
Gateway District Health Department
Bath, Elliott, Menifee, Morgan, and Rowan
PO Box 555 - Gudgell Avenue
Owingsville, Kentucky 40360
(606) 674-6396 ~ Fax (606) 674-3071
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Quick News and Info
What We Do - Gateway District Health Department is a five-county district health department of Bath, Elliott, Menifee, Morgan, and Rowan Counties. Our mission is to protect people's health and well being. Through our programs and services, we hope to prevent injury and illness, promote good health practices, keep the environment safe and clean, and help you enjoy a long, high quality, and healthy life.
Services
Physical Exams
Complete physical and developmental assessments for children 2 months to 21 years to determine if the child is growing and developing at an average rate and to detect health problems. The assessment includes screening and laboratory tests performed at appropriate age intervals. Patients will be referred to a physician if necessary. Health Center staff will make arrangements. Charge is based on income and number in household. Adult physical assessments are also provided by registered nurses and ARNPs that have completed specialized training, as well as physicians.
WIC
Supplemental food program which provides infant formula, milk products, juices, cereals, dried beans, eggs, and peanut butter to infants and children from birth to age 5. Along with vouchers for these foods, education is provided by a nurse or nutritionist to help improve diet and overall health. These services are provided free to low income families whose infant or child has been determined to be at nutritional risk due to improper growth, anemia, poor diet, or other specific health risk. These services are also available to pregnant and postpartum women. Click HERE to see some excellent videos about the WIC program and more information on taking care of your child.
Immunization
Initial immunizations and booster shots are provided to protect infants and children against childhood diseases. The health center will provide parents a copy of children’s immunization record upon request. Certificates verifying immunizations are provided to school or day care requirements. Adult immunizations services are also provided.
Fluoride
This is a program for those preschool children who do not have fluoridated drinking water (water not supplied by city or county). The family may pick up a water test kit to have drinking water tested. Fluoride drops or tablets will be provided to those children whose drinking water does not contain recommended levels of fluoride. Fluoride helps prevent tooth decay and disease. This is available to children 6 months until 6 years of age.
Fluoride Varnish
This is a program for those preschool children who do not have fluoridated drinking water (water not supplied by city or county). The family may pick up a water test kit to have drinking water tested. Fluoride drops or tablets will be provided to those children whose drinking water does not contain recommended levels of fluoride. Fluoride helps prevent tooth decay and disease. This is available to children 6 months until 6 years of age.
Fluoride helps prevent tooth decay and disease.
Lead Screening
Lead testing is provided for children 6 months until 6 years of age who are determined to be at risk for lead poisoning. Education relating to lead poisoning is provided by a nurse to families whose child may be at risk for lead poisoning.
Environmental Programs
The environmentalist oversees and/or does the following: temporary food service establishments, seasonal restricted food services establishments, food service establishments, food and beverage vending machines, retail-food establishments, bed and breakfast establishments, retain food stores, food managers training program, hotel/motel inspections, mobile home/RV inspections, public restroom inspection, school inspections, septic tank cleaners (trucks), septic tank disposal sites, confinement facilities, youth camp facilities, private water supply testing, nuisance control, onsite sewage disposal system, installer training program, private sewage-complaints/repairs, public swimming/bathing (pools & beaches), food borne disease investigation, rabies program (quarantine/release), lead program, vectors (mosquitoes, birds, rodents, bats, etc.), West Nile Virus (bird submission), and ear piercing programs.
Epidemiology Program
The epidemiologist performs complex epidemiological studies on the distribution and determinates of bioterrorism events, infectious diseases, and other public health emergencies (epidemic and endemic). Work involves assisting in devising methods of surveillance, implementation, and analysis of epidemiological investigations or studies; participating in general data management and report writing for epidemiological studies and investigations within a specified geographic area of the state. When a person has been exposed to a contagious or infectious disease, the health center staff will conduct an investigation to determine the source of the exposure. The health center may also provide medicine to prevent the disease. Included are diseases such as hepatitis, meningitis, tuberculosis, rabies, and sexually transmitted infections. For persons who become ill with tuberculosis or sexually transmitted diseases, the health center will provide treatment under the guidance of a physician.
Family Planning
These services are available to those people who want to obtain a method of birth control or help in planning a family. Methods available include birth control pills, barrier methods (foam, condoms, diaphragm and gel). Depo Provera injections, IUDs and natural family planning methods. Women participating in family planning services will be provided a physical exam each year which includes a breast exam, pelvic exam and a pap test. The charge for the physical exam and the birth control is based upon family size and income.
First Steps
First Steps, Kentucky’s Early Intervention System (KEIS) serves children birth to 3 years of age who have developmental delay or a particular medical condition that is known to cause developmental delay. Anyone in your community, including yourself, can call the district Point of Entry Office (POE) to refer a child suspected of having a delay. For the Gateway District Office (Bath, Elliott, Menifee, Morgan, and Rowan) call 800-942-4358 to make a referral.
Healthy Start
The Healthy Start Program has a Credentialed Healthy Start Consultant, which is a registered nurse. The consultant works with all the childcare sites and childcare providers in the counties of Bath, Elliott, Menifee, Morgan, and Rowan. The consultant provides on-site consultations in the area of health, safety, and nutrition. The childcare centers are also provided with clock hours training, which is a requirement for the childcare providers to keep their jobs. This services is provided free of charge to any center that request the services. Along with all the services provided, the consultant also offers DECA program to evaluate children that may be having difficulty within the childcare settings. The healthy start program works closely with the state coordinator of the Healthy Start Program.
Cancer Screening Services
These services are available to women who do not need birth control due to menopause, tubal ligation, or hysterectomy. A physical exam including pap test and breast exam is provided by a nurse. Cholesterol screening and random blood sugar may be provided if indicated. Breast self-exam instruction and counseling on the risk of smoking is provided.
Screening Mammogram Referral
Screening mammograms based upon American Cancer Society recommendations are provided to low income women. The fee for this service is based upon income and number in household.
Breast Cancer Program
This is a community education program, which provides information to the communities on early detection and prevention of breast cancer. This program targets women ages 40 to 69. This program holds annual screening events in each county. The breast cancer awareness program is constantly providing education to the community and community groups. The goal for this program is to provided education to all groups of women, from all walks of life, to help in eradication of breast cancer in Kentucky’s women.
Colorectal Cancer Screening
This program is grant funded and has a goal of reaching a target group of men and women ages 50 and older. The main goal is to educate the public and increase the number of colorectal screenings that are done. This program also educates the public on the effectiveness of the Fecal Occult Blood Testing (FOBT) versus the other colorectal screening available. The FOBT has been proven to be just as effective in detecting colorectal cancer as the other forms of screening. This service is provided at all the local health departments in the Gateway District. The colorectal cancer prevention program will also be holding screening events in all four counties.
Diabetes Services
Services are provided by a Registered Dietitian with her CDCES (Certified Diabetes Care and Education Specialist) and by an APRN with specialized training. Services include one on one education in the clinic, group classes in the community, online courses and also professional education by registered nurses. The main focus is to reduce morbidity and mortality from diabetes in our district. Services include screening, counseling, and ongoing management for diabetes. The health center has trained health professionals who can assist clients in reducing their risk of developing this disease by modifying lifestyles. In addition, prevention of diabetes is taught. This service is for people of all ages. For more information about diabetes services click Other Services in the main menu at the top of this page and select Diabetes.
Preconceptional Risk Assessment, Folic Acid, and Counseling
This service is available to any female of childbearing age who is not currently pregnant. The purpose of this service is to determine risks that may be associated with future pregnancies and to provide information on ways in which those risks can be decreased prior to conception. Folic acid counseling and provision of multivitamins with folic acid is available for women of childbearing age. Since the folic acid program has began providing a free years supply of multivitamins to women of childbearing age in Kentucky, the incidence of Neural Tube Defects have decreased by 70%. Education is also provided to health professionals and the general public in our communities to promote this awareness.
Physical Activity Program
This program works in conjunction with the state and Centers for Disease Control, to increase physical activity and thus decrease complications such as chronic disease and obesity. The focus of this program is to work with communities, to assess areas where an increase in activity is needed, sit on physical activity boards, schools, business, and promote physical activity to the general population. Education is provided on a one to one basis or group education. This program will become more visible as we continue to build the infrastructure for this relatively new service.
TB (tuberculosis) Program
Services are provided by a Registered Nurse with specialized training. Services include: maintaining records and reporting according to state, local, and federal guidelines; provide TB screening for high risk groups; provide TB case investigations; contact investigations; directly observe therapy and follow up for TB patients; provided training and updates including one on one education with patients; professional education to registered nurses and physicians; and to provide a TB clinic through telehealthcare network with St. Claire Regional Medical Center and UKMC. Education is also provided in each community for healthcare facilities (nursing homes, clinics, correctional facilities) as need arises.
HANDS Program
HANDS is a collaborative effort of the Cabinet for Health Services, the Governor's KIDS NOW Initiative and other local community agencies. The purpose is to provide information, referral and support for Moms and Dads expecting their first child. The focus is on recognizing your baby's needs, what to expect as your baby grows, making your home safe and other important topics that could help your baby have a healthy, safe beginning. HANDS is a voluntary, free service to first time parents. Hispanic services are also available.
WIC Services
WIC is a supplemental food program that provides nutrition counseling, breastfeeding support, education, nutritious foods, and referrals to healthcare ​services. WIC improves the health of pregnant, breastfeeding, postpartum women, infants, and children up to age 5.
Sexually Transmitted Infections
These services include testing and treatment of various sexually transmitted infectious including syphilis, gonorrhea and Chlamydia and HIV. The testing can be done confidentially (using a patient’s name) or anonymously (using a randomly assigned number). This service is available regardless of income.
HIV/AIDS
HIV testing and counseling are available. The testing can be done confidentially (using a patient name) or anonymously (using randomly assigned numbers). There is a small fee for services but if the patient cannot pay the service will still be provided.
Immunization
Adults can receive booster immunizations for tetanus (lockjaw) and MMR (measles, mumps, rubella). Skin testing for tuberculosis and immunizations to protect against flu and pneumonia are also provided.
Health Education
Health education is available for adults who wish to receive information regarding aspects of adult lifestyles that can be changed to promote health and well-being. Many health education services are offered in the community as well as the local health center.
Nutrition Services
This program is for all, regardless of income, who need intensive medical nutrition counseling. Group sessions and individual one on one visits are available with a registered dietitian or nutritionist who can recommend the diet best for you. Health professionals from the community may use this as a referral service.