Sussex CountyDepartment of Health and Human ServicesDivision of HealthOffice of Public Health NursingMay, 2021Women’s Health ScreeningJune 3, 2021A Women’s Cancer screening clinic was held on May 20, 2021 from 4:30pm - 8:30 pm with 6 women screened.A clinic will be held on June 3, 2021 from 4:00 pm- 8:30 pm with 6 women scheduled. This service is availablefree to underinsured, uninsured county residents who qualify for the NJCEED grant. A cervical thin-prep Papsmear, clinical breast exam, and pelvic exam are included in the physical exam at the time of clinic. Breast,cervical, colorectal, smoking cessation health education will be available at the time of screening.Mammograms are scheduled for a later date. Pre-registration is required and participants must have anappointment. Walk-ins will not be accepted. Please contact the Office of Public Health Nursing at 973-5790570, ext. 1246, or visit to obtain more information or schedule an appointment.Men’s Health ScreeningOctober (Date TBD), 2021Under the direction of the NJCEED Program a clinic is held twice a year. The Nursing Department will bescheduling a Men’s health screening sometime in November 2021 at the Wheatsworth Campus. Prostate andcolorectal testing will be done along with a free PSA blood draw. Health education will include prostate health,smoking cessation and colorectal cancer information. Participants are encouraged to bring back their colorectaltest kit sent to them prior to their appointment. This clinic is free to all NJCEED participants and those menwho are uninsured or underinsured. Appointments are required. Please call 973-579-0570 ext. 1246 to schedulean appointment.Health Check ClinicJune 8, 2021A Health Check will be held at the Office of Public Health Nursing, 201 Wheatsworth Road, Hamburg, onceper month on 6/8/21, 7/13/21, 8/10/21, 9/14/21, 10/12/21, 11/9/21 and 12/14/21 from 2:00pm to 4:00pm. April13 clinic was cancelled. One adult is scheduled for the 6/8/2021 clinic. This clinic offers vaccines for adults andschool-aged children. There is no fee for vaccines if uninsured or underinsured. Blood Pressure screening, BMIcalculation, medication management, health maintenance assistance, and nutrition counseling along with nurseconsultation is available for an array of health issues. Appointments are required. Please call 973-579-0570 ext.1211 to schedule an appointment.Child Health ConferenceJune 15, 2021Complete physical exams, screenings, and age-appropriate immunizations for children ages 0-5 years old thatare without health insurance. Clinics are held from 9:30 am to 12:30 pm on these remaining 2021 Dates:6/15/21, 8/17/21, 9/21/21, 10/19/21 and 11/19/21. Two children are scheduled for the 6/15/2021 clinic.Vaccines are administered at no cost to the children. The clinic is located at the Public Health Nursing Office,201 Wheatsworth Road, Hamburg, NJ. Appointments are required and can be scheduled by calling 973-5790570 x 1211.

Comprehensive Metabolic ProfileThis program provides basic screening bloodwork for Sussex County adults 18 and older. It is done throughNewton Medical Center Laboratory in the spring and fall of every year. This clinic was held on Saturday,5/22/21 at the Wheatsworth Campus between the hours of 8:30am-10:30am. Fourteen patients were scheduledfor this clinic and thirteen attended.County School Immunization AuditsPublic Health Nursing staff audits the student immunization records for compliance with NJ State regulations inall Preschool, Elementary, Middle School, High School and Childcare Centers in Sussex County. This is doneon an annual basis as required by the NJDOH. There are 97 schools and centers. To date 82 immunizationaudits have been completed. The NJDOH deadline for completing the audits is August 31, 2021. Preschoolsand Childcare centers cannot be audited before January 1st because Flu shots are required by that date.This year during the pandemic we have requested (with approval of the NJDOH Nurse Consultant) virtualaudits to assist us in completing this year’s auditing process.Sussex Warren Chronic Disease Coalition (SWCDC)The SWCDC will be partnering with SC NJCEED to identify and plan our in-person outreach for the next 3months. Areas of health disparities will be identified and targeted.SCDH is preparing to conduct the Community Health Needs Assessment (CHNA) and Community HealthImprovement Plan (CHIP) through the North Jersey Health Collaborative (NJHC) and our community partners.The CHNA will be worked on during the July 22, 2021 Sussex County meeting and the CHIP at the Octobermeeting.This is a requirement of the NJDOH.SCHS Accomplishments:Continuing outreach is provided to families of Children with Special Needs. This outreach is provided viaphone calls and e-mails. Families on the Special Child Health Services Resource list are provided informationale-mails as they become available.Special Child Health Services (SCHS) Case Manager speaks at all outreaches in order to provide resources tofamilies of children with special needs. Case managers network with other community service providers. CaseManagers discuss general and specific areas of concerns with the families we provide outreach to. These areasinclude: 1) Healthcare, 2) Development, 3) Education, 4) Rehabilitation, and 5) Social, Emotional andEconomic.Case Managers:Special Child Health Services Case Managers are working to help parents with back to school virtual and inperson learning options. Families were provided with information about Department of Human ServicesAssistance during the Coronavirus Pandemic. Parents can now choose for Early Intervention therapists to returnto their homes using strict guidelines, or families may continue to participate in virtual services. Case Managerscontinue to assist families with the Catastrophic Illness in Children Relief Fund (CICRF).Accomplishments/Meetings:Case Managers attended the Active Shooter class on 5/12/21Case Manager attended the Project Self Sufficiency Health Fair on 5/13/21 and presented information onSiblings of Children with Special NeedsCase Managers attended the Safety Training class on 5/20/21Case Manager attended Sussex County Council for Young Children on 5/20/21A Unit Coordinator Meeting was attended on 5/21/21.Case Managers completed Nurtured Heart Training.Case Managers have referred families to DAWNcil for assistance with the CARES Act. Individuals withdisabilities residing in Morris, Warren, and Sussex counties experiencing financial difficulties as a result of theCovid-19 pandemic may be eligible to receive financial assistance through DAWNcil under the CARES Act.Upcoming Events:Case Manager from SCHS will attend the Forward Franklin meeting on 6/2/21.Unit Coordinator Meeting on 6/25/21.

COVID-19The Sussex County Health Department continues to address the ever evolving Novel Coronavirus (COVID-19)under the New Jersey State Department of Health.Daily positive cases are entered into the CDRSS and CommCare systems from various laboratories for caseinvestigations and follow up contact tracing.The dedicated staff works continuously 7 days a week to combat the ever increasing case load, providenecessary guidelines and answer any questions regarding isolation and quarantine recommendations.Total number of cases is decreasing.COVID-19 Vaccination Pop Up Clinics:MunicipalityLocationAddressDate/1st TimedoseDate/2nd doseTimeFrankford/BranchvilleFrankford Twp. MunicipalBuildingSandyston Twp. MunicipalbuildingOgdensburg Fire House151 Rt 206 Augusta,NJ133 Co Rd 645,Sandyston, NJ30 Main StreetOgdensburg NJ141 Woodport RdSparta, NJ39 Trinity StreetNewton NJ149 WheatsworthRoad Hamburg, NJ25 Loomis Avenue,Sussex, NJ87 Halsey Rd, 00AM11:00AM11:00AM10:00AMTBDTBDTBDSandyston & MontagueOgdensburg/Franklin/HamburgSparta TownshipNewton TownSparta Twp. Fire HouseSussex and WantageTown of Newton MunicipalBuildingHardyston Twp. MunicipalBuildingSussex Fire HouseHampton and StillwaterCommunity CenterSaint Kateri ChurchSaint Kateri ChurchHardyston & Lafayette427 Stanhope SpartaRd, 4/20216/15/202106/28/2111:00 AM- 2:00 PM12:00 PM 4:00 PM9:00 AM 1:00 PM10:00 AM- 2:00 PM11:00 AM- 3:00 PM11:00 AM- 3:00 PM10:00 AM- 2:00 PM10:00 AM– 2:00 PM8:00 PMafter /2021COVID-19 Vaccination In-Office ClinicsJune 24, 2021Walk-in COVID-19 vaccination clinics will be held at the Office of Public Health Nursing, 201 WheatsworthRoad, Hamburg, once a week on Thursdays; on 06/24/21, 07/01/21, 07/08/21, 07/15/21, 07/22/21, 07/29/21,08/05/21, 08/12/21, 08/19/21, and 08/26/21 from 2:00 pm – 4:00 pm.Communicable Disease InvestigationsFrom May 1st, 2021 through April 31st, 2021, there were 106 reportable diseases investigated by Public HealthNursing in Sussex County. Among those were the following:Lyme Spotted FeverHepatitis BHepatitis CHepatitis C ChronicHepatitis C Perinatal66118321111

YersiniosisGiardiasis213114 Lyme disease remains the most investigated disease. Three Powassan cases were reported in May, after an exhaustive investigation, the cases were closed asnot a case. Statistical report by municipality with the highest number of reported diseases from May 1st to May 31st,2021 were the following:o Vernon (17)o Wantage (14)o Hampton (13)o Sparta(8)o Andover Township (7)o Hardyston (6)o Hopatcong (5)o Lafayette (5)o Montague (5)o Green (5)o Hamburg (4)o Frankford (4)o Byram (4)o Newton (3)Sussex County Tuberculosis CasesMUNICIPALITYHOPATCONG BOROUGHTOWN OF NEWTONCOUNT1 ACTIVE/ONGOING CASE1 NEW CASESussex County Lead CasesMUNICIPALITYNo new cases reported in MayCOUNT

Communicable Reportable Disease: Sussex County Office of Public Health Nursing continues to investigatereportable communicable diseases.Please see table below:Sussex County Communicable Diseases Report by Municipality May 1, 2021 - May 31, 2021MUNICIPALITYLyme DiseaseBabesiosis Powassan Spotted FeverEhrlichiosis Hep.BANDOVER BOROUGHANDOVER TOWNSHIP3111BRANCHVILLE BOROUGHBYRAM TOWNSHIP3FRANKFORD TOWNSHIP31FRANKLIN BOROUGHFREDON TOWNSHIP1GREEN TOWNSHIP41HAMBURG BOROUGH2HAMPTON TOWNSHIP421HARDYSTON TOWNSHIP6HOPATCONG BOROUGH11LAFAYETTE TOWNSHIP41MONTAGUE TOWNSHIP1121NEWTON TOWN1OGDENSBURG BOROUGH 1SANDYSTON TOWNSHIP2SPARTA TOWNSHIP61STANHOPE BOROUGH1STILLWATER TOWNSHIP12SUSSEX BOROUGHVERNON TOWNSHIP133WANTAGE TOWNSHIP1022Hep. CCampylobacteriosisYersiniosis LegionellosisAmoebiasis Giardiasis Varicella11111111211111

Sussex CountyDepartment of Health and Human ServicesDivision of HealthOffice of Mosquito ControlMay, 2021Lab Surveillance ReportTemperature and RainfallMay Daily Temperatures (F)10090Temperature (F)807060504030201001 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31Day of the MonthAverage HighHigh (F)Average LowLow (F)Rainfall InchesRainfall by Rain Gauge Location8765432106.785.894.594.242.13150 MorrisTurnpike,Frankford2.052.672.3Warbasse Junction Hopatchung Rd,Rd, LafayetteHopatcong5.214.552.172.26Kelly Rd, Vernon Vernon Crossing, AVERAGE OF RAINVernonGAUGESRain Gauge LocationMayApril-MayThe graph below shows both the average amount of rainfall we received in our monitored rain gauges in Mayand the total rainfall for April through May by year.

Average Rainfall for Rain Gauge Locations by YearRainfall 19YearMay Rainfall TotalApril-May TotalDisease SurveillanceTesting for mosquito borne virus in the adult mosquito populations began two weeks earlier this season.Twenty pools were submitted for testing the week of May 17th and twenty three pools were submitted thefollowing week, May 24. All samples were tested for the following diseases: Eastern Equine Encephalitis(EEE), West Nile Virus (WNV), St. Louis Encephalitis (SLV), and Jamestown Canyon Virus (JCV). Allsamples were NEGATIVE for all diseases.The table below shows the total number of pools that were submitted and the total number of disease tests bytown in the month of May. The diseases that mosquito pools were tested for were West Nile Virus (WNV),Eastern Equine Encephalitis (EEE), and Saint Louis Encephalitis (SLE).MunicipalityANDOVER BOROUGHANDOVER SPARTASTANHOPESTILLWATERVERNONWANTAGEGrand TotalNumber ofPoolsNumber ofSubmittedWNV ber ofEEE Tests111412225432313113343Number ofSLE Tests111412225432313113343Total TestsPerformed3331236661512969393399129

The table below displays all the species that were submitted for testing, the percentage of the total speciessubmitted, the number of positive pools per species, and the minimum field infection rate (MFIR).SpeciesAedes abserratusAedes sticticusAnopheles punctipennisCulex restuansCulex sp.Culiseta melanuraGrand TotalNumber of MosquitoesSubmitted for %0.13%9.77%89.22%0.13%-NumberofPositive Pools0000000MFIR0000000Trap SurveillanceThe table below shows all trap collections for the month of May by muncipality.Total # of ons Collections Collections over Twp. 03Stanhope3801190Stillwater12038Sussex 21572487251TOTALofin

The chart below shows the total number of species that were collected in traps in the month of May for thecounty.May species Totals from Trap CollectionsUr. sapphirina15Orth. signifera1Oc. triseriatus1Oc. thibaulti8Oc. stimulans64Oc. sticticus8Oc. provocans7Oc. japonicus39Oc. grossbecki1Oc. fitchi2Oc. excrucians27Mosquito SpeciesOc. canadensis786Oc. aurifer8Oc. abserratus193Cx. spp.672Cx. territans8Cx. salinarius4Cx. restuans3443Cx. pipiens133Cx. erraticus4Cs. minnesotae4Cs. melanura87An. walkeri826An. quadrimaculatus23An. punctipennis247An. barberi1Ae. vexans29Ae. cinereus43805001000150020002500Number of Mosquitoes Collected300035004000

Larval SurveillanceThe graph below shows the number of larvae by species that have been identified in May.Total Larvae Identified from Larval SamplesOc. triseriatus6Oc. thibaulti3Oc. sticticus7Oc. japonicus9Oc. canadensis302Oc. abserratus1Cx. territans24Cx. restuans421Cx. pipiens27Cs. morsitans1Cs. melanura6An. punctipennis1Ae. vexans159Ae. cinereus10050100150200250Field Surveillance ReportTotal Service Requests Received:Total Service Requests Field Rectified and Closed:Cumulative Service Requests for 2021:7739May Service Requests by artaWantage300350400450

May Service Request Targets76543210InformationRequesting LarvicidingAir Spray ProgramA small air spray was conducted on May 7, 2021. A total of 406 acres were treated by fixed plane with 1,625pounds of granular product. The areas treated were located in the Hopatcong Borough and Vernon Township.Field InspectionsTotal Field Inspections: 457Total Number of Ground Treatments: 85Total Acreage Treated: 32 acresMay Field Inspections by Municipality140120100806040200

May Ground Treatments by reenHardystonSpartaSussexCatch Basin Treatments by onHamptonHopatcongPesticide Product UsageLarvicide Program1400120010008006004002000Altosid briquetsAltosid pelletsAltosid WSPAquabac 200GBonideMetalarv S-PTVernon

Adulticide ProgramNo adulticiding applications were conducted in the month of April. The truck mounted ULV sprayers were setup to complete calibration and droplet testing.Source Reduction ProgramInspectors collect tires when found abandoned along the side of the road or within mosquito larval sites. Tiresare stored in a trailer across the street from the office, which is funded by the Sussex County CleanCommunities program. Tires are collected in an effort to remove mosquito larval habitat by recycling thecollected tires.Total Tires Collected in: 12Cumulative Tires Collected for 2021: 32Number of Tires Collected121086420VernonSussexTotal Amount of Tires Wantage

Administrative ReportPublic Education ProgramCurrently registered to attend the Children’s Day Event at the NJ State Fair in August.GIS ProgramOffice is still working towards fully integrating the use of our Fieldseeker program. We have recently gonepaperless for field inspections and treatments and have stopped completing written reports. Data is beingentered directly into the software on the mobile handheld devices, which is updated in real time to be viewedand reviewed by the supervisor on the desktop version.Meetings/TrainingsStaff attended mandatory training for Hazard Communications, Blood borne pathogens and fire extinguishersafety on May 14.Paige, Senior REHS, completed and obtained certification for the Northeast Regional Center for Excellence’sVirtual Boot Camp lecture series. Attendees gain hands-on experience in the latest methods for field collectionand identification of medically important ticks and mosquitoes in the Northeast region of the US.Sussex County Rabies Report – May, 2021MONTHY RABIES DATA FOR: May 1 – May 31, 2021There were (64) domestic or wild bite exposure reports from animals that required follow-up investigation. The animals involved were Dogs (41), Cats (14), Bats (4), Raccoons (3), Rooster (1), Pig (1)(5) animals were sent for testing; (0) animals tested positive(9) people received PEPThe number of investigations per municipality is listed in the parentheses:Andover Township (2), Byram Township (2), Frankford Township (3), Franklin Borough (1), GreenTownship (3), Hampton Township (2), Hardyston Township (3), Hopatcong Borough (8), LafayetteTownship (1), Newton Town of, (2), Ogdensburg (1), Sandyston Township (3), Sparta Township (7),Vernon Township (6), Wantage Township (4)OOJ (Total (16): Bushkill, PA (1), Chester, Morris Cty (2), Edison, Middlesex Cty (1), Kearny (1), Long Island,NY (1), Mt. Arlington, Morris Cty (1), Oak Ridge, Morris Cty (2), Paterson, Passaic Cty (1), Ringwood (1),Roxbury, Morris Cty (1), Waldwick, Bergen Cty (1), Warren Cty (1), Warwick, NY (1), Westfield, Union Cty(1)END

A Health Check will be held at the Office of Public Health Nursing, 201 Wheatsworth Road, Hamburg, once per month on 6/8/21, 7/13/21, 8/10/21, 9/14/21, 10/12/21, 11/9/21 and 12/14/21 from 2:00pm to 4:00pm. April 13 clinic was cancelled. One adult is scheduled for the 6/8/2021 clinic. This clinic offers vacci