind speed must be less than 10 mph, the temperature must be greater than 55o F and there can be no rain or dense fog. The mosquito spray used by the health department only affects adult mosquitoes that are in the air at the time of spraying. The health department uses Duet, an EPA-approved agent that features a component that stimulates resting mosquitoes in trees and foliage, causing them to fly into the air and come into contact with the spray’s mosquito-killing agent, sumithrin. Duet has been rigorously tested for human and animal safety and is registered for outdoor residential and recreational areas.

Lexington residents can also take steps at home to fight mosquitoes:

  • Mosquito-proof your home and yard. Fix or install window and door screens. Mosquitoes lay their eggs in standing water. Cover or eliminate empty containers with standing water. Limit the number of places around your home for mosquitoes to breed by getting rid of items such as tires, buckets, barrels and cans. Refresh the water in your pet’s water dishes and birdbaths at least every five to seven days.
  • Be aware of peak mosquito activity times. The twilight hours around dusk and dawn are times of peak mosquito activity. Use insect repellent when outdoors especially during peak activity times, including early morning hours. Look for EPA-labeled repellents containing active ingredients, such as DEET, Picaridin (KBR3023) or oil of lemon eucalyptus (p-menthane 3,8-diol). Apply repellent according to label instructions. When weather permits, wear long sleeves, long pants and socks outdoors. Mosquitoes can bite through thin clothing, so spraying clothes with repellent containing permethrin or another EPA-registered repellent helps prevent bites.

The health department also conducts surveys in neighborhoods around Lexington to identify standing water problems that can serve as a location for mosquitoes to lay their eggs. Elimination of standing water is the ultimate goal, but in areas where standing water cannot be eliminated the water can be treated to kill mosquito larvae with a chemical called a larvicide.

To report a standing water problem in your neighborhood, please call the health department’s Environmental Health section at (859) 231-9791. For additional information, like the Lexington-Fayette County Health Department on Facebook at www.facebook.com/LFCHD, or follow us on Twitter at twitter.com/LFCHD and Instagram at @lexpublichealth.

LFCHD Community Farmers’ Market returning July 10

Healthy food options will soon be a bit easier thanks to the Lexington-Fayette County Health Department and the city’s two farmers’ markets.

Starting July 10, the health department will bring farmers from the Bluegrass Farmers’ Market and the Lexington Farmers’ Market together to give the community a chance to buy fresh fruits and vegetables. The LFCHD Community Farmers’ Market will begin 8 a.m.-1 p.m. July 10 at the health department’s south location, 2433 Regency Road.

The farmers’ markets will alternate locations in July and August:

  • 8 a.m.-1 p.m. July 10, 2433 Regency Road
  • 8 a.m.-1 p.m. July 24, 650 Newtown Pike
  • 8 a.m.-1 p.m. Aug. 14, 2433 Regency Road
  • 8 a.m.-1 p.m. Aug. 21, 650 Newtown Pike

For additional information, like the Lexington-Fayette County Health Department on Facebook at www.facebook.com/LFCHD, or follow us on Twitter at twitter.com/LFCHD and Instagram at @lexpublichealth.

NEW DATE: Rabies clinic moves to May 14 at Douglass Park

UPDATED MAY 8, 2019: Because of the weather forecast, our low-cost rabies vaccination clinic has been RESCHEDULED to 6-9 p.m. Tuesday, May 14, at Douglass Park, 726 Georgetown Street. Vaccinations will cost just $3. All cats must be in a carrier, and all dogs must be on leashes. In the event of inclement weather, the clinic date is subject to change. The health department will provide updated information at www.lexingtonhealthdepartment.org and on its Twitter account at www.twitter.com/LFCHD.

Rabies, a viral disease of humans, pets and wild animals, is transmitted from animals to humans by the saliva of a rabid animal, usually from a bite. Rabies vaccinations typically cost about $20, making this clinic a great value to pet owners. “A rabies shot gives protection to the pet as well as its owner and the other people of Lexington,” said Luke Mathis, LFCHD Environmental Health team leader and one of the event’s organizers. “We’re pleased to provide this useful public health service as we help Lexington be well.”

State law requires that all dogs, cats and ferrets maintain a current rabies vaccination. The health department gave 542 rabies shots during the May 2018 clinic. The LFCHD Rabies Control Program investigated 316animal bite reports last year, with LFCHD staff making sure each animal was up to date on all rabies vaccination shots.

The clinic also provides pet owners with the opportunity to purchase an animal license for $8 if the animal has been spayed or neutered. A license costs $40 if the animal has not been fixed or the owner has no proof of alteration. Lexington-Fayette Animal Care and Control, the Lexington Humane Society, the Lexington-Fayette County Division of Parks and Recreation Department, Gainesway Small Animal Clinic and MedVet Medical and Cancer Center for Pets are also sponsoring the clinic.

For more information on the annual Rabies Clinic, call the Lexington-Fayette County Health Department’s Division of Environmental Health at (859) 231-9791. Be sure to like the Lexington-Fayette County Health Department on Facebook at www.facebook.com/LFCHD, and follow us on Twitter at www.twitter.com/LFCHD  and Instagram at @lexpublichealth.

Mark Johnson named 2019 Dr. Rice C. Leach Public Health Hero

The Lexington-Fayette County Health Department’s Board of Health has selected Mark Johnson as the 2019 Dr. Rice C. Leach Public Health Hero. The award is given annually to individuals who have demonstrated their dedication to improving the health of Lexington residents. The winner is announced each April as part of National Public Health Week (April 1-7, 2019).

Johnson received his Master of Science in Social Work from the University of Louisville and his Bachelors in Social Work degree from Morehead State University. He retired from the Lexington-Fayette County Health Department in 2013. After a short break, he returned to the workforce and is currently a Program Coordinator for the Kentucky HIV/AIDS Program. Johnson has been a champion for HIV/AIDS, Cultural Diversity and Health Equity for 30 years. He used his positions at both local and state public health departments and at community-based organizations to create change, promote cultural competency, and influence policy to ensure all people have the opportunity to reach their full potential of health.

Johnson has received Lexington Urban League’s first “Individual Champion of Diversity” award, the inaugural Lexington Fairness “Out for Diversity” award, Kentucky Public Health Commissioner’s Award for Meritorious Achievements for Outstanding efforts in Health Equity and Community Leadership, UK Social Work Department’s inaugural Unsung Hero: Champion for Social Change Award, AIDS Volunteers, Inc.’s Legacy Award, Bluegrass Black Pride Trailblazer Award and was inducted into the Lexington Fairness Hall of Fame. Johnson has also been honored for his exercise classes and work with seniors and arthritis, and is a member of Bluegrass Black Pride, Inc.

“Mark Johnson has spent his career improving the life of others, particularly those most in need of public health services,” states an award nomination. “He provides a voice to the unheard by helping them find and develop their own voice and amplifying it to the world. Mark’s work in HIV awareness has brought countless people in for testing, allowing those who test positive to enter treatment. He fights daily as an advocate for those who are at high risk for HIV, making certain the world sees them as the people they are and not as statistics. Mark is also a champion for health equity and provides training to help people recognize their own personal biases and how to overcome them. By seeking to provide equality and equity to everyone, Mark has helped get people into care they might not otherwise have had access to.”

Another nomination stated that, “when most of us are done with our work day and heading home to unwind, you can often find Mark volunteering his time to increase education and raise awareness of how to prevent HIV infection or leading an exercise class to positively impact the health and wellness of our city.”

Johnson will be recognized at the April 8 Board of Health meeting held at 5:45 p.m. in Lexington-Fayette County Health Department’s Dr. Rice C. Leach Community Room, 650 Newtown Pike. He will also be honored at the April 11 Lexington-Fayette Urban County Council meeting.

Previously known as the Public Health Hero Award, the Board of Health renamed the award in 2016 in memory of the late Dr. Rice C. Leach, Lexington’s former Commissioner of Health who spent more than 50 years as a public health physician. Leach died April 1, 2016.

Past winners include Dr. Svetla Slavova (2018), Reginald Thomas (2017), Dr. Rice C. Leach (2016), Dr. Susan Pollack and Marian F. Guinn (2015), the Rev. Willis Polk and Baby Health Service (2014), Anita Courtney and Teens Against Tobacco Use (2013); Vickie Blevins and Jay McChord (2012); Jill Chenault-Wilson and Dr. Malkanthie McCormick (2011); Dr. Jay Perman (2010); the Lexington Lions Club (2009); Dr. David Stevens and the late Dr. Doane Fischer (2008); Dr. Ellen Hahn, Mary Alice Pratt and Therese Moseley (2007); Dr. Andrew Moore and Rosa Martin (2006); Jan Brucato and Dragana Zaimovic (2005); and Dr. John Michael Moore, Ellen Parks and Lexington-Fayette Urban County Government (2004). Dr. Robert Lam received a Lifetime Achievement Award in 2007.

Pertussis cases confirmed in Lexington

(ARCHIVED from 2019) New cases of pertussis are being confirmed in Lexington schools, and the Lexington-Fayette County Health Department continues to work with Fayette County Public Schools to make parents aware of the threat of pertussis.

Pertussis is a highly contagious respiratory illness spread by coughing and sneezing. It affects people of all ages but can be most serious in infants and those with chronic diseases.

The health department is recommending preventive antibiotics for high-risk students who were exposed to pertussis. This includes students with a chronic illness or weakened immune system and those who live in households with the following: a family member with a chronic illness or weakened immune system, an infant or a pregnant woman.

Any school-age children with symptoms of pertussis should stay home from school and visit their health care provider for evaluation, even if they have previously been vaccinated. If found to have probable or confirmed pertussis, they should remain out of school until completion of their antibiotics. For more information about pertussis, call 859-288-2437.

The early symptoms are similar to a common cold: runny nose, sneezing, low-grade fever and coughing. After 1-2 weeks, the cough often gets worse, changing from a dry, hacking cough to bursts of uncontrollable, sometimes violent, coughing. During a coughing episode, it might be temporarily impossible to take a breath because of the intensity and repetition of the coughs. When finally able to breathe, the person might take a sudden gasp of air, which can cause a “whooping” sound. Vomiting and exhaustion can often follow a coughing spell.

The vaccine against pertussis is routine and required for school-age kids. One dose of the booster vaccine, called Tdap, is recommended for ages 11 and above for protection. Teenagers and adults who have never received the Tdap vaccine should check with their primary care provider or call the health department at 859-288-2483 to check availability. Although the vaccine is effective, immunity tends to decrease over time, making the booster important for older children and adults.

Be sure to like the Lexington-Fayette County Health Department on Facebook, or follow us on Twitter and Instagram.