Public Health

Big Horn County


News from the Wyoming Department of Health


Tuesday, April 30, 2019

Contact: Kim Deti

Phone: 307-777-6420

Measles Vaccination Remains Important for Wyoming Residents

Extra Doses or Boosters Not Currently Needed

A Wyoming Department of Health (WDH) official says increased cases of measles in some areas of the United States show why vaccination is important, but extra vaccine doses or boosters for state residents are not currently needed.

There has not been a reported case of measles in Wyoming since 2010. However, more than 700 measles cases, the most since 1994, have been confirmed across the country this year by the federal Centers for Disease Control and Prevention (CDC). The majority involved unvaccinated people.

“Measles should be taken seriously, because it can sometimes lead to pneumonia, swelling of the brain known as encephalitis and death,” said Dr. Alexia Harrist, WDH state health officer and state epidemiologist.

“We are concerned about the growth in measles cases across the country, but believe no new or extra actions are needed in Wyoming at this point. We want people to follow the vaccination recommendations that are already in place,” Harrist said.

Harrist said measles begins in most people with fever, runny nose, cough, red eyes and sore throat, followed by a rash that spreads over the body.

“Measles is extremely contagious and easily spreads to others through coughing and sneezing,” Harrist said. “It is important to be up to date on vaccinations because anyone who is not protected against measles, including children too young to be vaccinated, could become infected with a serious disease.”

Experts recommend a safe and effective vaccine that provides protection against three diseases: measles, mumps, and rubella (MMR). Children should get one dose at 12 through 15 months old and then another at age 4 through age 6.

There are also specific recommendations for international travel:

  • ·Infants 6-11 months old need one dose of measles vaccine.
  • ·Children 12 months and older need two doses separated by at least 28 days.
  • ·Teenagers and adults who do not have evidence of immunity against measles should get two doses separated by at least 28 days.

Evidence of immunity, or protection from measles, for adults involves:

  • ·Written proof of one or more doses of a measles-containing vaccine for adults not at high risk or two doses for those at high risk.
  • ·Birth before 1957
  • ·Laboratory evidence of immunity
  • ·Laboratory confirmation of measles

Adults who do not have evidence of immunity and who were born after 1957 should consider getting at least one dose of MMR vaccine. Adults at increased risk include college students, healthcare workers and international travelers. “People in this high-risk group should consider two doses if they do not have proof of immunity,” Harrist said.

“The CDC estimates 3 to 4 million people got measles each year in this country before our vaccination program began in 1963, with thousands of hospitalizations and hundreds of deaths,” Harrist said. “Vaccination against this serious disease has been quite successful.”

Measles is still common in many parts of the world including some countries in Europe, Asia, the Pacific and Africa. People in the United States still get measles in rare situations.

“Every year, unvaccinated people get measles during international travel, bring the disease into the United States, and spread it to others who are unvaccinated,” Harrist said. “Ongoing spread of the disease is a risk in communities with pockets of unvaccinated people and can lead to outbreaks.”

More information about measles is available from the CDC at


Helpful Article Regarding the Holiday Blues - Dr, David Fairbanks

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Flu Information from the Big Horn County Health Officer - Dr. David Fairbanks

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News from the Wyoming Department of Health


Wednesday, August 29, 2018

Contact: Kim Deti

Phone: 307-777-6420

Plague Confirmed in Sheridan County Cat

A Sheridan County cat has recently been confirmed as infected with plague, according to the Wyoming Department of Health (WDH). No human cases have been identified in the area.

The cat’s home is in Big Horn and the animal is known to wander outdoors in the area. The illness was confirmed by the Wyoming State Veterinary Laboratory in Laramie earlier this week.

“Plague is a serious bacterial infection that can be deadly for pets and for people if not treated as soon as possible with antibiotics,” said Dr. Alexia Harrist, state health officer and state epidemiologist with WDH. “The disease can be transmitted to humans from ill animals and by fleas coming from infected animals. We want people to know of the potential threat in the cat’s home area as well as across the state.”

“While the disease is rare in humans, we assume the risk for plague exists all around Wyoming,” Harrist said. Six human cases of plague have been exposed in Wyoming since 1978 with the last one investigated in 2008. There are an average of seven human cases across the nation each year.

Recommended precautions to help prevent plague infection include:

  • · Use insect repellent on boots and pants when in areas that might have fleas
  • · Use flea repellent on pets, and properly dispose of rodents pets may bring home
  • · Avoid unnecessary exposure to rodents
  • · Avoid contact with rodent carcasses
  • · Avoid areas with unexplained rodent die-offs

Plague symptoms in pets can include enlarged lymph glands; swelling in the neck, face or around the ears; fever; chills; lack of energy; coughing; vomiting; diarrhea and dehydration. Ill animals should be taken to a veterinarian.

Plague symptoms in people can include fever, swollen and tender lymph glands, extreme exhaustion, headache, chills, coughing, difficulty breathing, abdominal pain, vomiting and diarrhea. People who are ill should seek professional medical attention.

More information about plague is available online from the federal Centers for Disease Control and Prevention at



 Pfizer, Inc. Issues A Voluntary Nationwide Recall Of One Lot Of Children’s Advil® Suspension Bubble Gum Flavored 4 FL OZ Bottle

Pfizer Consumer Healthcare, a division of Pfizer Inc., is voluntarily recalling one lot of Children’s Advil® Suspension Bubble Gum Flavored 4 FL OZ Bottle because of customer complaints that the dosage cup provided is marked in teaspoons and the instructions on the label are described in milliliters (mL).

Pfizer concluded that the use of the product with an unmatched dosage cup marked in teaspoons rather than milliliters has a chance of being associated with potential overdose. The most common symptoms associated with ibuprofen overdose include nausea, vomiting, headache, drowsiness, blurred vision and dizziness.
Children’s Advil® Suspension Bubble Gum Flavored 4 FL OZ Bottle temporarily reduces fever, relieves minor aches and pains due to the common cold, flu, sore throat, headaches and toothaches.

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Information on Dry -Drowning

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Influenza Alert 

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 Flu Vaccination:

It’s Not Too Late!

With flu activity increasing and family and friends planning gatherings for the holidays, now is a great time to get a flu vaccine if you have not gotten vaccinated yet. A flu vaccine can protect you and your loved ones. Everyone 6 months of age and older should get a flu vaccine every season. This season, CDC recommends only flu shots (not the nasal spray vaccine).

While seasonal flu activity varies, flu activity usually peaks between December and February, though activity can last as late as May. As long as flu activity is ongoing, it’s not too late to get vaccinated, even in January or later. An annual flu vaccine is the best way to protect against this potentially serious disease. Even if you have already gotten sick with flu this season, it is still a good idea to get a flu vaccine. Flu vaccines protects against three or four different flu viruses (depending on which flu vaccine you get).

Schedule your appointment with Big Horn County Public Health at either location Greybull 307-765-2371 or Lovell 307-548-6591


Big Horn County Public Health is funded by Big Horn County and the Wyoming Department of Health

Big Horn County Public Health Nursing
“Healthy People in Healthy Communities”

Wyoming Department of Health
“To Promote, Protect, and Enhance the Health of all Wyoming Citizens”

County Health Officer: Dr. David Fairbanks, M.D. FAAFP

Staff Photo

Staff photo 2016 not pictured Tracy Jolley Lovell Administration assistant (800x600)

Back Row: Caroyln Barnes, RN - Lovell clinic, Kami Neighbors, Public Health Response Coordinator, Dr. David Fairbanks, County Health Officer, Trudy Craft, RN, BSN Greybull Clinic. Front Row: Kristi Stevens, Administrative Assistant Greybull clinic, Hillary Mulley, RN, BS Lovell Clinic Supervisor, Bobbie Jenks, RN, BSN Big Horn County Nurse Manager. Not pictured Tracy Jolly, Administrative Assistant Lovell clinic 


Hours:  Monday thru Friday
8am – 12 Noon and 1PM – 5PM
Closed Weekends and County Holidays