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Health & Community Services

Community Health Services


Our goal is to provide population-based services and assure access to preventive health services in the community. We provide extensive referral and coordination with other health and social service providers.

A sliding fee schedule is available. No one will be denied essential services because of inability to pay. No person shall be subjected to discrimination because of race, color, national origin, sex, religion, creed, marital status, or disability.

Appointments are encouraged to be sure a nurse will be available to address your concerns.

Tuesday, Lopez Fire Department Building (lower level) -- 370-7504 or 378-4474
2228 Fisherman Bay Road, Lopez Island WA 98261

Monday, Wednesday, Thursday, County Services Bldg., 376-4563, or 378-4474
62 Henry Road, Eastsound WA 98245

San Juan
Monday - Friday, Main Office 8:00 to 4:30 Courthouse Annex -- 378-4474
145 Rhone St Friday Harbor, WA 98250

Maternal and Infant Services

Early and ongoing services for pregnant women are essential to assure safer deliveries and healthier babies

  • Pregnancy testing
  • Prenatal education
  • Nutrition assessment
  • Breast-feeding promotion and education and counseling
  • First Steps Maternity Support Services
  • Referral for medical and support services financial services
  • Home visits for parents of newborns

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Immunizations against contagious diseases are provided iby Health and Community Services to both children and adults who need them. The Department does this both through providing vaccine purchased by the state to private medical providers, and by actually giving shots when they are needed. Shots may be administered during routine or special clinics held by Public Health Nurses at Department offices, in schools, in senior centers, and in other public and private facilities on the larger islands. Vaccination is a simple and effective method of preventing certain diseases which may cause serious health problems.

Recommended Immunizations for Children

Hepatitis B

  • Hepatitis B is a serious liver infection.  It can be passed from an infected mother to her newborn during childbirth or from one person to another through blood or bodily fluids.  The virus can cause live damage, liver cancer, and death.  Hepatitis B vaccine will not protect against other forms of hepatitis.

Diphtheria, Tetanus, and Pertussis (DTP)

  • Diphtheria can cause paralysis, breathing and heart problems, and even death.
  • Tetanus (Lockjaw) occurs when a tetanus germ enters a cut or wound.  It can cause muscle spasms, breathing and heart problems and death.
  • Pertussis (Whooping Cough) causes very long spells of coughing that make it hard for a child to eat, drink, or even breathe.  It can cause lung problems, seizures, brain damage, and death.

Polio (OPV/IPV)

  • Polio can cause lifelong paralysis and death.  There is no treatment for polio.

Haemophilus influenzae type b (Hib)

  • Hib disease can cause infection of the joints, skin, and blood; meningitis; brain damage, and even death.  It is very dangerous to children under age five.

Measles, Mumps and Rubella (MMR)

  • Measles causes a high fever, rash and cold-like symptoms.  It can lead to hearing loss, breathing and lung problems, brain damage, and even death.  Measles spreads so easily that child who has not been immunized will most likely get it.
  • Mumps can cause headache, fever, and swelling of the cheeks and jaw.  It can lead to hearing loss, meningitis (swelling of the brain and spinal cord), and brain damage.
  • Rubella (German Measles) causes a slight fever and a rash on the face and neck.  It spreads from person to person very easily, through coughing, sneezing, or just talking.   The greatest danger from rubella is to unborn babies.  Pregnant women who get rubella can lose their babies, or have babies with severe birth defects.

Varicella Zoster Virus Vaccine (Var)

  • Varicella vaccine protects against chickenpox.

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Recommended Immunizations for Adults

Tetanus/Diphtheria Booster every 10 years
Influenza Yearly for 65 years and older; under 65 with certain risk factors
Pneumonia One time only for 65 and older; under 65 with certain risk factors