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CDC A to Z

Local A-Z Health Topics

INSTRUCTIONS:  Click a letter below to jump to the topic beginning with that letter. Topics in red are links to topic pages. Topics in black are referenced on this page. Check the CDC A-Z above for additional information. If you are still unable to find what you're looking for or would like some assistance, contact us and a Public Health Specialist will be happy to assist you.

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Adolescent Resource Guide 

Arborvirus Surveillance and Control


Avian Flu

Influenza Pandemic Planning and Preparedness in the City of Manchester



Bed Bugs

To assist people who may have questions, a "Bed Bug Fact Sheet" and "How to Treat a Dwelling with Bed Bugs" are now available. Representatives from the Department's Division of Environmental Health are also available to answer questions and can be reached at (603) 624-6466.



Chicken Pox

Initially children may feel generally tired and have a runny nose or slight fever. A rash usually develops on the chest and back areas and spreads over several days to other areas of the body. The rash starts as red spots that soon blister and then scab over as blisters break. Chickenpox is considered contagious from 5 days before until 6 days after rash appears. Children with chickenpox must be excluded from school until 7 days after rash appears or until ALL blisters have crusted over.

Most healthy children, teens and adults with chickenpox need only treatment at home to provide comfort and to relieve symptoms. Bed rest is not always necessary but quiet activities that keep the child from getting hot and sweaty help to minimize the itchiness of the rash. Over the counter antihistamine medications taken by mouth and soaking in a warm bath with baking soda or an oatmeal based preparation may also help relieve itching. Non-aspirin fever reducing medications may also be used if fever is present.


Redness of the white parts of the eye with some crusting and yellow or greenish mucous around the eyelids are the characteristic signs of bacterial conjunctivitis. Bacterial conjunctivitis in school children is contagious and children with symptoms must be excluded from school until they have been treated with antibiotic eye drops or ointment for 24 hours. Other causes of conjunctivitis such as allergies or viruses that do not result in red or draining eyes do not require exclusion from school. Parents should consult with their health care provider for appropriate diagnosis and treatment.



Data and Reports

Dental (Oral Health Program)



Eastern Equine Encephalitis (EEE)

Emergency Preparedness



Fifth Disease

Fifth disease is a common childhood viral illness with rash symptoms. The illness typically begins with a slight fever and feeling of tiredness. A red rash usually appears within the next week. The rash has a "slapped cheek" appearance on the face, and a "lacey" pattern on the neck, arms, legs, and trunk of the body. The rash may recur for several weeks brought on by exposure to sunlight, heat, exercise, or stress. Fifth disease is contagious in the time period before the rash appears but the illness is usually diagnosed only after the rash appears. Frequently, the classic rash is not present, and the mild illness resolves without ever being diagnosed. Children are no longer contagious when the rash appears so they do not need to be excluded from school.

Adults can also get fifth disease but most adults already have immunity from previous exposure. Pregnant women who are exposed to fifth disease should consult with their health care provider. Frequent and thorough hand washing and tissue disposal are effective means of minimizing the spread of fifth disease.

Flooded Home Information

Listed below are two documents with information on what to do after a flood. Also, please refer to the EPA's website for information regarding mold at http://www.epa.gov/mold/moldguide.html.

Flu (see Influenza)

Food Protection




Greater Manchester Medical Reserve Corps



H1N1 (see Influenza)

Head Lice

For children and their parents, having head lice is a nuisance! Head lice can live in the heads of children and adults in all climates, cultures and living conditions. They are not a sign of poor hygiene or dirty living conditions. They are not a serious illness or the cause of serious illness. They are an itchy nuisance infestation of bugs and their eggs (nits). Treatment requires a diligent program that can be tedious, time consuming and annoying.

The Lice (live bugs) live in a human hair (only humans - not pets) and feed on the blood from the scalp. The bugs appear grayish or brown or black and the size of a very small ant. they do not fly or jump, only crawl. They spread from head to head primarily by direct contact. Rarely do they spread in any other way, since bugs that leave the head or fall off are sick and/or injured and will not breed.

Lice lay their eggs at the base of the hair in sacs called NITS that are glued to the hair. As the hair grows away from the scalp (about one-half inch per month) the nit grows along with it. The nits are pearly gray and tear-drop shaped. Since they hatch in 7 to 10 days, nits that are further away from the scalp are likely to have already hatched.


  • Shampoo your child's hair with a lice-killing shampoo or creme-rinse. These are available without prescription from the pharmacy.
  • Be sure to use the shampoo as directed. They each have slightly different directions. They all recommend a re-treatment in 7 - 10 days.
  • You must remove the nits from the hair. Nits are glued to the scalp. Unlike dandruff, they will not fall away when you flick the hair. In fact that's one way to tell nits from dandruff.
  • Nit removal can be done with a fine-tooth nit comb. This may not work if the child's hair is too fine. Use fingernails to pull out the nits (this is the tedious part). It is important to remove nits to prevent re-infestations. Use a good strong light or daylight near a window. It helps to section off parts of the hair with a hair clip.
  • Items that touch the child's hair (combs, headbands, hats, linens) should be laundered or placed in a hot dryer cycle.

Other household members should be checked for lice (the most likely source) but do not treat "just in case" only if lice or nits are found.

Health Planning and Assessment

Hepatitis A

For Hepatitis A information concerning Food Safety refer to CDC. If you have any questions regarding hepatitis A or other food safety topics, please feel free to speak with an Environmental Health Specialist at 603-624-6466.

HIV Prevention

Homeless Healthcare Project





Impetigo is a common infection on the skin also caused by bacteria. Impetigo appears as a raised pink rash, which becomes crusted and then oozes a clear yellowish fluid. The rash usually occurs in localized areas such as around the mouth and nose or other areas of the face arms and hands. Impetigo is especially contagious among school children and their family members while the rash is oozing. The rash can spread to healthy skin areas as well as to other individuals. Children with impetigo must be excluded from school until they have been taking their medication for at least 48 hours.

Influenza (includes H1N1)

Influenza, commonly called “the flu,” is caused by the influenza virus, which infects the respiratory tract (nose, throat, lungs). Unlike many other viral respiratory infections, such as the common cold, the flu causes severe illness and life-threatening complications in many people. Each year in the U.S., more than 200,000 persons are hospitalized for flu-related complications and about 36,000 die from complications of the flu. The best protection is to get a flu vaccine.

Symptoms of flu include fever, headache, extreme tiredness, dry cough, sore throat, runny or stuffy nose, and muscle aches. Children can also have gastrointestinal symptoms (nausea, vomiting, and diarrhea), but these symptoms are uncommon in adults.

The main way that influenza viruses are spread is from person to person in respiratory droplets of coughs and sneezes. Droplets from a cough or sneeze of an infected person are propelled, generally up to 3 feet through, the air and deposited on the mouth or nose of people nearby. The viruses also can be spread when a person touches respiratory droplets on another person or object and then touches his or her own mouth or nose before washing their hands.

You can pass the flu to someone even before you know you are sick. Healthy people can infect others one day before symptoms develop and up to 5-7 days after becoming ill. Businesses and workplaces can also help keep people healthy.

The single best way to prevent the flu is to get the flu vaccine each year. For more information, please call the health department at (603) 624-6466.

For additional information, please visit the NH DHHS. 

Institutional Inspections







Lead - Information and Funding for Property Owners

Lead Poisoning Prevention

Local Public Health Practice

Lyme Disease

Lyme Disease Lyme Disease (LD) is an infection caused by Borrelia burgdorferi, a type of bacterium called a spirochete. These spirochetes are transmitted to humans by the bite of an infected deer tick. Lyme disease is now the most common arthropod-borne illness in the United States and is prevalent in the northeast due to the large number of white-footed mice and deer, the deer ticks preferred hosts. Studies have shown that an infected tick normally cannot begin transmitting the spirochete until it has been attached to its host for about 36-48 hours. Therefore if you venture into a tick-infested area, it is very important to examine yourself at least once daily and remove any ticks before they become engorged (swollen) with blood.

For more information on prevention and control, symptoms, treatment, vaccination and questions and answers about Lyme Disease, please visit the Centers for Disease Control and Prevention and State of New Hampshire Department of Health and Human Services.



Manchester Asthma Education and Outreach Program

Manchester Health Department Program and Services Brochure

Manchester Resources(Neighborhood Health)

MMR Vaccine Clinics

Students are required to have a second dose of MMR vaccine prior to entry into the seventh grade. The Manchester Health Department provides measles, mumps and rubella vaccine to sixth grade students who attend Manchester schools. Clinics are held during the spring months at elementary and middle schools Schedules will be posted when available.

Reference Immunization Clinic Hours.

Medical Reserve Corps (see Greater Manchester Medical Reserve Corps)

"Molly" a.k.a. MDMA


Nancy Rollins, Associate Commissioner of the NH DHHS' Division of Community Based Care Services and Joseph Harding, Director of the Bureau of Drug and Alcohol Services

Recently in the news there have been headlines on the drug "Molly" associated with the 4 deaths within the past week. Two were college students from NH. It is a tragic event and we feel it is important time to reach out and educate as many people as possible about "Molly" a.k.a. MDMA.

Please use the link to the user-friendly fact sheet on "Molly" and distribute through your communication channels.

Monthly Board Summary



Neighborhood Health (Weed & Seed)





Permits and Licenses

Public Health Investigations

Public Health Preparedness





Refugee Health



SARS (Severe Acute Respiratory Syndrome)

For the most current information on Severe Acute Respiratory Syndrome (SARS) visit the following links. SARS update at World Health Organization SARS update at Center of Disease Control and Prevention SARS update at Center for Infectious Disease Research & Policy, University of Minnesota. If you have questions please call the Manchester Health Department at (603) 624-6466.

School Health

School Health Forms

School Health Services Brochure

School Nurse Listing

Septic Systems - Sub Division


Smallpox is an old disease that has been eradicated from the globe since 1977. However, because of the potential use of smallpox as a bioterrorism agent, a great deal of concern has been recently generated. Smallpox disease was caused by the Variola virus. The only known source of this virus is in laboratories at the Centers for Disease Control and Prevention in the United States, and in Russia. Recently, there has been some concern that the virus may also be held in countries such as North Korea and Iraq. Because of this concern, President Bush has recently announced a program to vaccinate a small number of Public Health and medical workers in early 2003. These individuals would be the first to investigate and treat potential smallpox cases should they occur. This vaccination program will be expanded to a larger number of health care workers later next year, and to the general public by 2004.

For more detailed information regarding this subject please click on the smallpox link or go to www.smallpox.gov. If you have questions please call the Manchester Health Department at (603) 624-6466

STD Control



Tanning - Sun Smart Bulletin

Top Ten Public Health Achievements of the Decade


Tuberculosis Control



Unemployment Guide to Community Resources





Water Quality

Weed & Seed (Neighborhood Health)

West Nile Virus

Winter Assistance Resources - Quick Guide

Winter Preparedness Checklist

Worksite Wellness








last changed 3/18/2014
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