Welcome!

Through our programs, with a focus on disease prevention and health promotion, we are helping to ensure your health and safety. Call 541-889-7279 to make an appointment or to learn more about our services. Stay up to date with public health news below.

Celebrate Nurses!

We had nurses out of the office last week for a conference on Sexually Transmitted Infections (have you been tested?) and decided to celebrate National Nurses Week late when we had all our our extraordinary nurses back in office.

National Nurses Week begins each year on May 6th and ends on May 12th, Florence Nightingale’s birthday. Nightingale (1829-1910) was an English social reformer who is considered the founder of modern nursing.

Our seven nurses and one nurse practitioner serve thousands of people each year through our clinical and maternal child health services. Many health departments and health care providers struggle to staff nursing positions and we’re aware of just how lucky we are to have so many talented, caring professionals protecting the health of our community.

Thank you, Rebecca, MaryLue, Tracy, Angelica, Heather, Marlene, Raquel, and Jerrimi!

MCHD Nurses Make a Difference!

Rebecca Stricker, Nursing Supervisor

From the MCHD Team:

  • Rebecca is very kind and compassionate. She really cares about people.
  • She does a great Michael Jackson impersonation.
  • She works hard to help our clients and her coworkers, no matter what.
  • Rebecca is a great leader who is willing to try new things and teach others.

Heather Burrows, Maternal Child Health Supervisor

From the MCHD Team:

  • Heather is so knowledgeable and kind.  I love listening to her when is explaining stuff and goes full nurse mode.  I am so happy to be working with her in the home visiting program!
  • Heather has a world of knowledge and truly is an amazing nurse with a caring heart.

Angelica Resendiz, Public Health Nurse & Immunization Coordinator

From the MCHD Team:

  • Angelica is very thoughtful and considerate with respect to making services available to traditionally under-served communities.
  • I love that she cares a lot about our farmworker community, and makes sure to always go to them during flu season to make it easier for them to obtain their vaccinations.
  • Angelica shows people that they’re worthy of being cared for. She reassures clients when they’re anxious or afraid and let’s them know we want them here.

Tracy Buster, Public Health Nurse & Reproductive Health Coordinator

From the MCHD Team:

  • Tracy shows acceptance and respect to our clients, even when they may not feel secure.
  • Tracy is really good with everyone, especially teens.
  • Tracy has done a wonderful job in increasing access for our local youth and ensuring our services are comfortable to them.
  • She does an excellent job of teaching the next generation of nurses in our community!
  • Tracy does an amazing job with our clients always so kind and helpful!

MaryLue, Public Health Nurse

From the MCHD Team:

  • MaryLue goes above and beyond to meet patients where they are at and make sure they have equal access to healthcare.
  • MaryLue makes anyone she speaks to feel very comfortable during her appointments.
  • She puts our clients at ease and is compassionate, especially when they are anxious about being here.
  • MaryLue has always been great when it comes to speaking with teens just like Tracy is. They are both passionate and compassionate about their work.

Jerrimi Helmick, Family Nurse Practitioner & Clinic Provider

From the MCHD Team:

  • I have had multiple people tell me that Jerrimi is the only person they will see for women’s care because she truly cares about each and every person.
  • Don’t get me started about Jerrimi! Her kindness, knowledge and compassion are legendary!

Marlene Meadows, Public Health Nurse & Home Visitor

From the MCHD Team:

  • Marlene goes above and beyond because she cares about the families she serves.
  • She is an amazing nurse and her home visiting families love her! She truly cares for her families and I am so grateful to be working with her.
  • Marlene always makes sure the families she serves have every resource available to them. She’s also great when it comes to the referrals I make to her.

Raquel Bennett, Public Health Nurse & Communicable Disease Coordinator

From the MCHD Team:

  • Raquel is super smart and figures things out quickly. She’s been a huge support to our team.
  • She works with healthcare providers and clients in such a kind and professional way. People respond to her because she clearly wants to help.
  • She shares yummy eggs from her chickens and ducks!

Thank you, nurses! Get in touch by calling 541-889-7279 to make an appointment for services or to learn more about our programs.

Main Entrance Open

The Malheur County Health Department has completed our construction updates. Starting May 20th, please use the main entrance that faces SW 11th Avenue. Signs will be posted.

Thank you for your patience during the last few months of updates, we look forward to seeing you in our beautiful, updated space.

El Departamento de Salud de Malheur ha terminado de actualizar la construcción. A partir del 20 de mayo, utilice la entrada principal que dé a SW 11th Avenue. Se colorarán letreros.

Gracias por su paciencia durante los últimos meses de actualizaciones, esperamos verlo en nuestro hermoso y actualizado espacio.

AgriStress Helpline now open

OSU Extension Service has started a crisis helpline dedicated to serving Oregon’s agricultural and forestry communities. The Oregon Agristress Helpline – 833-897-2474 – is available 24 hours a day, seven days a week by call or text. The voice line can be accessed in up to 160 languages with the help of interpreters, and the text line services English, Spanish and Vietnamese.

The AgriStress Helpline is unique because it is completely dedicated to serving Oregon’s agriculture and forestry communities, which includes farmers, farm workers, ranchers, fishermen, foresters and their families.

The 2-sided fact sheet below is available in Spanish and English:

Stressful events for agricultural populations might include:

  • Change in farm policies
  • Chemical exposure
  • Financial concerns (ie: equipment purchases, borrowing for farm operations, mortgages or rent, insurance)
  • Loss of crop or livestock
  • Personal or family concerns (ie: death of someone close, illness, marital relationships, family demands)
  • Weather
  • Work-related injuries

H5N1 Bird Flu Update

Note: Our May 3 blog post shared a map of past and current wild bird outbreaks and language that was confusing. We have removed that map and updated the information. 

What is H5N1 and why is it in the news?

H5N1 is a kind of bird flu virus that is common in wild birds around the world. (H5N1 may also be referred to as HPAI – Highly Pathogenic Avian Influenza – which is a group of bird flu viruses). Over the past few years, H5N1 virus has also caused outbreaks in commercial poultry operations. 

Recently, H5N1 has been in the news because the virus has been detected in dairy cows in several states in the U.S.  One worker in Texas sickened by H5N1. (Previously, one person was sickened in 2022.)

So far, there have been no reports of the H5N1 virus in Oregon dairy cows. 

The Centers for Disease Control (CDC) and the US Department of Agriculture (USDA) are leading the response to H5N1 virus outbreaks in dairy cows. The CDC’s risk assessment for the general public is low. No person-to-person spread of the H5N1 virus has been detected. This is one of the things the CDC is monitoring. 

What are the recommendations for people who are around livestock?

Specific recommendations for farmers; poultry, backyard flock, and livestock owners; and worker protection are available.

According to the CDC, people should avoid unprotected exposures to sick or dead animals including wild birds, poultry, other domesticated birds, and other wild or domesticated animals (including cattle), as well as with animal carcasses, raw milk, feces (poop), litter, or materials contaminated by birds or other animals with confirmed or suspected H5N1 virus infection. 

People exposed to birds or other animals with confirmed or suspected H5N1 virus infection should be monitored for any signs and symptoms of illness for 10 days after the last known exposure, including people wearing recommended personal protective equipment (PPE). Additional information on protective actions around birds, including what to do if you find a dead bird, is available on CDC’s website.

What about drinking milk and eating dairy products?

The U.S. Food and Drug Administration (FDA) is not concerned with the safety of the commercial milk supply at this time. Only milk from healthy animals is authorized for distribution into interstate commerce for human consumption. Additionally, pasteurization is required for any milk entering interstate commerce. Pasteurization has been proven to inactivate bacteria and viruses, like influenza, in milk. Milk from ill (symptomatic) animals is being diverted or destroyed so that it does not enter the human food supply.

Additionally, the FDA has been testing products in the national commercial milk supply, including milk, cottage cheese and baby formula. Results find that pasteurization is effective in inactivating H5N1.  

What about raw milk and cheeses?

People should not prepare or eat uncooked or undercooked food or related uncooked food products, such as unpasteurized (raw) milk, or products made from raw milk such as cheeses, from animals with confirmed or suspected H5N1 infection. 

FDA’s longstanding position is that unpasteurized, raw milk can harbor dangerous microorganisms that can pose serious health risks to consumers, and FDA is reminding consumers of the risks associated with raw milk consumption in light of the H5N1 detections.

What’s next?

CDC continues to work with USDA, FDA, and state health departments to monitor people exposed to animals infected with the H5N1 virus. Because influenza viruses constantly change, continued surveillance and preparedness efforts are critical, and CDC is taking measures in case the public health risk assessment changes. This is a developing situation, and CDC will share additional updates as new relevant information becomes available.

Stay up to date with the CDC at https://www.cdc.gov/flu/avianflu/avian-flu-summary.htm.

Spotlight on Malheur County Family Planning Program

Who are we?

  • A group of caring nurses and a nurse practitioner who offer high quality reproductive health services and birth control.
  • Most services will be free or low cost to everyone, regardless of immigration status, sex, or gender identity.
  • Short term methods available on same day as visit.

What types of services are available at our clinic?

  • Birth control and condoms
  • Women’s check-ups, including breast exams and Pap tests
  • Emergency Contraception
  • Pregnancy tests
  • Screening and treatment for sexually transmitted infections
  • HPV and other immunizations
  • Information about tubal ligations and vasectomy and how to access resources
  • Colposcopy services, if needed after an abnormal Pap

Who qualifies for our services?

  • Individuals who can get pregnant OR get someone else pregnant.  Most anyone under 250% of the Federal Poverty Level is likely eligible for free reproductive health services.
  • Reproductive health is not just for women! We serve men as well.
  • Youth of any age may make an appointment/obtain services without parental consent.

How to access our services?

  • Call to make an appointment today 541-889-7279.
  • Walk-ins accepted upon nurse availability.

2023 Report

  • There were 89 teen clients (age 13-19) served through the Family Planning program, compared to 33 teens in 2021.
  • There were 95 males who were served through Family Planning, compared to 45 in 2022 and none in 2021.
  • The percentage of clients using long-acting, reversible contraception increased from 11.3% in 2021 to 12.5% in 2022.  14% of Family Planning clients use Nexplanon, a type of long-acting, reversible contraception) compared to the statewide average of 9.6%. Data for 2023 has not yet been released, but we anticipate another increase.

2024 Goals

  • Increase the number of teen Family Planning clients by 5%. That would be an increase of four more patients, for a total of 93 patients aged 13-19.
  • Host the Teen Advisory Coalition with at least ten students from area schools and meet at least seven times.
  • The Teen Advisory Coalition will identify health disparities teens experience and develop at least seven social media posts to engage their peers in topics related to their health.
  • Participate in at least three community outreach events to provide education and counseling about public health family planning services.

Additional Resources

Raise your voice in the EOCCO Community Health Assessment

If you live in Eastern Oregon, the Eastern Oregon Coordinated Care Organization (EOCCO) invites you to participate in their 2024 Community Health Assessment. EOCCO works in partnership with public health, health care providers, community partners, and health systems to deliver care to Oregon Health Plan (Medicaid) members. It’s really important that they are able to have an accurate assessment of community health in our area so that their future plans align to our needs. EOCCO says, “feedback and collaboration are invaluable to us as we work together to set priorities for the next five years and improve community health outcomes.”

Please help us by completing and sharing the survey to ensure we gather as much feedback as possible:

English Survey: https://forms.gle/TmHwF8qfNRbk6wcf9

Spanish Survey: https://forms.gle/2G3dJRXfQYXMCsfp9

The Eastern Oregon Counties included in the survey are:

  • Baker
  • Gilliam
  • Grant
  • Harney
  • Lake
  • Malheur
  • Morrow
  • Sherman
  • Umatilla
  • Union
  • Wallowa
  • Wheeler

For questions or more information, contact our local Community Engagement Specialist, John Lucero, at 541-705-4881 or Jlucero@gobhi.org.

Post removed

We apologize that incorrect information was shared in a recent post on the H5N1 bird flu situation in dairy cows. The post has been removed and our communicable disease team will post an update as soon as possible. Thank you!

Health Equity Conference: Call for Presenters & Sponsors

You’ve hopefully already saved the date for the 2024 Eastern Oregon Health Equity Conference and now it’s time to apply to be a presenter and/or sponsor! Four Rivers Healthy Community welcomes all community partners across Eastern Oregon that are working to develop health equity to share their strengths by sponsoring and presenting at the conference. The planning committee will review all applications and notify potential presenters by July 1st if they are selected. Presentations in Spanish are welcomed.

Complete the online form by Friday, May 31, 2024. Thank you!

Download and share the flyers in English and Spanish.

Lunch & Learn May 8th

The next Lunch & Learn hosted by the Malheur County Health Department is Wednesday, May 8th at noon at the Four Rivers Cultural Center (676 SW 5th Ave, Ontario) and not at the MCHD office. Matsy’s is catering and we’ll hear about the Family Planning program.

The May 8th Lunch & Learn will be at the Four Rivers Cultural Center.

Please help spread the word! Lunch is free and all are welcome. We have to change locations due to building repair work (still) happening at the health department office. We hope to be back to hosting at the health department in June.

Healthcare providers can help prevent early death in rural communities

A new CDC MMWR (Morbidity and Mortality Weekly Report) found that preventable early deaths from the five leading causes of death are more common among people living in rural areas than people who live in urban areas.

At the Malheur County Health Department, we want to work together with healthcare providers and other people who care about community health to support population-based strategies to reduce these deadly health risks. The CDC recommends that professionals focus on the following areas to reduce these disparities impacting rural Americans.

  • Screen patients for high blood pressure
  • Increase cancer prevention and early detection
  • Encourage physical activity and healthy eating
  • Help patients quit smoking
  • Promote motor vehicle safety
  • Engage in safer prescribing of opioids for pain

Want to learn more or work with us? Call us at 541-889-7279 to make an appointment with our nurses for individual care or schedule time for a conversation on practice or policy with our leadership.

Read more from the CDC here: http://bit.ly/ss7302a1