Muhlenberg County Health Department

Prevent, Promote, Protect.

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Muhlenberg County Health Department Immunization Program

The Muhlenberg County Health Department works to provide services aimed at preventing and reducing the risk and incidence of vaccine-preventable diseases.

Vaccines to prevent preventable diseases (diphtheria, tetanus, measles, mumps, rubella, whooping cough, Hepatitis B, HiB) are available.
Kentucky law requires immunization of children entering day care, child care facilities and public or private schools. These requirements also allow for exemptions for both medical reasons and religious beliefs. Immunization laws and regulations protect everyone by generating high immunization participation that greatly reduces the risk of vaccine-preventable disease outbreaks.

 Adult immunizations are available by individual appointment. Certain vaccines, such as influenza, tetanus and pneumococcal, need to be given at regular intervals during adulthood. The Centers for Disease Control and Prevention has prepared the following guide for adult immunizations. Tetanus vaccines are available from the Health Department year-round. Influenza vaccine is available just before and during flu season, usually beginning in the months of September/October. Information will be available on this website.

For more information on vaccination schedules or questions related to vaccine safety, see

For Vaccine Information Statements, see  Vaccine Information Statements (VISs) are information sheets produced by the Centers for Disease Control and Prevention (CDC) that explain to vaccine recipients, their parents, or their legal representatives both the benefits and risks of a vaccine.

Check out the CDC's Interactive Immunization Scheduler (birth-6 years) :

To see the 2014 Childhood and Adolescent Immunization Schedule (birth-18 years) please visit:
 If you have any questions regarding childhood immunizations, or to make appointment please call 270-754-3200.

Measles Information

Measles is the most deadly of all childhood rash/fever illnesses. The disease spreads very easily, so it is important to protect against infection. To prevent measles, children (and some adults) should be vaccinated with the measles, mumps, and rubella (MMR) vaccine. Two doses of this vaccine are needed for complete protection. Children should be given the first dose of MMR vaccine at 12 to 15 months of age. The second dose can be given 4 weeks later, but is usually given before the start of kindergarten at 4 to 6 years of age.

Signs and Symptoms

The symptoms of measles generally appear about seven to 14 days after a person is infected.

Measles typically begins with
- high fever,
- cough,
- runny nose (coryza), and
- red, watery eyes (conjunctivitis).

Two or three days after symptoms begin, tiny white spots (Koplik spots) may appear inside the mouth.

Three to five days after symptoms begin, a rash breaks out. It usually begins as flat red spots that appear on the face at the hairline and spread downward to the neck, trunk, arms, legs, and feet. Small raised bumps may also appear on top of the flat red spots. The spots may become joined together as they spread from the head to the rest of the body. When the rash appears, a person’s fever may spike to more than 104° Fahrenheit.
After a few days, the fever subsides and the rash fades.

Transmission of Measles

Measles is a highly contagious virus that lives in the nose and throat mucus of an infected person. It can spread to others through coughing and sneezing. Also, measles virus can live for up to two hours on a surface or in an airspace where the infected person coughed or sneezed. If other people breathe the contaminated air or touch the infected surface, then touch their eyes, noses, or mouths, they can become infected. Measles is so contagious that if one person has it, 90% of the people close to that person who are not immune will also become infected.

Infected people can spread measles to others from four days before to four days after the rash
( appears.

Important Health Links

Kentucky Cabinet for Health and Family Services
American Heart Association | Web MD
Centers for Disease Control | American Diabetes Association

105 Legion Dr. | Central City, KY 42330
(P) 270-754-3200 | (F) 270-754-5149

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