Our Mission: Toledo-Lucas County Health Department is committed to being the leader in public health by promoting and protecting the health of all people where they live, learn, work, and play.
Our Vision: A Healthier Lucas County for Everyone.
If your patient resides outside of Lucas County, any reportable diseases need to be reported to that jurisdiction.
Infectious Disease Control Manual
Reference providing information about infectious diseases and includes prevention, control, and reporting of suspected and diagnosed cases
What must be reported by Healthcare Provider:
- Name of case
- Case Date of birth
- Sex of case
- Telephone number of case or guardian
- Lab Test Results if available*
- *Some testing requires approval prior to sending samples, contact TLCHD (e.g. measles, MERS, etc.)
- Other Pertinent Information: suspicion of toxins, known exposures, symptoms, etc.
- Healthcare provider information
When report should be made:
- Class A — Immediately by phone
- Class B — by the end of next business day
- Class C— by the end of next business day
- Bacteria: Salmonella, Campylobacter, Shiga-toxin E.coli, Shigella, Listeria, Yersinia
- Parasites: Cryptosporidium, Giardia
- Bacterial Toxins: Bacillus cereus, Clostridium Perfringens, Staphylococcus aureus
Rabies Reporting / Treatment
There is no single or simple ante-mortem diagnostic test to rule out rabies in humans. Scroll down for the PEP Algorithm or download it here.
Rabies: Virus from saliva that attacks the brain and nervous system, most commonly from bats, skunks, and raccoons. Rabies usually results in death, but vaccines are available (rabies immune globulin and a series of four shots of vaccine).
Animal Bite/Scratch Reporting:
If a patient presents with or discuses an animal bite or scratch, or possible/known exposure to bats, complete the Animal Bite/Scratch Exposure Form here: (Updated Form Coming Soon)
- Signs of rabies in an animal:
- Aggressiveness, attacking for no reason, becoming unusually quiet
- Walking in circles, dragging their leg, falling over
- Cannot eat or drink, excessive drooling
- What to do if bitten: wash the bite with lots of soap and water as soon as possible
- What Health Department does:
- Provide guidance on vaccination requirements, treatment options
- Helps coordinate quarantine response of animal with appropriate agency or veterinary clinic
If you suspect a rash may be due to a class A reportable disease, we encourage you to order available exclusionary tests before placing your reportable call with TLCHD, but do not delay calling for the results or if such tests are not able to be ordered.
You do not need to report by telephone any of the Class B or C diseases listed below unless you are reporting an unusual outbreak of 2 or more cases from different households.
Chicken Pox (Class B)
Hand, Foot, and Mouth Disease (Not individually reportable)
Lyme Disease (Class B)
- Signs & Symptoms
- Exclusion Testing:
- EIA or IFA serum antibody
- Western blot (should not be run without first performing and EIA or IFA)
- Western blot should not be run if the EIA or IFA tests are negative.
- A positive IgM western blot is only meaningful during the first 4 weeks of illness.
- If the person has been ill for longer than 4-6 weeks and the IgG Western blot test is negative, it is unlikely the person has Lyme disease, even if the IgM Western blot is positive.
Mpox (Class B)
Scarlet Fever (Not individually reportable)
- Signs & Symptoms
- Laboratory diagnostic testing for variola virus should be conducted in Level C or D laboratories only.
Smallpox (Class A)
Shingles (Class B)
Ringworm (Not individually reportable)
- Signs & Symptoms
- Potassium Hydroxide Preparation
- Fungal Culture
- Histopathologic Examination With A Periodic Acid-Schiff Stain
- Polymerase Chain Reaction
- Ultraviolet Light (Wood’s Lamp)
Rocky Mountain Spotted Fever (Class B)
Centers for Disease Control and Prevention
- Health Alert Network (HAN) No. 496 – Important Updates on Locally Acquired Malaria Cases Identified in Florida, Texas, and Maryland
08/28/2023 2:15 PM
Ohio Department of Health
Check back for health alerts from the Ohio Department of Health.
Check back for information from the Toledo-Lucas County Health Department regarding timely alerts or information.
Health Department Referral Resources
Do you have a patient who is in need of a service we can provide? Use the following phone numbers to refer them to our programs (during normal business hours):
- Testing is conducted at the Toledo Lucas County Health Department by appointment or walk-in
- Once-a-day pill protecting against HIV
- Prevents an HIV-negative person from becoming positive
- Visit a PREP clinic to be prescribed
- HPV Vaccinations
- Schedule at 419-213-2013
- The Health Department provides Two-Step TB Testing by appointment only
- Schedule at 419-213-2013
Shots 4 Tots
- Immunization program for children from birth to 18 at 13 different locations
- Includes all ACIP-recommended vaccines
- Fee: $21.25 fee per shot for those whose insurance does not cover any vaccines
- Special supplemental Nutrition Program for women, infants, and children
- Provides nutrition education, breastfeeding support, supplemental food
- Qualifications: Pregnant, breastfeeding, women who have recently had children (up to six months), at medical or nutrition risk, and meet income guidelines
- Contact: 419-213-4422
Healthy Start Program
- Free home visiting program providing education and care coordination to families of children under 18 months
- The program should be referred to first-time moms to educate them on childcare and link them with other resources they may need to raise their baby
Safe sleep education, vaccinations, breastfeeding support, social services
- Diapers, cribs, car seats, housing, etc.
- Refer to (419)-213-8434
Cribs for Kids
- National infant safe sleep program to reduce the risk of injuries and deaths due to unsafe sleep environments
- Provides safe-sleep education class
- Those who complete the program receive a portable crib, sheet, wearable blanket, and educational materials
Children with Medical Handicaps (BCMH)
- Healthcare program that links families of children with special healthcare needs to quality providers
- Helps to obtain payment for health needs
- Lab tests and X-rays, Physician visits, Prescription medications, Therapy, Medical equipment, and supplies, Surgeries, and hospitalization
- Age 0-23, Resident of Ohio, under the care of a BCMH-approved doctor, has a chronic medical condition.
- Conditions eligible:
- AIDS, cancer, cerebral palsy, lung disease, cleft lip/palate, diabetes, hearing loss, scoliosis, sickle cell, etc.
- Birth control and education
- Reproductive counseling and education
- Pregnancy testing and counseling
- STD testing and treatment
- Screening for cervical cancer
- Pap and pelvic exams
- Breast and testicular exams
- HIV testing
- On-site Pharmacy
- Schedule at 419-213-2013
Impact patients by making small changes:
- Use people-first language when caring for patients and connect individuals with appropriate resources throughout the community
- Identify patients at risk of an opioid overdose, including those receiving chronic opioid therapy (for three months or longer), using illicit opioids or those who receive concurrent opioid or benzodiazepine prescriptions
- Offer naloxone and/or MAIT/MOUD to at-risk patients, or patients who have at-risk friends or family members, by prescribing directly or by referring to a pharmacy or a registered program
- Educate patients about buprenorphine, one of the most effective treatments for OUD, and prescribe buprenorphine to patients to decrease overdose risk and improve quality of life
Steps for safer opioid prescribing
- If opioids are needed, start prescribing at the lowest effective dose
- Use available PDMP Data to determine if patients have previously filled prescriptions for opioids or other controlled medications
- Prescribe naloxone to prevent fatal opioid overdoses
- Offer treatment for patients with Opioid Use Disorder (OUD), including medications
Syringe Service Program (SSP)
A community-based public health program that provides comprehensive harm reduction services, such as:
- Sterile syringes and injection equipment
- Safe disposal containers
- HIV and Hepatitis testing
- Education and referral to treatment, medical, mental health, and social services
- Non-Opioid treatments for pain
- Identify and address mental health conditions (depression, anxiety, PTSD)
- Use disease-specific treatments when available (triptans for migraines, gabapentin for neuropathic pain)
- Use first-line medication options preferentially
- Use multimodal approaches, including interdisciplinary rehabilitation for patients who have failed standard treatments, have severe functional deficits, or psychosocial risk factor
Giving Naloxone to people who use drugs is associated with reduced overdose mortality
- Prescribe for patients taking opioids with:
- Opioid use > 50 50 MMEs / day
- Benzodiazepine use
- History of substance use disorder
- History of opioid overdose
- Comorbidities or medications that increase overdose risk
- Loss of tolerance
Words to use/avoid when consulting patients
- Use: Person with an opioid/substance use disorder, person who uses drugs, use, misuse, harmful use, actively using
- Avoid: Addict, user, abuser, problem, dirty/clean, problem
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