For answers to questions concerning child support services or how to make a child support payment, please visit Washoe County Family Support for more information. Mail or take payments to:. Victims of Fraudulent Check crimes can find more information here. The Nevada State Bar has a list of licensed attorneys in the area and some are listed by specialty. They have a program called Lawyer in the Library on Tuesday and Wednesday evenings with free legal help.
NAC A. This Nevada Administrative Code enumerates requirements and content of the mandatory report by providers for communicable disease. Refer to box 5 for specific requirements. NRS A. Other STDs are more of a nuisance than a health risk. If you get an infection and you want to know how serious it could be, talk with your health care provider. There are four serious health consequences of some STDs:. Social and Psychological Consequences: The psychological impact of having a sexually transmitted disease can be severe.
Some persons become depressed or anxious. They fear recurrent outbreaks, transmission to sex partners, and difficulties in developing new relationships. Fortunately, proper treatment and knowledge about the true risks can greatly lessen all these effects. When used correctly and consistently, condoms are highly effective and reliable in reducing the risk of transmitting HIV and most sexually transmitted diseases STDs. Condoms may not work as well against STDs spread through skin-to-skin touching, like herpes and genital warts, because condoms may not cover the infected areas.
The male condom should be put on after erection and before any sexual touch. Remember that pre-cum is also infected with HIV. The Reality condom should go in before sex - it can be inserted up to 8 hours before use. Never use the Reality and the male condoms together or two male condoms at the same time. In either case, the tip of the condom should be squeezed while rolling it down onto the penis in order to leave an airless pocket to collect semen.
If the penis is natural and has a foreskin, try pulling back the foreskin before unrolling the condom all the way down to the base of the penis. If you have trouble with this, consider keeping the foreskin down before putting on the condom or try using a Reality condom with your partner. Remove the condom and wash the penis with soap and water. Never reuse a condom. Casual Contact. HIV is a fragile virus outside the body. It quickly becomes inactive when exposed to air, soap and common disinfectants such as bleach.
The best way to avoid HIV infection and other blood-borne infections like hepatitis B and C from injection drug use is to stop injecting drugs. Drug treatment can help. If treatment is not available or you cannot quit on your own, use a brand new sterile syringe and needle every time you inject or divide drugs. Do not share drug using "works" with anyone else. This includes needles, syringes, cookers, cottons, mixing and bleaching water, and all other supplies.
If you do not have new clean equipment, thoroughly disinfect all drug use tools with bleach before re-use. It is also important to dispose of used works safely. Discarding needles in the trash, on the street, or flushing them down the toilet is dangerous.
Drug use including use of alcohol can impair judgment and decision-making. This can increase risk for HIV, especially if you have sex while high. High or not, you can successfully use condoms and clean injection works. Plan ahead, carry condoms and stick to your prevention plan. However, a pharmacist may refuse to sell to people based on their own judgment. The only way to completely avoid the sexual transmission of HIV is to abstain from anal, oral and vaginal sexual.
If you choose to have sex, it is safest when you practice monogamy with an uninfected partner. Monogamy is when two people have sex only with each other. For those with a new sex partner, both can abstain from sex, or use condoms every time during anal, vaginal and oral sex for at least 3 months and then get tested for HIV and other STDs. However, simple, skin-to-skin touching can spread other STDs. For any penetrative sex acts such as vaginal, anal or oral sex, condoms are highly effective at reducing the risk of HIV transmission when used consistently and correctly - every time, from beginning to end of each sex act.
HIV can be transmitted when blood, semen including pre-seminal fluid or pre-cum , vaginal fluids, or breast milk from an infected person enters the body of an uninfected person. HIV must get into the bloodstream or body in order to cause infection. Transmission most often occurs during unprotected sex or during injection drug use when equipment is shared. An infected woman who becomes pregnant can transmit HIV to her baby during pregnancy or during birth, but this risk is significantly less if the woman takes antiretroviral drugs.
She can also pass HIV to her newborn if she breastfeeds. Anyone infected with HIV can transmit it, whether or not they appear sick, have an AIDS diagnosis, or are successfully treating their infection with antiretroviral drugs. HIV is spread in the following ways: Unprotected anal, vaginal or oral sex HIV can enter the body during sex through the anus, vagina, opening at the end of the penis or mouth and through cuts, sores and abrasions on the skin.
Unprotected anal and vaginal sex have the highest risk of infection. There are a growing number of reported cases where HIV has been transmitted during oral sex mouth to genital contact , but oral sex is much less risky than anal or vaginal sex. Anyone having unprotected sex inserting or receiving partner with an infected person is at risk of getting HIV. The person most at risk is the receiving partner.
Heterosexually, women are at higher risk than men. Blood exposure. Sharing needles or drug injection equipment can transmit HIV and other viruses like hepatitis. After use, small amounts of blood can remain in the used needles, syringes, cookers, cottons, and water. This remaining blood can enter the body of the next user when any of these items are shared. If this blood is HIV infected, transmission can easily occur. The risk for health care workers is greatly reduced when universal precautions are carefully followed, such as safe disposal of sharps, wearing latex gloves, etc.
Universal precautions also protect patients. Very rarely in this country is HIV transmitted when receiving a blood transfusion, blood clotting factors, an organ or tissue transplant the risk of acquiring HIV from a blood transfusion is approximately 1 in a million. Before , there were no tests to screen blood and organ donations for HIV. Now, blood, organ and tissue banks extensively test all specimens for HIV and other blood-borne germs. Mother to child If a woman is infected with HIV, she can give it to her baby during pregnancy, during birth, or by breastfeeding.
All pregnant women should see a doctor, be tested for HIV, and if infected, obtain the best treatment. Not at this time. In , a new class of drugs known as protease inhibitors became available. The first step for anyone who has HIV infection is to see a knowledgeable, experienced medical provider.
This provider will be able to assess and monitor the infection, and, if appropriate, prescribe antiretroviral drugs. This way they can seek medical care at the earliest possible opportunity if they become infected with HIV. Early detection can also reduce the chance of HIV transmission when people are most infectious. Although medical care and drugs are expensive, programs exist to ensure that people with HIV infection and AIDS can get the treatment and care they need.
Sexually Transmitted Diseases STDs are diseases that are spread through anal, oral or vaginal intercourse. Others do not have any symptoms. In general, symptoms are not a reliable way to tell if someone has been infected with HIV; the only way to know for sure is to get tested. Many of the symptoms of early HIV infection are the same as for other, less serious illnesses. People who may have been exposed to HIV should see a doctor promptly if the following symptoms occur within 3 months of the exposure:.
There are effective treatments to prevent, as well as treat, these serious illnesses. HIV kills specific white blood cells T cells , which are an important part of our immune systems. But treatment with antiretroviral drugs can slow or stop the harmful effects of retroviruses like HIV, so that many people with HIV are living longer, healthier lives.
There are several types of HIV antibody tests used today. After infection with HIV, however, it can take up to 3 months for enough HIV antibodies to develop to be detected by the test. A negative HIV antibody test result means that a person does not have detectable HIV antibodies at the time of the test. Since it can take up to 3 months after HIV infection for enough antibodies to develop, a negative test result is reliable only if the person has not had any sexual or needle-sharing risk behavior or other exposure to infectious body fluids during the 3 months prior to testing.
Some people with recent risk behavior will test HIV antibody negative, yet may have actually been infected during the previous 3 months. These people will be highly contagious and may easily transmit HIV to their sex and needle-sharing partners. A high proportion of HIV transmission may occur when people are unaware of their infection.
Finally, a negative test result does not mean that a person is safe from future HIV infection. People who test HIV antibody negative are urged to continue to follow HIV prevention guidelines to avoid becoming infected. People who continue risk behaviors are advised to re-test at least every 6 months. Anyone who tests HIV-positive can transmit the virus to others, regardless of how long they have been infected, whether they have AIDS or other symptoms, or whether their HIV infection is being treated with antiretroviral drugs.
It can take up to 3 months after HIV infection for enough antibodies to develop, therefore a negative test result is reliable only if the person has not had any sexual or needle-sharing risk behavior or other exposure to infectious body fluids during the 3 months prior to testing. Every exposure pushes the window period out another months. Anyone can get HIV if they have unprotected sex or share injection drug equipment with someone who is infected.
The virus does not discriminate - it can infect males or females, babies, teens, adults or senior citizens. You cannot look at someone and know they have HIV. Normally, a business which emits 2 pounds or more per day of criteria air pollutants or 1 pound per day or more of toxic air pollutants will require a permit to operate.
Different types of air pollution control devices are also required for different processes depending upon the size of the operation for compliance with the AQMD regulations. Applications may be obtained by downloading from the District Health Department Web site. For further information, please contact one of our environmental engineers at for help with the necessary information for application submittal.
Just call 24 hours per day and your complaint will be logged onto an official AQMD complaint form. After that, within "normal" hours of operation, an air quality specialist will investigate your concerns and determine if there is a violation of the AQMD regulations. If a violation exists, the person or business will be required to correct the problem. A Notice of Violation may also be issued. Washoe County residents can get a daily air quality update by visiting www.
They can also get this update by listening to television and radio weather forecasts, or by checking the Reno-Gazette Journal's weather page. The local asbestos regulations essentially mirrors the federal requirements. If you own a commercial building and want to do some remodeling, an asbestos survey will need to be completed by a certified consultant to determine the presence or absence of any asbestos materials.
If present, a certified abatement contractor will need to remove the asbestos before the project can proceed. In addition, the property owner will need to obtain an asbestos acknowledgment form from the AQMD prior to obtaining a building permit from the local building departments.
For further information, please call For household use, antibacterial products are no better than ordinary soap for preventing infections. Hand washing for 15 seconds with ordinary soap and water will reduce the risk of most common infections and does not add to antibiotic resistance.
It is becoming a major public health concern. Each time you take an antibiotic unnecessarily or improperly, you increase your chance of developing drug-resistant bacteria. We could run out of ways to kill disease-causing bacteria.
You don't know who is carrying anti-biotic resistant bacteria and they may pass that resistant bacteria on to you and make you ill. This could mean stronger, more expensive antibiotics, hospitalization and, sometimes, death. Unnecessary antibiotics can be harmful.
Antibiotics only fight bacterial infections. They do nothing to help viral illnesses like colds or influenza flu. If you take an antibiotic when it is not necessary, such as for a cold, you increase the risk of developing an infection caused by antibiotic-resistant bacteria. Antibiotics also destroy good bacteria in your body.
Viruses and bacteria can cause ear infections. Your doctor may wait to see if the ear infection improves by itself before deciding to give antibiotics. The common cold and the flu influenza are caused by viruses, not by bacteria. Antibiotics do not work against viruses. A runny nose often starts out with clear drainage and then turns to a green or yellow color. This is a good sign that the body is fighting the virus. If your runny nose is not getting better after days, please talk to your healthcare provider.
No, this is a common misconception. People may exhibit allergic reactions to antibiotics, but they are not resistant to them. It is the bacteria, not the person, which become resistant. Bacteria or viruses cause sinus infections. Antibiotics are needed for bacterial sinus infections. A bacterial sinus infection may be present if cold symptoms do not improve after days.
Viruses cause most sore throats. Only strep throat needs an antibiotic; it is caused by strep A bacteria. Antibiotics either inhibit the growth of bacteria bacteriostatic or actually kill the bacteria bacteriocidal. By stopping the growth of bacteria, it gives the body time to mount an immune response and allows the body to eliminate the bacteria. Drugs that kill the bacteria are the preferred choice when someone has a weakened immune system and whose body cannot destroy the bacteria on its own.
Antibiotics are not effective against viruses. Some bacteria are naturally resistant to certain types of antibiotics. Bacteria can also become resistant by a genetic mutation or by acquiring resistance from another bacterium. Antibiotic-resistant bacteria can also develop in pigs, chickens, cattle and other farm animals, which are exposed to low doses of antibiotics in their daily feed.
These resistant bacteria can then spread to humans, causing antibiotic-resistant infections. Guidelines are being developed to address this concern. Bacteria singular: bacterium are one-celled organisms visible only through a microscope. There are many types of bacteria, only some of which cause disease. Most are harmless and even some are helpful good bacteria , by aiding digestion or breaking down rotting material.
Bacteria are found almost everywhere. Also, you should take antibiotics only when necessary. Don't insist on an antibiotic when your doctor says, "no". Never take an antibiotic for a viral infection such as cold, cough, or flu. Take an antibiotic exactly as the doctor prescribes. And take the antibiotic until it is gone, even if you are feeling better. Never save the medication to treat yourself or others later.
It is very important to have your body help itself. Get plenty of sleep, drink lots of fluids and eat healthy foods. Help decrease the symptoms by using a vaporizer or use over-the-counter medicines like saline nose drops, gargles or throat lozenges. Viral infections simply take time to get better. An antibiotic is a powerful medication designed to kill bacteria or stop them from growing, such as an illness caused by strep throat.
They cannot cure illnesses caused by viruses, such as a cold or the flu. Different antibiotics may be used for different types of bacterial infections. Your health care provider will determine what infection you have and if an antibiotic is appropriate to treat it. Antibiotic resistance occurs when an antibiotic has lost its ability to effectively control or kill bacterial growth. These bacteria are considered to be resistant to an antibiotic.
Overuse and misuse of antibiotics are the main reason for antibiotic resistance. If you are a qualified applicant, you can complete an application form and mail it along with a copy of your valid photo identification and a check or money order, payable to Washoe County Health District, or you can appear in person at the office which is located in the Washoe County Health District, E.
Our hours are listed on the Vital Statistics Program page. Birth and death certificates are confidential in the State of Nevada and may only be released to a qualified applicant. A qualified applicant is defined as the registrant, or a direct family member by blood or marriage, his or her guardian Must provide certified original court order appointing guardianship.
For more information, refer to NRS The Vital Statistics Office provides certified copies of Washoe County birth and death certificates either at the office or by mail. Fees for certified copies are set by statute and the current prices can be found on the Vital Statistics fee page.
For more information call Fill out the Affidavit For Correction of Record to amend or correct information on a birth or death record. Adding a child's legal father to his or her birth certificate requires filling out a Declaration of Paternity form. In fact, commercial recycling has been excluded from franchise agreements to allow for private enterprise to expand recycling opportunities. Waste that is to be sent for resource recovery or recycling must be separated at the site of generation.
For example, if your business generates glass and aluminum cans and you want to recycle it, the glass and aluminum must separated from your other solid waste. Once separated, the recyclable materials e. There is no easy answer to this question.
Recyclable materials are subject to the same supply and demand limitations faced by most businesses. Flux in the market for recyclable materials has a major impact on their value. Some recyclable materials have enough value that a permitted waste hauler will collect them for free or even pay for the material.
Other recyclable materials may have a low value, requiring the permitted waste hauler to charge you a nominal fee to collect them. As with most resources, collection and transportation costs may offset any profit that could be realized from recycling. The staff assigned to the Waste Management Program can answer your questions and provide more information. Additional materials on waste reduction and proper waste management including hazardous waste can be obtained from the University of Nevada, Reno Small Business Development Center, Business Environmental Program.
Any waste material that has an end use or can be re-processed into a usable material, product or item. This includes, but is not limited to, food waste, aluminum, glass, yard debris, plastic, office paper, etc. Additionally, this includes any solid waste that can be processed and used as a feedstock for energy generation. Not all recyclable materials can be recycled in Washoe County due to lack of markets, availability of necessary collection services, etc.
Prior to recycling any material, it is important to identify the method of transportation and the final processing location. There are environmental benefits to recycling that are well documented. For example, paper recycling has greatly reduced the need to harvest virgin timber to make paper products.
Instead, waste paper is re-processed and used in the manufacturing of new paper. Thus, the act of recycling promotes efficient and cost effective use of solid waste without depleting limited natural resources. This effort also limits environmental degradation that often results when extracting or harvesting virgin raw materials.
Another benefit can be realized by promoting the fact that your business recycles. Sustainability, responsible use of resources and commitment to community can be featured as part of an advertising campaign. Further, many residents are demonstrating a preference for businesses that actively recycle. Finally, by reducing the overall amount of waste that must be disposed, your business may reduce the cost for disposal.
You can give out samples if they are prepackaged and labeled per the Cottage Food and Food Safety Guidelines. No, you may not sell Cottage Foods over the Internet or the phone. All sales must occur by means of an in-person transaction. Shipping product through the mail is prohibited. The Cottage Food law disallows this. No, but you need to be registered with a Nevada jurisdicion to sell in Washoe County. To sell in other Nevada Counties you must contact the respective agencies to enquire about registration procedures and policies.
Please visit the Nevada Department of Taxation for further details. Additionally, foods containing cream cheese frosting, uncooked egg, custard or meringue may not be sold. Breads, cakes, pastries, candies, cookies, bread mixes, fruit pies, jams, jellies, preserves, dried fruits, popcorn, popcorn balls, cotton candy, dry herbs, seasonings, cereals, trail-mixes, granolas, coated and un-coated nuts and vinegar and flavored vinegar.
In your home, at a roadside stand on your own property, flea market, swap meet, church bazaar, garage sale or craft fair. The bill passed by the Nevada Legislature allowed only certain listed foods to be provided. One way E. In some people, particularly children under five years of age and the elderly, the infection can also cause a complication called hemolytic uremic syndrome, in which the red blood cells are destroyed and the kidneys fail.
About two to seven percent of infections lead to this complication. In the United States, hemolytic uremic syndrome is the principal cause of acute kidney failure in children, and most cases of hemolytic uremic syndrome are caused by E. The main symptom is diarrhea, which is often bloody, accompanied by abdominal cramps. There also can be a mild fever.
Although most strains are harmless and live in the intestines of healthy humans and animals, this strain produces a powerful toxin and can cause severe illness. If you believe that you became ill as a result of eating a meal prepared at a food establishment located in Washoe County, please call our office at to report your illness.
A well construction permit must be obtained from the Washoe County Health District to construct, drill, recondition or plug a well. The permit applications are available and are processed at the Health District offices. We have staff that speak Spanish and interpret in the clinic. We also have a telephone interpreting service that can assist with interpretation in many other languages. The address is East 9th Street, Building B. If you are traveling North on Wells, the entrance to the clinic is the first right into the parking lot after passing 9th Street.
All appointments are confidential. Social Services has information on adoption. You need to be seen by a nurse to receive this medication. Call the clinic ASAP to make an appointment. Contact Sexual Assault Support Services Crisis Call Center at or and they will listen to you as well as give you information about resources in the community that may help. We see women in their reproductive years, which means during the time in their lives when they are able to have children.
When a woman reaches menopause stops having her period we refer her to a different clinic for annual exams. A Pap smear is a test that looks for changes of the cells on the cervix. If you would like to know more, please see the Pap Smear information sheet. States have different requirements for school entry. The following are required by Nevada State Law:. You will be provided a receipt to submit to your insurance company with your claim for reimbursement.
Many shot records indicate when the next vaccinations are due. Parents can check with their physician's office or clinic. Annual influenza flu vaccination is recommended for children aged 6 months or older. Appointments are required for immunizations. We make appointments up to one week in advance. Walk in appointments are limited to schedule openings. In the event of a regional or national incident, if a request is made for assistance from our units, members may be deployed elsewhere only when they are not needed locally.
As part of the new member orientation, you will learn how to develop a disaster plan for your family. Family members should be included in planning and decision-making, preparing an emergency kit, and gathering appropriate resources to activate the plan in the event of an emergency. When an incident occurs for which the MRC will be deployed, appropriate members will be contacted via e-mail and telephone. Notices will also be posted on this website.
Our goal is to build our volunteer membership to over ; we are always looking to expand our membership. The MRC welcomes individuals from medical and non-medical professions. Medical practitioners include physicians, pharmacists, nurse practitioners, nurses, mental health professionals, respiratory therapists, and veterinarians are needed to provide emergency services during disasters.
Public Health professionals, including administrators, epidemiologists, health educators, and communicable disease and environmental health specialists are needed to help promote community health during non-emergency situations, as well as during disasters. Non-medical volunteers are needed to fill many key support roles, including managers, clerical personnel, interpreters, drivers, food service workers, messengers, security staff, and laborers. Retirees from medical and non-medical careers fill both clinical and support roles in the MRC, as do medical and health professions students.
Membership is voluntary, and you are not required to assist in any particular response effort. Within a short period after an incident occurs, you may be contacted by MRC staff and asked to assist. Your ability to respond to a request will not affect your continued membership in the MRC. Potential risks depend upon the type, magnitude and duration of the incident. The orientation session, trainings, and exercises prepare MRC members to protect themselves while working in the response efforts.
A member always has the opportunity to decline deployment if he or she is uncomfortable with the assignment, without affecting continued membership in the MRC. Each member is encouraged to have a signed memorandum of understanding with his or her employer to acknowledge that the employee has committed time to the MRC and the employer understands the employee may be unable to fulfill job responsibilities if deployed in response to an incident.
Depending upon the scope of the incident, you should expect to work one 8 hour shift per each 24 hour period, for three to five days. Members who will fill supervisory roles can expect to spend approximately 28 hours in training the first year. Additionally, all members will be expected to participate in an eight-hour exercise each year.
Much of the training is in the form of online courses which can be completed on your home computer, at your own pace, at whatever time is convenient for you. All training is provided at no cost to the volunteer. The concept of just-in-time training is to provide training at the time it is most needed.
In emergency management, just-in-time training incorporates information specific to the type and magnitude of the incident. The MRC uses just-in-time training for its members immediately after deployment to issue assignments and equipment necessary for their role in the incident.
MRC staff will make role assignments based on resource needs and availability. You can be assured that you will not be asked to perform a role that you are not prepared for. Background checks for all members, and licensure verification for healthcare practitioners are completed to protect both MRC members and the public they will be serving. In the event of an incident, time and resources are simply not available to process, train and manage spontaneous volunteers. The MRC registers and screens members, verifying medical licenses in advance to ensure a rapid, coordinated response.
Spontaneous volunteers often present a hindrance to incident management and may be turned away. If you want to be part of disaster response effort, become a member of the MRC now so you can be deployed quickly when an emergency occurs. Through the feces of people or animals including birds and especially reptiles this includes turtles to other people or animals, usually through food that has been contaminated, either though direct contact with infected feces or through unwashed hands of an infected food handler did not wash hands after using the bathroom.
Salmonellosis is an illness with symptoms that usually begin in the intestines. It is caused by a bacterium called Salmonella. Staff from the Environmental Health Services Division of the Health District have been conducting smoking ban compliance surveys during routine inspections since December 19, To date, an average The NCIAA states: "Smoking tobacco in any form is prohibited within indoor places of employment including, but not limited to, the following:.
Asking strangers, and sometimes even friends and family, to smoke outside can sometimes be stressful. It is important to remember that the vast majority of people are respectful and will abide by the law, if they are aware and reminded of it. Below are 4 ways to ask people who smoke to "take it outside". It may not be easy at first but you have the right and the responsibility to avoid secondhand smoke. Please see the guide for childcare facilities for information on compliance. Please see the guide for employers for information on compliance.
Smokers play an important role in helping to implement the law. First and foremost, it is now illegal for you to smoke indoors in a facility where smoking has been banned. Even if a "No Smoking" sign is not displayed there, you are still required by law to refrain from smoking.
You should also not bring any ashtrays or items used as ashtrays into a facility where smoking is now banned. You may still smoke anywhere outside of a facility where smoking is now banned indoors. You may also still smoke indoors at the following types of businesses:. Your compliance with the new law helps protect non-smokers and children from the dangers of secondhand smoke. Your compliance also helps merchants meet their responsibilities under the new law.
If you are asked by a representative of the business to refrain from smoking inside their facility, please do as they ask. It is the business's responsibility to enforce the new law in their establishment; if you are found smoking indoors at a location where smoking is now banned, then the business itself could be cited and required to pay a fine. You, too, could be found guilty of a misdemeanor, which generally carries a fine imposed by a judge.
Banning smoking in indoor spaces has been shown to have a positive impact for business owners in addition to the general community. Studies have shown that banning smoking in restaurants and bars can boost revenues and increase employment. For example, taxable sales receipts for bars and restaurants have increased every year in California since their smoking ban took effect in In New York City, tax receipts for restaurant and bars increased 8.
Florida's sales and employment in the hotel, restaurant, and tourism industries also were not hurt. Smoking bans in places of employment also have been shown to lower employee sick leave usage, health insurance costs, fire insurance rates, and cleaning costs. Many studies have been conducted about the business impact of indoor smoking bans. For more information about these studies, please visit: tobacco. Compliance with the ban is the responsibility of the owner, manager or operator of an area where smoking is prohibited.
A reasonable effort to prevent smoking should be made by this individual or group of individuals. Health authorities, police officers of cities or towns, sheriffs and their deputies shall, within their respective jurisdictions, enforce the provisions of the ban and shall issue citations for violations of the ban.
Exposure to secondhand smoke has been linked to numerous life-threatening diseases such as heart attack, stroke, and cancer. Eliminating smoking in indoor spaces reduces exposure to secondhand smoke, thereby reducing the occurrence of these chronic illnesses.
Research in communities that have implemented indoor smoking bans shows significant improvement to public health after the ban goes into effect. For example, hospital admissions for heart attacks dropped 40 percent in the six months following an indoor smoking ban in Helena, Montana; and, in Pueblo, Colorado, heart attacks declined 30 percent in 18 months after smoking was banned indoors.
For information about tobacco and secondhand smoke, please visit the Be Tobacco Free page or call If you smoke and want to quit, see the list of local stop smoking programs. Please contact Environmental Health Services at with any questions you may have about enforcement and compliance.
The cost to comply with the law will vary for each business, but, in general, there are minimal costs. Employers must clearly and conspicuously post "No Smoking" signs in their facilities at every entrance. They also are required to remove all ashtrays and other smoking paraphernalia from any area where smoking is prohibited. For some businesses, additional costs may be associated with the removal of built-in ashtrays or other smoking-related items.
A person who is found to violate the ban is guilty of a misdemeanor, which generally carries a fine imposed by a judge. As a result of the voters' mandate, smoking tobacco in any form now is prohibited within indoor places of employment, including, but not limited to: childcare facilities, movie theatres, video arcades; government buildings and public places; malls and retail establishments; all areas of grocery stores; all indoor areas within restaurants; and within school buildings and on school property.
Smoking tobacco is not prohibited in areas within casinos where loitering by minors is already prohibited by state law; stand-alone bars, taverns, and saloons that do not require a permit to serve food; strip clubs and brothels; retail tobacco stores; private residences, including those which may serve as an office workplace, except if used as a childcare, an adult day care or a health care facility; and hotel and motel rooms, if allowed by the facility operator.
Ashtrays or any items being used as an ashtray e. Merchants may still sell tobacco products. The law also defines a "place of employment" in Sec. The law does make an exception in Sec. Therefore, the Washoe County Health District is required by law to enforce the smoking ban. The ban was passed in order to protect the public from secondhand smoke. Secondhand smoke, also called environmental tobacco smoke, is a combination of smoke from the burning end of a cigarette, cigar or pipe and the smoke exhaled by smokers.
The U. Environmental Protection Agency EPA reports that secondhand smoke contains more than 4, substances, many of which are known to cause cancer in humans. In , the U. Surgeon General released a comprehensive report stating that there is no risk-free level of secondhand smoke exposure.
There is a glossary in the beginning of the Plan. However, there is an annual sampling permit available for vendors who wish to sample only, which applies to sanctioned Farmer's Markets, Craft Fairs, etc. This permit is valid only for the calendar year in which it was purchased. The application is subject to review and food service operations must comply with regulations. Incomplete applications may be rejected. Applications may also be rejected based on inability to contact the person in charge of food service, menu item restrictions, or operational concerns.
If food items that are not individually prepackaged and on-site preparation opening of package and contact with food item is required, a temporary food establishment permit must be obtained. Only registered cottage food operators can prepare food at home for a special event. All cottage food requirements must be followed including packaging and labeling requirements.
Other than the above exception, no food preparation is allowed at a private residence for items served to the public. All preparation of food for a special event must be conducted at the event or in a pre-approved permitted food establishment.
A temporary food establishment which operates at the same special event, in the same location and serves the same menu for at least three times during a calendar year will be eligible for a cumulative maximum fee. The temporary food establishment will be charged the permit fee for the event multiplied by three. The operation of the temporary food establishment is limited to 14 days per calendar year.
A religious, charitable or other nonprofit organization may, without possessing a permit from the Washoe County Health District WCHD , sell food to raise money, whether or not the food was prepared at a private home, if the sale occurs on the premises of the organization. County Finance has not passed any such exemptions for purchase of permits. If a fixed facility grocery store, restaurant, etc.
If the establishment wishes to sample or sell food outside, a temporary food permit is required. A temporary food permit must be obtained at least seven 7 calendar days prior to the event. Late fees apply to applications submitted within seven 7 days prior to the event. Existing food establishment permits do not extend outside of the approved fixed facility. Existing food establishments must obtain a Temporary Food Permit when operating outside of the approved facility.
A temporary food establishment permit must be obtained to cover each separate food vendor. Please contact this agency for available permitting options. Any food prep performed prior to the first day of a special event must receive prior approval from the WCHD.
Advanced preparation details must be disclosed in the temporary food permit application. Cooking and cooling of food items in advance is usually not allowed. Non-profit fees were removed from the current fee schedule as of July 1, A special event is a transitory gathering such as, but not limited to, an activity including soccer, baseball and softball league games , a celebration, festival or fundraiser which is open to the public.
A temporary food establishment is any food establishment which operates at a fixed location for a temporary period of time, not to exceed 14 consecutive days, in connection with a special event. You can enter the door marked clinic services. The Teen Health Mall offers family planning services to help you plan the size of your family. By using birth control methods a woman has more control over when she has children and how many children she has.
The number to the office clinic is The phones are answered between the hours of 9 a. You can pay for your visit on the day that you receive services, or we can put you on a payment plan. It is often given to infants and young children in countries with high rates of tuberculosis. It protects children and babies from developing severe forms of tuberculosis, like meningitis or miliary TB. It is not used routinely in the United States.
Your skin test may be positive because of BCG vaccination. Consider a blood test. Neither test can tell if you have TB disease, only if the TB bacteria are in your body. Treating latent TB infection is essential to controlling and eliminating TB in the United States, because it substantially reduces the risk that the infection will progress to TB disease.
A person with TB infection can take medication called Isoniazid or Rifampin. This will kill the TB bacteria and greatly reduce the risk of TB disease from developing. Your doctor will decide which medicine is best for you. It is important to have health monitoring every month while taking either of these medications to be sure that you are not developing any harmful side effects.
Your health care provider may order blood tests during your treatment. Considered one of the biggest breakthroughs in treatment for latent TB infection LTBI since the s, the dose regimen reduces treatment from daily doses over 9 months, to 12 once-weekly doses over 3 months.
It is a combination regimen of isoniazid and rifapentine; two of the most effective medications available for TB treatment. It takes a long time to kill all the TB bacteria. A person with TB disease typically must take 4 different medicines for 2 months:. Then take Isoniazid and Rifampin for another months depending on how much damage the bacteria have caused. This treatment has been successful in treating TB disease for many years.
In recent years, some TB bacteria strains have become resistant, the medicines no longer kill the TB bacteria to one or more of these drugs. Drug resistant TB is much more difficult and expensive to successfully treat. The Center for Disease Control and Prevention urges all health care practitioners to use directly observed therapy DOT in the treatment of tuberculosis. When a person with active TB disease coughs or sneezes tiny droplets that contain TB bacteria are released into the air.
If another person breathes air containing these droplets, they may become infected with the TB bacteria. However, not everyone infected with TB bacteria becomes sick. You will need to have a chest x-ray. If your chest x-ray is normal, this means you have been infected with the TB bacteria but your immune system has "walled off" the bacteria and is protecting you from getting sick.
Your doctor may recommend that you take medication to kill the bacteria so you will lower your risk of ever developing active TB disease. To increase the success of TB disease treatment and decrease the risk of drug resistance, a health care worker observes each dose of TB medication taken. Most persons believe they are able to take their medication without help. But 6 - 9 months is a long time to take antibiotics, especially after you start to feel better.
Health care workers who provide DOT offer encouragement to complete treatment. People are human and humans are sometimes forgetful. DOT health care providers help people remember to take their medicine. They also check for harmful side effects and make sure the medicines are working as expected. TB usually attack the lungs. Sometimes TB bacteria attack other parts of the body such as, the kidney, spine or brain.
TB disease is a serious illness, but with proper treatment it can be cured. They can be reached at Some people who are infected with latent TB have a greater risk of progressing to active TB disease. These include:. A vasectomy is a permanent operation. Some doctors try to undo a vasectomy with surgery, but it is expensive and many times does not work.
Make sure that you do not want to father any more children before you have a vasectomy. The doctor numbs the area and then makes a small cut in the scrotum skin around the testicles to get to the tubes that carry the sperm sperm ducts. The doctor then closes off the sperm ducts so that sperm cannot get into the semen what comes out during an orgasm.
When there are no sperm in the semen, you cannot cause a pregnancy. Yes, there are several temporary ways to prevent pregnancy. A man can use a condom or a woman can use methods like birth control pills, the Depo shot, the patch, an IUD as well as others. If you would like more information about these and other temporary ways to prevent pregnancy, talk to your health care provider. With a vasectomy you don't have to worry about making a woman pregnant and you don't have to use a temporary method of family planning again like birth control pills for women, condoms to prevent pregnancy, etc.
However, the procedure will not protect you against STDs. A condom is still the best method for STD prevention. Vasectomy is a safe and simple operation, but there is a small chance you could have problems afterwards. Some of the problems include:. A vasectomy is a sterilization operation for men. This means that after the operation a man cannot get a woman pregnant. A vasectomy will not alter your sex drive. Your erections and orgasms will be the same.
You will have the same amount of ejaculate semen , but it will not contain sperm. At this time, there is not a green waste program. However, you can build a compost pile from yard wastes that will provide nourishment and fertilizer for the garden and landscape. For more information on how to construct a compost pile, consult your local nursery or the Master Gardener Program through the University of Nevada Cooperative Extension Office at The residential recycling program in Reno, Sparks, and Washoe County is voluntary.
You must contact Waste Management Inc. They will be delivered to your home. Your pickup day may be different that the regular garbage pickup. The best way to prevent this disposal dilemma is to not purchase products that contain hazardous materials or chemicals. However, if you cannot share the product or donate it for use by others, please solidify the waste with kitty litter, dirt, or coffee grinds and throw it away.
If you are a homeowner, you should first try to donate the unit or turn it in to one of the used computer retailers in the area. The last and least attractive alternative is to dispose of it in the trash. If you are a business, your computers cannot be landfilled! In Washoe County, there are several ways to dispose of household paint. First, remove the lids from the paint cans and let the contents dry to a solid form.
When the material is solidified, you can dispose of it your household trash. Or, secondly, you may pour the paint directly on to plastic tarps being careful not to spill on to the ground; let it harden, and then roll up the tarps and place in your household trash. Most oil recycling centers will accept up to five gallons of used oil free-of-charge. Many of the large auto parts retailers in Washoe County will take motor oil from local residents. Make sure when transporting the oil, that it is in a secured container and is free of contamination by lubricants, gasoline, or antifreeze.
When a special exception is requested, this must be completed by the Water System submitting the plan for whatever the proposed exception is to the plan. This must include why the minimum requirements of NAC A cannot be maintained, provide an analysis of any potential public health impacts, how this exception can be protective of public health, and any other pertinent information necessary to complete the review process. A justification for each occurrence must be included with the plan submittal from the licensed professional preparing the plans.
The justification must address the proposed design, why it is required, why the design could not be modified to meet the requirements of NAC A, and address the potential public health impacts associated with not meeting the minimum construction requirements. Water project completion letters are required to be submitted to Washoe County Health District WCHD once all infrastructure has been installed and tested.
Lance Ferrato, the business relations program manager at the City of Reno, said that while the application process can vary, the reporting and fees associated with a mobile business application are no different than those for a brick and mortar business. Ferrato acknowledged that the codes are outdated and that a food truck and a flower truck are treated the same, apart from some specific regulations surrounding the handling and sale of food.
So that's something we're looking at. I'm not sure. She also uses a Wi-Fi hotspot and a small digital register to take payments, which has made operating a lot easier than in the past. One of the reasons for the rise in mobile businesses over the past decade is because of the rise of digital payment systems such as Square, SumUp and PayPal Zettle.
There is also the consideration of interior space. Golden Owl Bookshop only has so much room in the truck compared to massive retail chains such as Barnes and Noble, which might have two stories and a Starbucks inside. The fact that the business bumps around while driving can be tricky for the inventory. McClelland uses a system of bungee cords and crams the shelves as tight as she can get them in order to prevent books from literally flying off the shelves.
Maintenance on the truck can be challenging, too, because of its age and malfunctions could leave the business stranded. Since opening in December , MacPherson said she has never had to ask to go somewhere and is always invited by the businesses. Can I help you work the truck? Joey Lovato. Community Economy. We reserve the right to delete comments or ban users who engage in personal attacks, use an excess of profanity, make verifiably false statements or are otherwise nasty.
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