Appanoose County Board of Health

Appanoose County Public Health Nursing


Back Row Left to Right: Natasha Myers RN, Margrit Ballanger RN, Jerilyn, Lasley Secretary, And Terri Sinclair RN CCNC

Front Row Left to Right: Renea Wubben RN, Kim Greene Financial Secretary, Billie Hall RN, BSN, Administrator


Contact Information

209 East Jackson Street

Centerville, IA 52544

Phone 641.437.4332

Fax 641.856.5575

Information on Appanoose County : Appanoose County, Iowa

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IDPH News Release


Summer Plans Should Include Immunization Checks

Be school-ready by ensuring your child’s vaccinations are up-to-date

In the midst of summer camps, vacations and sports, the Iowa Department of Public Health (IDPH) and Appanoose County urge parents to ensure their child’s immunizations are up-to-date in preparation for going back to school. Iowa Law requires children to receive immunizations prior to attending a licensed child care center or school.  These requirements are based upon the recommendations from the national Advisory Committee on Immunization Practices (ACIP) and are minimum recommendations to keep your child healthy. Contact your health care provider to make sure your child’s immunizations meet current recommendations. 

Because of the global nature of our society, vaccinations are more important than ever. “Most cases of measles in the U.S., for example, have been ‘imported’ by a visitor from another country,” said Appanoose County Public Health Director Billie Hall. “Without high vaccination rates in the U.S., a single case of a vaccine-preventable disease brought from another country could balloon into an epidemic.” The best way to protect you and your family against vaccine preventable diseases is to make sure your immunizations are up to date.  The Vaccines for Children (VFC) Program offers vaccines at no cost for eligible children through VFC-enrolled providers. To find out if your child qualified and clinic hours, contact Appanoose County Public Health 641.437.4332.  Vaccinating on schedule means healthier children, families and communities.

For more information about vaccinations, including required child care and school vaccinations, recommended adult vaccinations, and more, visit




The Appanoose Co. Public Health Nurse’s office consists of two secretaries and five nurses with total nursing experience of 92 years, 64 of those being in Public Health.  Appanoose County Public Health was established in 1960.


The purpose of the agency is to enhance client, community and environmental health through nursing services aimed towards education, rehabilitation and restoration of wellness, promoting optimal health in the aging process and minimizing the need for institutionalization.


The Appanoose County Public Health Nursing Service is located on the 1st floor of the Court House in Centerville, Iowa.  Office hours are Monday through Friday 8:30 a.m. to 4:30 p.m. (closed at noon) and on call 24 hours per day.  437-4332


Services are available to any Appanoose County resident regardless of age, race, creed or ability to pay.  Anyone can make a referral to us.


The Appanoose County Public Health Nursing Service is certified for Medicare, Medicaid, Veteran’s Administration, Private Insurance or private fees based on a sliding scale according to income.  No one is denied service because of inability to pay.



The Public Health Nurse is a nurse with professional training in public-community health and works under the guidance of the Nurse Administrator and the Public Health Nursing supervision of the Iowa Department of Public Health.


Disease and Disability:  A patient who has a medical diagnosis with a physician’s plan of care.  Skilled Nursing care provided by a registered nurse with reimbursement available from Medicare, Medicaid, Private Insurance or sliding fee scale.


Health Promotion:  A patient with health care needs – general health teaching, teaching regarding growth and development including the aging process, maternal/child health visits and promotion of a healthy lifestyle




Hypertension Screening: 

Hypertension Screening is provided free in our agency on a daily walk-in basis or can be arranged in a community setting.  In the past, we provided BP screenings at the Senior Citizen Sites within the County, Wellness Fairs, worksites, County Fair, etc.


Immunization Screening:  Appanoose County PHN offers an immunization clinic for children age 0-18 on the last Tuesday of each month 9:30-noon and 1-4 p.m.  A $3-$5 donation is encouraged to defer costs.


Immunization Clinics

Last Tuesday of each month

At our New Office 1:00 pm to 4:00 PM

(Unless a holiday falls on that date)


Public Awareness:  Throughout the year, the PHN’s promoted home health care and community services through various activities.  This includes such events as BP clinics, medical consultation, guest

Contracted Service:  Home Health Aide Services are contracted from the Appanoose Community Care Services, Inc.  Cares assigned may include personal cares such as bathing, shampooing hair, dressing, ambulation assistance, meal prep, etc.


Current information on:  Salmonella and Pertussis, Mumps Disaster planning, and food safety during a power outage.


Click on Iowa Dept. Of Public Health link below.


speaking, TB skin tests, immunizations for adults, disaster preparedness, Child Care Nurse Consultant for all child care providers and preschools in Appanoose County, Care for Your Self which is Wise Women Breast & Cervical Cancer program.


Adult Immunizations

The following immunizations for adults are offered in the PHN office by appointmentTB Tests

*      Td (Tetanus & Diphtheria)

*      Tdap (Tetanus, Diphtheria, & Pertussis

*      Hepatitis A

*      Hepatitis B

*      Hepatitis A/B Combo

*      Measles, Mumps, Rubella

*      Influenza


Iowa Department of Public Health


Centers for Disease Control and Prevention


Healthy and Well Kids in Iowa



Women’s, Infants, and Children



Healthy Kids, Healthy Care


Iowa Adults Urged to Update Vaccinations

Yearly exam should include immunization check-up

Immunizations are a high priority for Iowa parents who must have their children’s vaccines up-to-date in order to enroll them in school. However, a new report by the Centers for Disease Control and Prevention (CDC) suggests those parents should make keeping their own vaccinations current a priority as well.

According to the CDC’s “National Immunization Survey,” only 44 percent of adult Americans have received a tetanus shot in the past 10 years. The tetanus vaccine decreases in its effectiveness after 10 years, thus a booster shot is recommended to maintain protection. A new combination tetanus vaccine is now recommended for adults due for their next adult tetanus booster shot. It is given to adults aged 18-64 years and is called “Tdap” for tetanus, diphtheria and pertussis (whooping cough).  The CDC reports only 2 percent of adults nationally have received a Tdap vaccination.

“It’s important for adults to look after their own health, as well as that of their children,” said Iowa Department of Public Health Immunization Program Manager, Don Callaghan. “Adults should schedule regular checkups with a physician to not only monitor their overall health, but to keep their vaccinations current.”

Two new vaccines were licensed in 2006 for adults. The shingles vaccine, for persons aged 60 and older, has been received by only 2 percent of the adults in that age group. The HPV vaccine, which protects against cervical cancer, is available for females aged 9-26. According to the CDC report, only 10 percent had received at least one dose of this three-dose series.

On the bright side, state figures show among Iowa adults aged 65 and older, nearly 74 percent got a flu shot in the past year and 71 percent received the pneumonia vaccine.

To assist adults in keeping track of their vaccine history, adult immunization record forms are available at (folds into wallet size).  The adult immunization schedule is available at

IDPH recommends that all adults review their vaccine history with their health care provider to ensure that they have protection against these serious diseases. 

If you would have any questions, please call Appanoose County Public Health Nursing Service at 641-437-4332.