Month: August 2020

First Mosquitoes with West Nile Virus Found in Malheur County

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West Nile Virus (WNV) a mild flu-like disease spread by mosquitoes, has been detected for the first time in Malheur County in 2020 in mosquitoes at a testing site in Malheur County, according to Oregon Public Health officials.

Health officials are advising people in Malheur County to take precautions against mosquitoes to avoid the risk of infection, including preventing mosquito bites. West Nile is spread to humans through the bite of an infected mosquito.

WNV was found on the corner of Butte and Onion in between the cities of Vale and Ontario close to the Vale golf course. The Malheur County Vector Control District fogged extra in that area on Saturday, August 29th and Wednesday, September 3rd, to mitigate the spread of the virus. The Vector Control District also plans on larviciding new sites in the area with drones and will increase trapping in the affected area.

This is what we are planning on doing extra for the area that WNV was found until our test come back negative.

About one in five infected people may show signs of West Nile virus. People at risk of serious illness include individuals 50 and older, and people with immune-compromising conditions, such as diabetes and high blood pressure.

West Nile symptoms may include fever above 100 degrees and severe headache, stiff neck, mental confusion, muscle weakness, shaking, paralysis or rash. People should contact their health care provider if experiencing any of these symptoms.

The incubation period is usually two to 14 days. Rarely, infected individuals may develop an infection of the brain or spinal column that can be severe or may cause death. This is especially of concern to those who have a compromised immune system, or the elderly.

The number of mosquito pools – samples of about 50 mosquitoes – testing positive in any area could lead to infection. Dr. Emilio DeBess, veterinarian at the Oregon Health Authority’s Public Health Division, recommends people and animals be protected against mosquito bites.

“It’s very easy for people to prevent bites from mosquitoes that may carry West Nile virus,” DeBess says. “Although the risk of contracting West Nile virus is low, people can take simple precautions to keep these insects at bay if they’re headed outdoors.”

DeBess offers these tips:

  • Eliminate sources of standing water that are a breeding ground for mosquitoes. This includes watering troughs, bird baths, clogged gutters and old tires.
  • When engaged in outdoor activities at dusk and dawn when mosquitoes are most active, protect yourself by using mosquito repellants containing DEET, oil of lemon eucalyptus or Picardin, and follow the directions on the container.
  • Wear long-sleeved shirts and long pants in mosquito-infested areas.
  • Make sure screen doors and windows are in good repair and fit tightly.

Malheur County Vector Control monitors the presence of the West Nile Virus in thee Culex mosquitoes. Once the virus is detected, then the Malheur Vector Control will apply pesticides to the proven affected areas as well as continue to monitor for the virus. However until the virus is detected, we will focus our effort on applying larvacides and testing the culex population for the West Nile Virus.

Climate change effects such as increased temperature and changes in rainfall have led to longer mosquito seasons and are contributing to the spread of West Nile virus, health officials say. They agree these, and other climate change indicators must be considered to help people better prepare for future transmission of the disease.

Contact the Malheur County Health Department at 541-889-7279 or the Malheur County Vector Control at 541-473-5102 with any questions or concerns.

Additional information about West Nile virus is available at:

Malheur County Reviews School Blueprints for Reentry

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Returning Oregon students to onsite learning is an enormous responsibility that is shared by schools, districts, and local and state public health agencies. At this time, no school in Malheur County meets the criteria for in-person instruction, although some meet exceptions. All schools meet the exception that provides an allowance for limited in-person instruction for specific groups of students. Three districts (Arock, Juntura, and Jordan Valley) meet the exception for districts with enrollment of <75 students in total in areas with less cases and community spread and will be able to reopen for in-person instruction. For more information on the criteria, visit the Oregon Department of Education (ODE) School Metrics Dashboard, a visual Metrics Explainer, and the full Ready Schools, Safe Learners Guidance for planning for the 2020-2021 school year.

For schools to be able to meet the exception for “low population density counties,” the following metrics need to be met:

  • Total county COVID-19 cases in the last three weeks is ≤30, with less than half of cases (or ≤5 cases) reported in the last week of the three-week period.
  • Schools fully comply with sections 1-3 of the Ready Schools, Safe Learners guidance and students cannot be part of any single cohort, or part of multiple cohorts that is >50 people.
  • There is not community spread in the school catchment area.
  • There is not community spread in the communities that serve as the primary employment and community centers (for shopping and other in-person services) and the school is isolated by a significant distance from communities reporting COVID-19 community spread in the previous three weeks. 
  • The school does not serve a significant number of transfer students from outside its catchment area that are from communities reporting COVID-19 community spread in the previous three weeks.

In response to those metrics, Malheur County Health Department (MCHD) is reporting the number of cases per day, per week, and over the past three weeks on the daily updated COVID-19 Cases page, so that the community can track how close we are to allowing those exceptions to school districts.

MCHD has received the following schools’ Operational Blueprint for Reentry, written following the guidance issued by the ODE. Staff from Malheur County Health Department and Environmental Health are reviewing sections One through Three of the Blueprints. Links to district plans can be found on the Oregon Department of Education website. We are ready to work with these schools to mitigate the impact of COVID-19 in our community.

  • Adrian School District
    • Adrian Elementary/Middle School
    • Adrian High School
  • Arock School District
    • W W Jones Elementary School
  • Annex School District
    • Annex K-8
  • Burnt River School District
  • Community School
    • Four Rivers Community School
  • Jordan Valley School District
    • Rockville School
  • Juntura School District
    • Juntura K-8
  • Harper School District
    • Harper Charter School
  • Huntington School District
    • Huntington Schools
  • Nyssa School District
    • Nyssa High School
    • Nyssa Middle School
    • Nyssa Elementary School
  • Ontario School District
    • Aiken Elementary School
    • Alameda Elementary School
    • Cairo Elementary School
    • May Roberts Elementary School
    • Ontario High School
    • Ontario Middle School
    • Pioneer Elementary School
  • St. Peter School District
  • Vale School District
    • Oregon Trail Learning Academy
    • Willowcreek Elementary
    • Vale High School
    • Vale Middle School
    • Vale Elementary School

MCHD urges the public to come together and be vigilant. Help us reduce the spread of COVID-19, prevent overloading the health care system, and keep people healthy. This virus is dangerously impacting a large percentage of our community and it still poses a great threat. Please follow safety measures in place to help schools reopen for in person instruction. It’s up to us to follow the guidance if we want to keep Malheur County safe and strong.

Stay healthy when the air is smoky

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With multiple wildfires in and around Malheur County and across the western states, we’re experiencing poor air quality that can be hazardous to your health. Most of the smoke we’re seeing right now is from Northern California. Smoke from wildfires is a mixture of gases and fine particles from burning trees and other plant materials. Smoke can hurt your eyes, irritate your respiratory system, and worsen chronic heart and lung diseases. Follow these tips and stay informed to protect yourself.

Hazy, smoky air: Do you know what to do?

  • Limit your exposure to wildfire smoke.
  • Reduce time spent outdoors. This can usually provide some protection, especially in a tightly closed, air-conditioned house. Set your A/C to recycle or recirculate, when at home or in your car, to limit your exposure. Be sure to follow precautions like wearing masks and keeping social distance if you have people outside your household in your home.
  • Reduce time you engage in vigorous outdoor activity. It can be an important, effective way to lower the amount of smoke you are breathing in. It can minimize health risks during a smoke event.
  • Stay hydrated. Drink plenty of water.
  • Reduce other sources of indoor smoke and dust. These can be burning cigarettes, candles, gas, propane and wood burning stoves and furnaces, and vacuuming.
  • Check current air quality conditions. Go to http://oregonsmoke.blogspot.com/ to find the current air quality.
  • If you have heart or lung disease or respiratory illnesses such as asthma, follow your health care provider’s advice about prevention and treatment of symptoms.

Frequently Asked Questions: Wildfire Smoke and Your Health

Wildfire Smoke Guidance for Clinicians

Reducing Health Effects of Wildfire Smoke

Wildfires and severe smoke can create dangerous conditions for people, especially those with chronic health conditions.

Learn about current wildfires, wildfire smoke conditions, and what you can do to reduce the health effects of wildfire smoke.

Current Wildfire Information

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Follow the Malheur County Emergency Management FB page for updates and state resources below.

Wildfires in Oregon

Current Fire Information

Current wildfire information can be found on the Oregon Department of Fish & Wildlife (ODF) Wildfire blog, the ODF Fire Statistics Database, or the Northwest Interagency Coordination Center (NWCC) active large fires map.

During fire season, the current fire season map (see top of this post) will show active large fires ODF is tracking in the state and the locations of year-to-date lightning and human-caused fires (statistical fires where ODF is the primary protection agency).

Open Letter to Governor Brown

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The following letter was sent to Governor Brown’s office today in response to Malheur County being put in Phase 1.

Dear Governor Brown,

Thank you for your ongoing support and care for Oregonians, including the people in Malheur County. With 0.7% of the state population, we have a smaller infrastructure to respond to public health emergencies, but the capacity needs are not much different than they are in urban counties when it comes to COVID-19 prevention and outcomes. This provides many new opportunities for the future of public health modernization and investment in Malheur County and across the state. We will do our best to rise to the current challenges and ask for your continued assistance as we respond to the change to put Malheur County back to Phase 1 and want to prevent the possibility of a stay home order that does not address the reasons we see community spread and increased outbreaks, which are detailed in part below.

Situation Update

With COVID-19 cases continuing to rise in Malheur County, there are a few concerns important to keep in consideration. With over 7,300 COVID-19 cases in Idaho counties that share a border with Malheur County, the possibility of Malheur cases being linked to Idaho cases is high, yet Orpheus, the Oregon electronic disease surveillance system, does not share information with the Idaho communicable disease reporting system. This means that a number of Malheur cases are not able to be linked to known cases in Orpheus, even if they are already entered as a Person Under Monitoring (PUM) to an Idaho case. It will be difficult to get the percentage of cases linked to a known case down if only Oregon cases are counted.

As of the last OHA Weekly Update, pulling data from August 9th, 176 COVID-19 cases were reported as an outbreak at Snake River Correctional Institution (SRCI). That same day, Malheur County reported a total of 800 cases, making the SRCI numbers 22% of total cases. With the majority of those cases in Adults in Custody, we recommend removing those cases when evaluating future changes in phases. We have concern and care for Adults in Custody and the staff at SRCI and have a positive relationship with leadership locally and at the Department of Correction.

The metric for positive rate of cases to be less than 5% was absolutely a goal for the first several months of testing in Malheur County, but is an unreasonable percentage at this point because such a high percentage of the county has already been infected. With each new positive case, if the person had a negative test, that number would be deducted from the negative count and added to the positive. With 4,550 tests already reported in the county as of August 14th, 14.7% of the county is already represented. We would have to have an 16,172 additional people (over half of the population of the county) to test negative to bring the rate to 5%. This is not a realistic goal with current testing capacity of limited testing supplies and low accessibility of testing through health care providers for people without symptoms.

Malheur County Health Department (MCHD) Case Investigators report that a high percentage of cases are of people with many close contacts, who are essential business workers or share households with essential workers, and in a large percentage of people who have chronic underlying health conditions, especially obesity and diabetes, making the risk of severe cases higher. Hesitance to be tested or access health care have also been frequently reported. Going to the baseline phase of a stay at home order would not directly address these trends, because most of the industries in Malheur County where we see COVID-19 cases increasing are considered essential, primarily agriculture and food processing. What would be impacted is the availability of child care, while schools are closed for in person instruction, and additional economic hardships across the county that pose other risks exacerbating the 30% childhood poverty rate, lack of access to remote work, and decrease in behavioral health treatment.

Malheur County Action

MCHD plans to increase our COVID-19 response in several ways detailed below that will directly address reasons for the spread of COVID-19 and hopefully allow reentry to Phase 2 while reducing the number of cases and outbreaks in the county.

One of the ways the Malheur COVID-19 Taskforce is addressing the public health needs during the pandemic is to prioritize free COVID-19 testing. The Taskforce’s drive-up test sites across Malheur County’s largest towns have been coordinated over the last four months and next week we will complete the 12th test site. After a series of long turn around times for test results when sending specimens to Quest Laboratories, we are grateful to now send specimens to the Oregon State Public Health Lab and have results quickly. Part of the surge in cases in July could be attributed to people waiting 14-19 days for test results and not staying home while potentially infectious. We are considering continuing the drive-up test sites with assistance or to convert to monthly flu vaccine Points of Distribution (PODs). With many people being treated for the flu each year, concern for health care system capacity, and the need to isolate with flu-like symptoms, the flu vaccine is an important part of our COVID-19 response heading into the fall.

Another plan is to increase the “Keep Malheur County Open” campaign in English and Spanish with direct outreach to cities, churches, and community based organizations with flyers, social media graphics, two billboards, and banners. Additionally, we will promote the “Mask Up Malheur County” Public Service Announcement and share other PSAs created by the State and CDC with local media.

On July 15, 2020 the statewide ban took effect for indoor social gatherings of 10 or more individuals and requiring face coverings for all indoor and outdoor gatherings when 6’ distance can not be maintained. That same day, the Malheur County Court approved the Malheur County COVID-19 Taskforce request to support the state rules and to limit outdoor social gatherings to no more than 25 individuals. The resolution was extended for another three weeks on August 6, 2020. While we have taken greater efforts to reduce the high risk of large gatherings in Malheur County, social gatherings in Idaho, including large events like fairs and rodeos, have been a draw for people from Malheur County. We will continue to support limits to high risk gathering in requests to the County Court and in wide spread, multi-lingual messaging.

With Community Based Organizations (CBOs) beginning COVID-19 work with Local Public Health Authorities over the next month, outreach and wrap around services will be enhanced. With new perspectives and approaches, more people will hear the public health messages for COVID-19 to prevent infection and stay home and access health care when needed if sick. Wrap around services, including food box delivery, financial assistance, and other social services have slowly been utilized more in the last month and with the CBO assistance, we expect far more wrap around supports to encourage people to stay home when in isolation or quarantine. We are in negotiations with a local motel to purchase a block of 16 rooms a month at a time to set up reliable quarantine and isolation facilities for individuals who cannot isolate at home or who do not have stable housing.

Through partnership with leadership, Valley Family Health Care, a Federally Qualified Health Clinic, with locations in the three largest towns in Malheur County, will expand COVID-19 testing to individuals without symptoms who are part of groups disproportionately affected by COVID-19, including people with close contact with a case, who are agricultural workers,  who are over age 65, who identify as people of color, identify as having a disability, or who speak English as a second language. By testing more at a lower threshold, the positive rate should go down and asymptomatic cases could be identified.

MCHD has an Abbott test machine from the state and a policy to expand testing to people without insurance. With additional tests and staffing, we would be able to expand testing in the MCHD clinic during the week. Nursing staff is extremely limited. We do have an RN position open and although public health nursing is often not competitive with other nursing positions across the state, we hope to hire soon. We will stay in contact with the OHA about the number of tests used and needed.

MCHD will contract with an Epidemiologist to provide additional reporting and recommendations for the COVID-19 situation and share more about case trends, disproportionate risk, and a more detailed view of where or why people are impacted most. We are hopeful that by being transparent with as much data as possible, while protecting private health information, the public will better understand the increasing risk of COVID-19 transmission in Malheur County. MCHD is in contract negotiations with an additional public health physician to provide weekly medical consult to increase the support for health care providers and case investigators. The OHA has also provided ongoing assistance with on-call Epidemiologists and we appreciate any additional guidance at that level.

Thank you for considering the unique situation in Malheur County. We are geographically larger than nine U.S. states, have a diverse population, a small public health department, and a lack of workforce expertise. Because of the seriousness and complexity of the COVID-19 response, we rely on our state partnerships and welcome coaching, planning, staff for case investigation, public information and epidemiologist support, testing capacity, and other best practices that will help us protect and promote the health of Malheur County residents. The OHA has been helpful and responsive to these needs and we look forward to improving our situation during this time in Phase 1.

Sincerely,

Sarah Poe, Director, and the Malheur County COVID-19 Taskforce

Malheur County Returns To Phase 1 August 17th

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Today, Governor Kate Brown Announced Change to Reopening Status for Malheur County. The Governor’s press release explained, “…Malheur County will move from Phase 2 back to Phase 1 status, effective Monday, August 17. Malheur County was placed on the County Watch List on July 3, and COVID-19 has been spreading rapidly in the county since then, even with additional support from state public health officials.

“Over the past month, COVID-19 cases in Malheur County have risen so much that restrictions must be put back in place or we risk further illnesses and death in the region,” said Governor Brown. “I know this change is difficult, but immediate action is necessary in order to reduce the spread of the disease and protect all those who call Malheur County home.”

Malheur County COVID-19 Information

  • Malheur County has a case rate of 266 cases per 10,000 people—the third highest in the state.
  • Over the past two weeks, the county has had a test positivity rate of 26%, which is far above the state average of approximately 5.8% for the last two weeks.
  • The county has reported an average of 15 cases per day over the past two weeks.
  • Over the past week, 55% of new cases were sporadic cases that could not be traced back to a known source.
  • One larger long-term care facility outbreak (23 cases) and a few small workplace outbreaks have been reported.
  • The Oregon Health Authority (OHA) has provided assistance with messaging and masking requirements, and is also providing ongoing case investigation support for weekend coverage.

The county will remain in Phase 1 for at least 21 days. The Governor’s office, along with public health experts, will review the situation and data on a weekly basis and remain in close communication with county leaders.

In Phase 1, recreational sports, swimming pools, and events and venues like movie theaters, bowling alleys, and arcades remain closed. Non-essential local travel is allowed. Personal services businesses are allowed to operate with health and safety measures in place. Restaurants and bars are open for dine-in service until 10 p.m. with health and safety measures in place. Indoor social gatherings remain capped at 10 people as long as physical distancing is maintained, while other gatherings are limited to 50 indoors and 50 outdoors. This means that indoor gatherings, including faith-based, civic, and cultural gatherings are limited to 50 indoors and 50 outdoors.”

On August 6th, the Malheur County Court extended the resolution to restrict outdoor gatherings to 25 people, because the incidence of cases that could not be traced to a known source was increasing and the risk of transmission remains high in the county.

Of additional concern to the risk of COVID-19 in Malheur County is the number of cases in the last month in Idaho. With tens of thousands of Idahoans in Malheur County every day to work and shop, the alarming rate of cases in neighboring counties is relevant to the risk in Malheur. As of today, Idaho is reporting 26,631 cases. Oregon is reporting 22,300 cases. Idaho has approximately 42% of the population of Oregon. We urge the public and Idaho leaders to follow CDC, local hospital administration, and state public health recommendations to slow the spread of COVID-19 across our shared communities.

August 13, 2020 – Number of COVID-19 cases in Idaho counties sharing a border with Malheur County:

  • Washington: 217
  • Payette: 417
  • Canyon: 6,064
  • Owyhee: 269
  • Total Cases: 6,967

We know what works to prevent the spread of COVID-19:

  • Know how it spreads: The best way to prevent illness is to avoid being exposed to this virus.
  • Wash your hands often.
  • Avoid close contact.
  • Cover your mouth and nose with a mask when around others.
  • Cover coughs and sneezes.
  • Clean and disinfect frequently touched surfaces daily.
  • Monitor Your Health Daily: Isolate and get tested if you have symptoms.
  • Stay home during full isolation or quarantine if you are sick or exposed to a known case.

The Malheur County COVID-19 Taskforce is preparing additional steps to respond to the Phase 1 step back and to prevent the possibility of a stay home order. Find out more about Phase 1 guidance on the Governor’s website and stay up to date with daily cases at malheurhealth.org/covid-19-cases.

August is National Immunization Awareness Month

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Parents are understandably nervous about taking their children and teens to their doctors’ offices right now. As a result, children in Oregon are falling behind on their childhood vaccinations.

August is National Immunization Awareness Month and we want to work with families to ensure this pandemic is not followed by an increase in cases of vaccine-preventable diseases or a preventable outbreak. Malheur County Health Department (MCHD) is taking several precautions in our office to provide a safer environment for all clients. We can do drive up vaccines, when requested. Appointment are required for immunizations. Please call 541-889-7279 to schedule. MCHD offers immunizations for all ages and has several free and low cost programs.

With so many people out of work and without health insurance, it’s important to know you can still keep your child safe. The Vaccines for Children (VFC) program offers free vaccines to families who cannot afford to pay for their children’s vaccines.

If your children need health insurance, they may be eligible for the Oregon Health Plan (OHP). It is open to all children and teens younger than 19, regardless of immigration status, who meet income and other criteria. MCHD OHP Application Assisters can help you fill out an application.

Revised Rural Health Metrics Highlight Planned Updates to Ready Schools, Safe Learners

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Oregon Department of Education August 11, 2020 News Release:

The planned updates to 2020-21 school year guidance include more flexibility for rural and remote schools to offer in-person instruction, protocols for COVID-19 outbreaks in schools, supports for special populations, athletics, and more.

As part of its planned guidance review process, the Oregon Department of Education released updates today to Ready Schools, Safe Learners, the 2020-21 school year guidance.

Ready Schools, Safe Learners, developed under the direction of Governor Brown and in collaboration with Oregon Health Authority, provides a framework for schools for the 2020-21 school year that prioritizes the health and safety of all students and staff and the families they return to each day.

Flexibility For Rural And Remote Schools

The revised guidance gives rural and remote schools more flexibility to offer in-person instruction. The new metrics require close partnership between school districts and local public health authorities to oversee a return to in-person instruction in small communities not impacted by COVID-19. The metrics also clarify limited in-person opportunities in schools required to operate through Comprehensive Distance Learning. Our priority is to return to in-person instruction as soon as it can be accomplished with stability and safety.

Other updates to the Ready Schools, Safe Learners guidance include:

  • A new toolkit for planning for COVID-19 outbreak scenarios in schools. This toolkit is titled Planning for COVID-19 Scenarios in Schools.
  • Guidance to ensure equity and access for students served by the Every Student Succeeds Act (ESSA), the Americans with Disabilities Act (ADA), and the Individuals with Disabilities Education Act (IDEA). This guidance is titled Ensuring Equity & Access: Aligning Federal and State Requirements.
  • New additions to the Comprehensive Distance Learning guidance, including guidance for limited in-person instruction and supports, new requirements for meeting the needs of students without access to online instruction, and more. 
  • Many updates to safety protocols for On-Site and Hybrid instructional models, including clarification that face coverings are preferred over face shields, but face shields remain acceptable in some settings. (Page 33)
  • Recognizing the positive mental, physical, and emotional health benefits school sports provide for student athletes, ODE and OHA have revised athletic health and safety guidance to minimize the spread of COVID-19 while allowing for the conduct of low, medium, and non-contact sports, in line with the school sports calendar determined by the Oregon School Activities Association. At this time, full-contact sports such as wrestling, football, basketball, hockey, and cheerleading continue to be prohibited under ODE and OHA guidance. 
  • Updates on meal service (Page 44), transportation screening (Page 45), safety drills (Page 48) and more. 

The Comprehensive Distance Learning guidance, Ensuring Equity & Access: Aligning Federal and State Requirements guidance, and Planning for COVID-19 Scenarios in Schools toolkit are all part of Ready Schools, Safe Learners. These documents and the contents, tools, and links within them, are all linked from Ready Schools, Safe Learners, work in concert with each other and are considered part of the whole package of supports and guidance for school districts.

Decrease in COVID-19 hospitalization reporting

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Sharing this important message from the Oregon Health Alert Network to healthcare facilities and providers:

In the midst of the COVID-19 epidemic, it is extremely important that health care facilities and health care providers comply with their COVID-19 reporting requirements. The Oregon Health Authority has observed a decrease in COVID-19 hospitalization reporting. This is a concerning trend, as we cannot take appropriate action to respond to this epidemic without your assistance and cooperation. Please review the COVID-19 reporting requirements below. Thank you, in advance, for your collaboration.

Health care facilities and health care providers are required, by law, to report the following within 24 hours (including weekends and holidays):

  • All human cases of COVID-19 to the local public health administrator. When local public health administrators cannot be reached within the specified time limit, reports shall be made directly to the Oregon Health Authority.
  • All human cases of multisystem inflammatory syndrome in children (MIS-C).
  • Hospitalization of any individual with COVID-19, on or after March 9, 2020, whether or not the case was previously reported.
  • Deaths of any individual due to COVID-19, on or after March 9, 2020, whether or not the case was previously reported.

In addition, licensed laboratories are required to report:

  • All test results indicative of and specific for COVID-19 within 24 hours (including weekends and holidays).
  • All negative test results for COVID-19 within one local public health authority working day.

Health care providers must report this information in one of two ways, in order of preference:

WIC Farmers Market

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Don’t miss the WIC Farmers Market August 11-12 outside the Health Department 1108 SW 4th Street in Ontario.

Get your WIC Farm Direct checks! If you are current on WIC, you may be eligible to receive $28 worth of WIC Farm Direct checks to use with local farmers at the Farmers Market or their farm stands.

Interested in WIC?

  • Do you live in Oregon?
  • Are you pregnant, postpartum, or breastfeeding woman or a child under 5 years old?
  • Are you receiving TANF, SNAP or the Oregon Health Plan or meet WIC income guidelines? Call Malheur County WIC at (541)889-7279 to make an appointment!