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Health Department

Lisa Gulla, Health Officer
(973) 593-3079
(973) 593-3072
Madison Civic Center
28 Walnut Street
Madison, NJ 07940 (map)

 Next Board of Health Meeting 

Tuesday, October 21, 8:00pm 
Trustees Room, Borough Hall


Women’s Health Screening, Wednesday,  November 5

 Offered by the Madison Health Department

 Open to all women 18 and over who live in town including nannies and other household employees and those without health insurance coverage

 Where: Madison Health Department, Civic Center, 28 Walnut Street, Madison

 When:  Wednesday, November 5 starting at 9:30 a.m.

 What: Comprehensive check up for women: manual breast and pelvic exams, colo-rectal exams, blood pressure checks and education on the technique of monthly breast self-examination. Dr. Rohini Jobanputra will determine with each woman if a Pap test is advisable.

 Sign ups: Appointments are necessary and may be made by calling 973-593-3079 ext.1 beginning on October 9.

Fees: There may be a $25.00 fee for the Pap test for Madison and Springfield residents.


Please call for an appointment if you have not had your flu shot.  The immunizations are free to seniors with a Medicare Part B card; there will be a $25.00 charge for all others.  All are reminded to wear short sleeves if possible when they come for their flu shot.

Why:  Seasonal flu vaccine is recommended by Centers for Disease Control and Prevention (CDC) for everyone over the age of 6 months. The CDC states: “Vaccination is especially important for people at higher risk of severe influenza and their close contacts, including healthcare personnel and close contacts of children younger than 6 months.  Everyone should get the 2014-2015 seasonal influenza vaccine.” Most people are ill with flu for only a few days, but some get much sicker and may need to be hospitalized.  Each year many unnecessary deaths might be avoided with vaccination including those who suffer the severe complications of influenza disease.  It may take up to two weeks for protection to develop after receiving the vaccine and protection may last for up to one year.                          Since most influenza occurs from November through May, now is the best time to get a flu shot to insure full protection for the whole season. However, vaccinations may be given any time during the flu season.  Protect yourself, your family and those in your community by getting your flu vaccine at this year’s clinic.

“Empowering End of Life Care Decision Making”

Planning ahead with loved ones on how you want to be cared for if you suffer a life threatening illness or as you reach the natural end of life is a difficult but worthwhile conversation. New Jersey Department of Health Commissioner Mary E. O’Dowd recommends that residents with a life-limiting illness outline their wishes by completing the “Practitioners Orders for Life-Sustaining Treatment (POLST)” form with their health care provider to identify goals of care and preferences for treatment.  Advance directives are legal documents of an individual’s wishes at any stage of life.  To learn more about these important steps to insure that your wishes are documented and followed, see Commissioner O’Dowd’s letter at : http://www.state.nj.us/health/news/2013/approved/20131125a.html or click on the Palliative and End of Life Care tab on the Department’s Home Page: http://www.state.nj.us/health/


West Nile Virus update...

With warm weather approaching, local mosquito commissions and health departments are working hard to monitor and control the spread of West Nile Virus in the mosquito population.

 When is the Peak Season for WNV?

In the past, peak West Nile Virus activity in New Jersey usually occurred in August/September.

 How is WNV transmitted to people?

West Nile Virus is transmitted primarily by the bite of an infective mosquito. Residents are advised to take precautions to reduce the risk of mosquito bites.

 What Can Be Done to Prevent WNV?

  •  When outdoors, use insect repellent containing an EPA-registered active ingredient: The gold standard for mosquito repellent is DEET, which may be used on adults and children greater than two months of age. Other repellents recommended by the CDC include picaridin, IR3535 and some oil of lemon eucalyptus and para-methanediol products.  Oil of lemon eucalyptus products should not be used on children under three. Always follow label instructions for repellents
  • Limit time outdoors at dawn and dusk, when mosquitoes are most active, or wear  long-sleeved shirts and long pants during those times

  •  Keep mosquito netting over infant seats and strollers

  • Eliminate any standing water where mosquitoes can lay eggs. Mosquitoes that breed around the home are primarily responsible for transmitting West Nile Virus to humans! Morris County residents may report mosquito problems and standing water to the     Morris County Mosquito Commission at (973) 285-6450.
  • Install or repair window and door screens

Support community-based mosquito control programs.

 What are the Symptoms of WNV?

 West Nile virus infection generally causes no symptoms or mild flu-like symptoms. About one in 150 people infected with WNV, or less than one percent, will develop a more severe form of the disease. Symptoms of the more severe disease can include severe headache, high fever, neck stiffness, stupor, disorientation, coma, tremors, convulsions, muscle weakness, paralysis and death. The elderly are at higher risk of more severe disease.

How Prevalent was WNV in Morris County last year (2013 data)?

  • Five human cases of WNV were identified in the following four counties: Bergen (1), Burlington (1), Camden (2) and Morris (1)
  • 19 birds tested positive for WNV from 8 counties, none from Morris
  • 390 mosquito pools tested positive for WNV from 19 counties, including: Morris with 22

 What are other sources of information on WNV?

MERS information- Very low risk for most US residents. Learn more about this disease here.


The Sting of Shingles   
Vaccine, Treatments Reduce Risks

If you’ve ever had chickenpox, you may be at risk for a painful disease called shingles as you grow older. Shingles is a sometimes-agonizing skin rash and nerve disease that’s caused by a virus. Fortunately, you can take steps to prevent shingles or ease its serious effects.

Shingles usually affects adults after age 50, although it can strike at any age. “In the U.S., the incidence of shingles is actually increasing,” says Dr. Jeffrey Cohen, an infectious disease researcher at NIH. “If you live to be 85 years old, you have a 50% chance of getting shingles.”

Shingles is caused by the varicella-zoster virus—the same virus that causes chickenpox. Once you’ve had chickenpox, the virus stays with you for life, hidden and inactive in your nerve cells. Your immune system helps keep chickenpox from returning. But later in life, the virus can re-emerge and cause shingles (also known as herpes zoster).

You can’t “catch” shingles from someone else. But it is possible for a person with a blistery shingles rash to pass on the varicella-zoster virus to someone who’s never had chickenpox or a chickenpox vaccine. If that happens, the other person would get chickenpox, not shingles.

Shingles may cause skin sensitivity ranging from mild itching to severe pain along with burning, tingling, or numbness. A rash with fluid-filled blisters nearly always appears on just one side of the body or face. The rash usually lasts for 7 to 10 days. Other symptoms may include chills, fever, upset stomach, and headache.

Shingles can lead to some serious problems. If it appears on your face, it can affect your hearing and vision. It may cause lasting eye damage or blindness. After the rash fades, the pain may linger for months or years, especially in older people. This lasting pain, called post-herpetic neuralgia, affects nearly 1 out of every 3 older people with shingles. The pain can be so severe that even the gentlest touch or breeze can feel excruciating.

To help prevent these problems, see your doctor at the first sign of shingles. Early treatment can shorten the length of infection and reduce the risk of serious complications.

To treat shingles, your doctor may prescribe antiviral drugs to help fight the varicella-zoster virus. Steroids can lessen pain and shorten the time you’re sick. Other types of medicines can also relieve pain.

Fortunately, a vaccine called Zostavax can help prevent shingles or decrease its severity. It’s been approved by the U.S. Food and Drug Administration (FDA) for people ages 50 and older. “The vaccine can prevent shingles and reduce the risk of post-herpetic neuralgia, which can be very debilitating,” Cohen says.

The shingles vaccine is available by prescription. Unfortunately, the vaccine is expensive, and the costs aren’t always covered by health insurance. If you’re considering the shingles vaccine, be sure to discuss the pros and cons of the vaccine with your doctor, and check with your insurance provider about coverage.

Now that people have been receiving the shingles vaccine for several years, researchers are evaluating whether booster shots might be appropriate. Scientists are also studying post-herpetic neuralgia to find better ways to treat this complication from shingles.

The Madison Health Department has Zostavax vaccine for those with no insurance or with insurance that doesn’t cover the vaccine.  Medicare alone still does not cover cost.
Reprinted from NIH, News in Health, April 2014

 Rodent Prevention Measures


Rodent activity causes damage to homes and food supplies each year. They can also spread diseases to humans directly, from bites or contaminated food, or indirectly from ticks and fleas. Take precautions and prevent rodent attraction by practicing the following measures:

 Identifying Rodent Infestations:

  • Notice rodent droppings near food, in drawers, or under the sink
  • Find nesting material like shredded paper or plant matter
  • Notice gnawing on food packages
  • Find holes or entry ways into the home – rat burrows are holes in the soil approximately the size of a baseball

 Prevention Measures:

  • Make sure all garbage is sealed properly without any spillage or overloading
  • Seal openings where entry points for rodents may be located – under porches, for example
  • Keep grass short and remove weeds
  • Avoid throwing bird food or scraps of crackers, bread, etc. outside
  • Keep bird feeders away from the house
  • Clean animal feces regularly
  • Store food in proper containers with tight lids
  • Keep compost bins (for leaves, grass and garden material) away from the house and elevate any woodpiles at least 1 foot above the ground

New Underage Drinking Ordinance in Madison

Get more information on the underage persons private property law regarding alcohol use. Private Propery Ordinance Brochure

Bear Safety

     Learn what you should do if bear visit your neighborhood or yard!
     Click here for important safety tips

Mold Awareness Information and Classes
Mold has always been a concern of residents throughout the years and now, post Sandy and Irene, the need to address the issue and educate the public is greater than ever.  The New Jersey Department of Health and UMDNJ School of Public Health have worked together to provide classes throughout the State (click for flyer) for interested residents as well as a downloadable guide (click highlighted section).

Go GREEN for Cleaning your home...
Spring and summer bring nicer weather, flowers, and the feeling of renewed energy...Many times it also brings the desire to clean up and clean out.  Click to download a Easy, Green Guide to Spring Cleaning and for some basic household Spring Cleaning Tips....

2014 Animal Census for Licensed Dogs and Cats now!

Please click here to read an important reminder from the Madison Health Department on the Animal Census to be conducted over the summer and potential fines for any unlicensed animals.

Public Health – Great Return on Investment

Supporting investment in evidence-based public health programs will result in healthier communities and reduced cost in treating diseases. Investing just $10 per person each year in community-based public health activities could save more than $16 billion within five years. Many lives are saved thanks to vaccines and investments in public health systems coincide with improvements in health, especially in children’s health.

Good health doesn’t happen by chance. Good health is shaped and nurtured — it’s connected to the environments in which we live, work and play.  Public health has a role in all of our lives. It’s tied to the resources available in our communities; and research shows that it’s undoubtedly linked to a person’s access to health care. These are the intersections where you find public health and prevention.

Click here to go to blog on the value of public health to our communities.

Click here to see a video on Public Health's Return on your Investment.

Immunization Clinics for underinsured or uninsured children:

2nd Tuesday of each month by appointment only.  Call 973-593-3079x9

Mom, Dad and BabyPertussis (Whooping Cough) is Peaking!  Take Action!

 Check out MAASA

The Madison Alliance Addressing Substance Abuse, is a community-based coalition dedicated to preventing and reducing the use and abuse of alcohol, tobacco and other drugs. They have a special focus on children and adolescents and it is our goal to promote a drug and alcohol-free environment for them and to encourage responsible use by adults.  The always enjoy public input and participation.  To learn more about MAASA click on their webpage: http://www.maasa.org/maasa/, follow them on twitter @maasa_online, and/or like them on facebook http://www.facebook.com/#!/MadisonAllianceAddressingSubstanceAbuse?fref=ts

Preparing for Emergencies: 

Check out the New Jersey Department of Health and Human Services website for what you can do to prepare your home and family for an emergency situation. Click the link below to learn how to make an emergency plan, get an emergency kit, stay safe from infectious diseases, prepare for severe weather events like hurricanes and extreme heat and much more.

Public Health Alerts

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