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Adult Immunizations

The need for immunization doesn't end with childhood. Adults also need vaccines to protect against disease.

What to Bring with You

  • Your immunization record
  • Insurance card

Immunization Clinic Hours (Olathe & Mission)

The Mission immunization clinic is closed daily from 12:30-1:30 p.m.; the Olathe clinic remains open.

  • Monday - 8:00 a.m. - 4:00 p.m.
  • Tuesday - 8:00 a.m. - 4:00 p.m.
  • Wednesday - 10:00 a.m. - 6:30 p.m.
  • Thursday - 8:00 a.m. - 4:00 p.m.
  • 1st, 3rd and 5th Friday (Olathe) - 8:00 a.m. - 4:00 p.m.; Mission - CLOSED
  • 2nd and 4th Friday (Olathe) - 8:00 a.m. - 12:00 p.m.; Mission - CLOSED

If you need a copy of your immunization records, call 913-826-1200 or send an email to MedicalRecords-DHE@jocogov.org.

Adolescents and Adults:  Take this quiz to find out which vaccines YOU may need. This quiz provides information for people age 11 years and older.

Do You Know Which Adult Vaccines You Might Need?

Recommended Adult Immunization Schedule

Vaccines for Adults (Fact Sheet)

Adult Immunizations Offered and Vaccine Prices

  • Chickenpox (Varicella)
  • Hepatitis A
  • Hepatitis B
  • HPV (Gardasil) 4 and (Gardasil) 9
  • Influenza (Seasonal Flu)
  • Measles/Mumps/Rubella
  • Meningitis: Menomune/Menactra, Trumenba
  • Polio
  • Pneumo 13
  • Pneumococcal
  • TB Test
  • Tetanus diphtheria/Tdap
  • Typhoid Vi
  • Prescription for Oral Typhoid
  • Yellow Fever (Call for availability. Individuals age 60 and over must bring in a signed, written statement from a health care provider stating that the individual is in good health and has no contraindications to receiving the Yellow Fever vaccine.)
  • Shingles (Zostavax, age 60+)

GARDASIL - Please call for vaccine availability. See the Centers for Disease Control & Prevention for more information.

Immunization Consent Form

A written consent form is required for all immunizations. A parent or guardian must provide a written consent form for children under 18. Please bring child's current immunization record to the visit.

JCDHE is a KanCare provider for all managed care organizations: Amerigroup, Sunflower and United Community. JCDHE also accepts private insurance from Blue Cross Blue Shield of Kansas City, Cigna, Coventry and UnitedHealthcare. We do not take insurance from Coventry Advantra or Humana Gold Plus. Many of the services JCDHE offers are covered by insurance; check your health benefit plan to confirm coverage for payment of services.

JCDHE also accepts cash, check, credit or debit card as payment for clients who are without insurance or who carry other insurance plans.

Payment is required at the time of visit. Price is subject to change based on cost of vaccine.

Blood Pressure Clinics

Schedule for 2017

nurse taking blood pressure

Blood pressure clinics are provided by Registered Nurses at various locations throughout Johnson County. For more information, contact Dawn Mangan at (913) 826-1228 or e-mail to dawn.mangan@jocogov.org.

Download 2017 schedule



Johnson County Administration Building, 111 S. Cherry St., Olathe (1st Monday, 8:00a-9:30a)

Sunset Drive Office Building, 11811 S. Sunset Dr., Olathe (1st Monday, 11:15a-12:15p)

North Central Multi-Service Center, 12425 W. 87th St., Lenexa (1st Wednesday, 8:30a-9:30a)

Gardner Senior Center, 128 E. Park, Gardner (1st Thursday, 10:30a-11:15a)

Shawnee Methodist Church, 10700 Johnson Dr., Shawnee (2nd Monday, 10:45a-11:45a)

Johnson County Central Resource Library, 9875 W. 87th St., Overland Park (2nd Wednesday, 10:00a-11:30a)

Matt Ross Community Center, 8101 Marty, Overland Park (3rd Monday, 10:30a-11:45a)

Rosewood Place, 8500 Pflumm Road, Lenexa (3rd Monday, 1:00p-2:00p)

Lenexa Senior Center, 13425 Walnut, Lenexa (3rd Tuesday, 10:30a-11:30a)


For mother, breastfeeding:

  • Is convenient; there's nothing to buy, carry, heat or measure
  • Gives you time and helps you relax
  • Speeds up postpartum healing
  • Saves up to $2,000/year in feeding costs

For baby, breastfeeding:

  • Provides all the nutrients needed and in the right amounts
  • Causes less spit up and stomachaches because it's so easy to digest
  • Lowers risks of allergies, earaches, weight problems, SIDS (sudden infant death syndrome), and other childhood illnesses

What real Johnson County mothers say about breastfeeding:

“I love the closeness that breastfeeding gives my son and I. He wasn’t always easy at first, but since I never gave up it has paid off tenfold. It really makes motherhood that much more special.”

“I really enjoy breastfeeding my twins since I have two babies. It is nice to get to spend some alone time with each of them.”

“I enjoy breastfeeding because it’s quick and convenient for me, but more importantly, it’s beneficial for my child and his health.”

“Breastfeeding has single-handedly been the best experience of my life. My two girls have never been sick, had ear infections and are already smart and gifted for their ages! I love it with all my heart!”

If you have any questions or concerns about breastfeeding, call the WIC office and ask to speak to a Breastfeeding Peer Counselor. Watch the video below to find out more about the services Breastfeeding Peer Counselors provide to WIC clients.

For more information on breastfeeding, please visit the La Leche League site.

Classes for WIC Participants

Please join us for a FREE breastfeeding class!  Classes are held at our locations in Olathe and Mission. Click the link below for class information, dates, and maps.

You must be a current WIC client to enroll in our breastfeeding class.

2017 Class Schedule
Horario de clases de 2017

Register for classes online here.

Kansas Breastfeeding Friendly Practice Designation

Kansas Breastfeeding Friendly Practice Designation LogoThe Kansas Chapter of the American Academy of Pediatrics with the Kansas Breastfeeding Coalition has created this designation that can be earned by medical providers in Kansas who offer breastfeeding support and encouragement to mothers and babies. 

Child Care Classes

Johnson County Department of Health and Environment Course Registration:

Register for Classes

Child Care FAQs

children asking questionsHere are answers to the questions that we receive from child care providers and parents.

Where is the Child Care Licensing Office located?
We are located in Suite 2700 of the Sunset Drive Office Building in Olathe on the corner of Ridgeview and 119th Street. Our address is 11811 S Sunset Drive, Suite 2700, Olathe, KS 66061. Our phone number is (913) 477-8339 and fax number is 913-477-8035. If you are coming to the office, we are located on the second floor.

Questions about Licensing and Renewal

How do I start the process of licensing a day care center or facility?
You need to contact Eldonna Chesnut at (913) 477-8366 to set up an appointment for a one-on-one meeting.

Who do I call to ask about starting an in-home daycare business?
Please call (913) 477-8339 to talk with our staff.

What type of home can be used for home childcare in Johnson County?
If you are thinking of starting an in-home child care business, you need to contact your city. Cities have different requirements and regulations which they will explain to you. You will also need to contact your fire department to make sure that your home meets their requirements.

Under what circumstances does Kansas law NOT require a license for child care?
There are four circumstances where licensing is not required. 1) when child care is provided for not more than two children unrelated to the provider for 20 hours per week or less and the home has not been closed as a result of enforcement action. Total time is determined by adding the hours each child is cared for weekly. 2) when irregular child care is arranged between friends and neighbors on an exchange basis. 3) when child care is provided in the child's own home. 4) when the child care is provided in the home of the child's relative.

Can I keep my home daycare license current even though I'm closing my daycare?
Yes, but you will be subject to an annual inspection including meeting required trainings and regulations. Best practice would be to close and re-apply when you are taking children again. If you are a school year only child care please contact us for more information by calling 913-477-8339.

When is my county renewal fee due?
The county fee is due upon receipt of the letter sent by the county. Both homes and centers will receive invoices for annual fees and compliance checks. If you need to discuss payment options, please call the contact number on the invoice to talk with someone in the Child Care Licensing Division.

A new Fire Life Safety Agreement (FLSA) was not included in my renewal paperwork for my home daycare. Do I need to send one in?
You are required to call your local fire department to let them know that you will continue providing child care in your home. The fire marshal will tell you if another inspection is required. If not, the current FLSA and date of the last inspection is sufficient. A copy of the FLSA needs to be sent to KDHE wth your renewal papers.

Questions about Training and Regulations

Where can I find the training requirements?
The requirements are located on the Kansas Department of Health and Environment's website. Here is a link to the document on their site.

Is orientation training required?
All new applicants are required by regulation to have child care facility orientation training. For information on classes, please call 913-477-8339.

How do I know when to start counting in-service hours in my in-home daycare or daycare center?
Centers and homes have different requirements. Clock hours approved by KDHE are required each licensing year, not calendar year. Extra in-service hours cannot be carried over to the next licensing year.

In my daycare center, do all of my substitute staff members need first aid training?
Yes, all substitutes, volunteers, and staff counting in the ration must have required training, including first aid and signs and symptoms. Click here to find training regulations.

Questions from Providers Regarding Care

What are the state regulations for giving an infant Tylenol or ibuprophen for a fever?  Is the provider allowed to administer it to any infant with a note or only under special circumstances?
In order for the provider to administer the medication, the parents have to sign the KDHE medication authorization form. The provider has to sign the same form every time the medication is given to the child. The parent should indicate on the form when and why the medication is to be given.

What are the restrictions to wooden swing sets? I have heard that they are no longer allowed at home daycares.
Wooden swing sets are still allowed. You need to know if the swing set is treated with arsenic sealant or other sealant. The wooden sets will follow the same reguations as all swing sets. Ground cover rules apply to all swing sets in homes.

How do I know if a child has head lice?
Kansas State University Research and Extension provides information about head lice in this document. Also, the Kids Health website offers some information especially related to children. Additionally, the National Association of School Nurses offers tools and resources to help reduce the fear and stigma of head lice and help parents navigate treatment choices. English and Spanish versions are available here.

What do I do if a parent asks me to sleep their baby on their stomach?
Babies shall sleep on their backs unless the provider has been granted an exception from KDHE (Kansas Department of Health of Environment). Providers are required to have a safe sleep policy and two hours of training on safe sleep practices and SIDS. Call us for sample policies and/or questions.

What ground cover is approved for use under my anchored equipment?
"Play" sand, pea gravel, some mulches. Make sure that you are using an approved product before you install it. Call 913-477-8339 if you have any questions.

Questions from Parents

How can I tell if a provider is licensed?
Look for or ask to see their license. The license must be posted if they are currently providing care and/or accepting new children. Licenses have an expiration date, so look for the date to make sure it is current. You may also call us at 913-477-8339 to obtain this information.

Who do I call if I have questions, concerns or want to make a complaint about my daycare facility or daycare provider?
Please call the Child Care Licensing division at (913) 477-8339. All regulatory questions will be answered and investigated if indicated.

If my child has a toileting accident, doesn't the provider have to wash out my child's clothing?
No. The provider is not allowed to wash out any soiled diapers, training pants or clothing. The provider is required to place soiled items into a plastic bag or covered container and send it home with the parent. They must do the same thing for their own children's soiled items until the end of the daycare day. This is important to reduce the risk of spreading diseases.

If my provider tells me that I have to call before I pick up my child, do I have to?
No, you are allowed access to the day care during all hours of operation. If you are told to call before pick up or that you cannot look in rooms that used for daycare, report this to the Child Care Licensing division at 913-477-8339.

How can I tell if there have been complaints or problems with a daycare?
KDHE has an online system for reviewing licensed facilities compliance history. Data entry into the system began in October 2011, so it may be necessary to also send in the written open records request as described below. To access the online system, please go to KDHE CAPP. The system will show violations (regulations not being followed) and consultations (technical assistance given to provider) for annual and initial visits, as well as other information.

Alternatively, and for records earlier than October 2011, contact KDHE in writing (letter, FAX or email). Give them the name and address of the facility and request complaint reports, last annual survey, all enforcement actions, and all Notice of Survey Findings (NOSF) forms. One to two years worth of history should be sufficient. Be sure to include your name, address, and phone number. KDHE will let you know the cost of providing this information to you. This is usually $7.00 per hour and $0.25 per page for printing costs. However, if less than 10 pages, there might not be a charge.

Who do I contact to help me find a child care provider?
Please contact one of these Johnson County resource and referral agencies: The Daycare Connection at 913-529-1200 or The Family Conservancy at 913-573-2273. Kansas statute does not allow JCDHE staff to make provider recommendations. Contact us at 913-477-8339 if you have additional questions about finding care.

Child Care Licensing

The first step to starting a child care facility is to attend an orientation meeting.  For home child care - click Child Care Classes and sign up for Information Meeting (orientation).  To start a child care center - call Eldonna Chesnut at (913) 477-8366 to set up your individual orientation.

The Child Care Licensing Division is located at the Sunset Drive Office Building:

11811 S. Sunset Drive, Suite 2700, Olathe, KS 66061

The Johnson County Department of Health and Environment's Child Care Licensing division works with all child care facilities in Johnson County. According to Kansas Child Care Licensing Law, anyone providing care for children other than those related by blood, marriage, or adoption, must be licensed with the Kansas Department of Health and Environment.

Mandatory classes required before becoming a child care provider are:

  • Certified Pediatric First Aid and CPR
  • Safe Sleep Practices
  • Recognizing Child Abuse and Neglect, including Prevention of Abusive Head Trauma
  • Child Development

If you have further questions regarding whether a particular course will count for these requirements, please email Nancy Johnson for child care homes or Susan Merys for child care centers and school age programs.

To enroll in one of our classes, please register at Child Care Education/Classes

 If you have questions, please email Stacey Stroh.

Child Care Facility Compliance Search

To view regulatory compliance history of your child care provider go to the KDHE Online Portal.

Child Care Facility Complaints

To report a complaint or concern about a child care facility in Johnson County, please call the Child Care Licensing Division at (913) 477-8339.  All regulatory questions will be answered and investigated if indicated.


Online Facility Compliance Search

Quality Child Care Questionnaire for Parents - What to Ask

Kansas Law

Child Care Provider Forms

Childhood Immunizations

Clients 18 years and younger with private health insurance are required to provide documentation of immunization coverage. If you need a copy of your immunization records, call 913-826-1200 or send an email to MedicalRecords-DHE@jocogov.org.

What to Bring with You

  • Your child's immunization record
  • Insurance card

Immunization Clinic Hours (Olathe and Mission)

The Mission immunization clinic is closed daily from 12:30-1:30 p.m.; the Olathe clinic remains open.

  • Monday - 8:00 a.m. - 4:00 p.m.
  • Tuesday - 8:00 a.m. - 4:00 p.m.
  • Wednesday - 10:00 a.m. - 6:30 p.m.
  • Thursday - 8:00 a.m. - 4:00 p.m.
  • 1st, 3rd and 5th Friday (Olathe) - 8:00 a.m. - 4:00 p.m.; Mission - CLOSED
  • 2nd and 4th Friday (Olathe) - 8:00 a.m. - 12:00 p.m.; Mission - CLOSED

Childhood Immunizations Offered and Vaccine Prices

  • Hepatitis B
  • Rotavirus
  • DTaP
  • Haemophilus influenzae type B (Hib)
  • Pneumococcal
  • Polio
  • Influenza (Seasonal Flu)
  • MMR (Measles, Mumps, Rubella)
  • Varicella (Chickenpox)
  • Hepatitis A
  • Meningitis: Menomune/Menactra, Trumenba
  • HPV (Gardasil) 4 and (Gardasil) 9
  • Kinrix
  • Pediarix

Those who don't meet criteria may pay for vaccines out-of-pocket or bill to insurance. JCDHE is a KanCare provider for all managed care organizations: Amerigroup, Sunflower and United Community. JCDHE also accepts private insurance from Blue Cross Blue Shield of Kansas City, Cigna, Coventry and UnitedHealthcare. We do not take insurance from Coventry Advantra or Humana Gold Plus. Many of the services JCDHE offers are covered by insurance; check your health benefit plan to confirm coverage for payment of services.

JCDHE also accepts cash, check, credit or debit card as payment for clients who are without insurance or who carry other insurance plans.

Payment is required at the time of visit. Price is subject to change based on cost of vaccine.

Immunization Consent Form

A written consent form is required for all immunizations. A parent or guardian must provide a written consent form for children under 18. Please bring child's current immunization record to the visit.

Childhood Vaccine Schedules

School Immunizations

Information on REQUIRED vaccinations by the State of Kansas for the current school year for any individual who attends school, a preschool, or a childcare program operated by a school: http://www.kdheks.gov/immunize/schoolInfo.htm



Community Health Assessment Process (CHAP)

appleThe Community Health Assessment Process (CHAP) is a Johnson County community partnership, which collectively and systematically assesses the health status and needs of our community.  The goal is to improve and/or maintain a high level of health for our citizenry.

CHAP Timeline:

  • 1996 - Collected data through a general population survey, a key informants study, focus groups and a study of existing data.
  • 1997 - Determined community assets and key findings, CHAP Ambassadors selected three core initiatives:  Access to Care, Obesity and Safe Kids.
  • 1998 - Received a National Association of Counties Achievement Award and a Behavioral Risk Data Survey Project Award.
  • 2001 - Released “Health Risk Behaviors of Johnson County”.
  • 2002 - Began Obesity Initiative with funding from Kansas Health Foundation.
  • 2004 - Incorporated tobacco as a CHAP priority focusing limiting youth access to tobacco products and limiting exposure to environmental tobacco smoke.
  • 2005 - Continue to evaluate progress toward the current health initiatives as well as develop new intervention strategies to meet the changing needs of the community.
  • 2006 - Oral health is added as another CHAP health initiative.
  • 2009 - Continue to evaluate the community's progress toward identified health initiatives.
  • 2011 - Completed comprehensive community health assessment. Priority areas are: 1) Physical Activity/Nutrition, 2) Access to Care, and 3) Mental Health/Substance Abuse.
  • 2012 - Work groups around priority areas are meeting to create the Community Health Improvement Plan.
  • 2012 - Community Health Profile and Community Health Improvement Plan completed.
  • 2013 - Current initiatives and accomplishments reviewed; continue to focus efforts on identified priority areas.
  • 2014-15 - Initiatives and accomplishments reviewed; continue to focus on priority areas: Physical Activity/Nutrition, Access to Care and Mental Health/Substance Abuse.
  • 2015-16 - Completed community health needs assessment surveys with residents. CHAP members began discussing community health data and choosing health priorities.
  • 2017 - The Community Health Assessment and Profile and Community Health Improvement Plan are completed. Priorities chosen: Access to Care, Chronic Disease Prevention and Health Promotion and Mental Health.

Current CHAP activities:

Community Health Assessment and Community Profile 2016

Community Health Improvement Plan 2017-2019

Community Health Assessment Data 2015/2016:

Community Health Needs Assessment Survey Analysis 2015 (Power Point presentation)

Community Indicators - Key Trends

UCS Community Profile for Johnson County

County Health Rankings

REACH Health Status Data Report

Improving Community Health JOCO

Kansas Kids Count

Homelessness in Johnson County

Free and Reduced Lunch

Characteristics of Poor in JOCO

Housing Affordability

Winnable Battles CDC

Healthy People 2020

Oral Health Assessment - Metro KC, Health Care Foundation of Greater KC

Oral Health Assessment - Power Point

Oral Health School Screenings - JOCO 2014-15

Presentations from Olathe Health System CHA, Saint Luke's Hospital CHA, Children's Mercy Hospital CHA, CDC Winnable Battles


Community Health Improvement Plan 2012:

Community Health Improvement Plan 2012-2017

2011 Community Health Profile

CHAP Meeting Minutes:

July 26, 2016 Minutes

June 7, 2016 Minutes

April 26, 2016 Minutes

March 29, 2016 Minutes

February 16, 2016 Minutes and Sign-In

January 26, 2016 Minutes and Sign-In

October 27, 2015 Minutes, Sign-In

July 28, 2015 Minutes and Sign-In

April 28, 2015, Sign-In

January 27, 2015, Sign -InCHIP Progress 2014, Presentation: Cultural Sensitivity

October 27, 2014, Presentations: Chronic Disease Self-Management Program, Community Health Improvement Plan Reporting Pilot Project, CHIP Sample Screen Shots

July 22, 2014

April 22, 2014

January 28, 2014

October 22, 2013

Hep B Birth Dose Presentation , Kansas City Regional Health Assessment Report

July 23, 2013

April 23, 2013

January 22, 2013 , CHIP Accomplishments to Date, BRFSS Comparison

September 25, 2012

June 26, 2012

March 27, 2012

February 28, 2012

January 24, 2012

November 15, 2011

October 11, 2011

September 20, 2011

June 7, 2011

May 10, 2011

April 26, 2011

March 29, 2011

CHAP Work Groups:

Physical Activity/Nutrition

Access to Health Care

Mental Health/Substance Abuse

Mini grant posters - kiosk, mall 1, mall 2

Mental Health/Substance Abuse Grant Evaluation

Logic Model for Work Groups (March 2012)

Additional information:

CHAP-CHIP Developing the Plan

Community Health Indicators

Community Health Assessment Overview

Community Health Assessment Process: A History

Community Health Data:

Kansas Behavioral Risk Factor Surveillance System (BRFSS) - Johnson County 2011

County Review - Indicators by United Community Services (UCS)

Johnson County Health Profile (REACH)

2013 Kids Count

Poverty in Johnson County (UCS)

Kansas Health Matters website

Kansas Health Matters website - Johnson County data

Kansas Behavioral Risk Factor Surveillance System (BRFSS) - Local Data, 2009

BRFSS - expanded data (link goes to KDHE website)

Hunger in Johnson County, Kansas

Substance Abuse Among Children and Youth in Johnson County

Homeless Point in Time Count 2011 - A Snapshot of Homelessness in Johnson County

A Profile of Our Community - The Kansas City Six-County Region

A Profile of Our Community: Johnson County

How Johnson County is Changing

2010 KIDS COUNT Data

Johnson County, Kansas Children Poverty Trends

Poverty: At Home in the Suburbs

Binge Drinking Stats and Information

Current Kansas Policies to Reduce Youth Alcohol Access

Previous CHAP accomplishments:

Access to Care:

  • Found that 13% of the adults in Johnson County experience some obstacle to obtaining health care.
  • In 1998, conducted a community survey reaching more than 450 residents.
  • Identified a need for dental care and access to care for children.
  • Some CHAP and community activities which responded to these needs:
    • Developed a major database of free/low-cost health care services and locations.
    • Provided information on health care resources to the county online information program.
    • Established the Richard L. Danford Dental Referral Service to assist low-income residents in obtaining quality dental care.
    • Opened a second Health Partnership Clinic in Olathe in January of 2000.
    • Initiated Jo-Wave, and outreach effort to get children enrolled in Healthwave which is the statewide Children's Health Insurance Program for those at 150% to 200% of the poverty income level. In 1999, 934 children in Johnson County were enrolled in Healthwave.) At the end of 2000, 1,286 children were enrolled in Healthwave and 1,746 in Medicaid through the Healthwave application process.

Physical Activity:

Data indicated that seniors exercise less than the rest of the population.

  • Partnered with Roeland Park Community Center to develop a fitness room specifically for seniors to encourage an increase in physical activity rates for that population.
  • Initiated a school-based, family reading/physical activity program, "Jog Your Mind."
  • Coordinated a fun-run & pedometer program for the KS Medical Society Conference.
  • Provided fitness information and resources to a parish nurse program.

Childhood Injury Prevention:

  • Established the Safe Kids Johnson County program.
  • On-going community car seat safety check up events.
  • Collaboration with community agencies and groups on juvenile firesetting, sports safety & home safety.

Tobacco Issues:

  • Collaborated on "Clean Air Kansas City" website and media campaign.
  • Assisted with statewide cessation program, Quitline phone counseling and referral for those trying to quit smoking.

Dispense Assist

Dispense Assist logoDispense Assist is an easy-to-use online tool used by local health departments, hospitals and health care providers to screen individuals during public health emergencies and seasonal/pandemic influenza. This no-cost tool streamlines dispensing/vaccination operations and is already being implemented in public health jurisdictions, hospitals and other health care entities nationwide.

Watch this broadcast to see how Dispense Assist works at a seasonal flu clinic.

How to Use Dispense Assist (General Public) En español

This video will assist you with printing out a medication voucher during a public health emergency. The medication voucher system will help you receive the medication that is right for you. To print your voucher, you must have access to a computer and a printer. If you do not have a computer and printer available, contact the Johnson County Department of Health and Environment for assistance. Thank you to Seattle & King County Public Health for collaborating and assisting with the development of this video.

Dispensing Medication during a Public Health Emergency (Open/Closed Sites) En español

This video will assist dispensers with processing vouchers produced from Dispense Assist, an online medication screening tool made available by the Johnson County Department of Health and Environment. Thank you to Seattle & King County Public Health for collaborating and assisting with the development of this video. 

EPI Update

The EPI Update is a free, monthly e-newsletter created by the Public Health Emergency Program of the Johnson County Department of Health and Environment and is targeted for Johnson County health care professionals. It was developed to provide doctors, nurses, and other health care professionals in Johnson County with up-to-date information on infectious diseases, public health emergency and bioterrorism planning efforts, disease surveillance, and other epidemiologic topics as they pertain to our community.

Current Johnson County Disease Report

Current Influenza Surveillance Report

Influenza Suveillance Report (2015-2016 season)

Influenza Surveillance Report (2014-2015 season)

Influenza Surveillance Report (2013-2014 season)

2016 Johnson County Disease Report

2015 Johnson County Disease Report

2014 Johnson County Disease Report

2013 Johnson County Disease Report



Extreme Weather Safety

The JCDHE Child Care Licensing Division offers the following tips to help parents and providers keep children safe in very cold and very hot weather. If you have specific questions that are not answered here, please contact us at (913) 477-8339 or (913) 477-8382.

Cold Weather Tips for Parents and Childcare Providers

Download this Child Care Weather Watch chart to help determine what temperatures and weather conditions are appropriate for outdoor play.

Winter brings colder weather. Children get cold (and hot) more easily than adults. This is because young children have relatively more surface area for their body mass than those who are older. Still, going outside when it is cold is a good idea. Germs are less concentrated in the outdoor air. Take the group outside while fresh air circulates from opened windows and/or the ventilation system in the emptied rooms.

Outdoor play in cold weather encourages more vigorous physical activity. In addition, going outside in all types of weather gives children opportunities to learn about changes in the environment. The Centers for Disease Control and Prevention offers tips to enjoy cold weather.

Dress for the Weather
Adults and children lose body heat more quickly if they don’t wear a hat. Choose tightly woven fabrics that keep you warmer by holding in more heat and keeping wind from taking body heat away. Wool or tightly woven synthetic fibers are better than cotton. Cold air holds less moisture than warmer air. So if it is very cold, wear a scarf or knitted face covering. This reduces drying of exposed skin and linings of the nose and throat. Getting too warm can cause sweating. So dress to stay warm, but avoid over-dressing. Perspiration wets clothing. Moisture on the skin wicks heat away from the body. However, wet weather doesn’t need to keep everyone inside. It can be fun to be outside in snow and rain – if you dress in water-resistant clothing that keeps skin dry.

Watch for Shivering
Shivering is the movement of muscles to generate warmth when the body is getting too cold. If someone is shivering despite increased activity, it is time to go inside. Otherwise, body temperature will start to fall.

Defining Cold Injuries
The following definitions of cold injury are from Pediatric First Aid for Caregivers and Teachers, 2nd edition, 2012, pp. 298-303. This manual was written by the American Academy of Pediatrics and the National Association of School Nurses.

Hypothermia: Lowered body temperature is called hypothermia. Suffering from hypothermia doesn’t require very cold temperatures if the skin gets wet. In addition to shivering, at significantly lowered body temperatures, drowsiness, confusion, slurred speech and shallow breathing can occur. Body temperatures lower than 95 degrees F. are dangerous. First aid for hypothermia is to call EMS. Then take the child to a warm room, remove cold wet clothing, and replace it with warm dry clothing or a blanket. If a warm room isn’t available, wrap the cold person and a warm person together in a blanket.

Frost nip: In freezing temperatures, smaller, exposed body parts suffer cold injury first. Blood vessels in these areas constrict in response to cold. This constriction can make fingers, toes, ear lobes and tip of the nose pale and numb. They are painful as they warm up again. If the part doesn’t actually freeze and no permanent injury occurs, the condition is called “frost nip.” First aid for frost nip is similar to the first aid for hypothermia. Do not rub the injured part. Until you can get to a warm room and replace cold wet clothing with dry warm ones, put the cold body parts close to warm body areas, e.g. hold cold hands in armpits. For 30 minutes, slowly rewarm injured areas in warm (not hot) water around 100 degrees F. Apply warm compresses to the injured area. If warm water isn’t available, gently wrap the area in warm blankets. If the area seems to return to normal, have caregivers/families watch for any evidence of injury that signals the need for medical care.

Frostbite: If body tissues actually freeze, the injury is called frostbite. Frostbite requires medical attention as it can cause permanent damage. The severity of frostbite is graded like burn injuries. First degree frostbite is when tissues become white and hard, and then mildly red and swollen when rewarmed. Second degree frostbite is when blisters appear the next day. Third degree frost bite is when permanent skin damage occurs. First aid for frostbite is to contact EMS and then follow the same procedure as for frost nip until EMS can take over.

Wind Chill Wind: Wind chill wind removes heat from the body faster than would occur just by exposure to the cool temperature. The National Weather Service has a helpful guide. This guide indicates when conditions are comfortable, require caution, or are dangerous for outdoor activities. Outdoor play with proper clothing is OK unless the temperatures are at or below minus 15 degrees F. Check children frequently when conditions require caution. Look for shivering and any signs of early cold injury to hands, toes or other vulnerable body parts. This CDC chart indicates the amount of time until frost-bite occurs at varying combinations of air temperatures and wind speed.

Hot Weather Guidelines for Child Care Providers

As temperatures across the country continue to escalate above average highs, it is more important than ever to understand the health effects for children. Infants and young children are particularly sensitive to the effects of extreme heat and must rely on others to keep them safe. When left in a hot vehicle, a young child’s body temperature can increase three to five times as quickly as an adult’s.

hot childRecommendations
The recommendation states that if the heat index is 90ºF to 95ºF (32ºC to 35ºC) or if there is a heat advisory in effect, children should only be outside for short periods of time (15 to 30 minutes or less.)

Base the amount of time outside on the children's appearance and behaviors. If the children are running around and actively playing and do not exhibit any signs of heat exhaustion or heat stroke (see signs below), they can be outside on the longer end of the timeframe. If children are sitting or standing around in the shade, take them inside sooner. Morning is the best time to be outside, as it is the coolest part of the day.

A heat index of 95ºF (35ºC) or higher is considered to be the regulations definition of "extreme." On these days it would be expected that children would not have to go outside at all. This is where we see regulation violations occur most. It is important to note that heat indexes are measured in the SHADE. When planning activities in which children will be exposed to full sunshine, add 15 degrees to the stated heat index. Strong winds can also make the heat worse.

Additionally, when there is an excessive heat warning as defined by the National Weather Service, it is recommended that outdoor summer camps be moved to their inside locations for the afternoons.

On "extreme" heat days, it is recommended that field trips only be taken to indoor, air-conditioned locations. If the mode of transportation for the field trip is walking or in a vehicle without air conditioning, the predicted temperature/heat index at the time of the return trip must be considered.

The regulations pertaining to children outside in extreme weather are as follows:

Licensed Child Care Centers (including Mother's Day Out and Preschools): K.A.R. 28-4-438(b) and K.A.R. 28-4-126(a)(1).

Licensed School Age Programs: K.A.R. 28-4-590(f)(2) and K.A.R. 28-4-587(a).

Outdoor Summer Camps: K.A.R. 28-4-586(b)(1)(c) and K.A.R. 28-4-586(2).

Licensed Day Care Homes and Group Day Care Homes: K.A.R. 28-4-116(a)(4), K.A.R. 28-4-117(a)(7), and K.A.R. 28-4-126(a)(1).

Heat related terms can be confusing. Here are the definitions provided by the National Weather Service.

Excessive Heat occurs from a combination of high temperatures (significantly above normal) and high humidity. At certain levels, the human body cannot maintain a proper internal temperature and may experience heat stroke.

Excessive Heat Outlook is a Climate Prediction Center (CPC) product that is a combination of temperature and humidity over a certain number of days. It is designed to provide an indication of areas of the country where people and animals may need to take precautions against the heat during May to November.

Excessive Heat Warning is issued within 12 hours of the onset of a heat index of at least 105ºF (40ºC) for more than 3 hours a day for 2 consecutive days or a heat index of more than 115ºF (46ºC) for any period of time.

Excessive Heat Watch is issued by the National Weather Service when heat indices in excess of 105ºF (40ºC) during the day combined with nighttime low temperatures of 80ºF (27ºC) or higher occur for two consecutive days.

Heat Advisory is issued within 12 hours of the onset of the following conditions: a heat index of at least 105ºF (40ºC) but less than 115ºF (46ºC) for less than 3 hours per day or nighttime lows above 80ºF (27ºC) for 2 consecutive days.

Heat Exhaustion is a mild form of heat stroke, characterized by faintness, dizziness, and heavy sweating.

Heat Index (HI) or the "Apparent Temperature" is an accurate measure of how hot it really feels when the Relative Humidity (RH) is added to the actual air temperature.

Any time there are conditions of high temperature (over 90ºF) coupled with high relative humidity, causing a high heat index, the body has to work very hard to maintain its core temperature of 98.6º. A child's body temperature increases three to five times faster than an adult's body and children are not able to dissipate heat as effectively as adults.

Sweating is one way the body tries to cool itself, However, sweating only cools the body when the water is removed by evaporation. High relative humidity retards this process. Under these conditions, the heart is beating much faster to pump blood through dilated circulatory vessels. The sweat glands are pouring liquid -- including essential dissolved chemicals, such as sodium and chloride -- onto the surface of the skin.

Heat disorders generally have to do with a deduction or collapse of the body's ability to shed heat by circulatory exchanges and sweating or a chemical imbalance caused by too much sweating. When heat gain exceeds the level the body can remove heat, or when the body cannot compensate for fluids and salt lost through perspiration, the temperature of the body's inner core begins to rise and heat-related illness may develop.

Heat-Related Illness
There are three major types of heat related illness.

Heat Cramps are painful spasms usually occurring in muscles of the legs and sometimes in the abdomen. First aid for this situation is to apply firm pressure on cramping muscles or gently massage to relieve spasm. Give sips of water but discontinue water if nausea occurs.

The symptoms of Heat Exhaustion are heavy sweating, weakness, skin that is cold, pale, and clammy, weak pulse, vomiting, and fainting. First aid for heat exhaustion is to get the victim out of the sun immediately. Have the person lie down and loosen their clothing. apply cool, wet cloths. Fan or move victim to air-conditioned room, if possible. Give sips of water but discontinue water if nausea occurs. If vomiting, seek medical attention.

The symptoms of Heat (or Sun) Stroke are hot dry skin, rapid and strong pulse, and possible unconsciousness. Heat stroke is a SEVERE MEDICAL EMERGENCY. Summon emergency medical assistance or get te victim to the hospital immediately. DELAY CAN BE FATAL. While waiting on medical help to arrive, move the victim to a cooler environment. Reduce the body temperature with cold bat or cold wet cloths. Remove clothing and use fans or air-conditioners. DO NOT GIVE FLUIDS.

To prevent heat-related illnesses, follow these tips:

  • Outside activities should be reduced, eliminated or rescheduled to the coolest part of the day.
  • Dress for the hot weather. Lightweight, light-colored clothing reflects heat and sunlight and helps your body maintain normal temperatures.
  • Decrease foods that increase your metabolic heat production and increase water loss.
  • Drink plenty of water or other non-alcoholic, non-caffeinated fluids. A person can become dehydrated before they feel thirst. Exceptions to getting increased fluids are people with epilepsy, kidney or liver disease, on fluid restrictive diets or have a problem with water retention.
  • Avoid sunburn. Sunburn makes the job of heat dissipation much more difficult.

Preventing Heat-stroke Related Injury or Death

On average, every 10 days a child dies from heatstroke in a vehicle. These deaths are preventable and everyone in the community, especially child care providers, have a role to play in protecting our children. 

Here are a few simple things you can do:

  • Get in touch with designated family members if a child who is regularly in your care does not arrive as expected.
  • Make it part of your everyday routine to account for all children in your care. Set up backup systems to check and double-check that no child is left in the vehicle. Never leave a child unattended in a vehicle—even if the windows are partially open or the engine is running with the air conditioning on. Vehicles heat up quickly; if the outside temperature is in the low 80s, the temperature inside a vehicle can reach deadly levels in only 10 minutes, even with a window rolled down 2 inches.
  • Always make a habit of looking in the vehicle—front and back—before locking the door and walking away.
  • Create reminders to ensure that no child is accidentally left behind in the vehicle. Place an item that is needed at your final destination in the back of the vehicle next to the child or place a stuffed animal in the driver’s view to indicate that a child is in the car seat.
  • Call 911 or your local emergency number immediately if you see a child alone in a hot vehicle. If he or she is in distress due to heat, get the child out as soon as possible and cool him or her down rapidly.

For additional information on heatstroke, visit the Safe Kids website.

Share this Information

As with any recommendation, the data collection and research is ongoing to provide information that is in the best interest of our children in out-of-home care. Feel free to share this information with families of children in your care.

If you have any questions, please contact us at (913) 477-8339 or (913) 477-8382.



Family Emergency Preparedness

It's important to plan and prepare your family for emergencies. Knowing what to do before, during and after an emergency is a critical part of being prepared and may make all the difference when seconds count.

Start with a list of basic disaster supplies recommended by the Federal Emergency Management Agency (FEMA). If you or someone in your household has special needs, preparing for an emergency may involve additional considerations.

PrepareMetroKC.org also provides regional planning initiatives in the Kansas City Metro area and a planning tool to help you tailor your emergency plan for your family.

Get involved in your community

You can provide support to local public health agencies and emergency management departments in an emergency by visiting the Mid-America Medical Reserve Corps and Olathe CERT (Community Emergency Response Team) websites.

Information on local emergency management training opportunities and emergency and disaster planning templates can be found at Johnson County Emergency Management & Homeland Security.

Join the National Preparedness Coalition where you will have access to exclusive resources and be able to collaborate with thousands of fellow members across the country on ways to participate and get your community involved in preparedness activities.

The American Red Cross Greater Kansas City Chapter serves more than 1.5 million people in a five-county area with disaster preparedness and relief programs, health and safety training, and blood collection and distribution.

Information on public health-related disasters, as well as detailed information on possible bioterrorism agents, is available at the Centers for Disease Control and Prevention's Emergency Preparedness & Response website.


Let's Get Growing Class


Let's Get Growing! is an interactive parent/child sexuality education program. This class is offered in a one-day format for parents and children ages 9 to 12. This is a 2.5-hour class will be divided into two parts. The first part will focus on male and female anatomy, puberty, hygiene, nutrition, self-esteem and social development. There will be a brief intermission before starting the second part of class, which will focus specifically on reproduction and conception. Discussion will be centered around how the male and female reproductive system work together to make a baby and sexual intercourse will be defined. Parents and children may choose to stay for one or both parts of class! This program helps encourage communication within the family about growing up in a relaxed, fun atmosphere. Boys and girls are taught seperately. This is a FREE class with a meal included!

For more information, please email us or call Darianne Hicks at 913-477-8124.

If you have a group of five or more and would like to attend the Let's Get Growing program contact Darianne Hicks to arrange a class!

Class is subject to cancellation if class size requirement of FIVE students is not met.

Class Information
Parent Information

Note: You must submit a legitimate email address to receive a submittal notification to your email account.

Student Information
Second Student Information
Third Student Information

If there are more than 3 children attending, please submit this form a second time with that additional information.

Upcoming Events

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May 3, 2017 | 10:00 am to 6:30 pm

Walk-in Health Clinic Hours

May 9, 2017 | 9:00 am to 3:00 pm

Kansas Infectious Disease Symposium

May 10, 2017 | 10:00 am to 6:30 pm

Walk-in Health Clinic Hours

May 10, 2017 | 6:00 pm to 9:00 pm

Solid Waste Management Committee Meeting

May 13, 2017 | 8:00 am to 11:30 am

Household Hazardous Waste & Electronic Recycling Event