Fremont County Courthouse
450 North 2nd Street
Lander, WY  82520
Phone Directory
CORONAVIRUS DISEASE (COVID-19)
Visit us at the new Fremont County Public Health Q&A related to COVID-19.  A place where the public can post questions and receive local answers quickly!
https://fremontwycovid.com/

For more information about coronavirus disease 2019 and Wyoming, visit:

https://www.cdc.gov/coronavirus/2019-nCoV/index.html

https://wohs.maps.arcgis.com/apps/MapSeries/index.html?appid=42fd398fa8f449fb930f2d3755c5a1bb

https://health.wyo.gov/publichealth/infectious-disease-epidemiology-unit/disease/novel-coronavirus/

CDC COVID-19 Frequently Asked Questions:

https://www.cdc.gov/coronavirus/2019-ncov/specific-groups/children-faq.html

Wyoming Department of Health COVID-19 website: https://health.wyo.gov/

Questions can also be emailed to wdh-covid-19@wyo.gov.  

COVID-19 in Fremont County

The COVID-19 infection is widespread in Fremont County.

Symptoms of COVID-19 include fever, cough, and shortness of breath. They may also include achy muscles, runny nose, headache, diarrhea, sore throat and changes in taste and smell.

Social (Physical) Distancing helps prevent the spread of the virus. We do this by avoiding crowds, avoiding crowded spaces, and staying at least 6 feet apart. 

What do I do if a family member or I gets sick?

Keeping a sick person away from others is called ISOLATION. The sick person should stay in a separate room and use a separate bathroom if possible. They should also eat in a separate room.

  • Face Masks – The sick person should wear a face mask when they need to be in another room with people. If you are helping the sick person, you can also protect yourself by wearing a face mask when you are in their room.
  • Hand Washing – Wash your hands with soap and water often. You may also use hand sanitizer at times.
  • Cleaningdo this often
  • Wear disposable gloves when you clean and if you have to touch the sick person’s laundry, dishes, utensils, or trash.
  • Regularly clean things that are touched a lot including counters, bedside tables, doorknobs, computers, phones, and bathroom surfaces.
  • Clean with soap and water or other home cleaning products. Be sure to check that the products work on viruses. 

If a household member has any of the symptoms mentioned above, it should be assumed that they have COVID-19 and should stay in ISOLATION until at least 3 days (72 hours) have passed since recovery. RECOVERY is defined as at least 7 days after symptoms first started AND no fever for 3 days without medications AND improvement in cough and shortness of breath. 

If you are isolating, please call

307-857-3677 or 856-6979

To talk to a public health nurse

What to do if Ive been exposed to someone with Covid-19 symptoms?
If you, or someone in the house, have been exposed to someone who has COVID-19 symptoms you and the people you live with should separate yourself from the general community for 14 days by staying home. That means everyone in the house. Separating from the community is called QUARANTINE. 


CORONAVIRUS DISEASE (COVID-19)

HOW TO ISOLATE AT HOME

If you have been sent home on self-isolation please call

307-857-3677 or 856-6979

so that you can talk to a public health nurse

 Isolation means staying at home when you are sick with COVID-19 and avoiding contact with other people to help prevent the spread of disease to others in your home and your community.

If you have been diagnosed with COVID-19, it is expected that you take the following measures:

  • Limit contact with others
  • Do not leave home unless absolutely necessary, such as to seek medical care.
  • Do not go to school, work, other public areas or use public transportation (e.g. buses, taxis).
  • Arrange to have groceries and supplies dropped off at your door to minimize contact.
  • Stay in a separate room and use a separate bathroom from others in your home, if possible.
  • If you have to be in contact with others, keep at least between 6 feet between yourself and the other person.
  • Keep interactions brief
  • Avoid contact with individuals with chronic conditions, compromised immune systems and older adults.
  • Avoid contact with pets if you live with other people that may also be touching the pet.
  • Keep your hands clean. Wash your hands often with soap and water for at least 20 seconds, and dry with disposable paper towels or use an alcohol-based hand sanitizer
  • Avoid touching your eyes, nose and mouth.
  • Cough or sneeze into the bend of your arm or into a tissue.
  • At least once daily, clean and disinfect surfaces that you touch often, like toilets, bedside tables, doorknobs, phones and television remotes.
  • Do not share personal items with others, such as toothbrushes, towels, bed linen, utensils or electronic devices.
  • Put the lid of the toilet down before flushing.

Use regular household disinfectants or diluted bleach (one-part bleach and nine parts water) to disinfect.

Care for yourself.  Monitor your symptoms as directed by your healthcare provider or Public Health Authority.  If your symptoms get worse, immediately contact your healthcare provider or Public Health Authority and follow their instructions.

Wyoming 2-1-1 and the Wyoming Department of Health (WDH) are partnering to provide a public telephone helpline for COVID-19 questions and information. 

Wyoming 2-1-1 is a statewide helpline which provides free, confidential information and referrals to health and human services. By dialing 2-1-1 from anywhere in the state of Wyoming, people are linked to information about COVID-19 as well as local resources, from both government and nonprofit agencies. 

2-1-1 is available Monday through Friday, 8:00 a.m. to 6:00 p.m. Service is available statewide by dialing 2-1-1 or 888-425-7138 during normal business hours. Callers requesting information outside standard business hours may leave a voicemail message and will receive a follow-up call the next business day. 

Wyoming 2-1-1 also connects callers to other health and human services in their community.  Many of these resources may also be needed by Wyoming residents at this time.


SHOUTOUT TO FREMONT COUNTY RESIDENTS!

Thank you to all individuals and entities who are facilitating social distancing by limiting the number of people in a space, increasing the extent and frequency of cleaning, offering takeout, delivery and online options and running errands to keep the most vulnerable and sick citizens at home.

Let’s keep it up Fremont County!

A MESSAGE FROM OUR STATE HEALTH OFFICER:

Understandably, many of you may have questions about the coronavirus disease 2019 (COVID-19) outbreak situation. At the Wyoming Department of Health, we are closely monitoring the situation and sharing our recommendations.

Coronaviruses are a large family of viruses, some of which cause the common cold in people and others that circulate among animals. This is a new virus and new viruses need special attention. There are simply some things we don’t know about COVID-19 such as how easily it spreads and how many patients may experience severe illness, and there is no available vaccine.

However, the symptoms reported with this disease are familiar to all of us:  fever, cough and shortness of breath. We know there are common-sense steps that can help prevent these kinds of illnesses from spreading:

·         Avoid close contact with sick people.

·         While sick, limit contact with others as much as possible.

·         Stay home if sick

·         Cover nose and mouth when coughing or sneezing. Avoid touching eyes, nose and mouth. Germs spread this way.

·         Clean and disinfect surfaces and objects that may be contaminated with germs.

·         Wash hands often with soap and water for at least 20 seconds. If soap and water are not available, use an alcohol-based hand rub with at least 60 percent alcohol.

Coronavirus information and updates from our department can be found at https://health.wyo.gov/publichealth/infectious-disease-epidemiology-unit/disease/novel-coronavirus/. If you are interested in receiving our future news releases, you can sign up here: https://health.wyo.gov/news/.

For now, we also want Wyoming residents to pay attention to special travel recommendations from the Centers for Disease Control and Prevention (CDC), which can be found at https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html.

Our most important piece of advice right now is for people to stay informed about COVID-19 and to look for updates and recommendations from credible sources such as our department and the CDC.

Thank you.
Alexia Harrist MD, PhD
State Epidemiologist and State Health Officer
Wyoming Department of Health




 
 

Public Health

 Office Hours
Closed 12 pm to 1 pm for lunch

Dubois Immunization day: The 4th Tuesday

 

Lander:

Riverton:

450 N 2nd St., Rm #350
Lander, WY  82520
Phone: 307.332.1073
Fax: 307.332.1064
phnlander@wyo.gov

322 N 8th West
Riverton, WY  82501
Phone: 307.856.6979
Fax: 307.856.6850
phnriverton@wyo.gov

 Lander Walk – In Clinic Hours Riverton Walk – In Clinic Hours 
Starting July 1st, 2019
The Lander Public Health office will be open on
Mondays and Wednesdays from 9:00 to
4:00 including through the lunch hour.

We will continue to offer all services and will take walk ins all day.
Childrens immunizations for those under 7 years old
will be done by appointment only on Wednesdays.

 Mon thru Fri 8:30 to 9:30 a.m. and 3:00 to 4:00 p.m.
Immunization days are the 1st and 4th Thursday.
(No walk-ins for illness on immunization days)

   

Walk In Clinic Services

Services by Appointment

Nursing Assessment $5

Pregnancy testing – $10

Ear check  $5 HIV/STD testing and counseling -$20 and voucher

Height & weight check

Hemoglobin A1C -$20

Blood pressure check  $5  
TB screening –  $25
Monday, Tuesday & Wednesday
 

Adult vaccinations – Fees vary by vaccine

 
 
 


 
 
 
 
 
 
 

 A vial of measles, mumps and rubella vaccine and an information sheet is seen at Boston Children's Hospital in Boston, Massachusetts February 26, 2015. REUTERS/Brian Snyder

More than half of 1,416 measles cases reported in the U.S. since the disease was declared eliminated in 2000 were for people with no history of measles vaccination, the analysis found.

Among more than 10,000 pertussis patients with known vaccination status, 24 to 45 percent of people in the five largest statewide epidemics since 1977 were unvaccinated or only partially vaccinated, the analysis also found.

“If there are a high number of susceptible or unvaccinated individuals in the community the risk of getting infected – even for vaccinated children – goes up,” said senior study author Dr. Omer Saad, a pediatrics and epidemiology researcher at Emory University in Atlanta.

That’s because few vaccines are 100 percent effective, Saad added by email.

With pertussis, or whooping cough, up to 2 percent of people who receive all five recommended vaccine doses on time may still get this bacterial infection of the lungs, according to the U.S. Centers for Disease Control and Prevention.

For measles, roughly 3 percent of people who receive both recommended doses of the vaccine may still get the virus, according to the CDC.

These numbers are a best case scenario, assuming that only people with medical reasons – like certain cancer treatments, rare allergies to vaccine ingredients, or diseases that compromise the immune system – forgo inoculations.

But the CDC reports that fewer than 1 percent of kids need to skip vaccines for medical reasons, based on data from Mississippi and West Virginia, states that only grant exemptions under these circumstances.

Instead, Saad and colleagues found that the majority of measles and pertussis cases in the outbreaks they analyzed were due to people intentionally skipping vaccinations.

Among 970 measles cases with detailed vaccination data, 574 cases were unvaccinated people who were eligible to receive their shots, researchers report in the Journal of the American Medical Association.

Most of these unvaccinated people – 405 of them – had nonmedical reasons for skipping vaccinations such as religious or philosophical objections, the analysis found.

For the subset of pertussis reports from outbreaks with detailed data on unvaccinated individuals, 59 to 93 percent of cases were for people who intentionally skipped their inoculations, the analysis also found.

Several pertussis cases also cropped up in highly vaccinated communities, suggesting waning immunity against the disease, the researchers note.

Limitations of the study include a focus on measles and pertussis in the context of vaccine exemption rates, which may have underestimated the disease risk associated with skipping vaccines, the authors point out.

Nonmedical exemptions also don’t explain all of the resurgence in measles and pertussis in recent years, Dr. Matthew Davis, a pediatrics researcher and deputy director of the Institute for Healthcare Policy and Innovation at the University of Michigan in Ann Arbor, noted in an editorial.

“It is very difficult to put a specific number on how much vaccine refusals reduce a community’s protection against disease,” Davis said by email.

“What this latest comprehensive review illustrates is that individuals who refuse vaccines not only put themselves at risk for disease,” Davis added. “It turns out that they also put others at risk too – even people who have been vaccinated before, but whose protection from those vaccinations may not be as strong as it used to be.”

SOURCE: bit.ly/1Rj5JhT JAMA, online March 15, 2016.

 
 

6 reasons why doctors are so afraid of measles_1 (1019x1280)
 

 
 
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      This article appeared in the current issue of Wyoming Nurse Reporter!!

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 Fremont County Public Health Employment Application

NOW AVAILABLE 

Children’s Health Insurance Program (CHIP) applications are available in the Lander and Riverton offices for all Fremont County residents.
For more information call 332.1073 or 1.800.967.2297 ext 3620

MORE GREAT RESOURCES!!

https://doihaveprediabetes.org/

http://www.publichealth.org/prenatal-care/

http://www.medscape.com/viewarticle/857368?nlid=97585_2981&src=wnl_dne_160119_mscpedit&uac=142015EY&impID=959759&faf=1
 
http://www.huffingtonpost.com/entry/scientists-confirm-theres-nothing-but-misinformation-on-anti-vax-sites

CHECK US OUT ON FACEBOOK AT
http://www.facebook.com/pages/Fremont-County-Public-Health/221479027288?v=wall&ref=search

 MAPPing A Healthier Fremont County 

Demographics Profile Final

 

 ADDITIONAL RESOURCES AVAILABLE ON OUR LINKS PAGE!!

 
Fremont County Government | 450 North 2nd Street | Lander, WY  82520
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