The Service Tree lists all services in "branched" groups, starting with the very general and moving to the very specific. Click on the name of any group name to see the sub-groups available within it. Click on a service code to see its details and the providers who offer that service.
Immunizations
Programs that inoculate infants and young children to prevent them from contracting diseases to which they are particularly susceptible including diphtheria, tetanus (lockjaw), measles, mumps, chicken pox (varicella), rubella (German measles), whooping cough (pertussis), Hib (haemophilus influenzae type B), hepatitis B, pneumococcal infections and polio. Hepatitis A vaccine is recommended for use in selected locales and for certain high-risk groups. Influenza vaccine is recommended annually for children older than six months with specific risk factors. Rotavirus vaccination (to prevent acute gastroenteritis with vomiting and severe diarrhea) is recommended during the first year of infancy. A baby should receive two or three doses depending on the brand used. Some childhood immunizations involve a series of doses at specific intervals.
Programs that provide inoculations that help prevent individuals from contracting the COVID-19 virus, either to the general public or targeting critical workforce personnel and/or higher-risk priority groups. The clinics may be walk-in sites (pharmacies, churches, community centers, outdoor tents) or locations in areas with curbside or drive-through options. Most sites require physical distancing, use of personal protective equipment (PPE), and enhanced sanitation efforts. Most of the vaccines are administered as two shots given with a needle, usually in the arm and separated by a period of weeks. The official document for verifying receipt of a COVID-19 immunization in the U.S. is a small, white vaccination record card issued by the Centers for Disease Control and Prevention, which is given to recipients after their first or single shot. The vaccination card serves as a personal immunization record which identifies the vaccine they received, its lot number, the date and the vaccination site as well as a reminder, if applicable, of when their next dose is due. The card is updated with details about a second shot after that is provided.
Programs that inoculate susceptible individuals of all ages, but particularly people who are very young or very old, to prevent them from contracting any of the variant strains of influenza that are prevalent during the winter and spring. The vaccine may be administered as a "shot" that is given with a needle, usually in the arm, or in the form of a nasal mist.
Programs that provide inoculations which prevent high risk populations from contracting hepatitis A, an inflammation of the liver caused by the hepatitis A virus (HAV) which can be contracted through contaminated water or food. Included are persons traveling to or working in countries with high rates of infection, sexually active gay/bisexual men, injecting and non-injecting illegal drug users, persons who work with HAV-infected primates in a laboratory setting, persons with chronic liver disease, persons with clotting disorders and, where cost-effective, food handlers. The vaccine is administered in a two-dose regimen separated by a period of six months to a year.
Programs that provide inoculations that protect at risk populations including sexually active gay/bisexual men, injecting and non-injecting drug users, health care workers and heterosexuals who have multiple sex partners from contracting hepatitis B, an inflammation of the liver. Hepatitis B vaccine is also recommended for all adolescents who may not have received it during infancy or childhood. The vaccine is administered in a three-dose regimen over a period of six months.
Programs that provide inoculations which provide some measure of protection against the human papillomavirus, a sexually transmitted disease some strains of which have been shown to be a major cause of cervical cancer. HPV has also been linked to cancer of the anus, vulva, vagina and some cancers of the oropharynx (the middle part of the throat that includes the soft palate, the base of the tongue and the tonsils). Some studies indicate that it may also be a risk factor for cancer of the penis.
Measles/Mumps/Rubella Immunizations
Programs that provide inoculations which prevent adults from contracting measles, mumps or rubella (German measles). These vaccines are often given in a combined form (MMR), which is appropriate even though an individual is already immune to one or more of the components. Vaccination is recommended for adults born after 1956 without written documentation of immunization on or after their first birthday; health care personnel born after 1956 who are at risk of exposure to patients with one of the diseases; HIV-infected individuals without severe immunosuppression; travelers to foreign countries; and persons entering post-secondary educational institutions (e.g., college).
Programs that provide inoculations which prevent recipients from contracting meningococcal meningitis, a potentially life-threatening bacterial infection that causes inflammation of the membranes surrounding the brain and spinal cord. Students living in on-campus housing at colleges and universities in some areas may be required to have proof of immunization prior to receiving residence hall entry. Some campus health centers provide meningitis vaccination clinics for their students.
Programs that provide inoculations which prevent high risk adults from contracting polio, an inflammation of the gray matter of the spinal cord which often produces paralysis of the muscles that are controlled by the spinal nerves that were damaged by the illness. Vaccination is recommended for travelers to areas or countries where poliomyelitis is epidemic or endemic; members of communities or specific population groups with diseases caused by wild polioviruses; laboratory workers who may handle specimens that may contain polioviruses; health care workers who have close contact with patients who may be excreting wild polioviruses; and unvaccinated adults whose children will be receiving oral polio vaccine.
Programs that provide inoculations for adolescents and adults which protect them from contracting tetanus, diphtheria and/or pertussis (whooping cough) depending on which vaccines (Td or Tdap) are administered. Td is a tetanus-diphtheria vaccine given to adolescents and adults as a booster shot every 10 years, or after an exposure to tetanus under some circumstances. Tdap is similar to Td but also contains protection against pertussis; and can be given regardless of when Td was last received. Adolescents age 11-18 (preferably at the age of 11-12) and adults age 19 through 64 should receive a single dose of Tdap. Adults age 65 and older who have close contact with an infant and have not previously received Tdap, should also receive a single dose. Tdap should also be given to 7-10 year olds who are not fully immunized against pertussis. Inoculations are recommended for people in flooded areas who may be at risk of tetanus infections from dirty cuts, scrapes or puncture wounds.
Programs that provide inoculations to prevent individuals who will be traveling outside the U.S., Canada and Europe from contracting infectious diseases such as typhoid, typhus, hepatitis A and B, malaria, dysentery or yellow fever.