Mission Statement
Good health is basic to the enjoyment of a full and productive life. Our mission is to provide the best possible opportunity for good health to the citizens of Nolan County through health promotion and the prevention of disease.

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Flu shots still available


The Sweetwater-Nolan County Health Department is administering the flu vaccine on a walk-in basis. The cost is $20 for adults. (Medicare Part B accepted) Please call 235-5463 if you have questions. Our regular immunization clinic from 8-11:30 a.m. & 1-4:30 p.m.; and the second Wednesday of each month until 6 p.m. Effective January 1st, the administration fee for immunization has gone from $6 to $10. So, children (6 mo. - 18 years), who are eligible for VFC or adults eligible for vaccines under the adult safety net will pay $10. Medicaid and CHIPS accepted.  If a person has private insurance, they must go to their private physician.


The health department wants to encourage residents to use preventive actions:

  • Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
  • Wash your hands often with soap and water. If soap and water are not available, use an alcohol-based hand rub.
  • Avoid touching your eyes, nose and mouth, to avoid spreading germs.
  • Try to avoid close contact with sick people.
  • If you are sick with flu-like illness, CDC recommends that you stay home for at least 24 hours after your fever is gone except to get medical care or for other necessities. (Your fever should be gone for 24 hours without the use of a fever-reducing medicine.)
  • While sick, limit contact with others as much as possible to keep from infecting them.
  • Get vaccinated for the flu



 Whooping Cough

What Is Pertussis or Whooping Cough?  

Whooping cough (pertussis) is a highly contagious disease marked by severe coughing. It is named after the "whoop" sound children and adults sometimes make when they try to breathe in during or after a severe coughing spell.

What are the Symptoms?

Whooping cough usually starts with cold- or flu-like symptoms, such as runny nose, sneezing, fever, and a mild cough. These symptoms can last up to 2 weeks and are followed by increasingly severe coughing spells. Fever, if present, is usually mild.

  • During a classic coughing spell:

    • signature "whoop" is heard as the patient struggles to breathe

    • coughs usually produce a thick, productive mucus

    • vomiting may occur

    • lips and nails may turn blue due to lack of oxygen

    • patient is left exhausted after the coughing spell

  • Mild pertussis disease is difficult to diagnose because its symptoms mimic those of a cold. Usually a prolonged cough is present, but without the "whoop."

  • Milder symptoms usually affect all age groups, but are increasing among school children.

  • The coughing attacks may last for many months in the "classic illness" or just a few days in the mild form of the disease.
    Symptoms appear between 6 to 21 days (average 7-10) after exposure to the bacteria.

    What are Some Potential Complications?

  • Young infants are at highest risk for pertussis-related complications, including seizures, encephalopathy (swelling of the brain), otitis media (severe ear infection), anorexia (severe restriction of food intake) and dehydration.

  • In adolescents and adults, whooping cough can cause severe coughing that can make it hard to breathe, eat, or sleep, and can result in cracked ribs, pneumonia, or hospitalization.

How is it Spread?

  • Whooping cough is caused by a bacteria that is found in the mouth, nose and throat of an infected person, and is spread through close contact when an infected person talks, sneezes, or coughs.

  • It is most contagious during the first 2 to 3 weeks of infection, often before the beginning of severe coughing spells.

  • Vaccine protection against whooping cough does not last forever. The vaccination most people received as children wears off, typically by adolescence. Therefore, adolescents and adults are at risk for whooping cough and can spread the infection to infants and young children in the household.

Who Gets It?

  • Whooping cough (pertussis) can occur at any age, but infants and young children are at highest risk of life-threatening consequences.

  • Recent outbreaks have shown that adolescents and adults carry the disease, which in its milder form is hard to recognize. Undiagnosed mild disease contributes to the spread of the illness among infants and young children.

  • Persons with mild whooping cough can transmit the illness to un-immunized and partially immunized infants and young children who are more susceptible to severe illness and complications, such as pneumonia, encephalitis, and seizures.

  • Anyone - particularly infants and young children - who is un-immunized is at a higher risk for severe whooping cough.

How Do You Treat It?

  • Whooping cough is treated with antibiotics and patients are advised to take all prescribed medication and avoid contact with anyone, particularly small infants and children.

  • Ask your health care provider for treatment options if you think you or your child may have whooping cough.

How Do You Prevent It?

  • While there is no lifelong protection against whooping cough, immunization is the best preventive measure. There is a vaccine to help protect you and your child against whooping cough.

  • The Sweetwater-Nolan County Health Department administers the Tdap vaccine, which protect a person from the whooping cough on Wednesdays from 8-11:30 & 1-4:30, second Wednesday of each month until 6 p.m. Click on Immunization tab for more information on immunizations.

  • Consult your health care provider to be sure you and your family have been vaccinated.

Please refer to the Center for Disease Control website at cdc.gov or pertussis.com for more information.


The Sweetwater-Nolan County Health Department does not discriminate against any person on the basis of race, color, national origin, disability or age.

Sweetwater - Nolan Country Health Department - 301 East 12th St. - Sweetwater, Texas 79556
Phone: (325) 235-5463 - Email: swnchd@camalott.com