Protecting Health. Building Stronger Communities.
Serving the residents of Antelope, Boyd, Brown, Cherry, Holt, Keya Paha, Knox, Pierce, and Rock Counties
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Disease Surveillance
The North Central District Health Department (NCDHD) disease surveillance program monitors and investigates diseases to help prevent and control outbreaks in our communities. In coordination with the Nebraska Department of Health and Human Services, NCDHD conducts epidemiological investigations and follow up which involve vector borne disease (diseases spread by mosquitos and ticks), food and water borne illnesses hepatitis and other infectious diseases and health concerns.
NCDHD works in partnership with local hospitals, clinics, healthcare providers, long term care facilities, and schools to receive prompt notification of infectious diseases and other diseases of public health importance. NCDHD is notified of all lab-confirmed communicable diseases, conducts prompt investigations coordinates the collection of data, and provides public health guidance.
NCDHD also assists with education and training on communicable disease prevention.
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Disease Reporting
Communicable disease and other conditions may pose a threat to the publics health. Use the following guidelines for what should be reported:
For more information on diseases:
List of Diseases & Conditions - DHHS
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If you are a provider and suspect a measles case, please call our 24/7 number at 402-961-1718.
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Ebola
Facts about Ebola in the U.S.:
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You can't get Ebola through air
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You can't get Ebola through water
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You can't get Ebola through food
More information can be found through the CDC here.
Food Safety and Illness
What is Food Poisoning?
Foodborne illness (sometimes called food poisoning, disease or infection) is common, costly and preventable. You can contract it after swallowing food that has been contaminated with a variety of germs or toxic substances.
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Current recalls, market withdrawals and safety alerts can be found here:
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Here are some Barbecue Basics: Tips to prevent foodborne illness during the summer months.
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If you suspect you have foodborne illness from a restaurant or exposure; please complete this survey
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Measles
Measles is a highly contagious viral infection that is easily preventable with vaccination. Symptoms typically appear 10-14 days after exposure and often begin with fever, runny nose, cough, and red eyes. A rash usually develops 3-5 days later.
If you believe you've been exposed to measles and begin experiencing symptoms, contact your healthcare provider right away. Be sure to inform them before arriving so appropriate infection control measures can be put in place to protect others.
​2025 Outbreak Information:
Nebraska ICAP-Measles Guidance
Measles Frequently Asked Questions
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Influenza
Influenza (the flu) is a contagious respiratory illness caused by the influenza viruses.
It can cause mild to severe illness, and at times can lead to death. Some people, such as elderly, young children, and people with certain health conditions are at higher risk for serious flu complications.
The best way to prevent the flu is by getting vaccinated each year. The Center for Disease Control and Prevention (CDC) and the North Central District Health Department (NCDHD) recommend that everyone over 6 months of age get vaccinated to protect themselves and other from the flu.
