Author: admin@blake.com

Phone: 530.283.6307 (collect calls accepted)
Website: www.countyofplumas.com
Mailing Address: 270 County Hospital Rd., Ste. 109, Quincy, CA 95971
Street Address: Same
Days/Hours: Office: Monday through Friday, 8:00 a.m. to 5:00 p.m.; Emergency: 24 hours
a day, 7 days a week.

Services: Mental health provides a full range of out-patient services to all residents of Plumas County. Crisis services are available through our agency or by contacting the Crisis Line. Emergency hospitalizations and evaluations provided. Services for adults and children range from consultation, assessment, referral, and medication to individual, group, marital and family therapy. Services are available in Portola and Chester by appointment.

Persons Served: All residents
Area Served: Plumas County
Fees: Sliding scale, Medi-Cal accepted

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Who is at risk

Immunocompromised people, including those on medications and chemotherapy that impacts antibody production, are at a heightened risk.

Because polio is spread via fecal-oral transmission, frequent handwashing can help prevent the spread of poliovirus, Hoy said.

Other than regular hand washing and getting vaccinated, Hoy says there are no specific precautions that immunocompromised people should take at this time.

 

Loved ones of at-risk groups should ensure they are up to date with their polio vaccinations and ensure their children are on schedule for their childhood vaccinations, which includes the polio shot.

 

Dr. Monica Gandhi, MPH, professor of medicine at the University of California, San Francisco, said the polio vaccine is very effective at preventing illness.

 

“We know that the initial polio vaccine protects individuals from severe disease for a long time, possibly a lifetime although individuals vary,” Gandhi said.

 

“The only people who need to worry are those who are unvaccinated because vaccines are extremely protective against the severe forms of polio, like the vaccines with COVID. Children are most at risk of paralytic polio so it is imperative to catch up to childhood vaccines as there were setbacks during COVID-19.”

 

Gandhi noted that while vaccines prevent disease, they may not always prevent all spread, as with the COVID-19 vaccine.

 

“However, unlike with COVID-19, since we usually only screen for polio if someone has symptoms, we know very clearly that vaccination does prevent the development of polio symptoms,” Gandhi added.

 

Monkeypox is a viral zoonosis (a virus transmitted to humans from animals) with symptoms similar to those seen in the past in smallpox patients, although it is clinically less severe. With the eradication of smallpox in 1980 and subsequent cessation of smallpox vaccination, monkeypox has emerged as the most important orthopoxvirus for public health. Monkeypox primarily occurs in central and west Africa, often in proximity to tropical rainforests, and has been increasingly appearing in urban areas. Animal hosts include a range of rodents and non-human primates.

Signs and symptoms

The incubation period (interval from infection to onset of symptoms) of monkeypox is usually from 6 to 13 days but can range from 5 to 21 days.

The infection can be divided into two periods:

• the invasion period (lasts between 0–5 days) characterized by fever, intense headache, lymphadenopathy (swelling of the lymph nodes), back pain, myalgia (muscle aches) and intense asthenia (lack of energy). Lymphadenopathy is a distinctive feature of monkeypox compared to other diseases that may initially appear similar (chickenpox, measles, smallpox)
• the skin eruption usually begins within 1–3 days of appearance of fever. The rash tends to be more concentrated on the face and extremities rather than on the trunk. It affects the face (in 95% of cases), and palms of the hands and soles of the feet (in 75% of cases). Also affected are oral mucous membranes (in 70% of cases), genitalia (30%), and conjunctivae (20%), as well as the cornea. The rash evolves sequentially from macules (lesions with a flat base) to papules (slightly raised firm lesions), vesicles (lesions filled with clear fluid), pustules (lesions filled with yellowish fluid), and crusts which dry up and fall off. The number of lesions varies from a few to several thousand. In severe cases, lesions can coalesce until large sections of skin slough off.

Monkeypox is usually a self-limited disease with the symptoms lasting from 2 to 4 weeks. Severe cases occur more commonly among children and are related to the extent of virus exposure, patient health status and nature of complications. Underlying immune deficiencies may lead to worse outcomes. Although vaccination against smallpox was protective in the past, today persons younger than 40 to 50 years of age (depending on the country) may be more susceptible to monkeypox due to cessation of smallpox vaccination campaigns globally after eradication of the disease.  Complications of monkeypox can include secondary infections, bronchopneumonia, sepsis, encephalitis, and infection of the cornea with ensuing loss of vision. The extent to which asymptomatic infection may occur is unknown.

 

The case fatality ratio of monkeypox has historically ranged from 0 to 11 % in the general population and has been higher among young children. In recent times, the case fatality ratio has been around 3–6%.

 

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120-222-1000

001-222-6666

000-213-3450

000-213-3450

123-234-4333

(24 hours crisis line)

123-234-4333

(24 hours crisis line)

099-123-3456

099-123-3456

012-234-3456

012-234-3456

National Suicide Prevention Lifeline:
1-123-222-6789

Blake County Child Protective Services:
222-200-9876

Blake County Mental Health:
123-222-8887

Blake County Public Health Agency STD Clinic:
012-234-4567

Blake County Sheriff’s Department:
222-200-9876
(civil)

Blake Crisis Intervention Resource Center:
234-234-3333
(24hr crisis line)

Blake Rural Services-Domestic Violence Services:
012-234-8887

Phone: 582.987.8340
Website: www.blakecounty.com
Address: 143 Riverside Ave, Blake County, CA 97530
Days/Hours: Mon-Fri 8:00 AM to 5:00 PM (Emergency 24/7)

Services: Mental health provides a full range of services to all residents of Blake County. Crisis services are available through our agency or through contacting the Crisis Line. Emergency hospitalizations and evaluations provided. Services for adults and children range from consultation, assessment, referral, and medication to individual, group, marital and family therapy.

Persons Served: All residents
Area Served: Blake County

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