Frequently Asked Questions

Within the State of New Jersey, there are many places which provide:

• Halfway house treatment
• Intervention
• Outpatient treatment
• Prevention
• Residential detox
• Residential treatment long-term (90 days or more), short-term (14 days up to 90 days)

All agencies providing this service are licensed by the New Jersey Division of Mental Health and Addiction Services. You may call 856-384-6885 for assistance. We will assist with an appropriate service which will then become verified through an official intake assessment by the Service Provider.

It is difficult to say whether a detox or treatment bed would be open and available. Admissions to programs are by appointment; there may be information required of you by the agency before they can make a decision that they can meet your full clinical need. There are also criteria for financial eligibility for certain detox and treatment opportunities.

An adjustment of current Federal Poverty Guidelines by family size is used to determine financial assistance eligibility for all treatment opportunities. There are special funding sources such as:

• Driving under the Influence Initiative Funding for Treatment
• South Jersey Initiative (SJI) - open to residents who are age 24 or under and reside in any of the eight South Jersey Counties
• Substance Abuse Initiative (SAI) of the Work First NJ Program

There are also veterans programs, and funding programs for pregnant, postpartum or homeless women. Please call the Division at 856-384-6885 for assistance.

The County offers free eye exams once a month in cooperation with the NJ Commission for the Blind. Eye exams are held once a month at the Health Department, in Sewell. You must make an appointment by calling 856-384-6842.

Yes, if you are not in need of a full exam or a new prescription, you may be tested for glaucoma.

The United States Social Security Administration (SSA) offers benefits depending on the nature of your disability, your age, your work history, and Social Security taxes paid. The easiest and most efficient way to apply is online, or you may contact the SSA by toll-free numbers:

• Call 800-772-1213
• If you are deaf or hard of hearing, call the TTY toll-free at 800-325-0778.

No, any child with a chronic illness or developmental delay may qualify for case management.

A nurse or a Social Worker will apeak with the family and develop an Individual Service Plan based on the child and family’s needs. Referrals are made to the appropriate community, state, and federal agencies that may be able to assist the family to meet the needs of their child. No direct services or monetary allowances are offered through the unit itself.

Families who have concerns about their child’s development may call Early Intervention directly using the statewide referral number: 888-653-4463. Early Intervention is a statewide system of services for infants and toddlers, birth to age 3, with developmental delays or disabilities and their families.

Special Child Health can refer you to your local Child Study Team for a comprehensive evaluation or you may speak to your pediatrician for further medical assessments and referral to specialized care.

• You are a citizen of the United States
• You are a Gloucester County resident 30 days before the election
• You are a resident of the election district in which you expect to vote at the time of registration
• You are at least 17 years old, and understand that you may not vote until reaching the age of 18
• You are not serving a sentence of incarceration as the result of a conviction of any indictable offense under the laws of this or another state or of the United States

You may register to vote by completing a registration application form at the Gloucester County Superintendent of Elections Office or by mail. Forms are also available at any Municipal Clerk’s Office, through the League of Women Voters, or other public agencies. For further information, please call the Superintendent of Elections Office at 856-384-4500 between the hours of 8:30 am and 4:30 pm.

Anytime, however, in order to vote in any election, your registration must be received 21 days prior to the election in which you wish to vote.

Under the federally mandated Help America Vote Act (HAVA), You will be required to provide either the last four digits of your Social Security Number or your complete Driver’s License Number on the registration application.

Your registration will be valid indefinitely if you have not moved from Gloucester County or have not been disenfranchised.

No, but you may fill out a Party Declaration Form (PDF) at that time if you so choose.

• If you move within Gloucester County more than 21 days before an election, you must file a written change of address with the Superintendent of Elections’ Office.
• If you move within Gloucester County less than 21 days before an election, you will vote in your new municipality, ward, or district by Provisional Ballot. For your new polling location, you may call the Superintendent of Elections’ Office at 856-384-4500.
• Moving from/to another county: If you move to another county more than 30 days before an election, you must re-register and vote in the new county. If you move to another county less than 30 days before an election, you may vote at your previous polling place in Gloucester County for only that election. You must then register in the county you reside.

If you legally change your name, you may vote in the next election by signing your new name in the poll book. Then you must complete a Change of Name Notice. (Title 19:31-13)

• Primary Elections are held on the first Tuesday after the first Monday in June.
• General Elections are held on the first Tuesday after the first Monday in November.
• Polls for the Primary and General Elections are open from 6 am to 8 pm.

Voting locations are listed on the face of your Sample Ballot.

For more information, contact the Gloucester County Commissioner of Registration.

When it is determined that a 911 caller is speaking a foreign language, the 911 Telecommunicator will immediately switch the conversation over to the AT&T Language Line. This is a state-of-the-art service able to translate over 128 foreign languages, all of which is done at a minimal amount of time. The caller telecommunicates as translator stay on the line to determine the problem.

The 911 Telecommunicators are specially trained to detect data signals unique to (TDD/TTY) telecommunications devices for the speech and hearing-impaired caller. These calls are connected to a TDD/TTY machine, which allows direct communications with the caller.

It may be necessary for the 911 Telecommunicator to ask some additional questions when you are calling from a cellular telephone. The information displayed from your home phone is not available from your cellular telephone; therefore it is necessary for the dispatcher to get your exact location. Sometimes, a cellular call may be answered by another county or by another state, depending upon your exact location. We have received calls from Philadelphia and Delaware in the past.

Non-emergency calls for Police, Fire, and Emergency Medical Assistance can be made using the following:

• Call 856-589-0911
• Call 856-853-0911

You should use the number that is a local call for your area.  Non-emergency calls for Police should be made using normal numbers. Visit our Resource Directory to find non-emergency police numbers.

Yes! The 911 Telecommunicator will take the information from you as to what the problem is, where the problem is and they will also advise you as to what action, if any, you can take until Fire, Medical or Police assistance arrives. During this time period, another dispatcher in the dispatch room will be relaying this information to the responding units. The dispatcher will either keep you on the phone to stay updated or they will advise you to hang up and meet the responding units.

If your call is a Police emergency, it will be transferred to the Police dispatcher for your municipality or area. During the call or transfer, you may hear a partial dial tone and ringing. Don’t Be Alarmed! The Telecommunicator will stay on the line until your call is answered or concluded. You are never out of touch with the Telecommunicator.

Example

• Suspect or vehicle information for crimes in progress
• Age of patient and if they’re conscious and breathing
• What is on fire and are there any other dangers?

Always stay on the line and wait for instructions.

Never think that the exchange of information is delaying the actual dispatch of emergency services. Gloucester County’s 911 Communications utilizes a state-of-the-art network of computers, telephones and radios to communicate dispatch information to the responding units.

911 is the universal emergency number that you can use 24 hours a day for Police, Fire, or Emergency Medical Services.

911 should be used whenever there is an immediate danger to life or property. It should be called to report fires, crimes in progress, or medical emergencies.

911 can be dialed from any home, business, coin or cellular phone. It is always a free call. Some locations, such as businesses with PBX systems, require a 1 or 2 digit access number to get an outside line before you can dial 911. Be sure that you learn the access number if one is required at your workplace. Directions to dial 911 should be posted on all telephones.

Your 911 call will be answered by a professional telecommunicator trained in handling 911 emergency calls.

You will be asked what your emergency is and the location where you need assistance. You should remain calm, speak clearly and slowly, and say:

• I need the fire department at 123 Main Street, my house is on fire.
• I need the police at 123 Main Street, someone’s breaking into my neighbor’s house.
• I need the emergency squad at 123 Main Street, there is a man having a heart attack.

You should always include the name of the municipality you are in, not your post office.

Yes! There are many instances when you need only a question answered, to provide information or to return a call to a representative for the department. In most cases, these calls are best made Monday through Friday during normal business hours. These numbers are frequently listed in the blue pages of your Verizon telephone directory.

Yes! some examples of calls that shouldn’t be made to 911 and non-emergency services telephone lines:

• Calls to request information about special events and municipal services schedules
• Power outages
• School closings
• Traffic conditions
• Weather reports

Extreme weather conditions, holidays, and major events increase demands on all emergency service agencies. In times like these, you can do your part in safeguarding your communications lifeline by keeping telephone lines and emergency services personnel clear and available to handle true emergencies from you and neighboring communities.

• Radio stations that specialize in 24-hour news and information are your best source for up-to-date traffic and weather advisories during major events.
• Inexpensive weather monitors are also recommended, especially those that activate when the National Weather Service sends out special weather statements.
• Local events, such as parades, fairs, shows, etc. are announced via press releases to newspapers, radio and television stations well in advance of the event. Frequently, telephone numbers are listed for additional information.
• Gloucester Alert - Sign-up for Gloucester Alert
  • The Gloucester County Board of Chosen Commissioners has provided an "early warning system" which will allow residents and visitors of Gloucester County to sign up for, and receive various types of public alerts.
  • These alert messages will range from severe weather alerts, school closings, and road closures and will include the more serious alerts such as Homeland Security issues.
  • Gloucester Alert is available for use as of October 1, 2008.

Most municipalities in Gloucester County have completed the process of renumbering rural or misnumbered addresses and renamed most duplicate streets in their respective areas. The purpose of this is to assist emergency services in locating your residence as quickly as possible. This will also assist mail and parcel delivery services in your area. Be sure to make your house number visible from the street, to assist emergency vehicles in finding you faster.

The Gloucester County Emergency Response Center is available to tour groups such as Boy Scouts, Girl Scouts, school groups, etc. The Center has been host to many groups in the past. We also have speakers available for group presentations at your meetings or gatherings. Please call 856-307-7100 to schedule a tour or to arrange for a speaker.

A revaluation is a program undertaken by the County Assessor’s Office to appraise all real property within the taxing district according to its full and fair value.

Full and fair value is the price at which the tax assessor believes a property would sell at a fair and bona fide sale by a private contract on October 1 of the pretax year. The sale must be between a willing buyer and a willing seller. For example, the buyer is not obligated to buy, and the seller is not obligated to sell.

A revaluation program seeks to spread the tax burden equitably within a municipality. Real property must be assessed at the same standard of value to ensure that every property owner is paying his or her fair share of the property tax. For example, two properties having essentially the same market value should be paying essentially the same amount in property taxes. Inequitable assessments result from the following situations:

• Changes in characteristics in areas or neighborhoods within the municipality and within individual properties
• Changes in style and design (desirability of architecture, size of the house)
• Changes in zoning which can either enhance or adversely affect the value
• Delays in processing building permits which delay tax assessments on new construction
• Fluctuations in the economy (inflation, recession)

Gloucester County Emergency Medical Service (EMS) was created by the Gloucester County Board of Chosen Commissioners to provide lifesaving emergency medical services to any municipality within the County of Gloucester requesting service. The Board of Chosen Commissioners began this regional service on September 30, 2007, after significant research, in response to lengthening response times experienced in some instances. Providing for the safety of its citizens is a high priority within the County of Gloucester.

Twenty-Two municipalities currently have joined the Gloucester County Emergency Medical Service (GCEMS) family: 

• City of Woodbury
• Clayton
• Deptford Township
• East Greenwich
• Elk
• Franklin
• Glassboro
• Greenwich
• Harrison
• Logan
• Mantua
• National Park
• Newfield
• Paulsboro
• Pitman
• South Harrison
• Swedesboro
• Wenonah
• West Deptford
• Westville
• Woodbury Heights
• Woolwich

Additional County of Gloucester municipalities is welcome to request service from GCEMS.

At this time, the Gloucester County Emergency Medical Service (GCEMS) is made up of over 250 skilled pre-hospital providers that respond from 16 stations throughout the GCEMS service area. A minimum of 13 ambulances is staffed around the clock. Additional ambulances are staffed as needed for community events, foul weather, or periods of increased call volume. Each ambulance is staffed with two certified Emergency Medical Technicians. Supervisors are also on-duty, 24 hours per day.

The performance of the regionalized system is evaluated on a call by call basis. A review of the first year of performance found that calls for service are answered with an average response time under 6 minutes. These statistics show that the regional system operates well under the 8 minute, 59 seconds "Gold Standard" response time goal adopted by the Board of Chosen Commissioners.

Emergency Medical Technicians (EMTs)

At this time, many non-participating municipalities do not have Emergency Medical Technicians (EMTs) covering emergency calls 24 hours a day, seven days a week, and find weekday coverage being of particular difficulty. Prior to implementing regionalized Emergency Medical Service (EMS), the County assessed non-responses of the various EMS agencies in the County. A non-response is when a squad is contacted for an emergency and the squad does not respond to the call. Whenever this occurs, the next nearest squad by mutual aid is dispatched. Sometimes several squads have to be dispatched before the emergency is responded to. 

Wasting Resources

This process wastes valuable time during an emergency. Significant cost savings have been realized by the participating municipalities, saving local tax dollars. For the first year of operation, participating municipalities reported 2.6 million dollars in avoided costs.

Improving Response Times

Most important of all, a full-time, paid service that is "in station 24-7" has improved response times and provided more reliability to the system because prior to regionalization many municipalities did not have this type of around-the-clock, reliable coverage. Municipalities that have not joined Gloucester County Emergency Medical Service (GCEMS) are encouraged to consider joining. Time counts with emergency medical services and being able to respond quickly can be a matter of life and death.

County staff is available by request to present a program overview should a town or other public organizations wish to learn more about Gloucester County Emergency Medical Service (GCEMS). Staff is also available for individual consultation to meet with a municipal mayor, administrator, or other interested parties representing a town. For more details, the municipality should contact the Gloucester County Administrator’s office by calling 856-853-3275. In a nutshell, below is a list of the basic steps to joining GCEMS.

Joining the Regionalized System

Each fall, the County of Gloucester sends a letter to all non-participating municipalities offering the opportunity to join in the upcoming year. A municipality wishing to join the regionalized system must first adopt a resolution authorizing the execution of a Letter of Intent. A sample of this resolution, a sample Letter of Intent, and adoption guidelines can be obtained by contacting the County Administrator’s office. The service start date is typically in early to mid-April. Before service can begin, an inter-local agreement and any applicable leases also must be authorized by the municipality.

The Gloucester County Board of Chosen Commissioners oversees the operation of Gloucester County Emergency Medical Service (GCEMS), a division of the Gloucester County Department of Emergency Response. The day-to-day operation of GCEMS is directed by a GCEMS Chief with the assistance of the administrative and operational staff. GCEMS also contracts with a Board Certified Emergency Medicine Physician as a Medical Director who is responsible for all clinical aspects of the operation and continuous quality assurance.

Yes, we welcome these opportunities to stand-by community events in case an emergency arises and to provide public education and outreach. For further information or to schedule a Gloucester County Emergency Medical Service (GCEMS) crew, contact GCEMS at 856-307-7120. Adequate notice is required to assure the scheduling of crews.

Spreading the word about Emergency Medical Service (EMS) and promoting a presence within the community is a responsibility and a priority for Gloucester County Emergency Medical Service (GCEMS). We welcome the opportunity to do wellness visits to senior centers, outreach to schools, and other public education activities such as Vial of Life.

Response areas are defined by the call volume, geography, and population of participating municipalities. In general, a response area may cover a portion of a municipality, a single municipality or it may cover several neighboring municipalities. During peak times, crews will be staged at locations that will allow them to respond quickly to 911 calls. Additional crews may be added in times of adverse weather and high call volume. In other words, ambulances will be placed in high demand areas at high demand times.

Future plans will be guided by the "Gold Standard" of medical care adopted by the Board of Chosen Commissioners.

The County has and will continue to seek to lease, for a nominal amount, existing, licensable ambulances and stations from the municipalities and current Emergency Medical Service (EMS) providers that join the regional service per the terms set forth in the inter-local agreement. Going forward, the county will assume all maintenance costs for ambulances and stations leased from the municipality. The County has also purchased new ambulances to ensure there are licensable ambulances throughout the Gloucester County Emergency Medical Service (GCEMS) service area.

Because Emergency Medical Services (EMS) is an essential, life-saving service, the goal of regionalization is to ensure that Gloucester County residents and visitors receive quality medical care and equal access to services regardless of where they are within our boundaries. Gloucester County citizens travel throughout the county and should receive equal access to quality medical care regardless of where they are located in their time of need. For this reason, as well as the fact that mutual aid will be provided to those towns that do not join, broad-based support is a fair mechanism for supporting a regionalized EMS system. The County relies on several funding and capital sources:

• Existing capital structures and assets are leased from the municipalities and current EMS providers
• Funding from the County budget as needed to provide this essential, life-saving service
• In 2007, the County recently received a $300,000 grant for a three-year term to support regional and shared services, with regionalized EMS as one such initiative
• Insurance payments offset a significant portion of the costs. In the first year, Gloucester County received payment, which varies according to the health insurance carrier, for 71% of the patients transported

The County seeks insurance reimbursement wherever possible to offset operating costs which in turn saves the taxpayer money. The County will not make a profit from insurance payments for Emergency Medical Services. Insurance payments support the operating costs of the Gloucester County Emergency Medical Service (GCEMS); however, insurance payments do not cover all costs. The monies collected from insurance payments will be considered full payment and no outstanding costs will be billed to county residents. GCEMS will provide services to patients regardless of whether or not the individual has health insurance. 

We will seek full payment from non-residents.

Yes, Emergency Medical Service (EMS) regionalization will increase County expenditures, but these costs are expected to be significantly offset by revenue from insurance billing. EMS regionalization will deliver this life-saving, essential service in a more efficient and effective way. Regionalization will also shift the financial burden from municipal budgets to the County, sharing the financial cost of this essential regional service in a more equitable way. In 2008, the ten municipalities that joined in September of 2007 reported budgetary savings of $2,649,259 as a result of the Board of Chosen Commissioners’ decision to begin providing EMS service on a regionalized basis.

Current state law strictly limits the amount local governments may give to volunteer ambulance squads, so additional subsidies are not the answer. Also, regionalizing Emergency Medical Service (EMS) is a more effective and cost-efficient way to address both financial and service problems facing ambulance services throughout Gloucester County.

Yes, volunteers are welcome and encouraged to be a part of Gloucester County Emergency Medical Service (GCEMS) with one caveat - in accordance with the U.S. Department of Labor rules, any employee of Gloucester County will not be allowed to volunteer for GCEMS as well. Volunteer opportunities will include supplementing shift coverage and extra assignments such as athletic events and task force participation. GCEMS will provide for any emergency medical service-related training needs of volunteers.

The county will give preference to qualified Emergency Medical Technician (EMTs), both career and volunteers, subject to the listed requirements.

Candidate Testing

Candidates for county employees should be aware that County job positions are subject to a civil service application and testing. Candidates will also be required to demonstrate basic Emergency Medical Services (EMS) proficiency through testing. For those who wish to familiarize themselves with Civil Service procedures, visit the state website. One municipality in Gloucester County have career EMTs that have tested with Civil Service; all others would need to be tested. 

Employment

EMTs employed by a municipality may be able to move to County employment through an inter-local transfer. Municipal leadership is encouraged to contact Gloucester County Human Resources at 856-853-3261 to learn more about how regionalization could affect their employees. Once employed, the County will seek to station employees in response areas with which they are most familiar; however, operational needs may prevail.

Yes, Gloucester County Emergency Medical Service (GCEMS) has, and will continue to, provide services at working fires.

Spreading the word about Emergency Medical Services and promoting a presence within the community will be a responsibility and priority of Gloucester County Emergency Medical Service (GCEMS). As time allows, GCEMS will offer these kinds of community services.

Yes, Gloucester County Emergency Medical Service (GCEMS) will support task force activities and assignments at the County and State levels. The Gloucester County Emergency Medical Service (GCEMS) task forces (North and South) were recognized as one of the best in the State after the September 11th tragedy. Regionalizing GCEMS will provide opportunities to enhance this program.

Gloucester County is not considering regionalizing fire service at this time. Gloucester County has prioritized Emergency Medical Service (EMS) because this system has shown an immediate need for improvement.

As with any public safety emergency, dial 911 from any telephone and follow the instructions given to you by the trained Public Safety Telecommunicator.

The medical condition of the patient will often dictate the hospital that they are transported to. Specific conditions such as a traumatic injury may require treatment and transportation to specialized hospitals such as a trauma center. As much as possible, Gloucester County Emergency Medical Service (GCEMS) will attempt to honor our patients’ requests when selecting the destination hospital.

Gloucester County Emergency Medical Service (GCEMS) utilizes a dynamic deployment plan to position ambulances at strategic locations to better respond to emergencies. Ambulances are scheduled and positioned based on historical call data and current call volume. During traditionally busier times of the day, more ambulances are on duty. This process is similar to how law enforcement schedules and positions its officers. From time-to-time ambulances are re-positioned in an effort to provide better response times to the entire GCEMS coverage area. 

Occasionally, you may see a GCEMS ambulance staged at a street corner or adjacent to a highway awaiting the next call.

In order to assure that we are always available to the residents of Gloucester County when they are experiencing an emergency, Gloucester County Emergency Medical Service (GCEMS) only provides emergency treatment and transportation. Non-emergency transports are handled by private ambulance services. These services provide Emergency Medical Technician’s (EMTs) as necessary for all routine, non-emergency transports. Some also have special wheelchair services for those people that may need those services. 

You can find these in the yellow pages of the phone book. If you simply need assistance getting your family member into your car, or back into your home, give us a call at the non-emergency number 856-589-0911 and we will gladly provide that assistance at any hour of the day or night.

Gloucester County Emergency Medical Service (GCEMS) crews are on-duty around the clock and can provide assistance at any time for this type of situation. Simply dial 911 and explain to the emergency dispatcher the situation. We will gladly send a GCEMS crew over to provide immediate help.

The first GCEMS response was on September 30th, 2007. Continuous service has been provided since that date.

Any time that you have, or believe that you are having any type of medical emergency. This can be as major as a heart attack or as simple as a broken bone. If you are ever in doubt, call 911.

Each Gloucester County Emergency Medical Service (GCEMS) ambulance is staffed with 2 New Jersey certified Emergency Medical Technicians (EMT). Each EMT must complete a 140 hour training course before they are eligible to take the State of New Jersey administered test. To become a certified EMT, the test must be completed successfully. Additionally, all EMTs must complete continuing education requirements yearly. GCEMS EMTs also receive monthly training to keep their skills and knowledge up to date.

In order to minimize the impact on the County of Gloucester budget, Gloucester County Emergency Medical Service (GCEMS) will seek reimbursement from your insurance carrier on your behalf.

Despite a New Jersey statute that prohibits this practice, some insurance carriers send insurance payments for services rendered directly to the patient or the insured. In these cases, you should forward the payment to Gloucester County Emergency Medical Service (GCEMS) to reimburse the taxpayers of Gloucester County for the services provided to you.

No. When a call comes in, it is carefully triaged by a certified Emergency Medical Dispatcher who utilized a computer-based program to determine the most appropriate response for each call. Some calls are not immediately life-threatening and therefore they do not require a lights and sirens response. Many patients are transported to the hospital without the use of lights and sirens for the same reason. This practice greatly minimizes the risk for the patient, the GCEMS staff members, and the public.

Diversion is a protocol for deciding when a hospital is not able to accept new patients in the emergency room from arriving ambulances. When this occurs the ambulance is diverted to a hospital that is able to receive patients in their emergency room. Typically a hospital will go on "Diversion" when there is an insufficient number of beds in the regular hospital necessary for admission by emergency room patients. 

In theory, the protocol attempts to prevent the shortage of beds for emergency room patients after they have been treated and need admission to regular hospital care. Gloucester County Emergency Medical Service (GCEMS) will attempt to honor all hospital diversions as it is not in our patient’s best interest to be transported to a hospital experiencing a diversion. GCEMS has no ability to change a hospital’s diversion status.

Applications for interns and career positions are available on the Human Resources page. If you have any questions, give us a call at the GCEMS office at 856-307-7120.

Novel (meaning "new") coronavirus is a virus strain that has only spread in people since December 2019. Health experts are concerned because little is known about this new virus and it has the potential to cause severe illness in some people.

Health experts are still learning the details about how this new coronavirus spreads. Other coronaviruses spread from an infected person to others through:

• The air by coughing and sneezing
• Close personal contact, such as touching or shaking hands
• In rare cases, contact with feces (poop)
• Touching an object or surface with the virus on it, then touching your mouth, nose, or eyes

Health experts are still learning about the illness caused by the new virus. People infected have had an illness that has ranged from mild (like a common cold) to severe pneumonia that requires medical care in a hospital.

People who have been diagnosed with novel coronavirus have symptoms that may appear in as few as two days or as long as 14 days after exposure to the virus. Symptoms may include fever, cough, and shortness of breath.

Tips

• Avoid contact with people who are sick
• Avoid touching your eyes, nose, or mouth with unwashed hands
• Cover your mouth and nose with a tissue or sleeve when coughing or sneezing
• Stay home while you are sick and avoid contact with others
• Wash hands often with soap and water. If not available, use hand sanitizer

There is no specific treatment for Coronavirus. Most people with mild coronavirus illness will recover on their own by drinking plenty of fluids, resting, and taking pain and fever medications. However, some people develop pneumonia and need medical care or treatment in a hospital.

Resources

• Follow the New Jersey Department of Health on Twitter @njdeptofhealth, Facebook /njdeptofhealth, and Instagram@njdeptofhealth
• New Jersey Department of Health
• New Jersey Poison Center has a Call Center ,1-800-222-1222 with trained Healthcare Professionals standing by to answer questions about Coronavirus in any language. 

Foodborne illnesses are caused by germs (disease-causing microorganisms) that enter the human body through foods. People with a foodborne illness often display common symptoms such as nausea, vomiting, diarrhea, or fever; so many people may not recognize the illness is caused by bacteria or other germs in food.

Common symptoms include:

• Abdominal Cramping
• Diarrhea
• Fever
• Headache
• Severe Exhaustion
• Sometimes Blood or Pus in the Stools
• Vomiting

However, symptoms will vary according to the type of pathogen and by the severity of the disease.

Just about any food can become contaminated if handled improperly. However, foods rich in protein, such as meat, poultry, fish, and seafood, are frequently involved in foodborne illness outbreaks for two reasons:

• Protein-rich foods tend to be of animal origin. Some animals have microorganisms that can cause disease in humans if not properly cooked.
• Animal foods are rich in protein that bacteria break down into amino acids, which are an important nutrient source to some bacteria.

Bacteria also need moisture in order to survive and reproduce. Thus, they thrive in foods with high moisture content. These include starchy, egg-rich foods, and cream-based foods, such as potato or pasta salads, cream-based soups, and custard or cream pies.

Raw foods of animal origin are the most likely to be contaminated; that is, raw meat and poultry, raw eggs, unpasteurized milk, and raw shellfish. Foods that mingle with the products of many individual animals, such as bulk raw milk, pooled raw eggs, or ground beef, are hazardous because a pathogen present in any one of these animals may contaminate the whole batch. Fruits and vegetables consumed raw are a particular concern. Washing can decrease but not eliminate contamination. Using water that’s not clean can contaminate many boxes of produce. 

Fresh manure used to fertilize vegetables can also contaminate them. Unpasteurized fruit juice can also be contaminated if there are germs in or on the fruit that’s used to make it.

Symptoms can occur between hours or weeks after eating contaminated food. Symptoms typically don’t develop for several days after eating contaminated food. Symptoms of viral or parasitic illnesses may not appear for several weeks after exposure. Symptoms usually last only a day or two, but in some cases can persist a week to 10 days. For most healthy people, foodborne illnesses are neither long-lasting nor life-threatening.

However, they can be severe in the very young, the very old, and people with certain diseases and conditions (immune disorders, including HIV infection, liver disease, diabetes, etc.)

All suspected cases of foodborne illness should first be reported to your local health department. You can obtain the phone number for your local health department by contacting your borough/ township clerks’ office. Gloucester County residents can call 856-218-4102 to report the suspected foodborne illness. Food Service regulations for restaurants and other foodservice establishments, often based on the FDA Food Code, are developed by the States. 

The health department in your State, city, or county inspects retail food service establishments and institutions. They also offer food service training courses and other programs. Seek medical attention if you experience bloody stools, fever greater than 101.5, dehydration, or diarrhea that lasts more than 3 days.

Individuals and their actions at home play an important role in food safety. To help prevent foodborne illness, food safety experts recommend the following four simple steps:

1. Clean: Wash hands and surfaces often with hot, soapy water.
2. Separate: Don’t cross-contaminate. Keep raw meat, poultry and seafood, and their juices away from ready-to-eat foods.
3. Cook: Cook to proper temperatures; don’t rely on color alone. Remember to use a food thermometer to check if food is done. Thorough cooking is the most important step in preventing foodborne illness.
4. Chill: Refrigerate promptly. The growth of harmful bacteria can be slowed or stopped by refrigeration or freezing. The refrigerator temperature should be kept at or below 40°F. The freezer should remain under 0°F at all times.

Customers expect good, safe food, clean surroundings, and pleasant service. The most important questions they can ask themselves are, "Is the hot food hot and the cold food cold?" and "Is my food thoroughly cooked?" If the answer to these questions is "no," send the food back. If you can see food workers at work, notice whether they are washing their hands when they come into the kitchen and whether they are using utensils or gloves when touching food that is ready to be served. Be certain there are warm water, soap, and paper towels in the restroom. 

If there is no warm water, tell the management right away. If there is no soap or no towels, ask the manager to restock. An establishment that appears neat and clean generally gives the impression that the management cares about doing things right and well. However, cleanliness doesn’t correlate with safe food handling practices, nor does it guarantee the food is safe. View more information on the Gloucester County Health Food Establishment Inspection Ratings website.

The infection is diagnosed by specific laboratory testing during the illness which will identify the organism. In order for the diagnosis is to be made, the patient must seek medical attention, and the physician must decide to order diagnostic tests. Because many ill persons do not seek attention, many cases of foodborne illness go undiagnosed.

If a freezer stays at 0°F or lower, meats will keep for several months. Store roasts and whole poultry for 6 to 12 months; steaks and chops for 4 to 6 months, and ground meats or stew meats for 3 to 4 months. Cured and processed meats lose quality more rapidly than fresh meats because of the presence of salts. Don’t store luncheon meats, franks, ham, or sausage longer than 1 or 2 months.

Depending on the symptoms they cause, foodborne diseases may require different treatments. Illnesses that are primarily diarrhea or vomiting can lead to dehydration if the person loses more body fluids and salts (electrolytes) than they can take in. Replacing the lost fluids and electrolytes and keeping up with fluid intake is important. If diarrhea and cramps occur, without bloody stools or fever, taking an antidiarrheal medication may provide symptomatic relief, but these medications should be avoided if there is high fever, blood in the stools, or signs of infection because the antidiarrheal medication may make the illness worse.

Harmful germs - such as bacteria, viruses, and parasites - can be on food that if not handled or cooked safely can cause illness. Toxins (poisons) produced by certain bacteria can cause food intoxication (poisoning). Food can also be contaminated by chemicals such as pesticides, certain cleaning compounds, and sometimes by use of improper containers (pots) for cooking or storing food. When ingested in large amounts, these chemicals will cause serious foodborne illness. Food contamination can be caused by:

• Contamination of food, utensils, and equipment from flies, roaches, and other insects and pests
• Improper handling, preparing and storing of food
• Improper washing of hands and fingernails
• Improperly cleaned and sanitized eating and cooking utensils and equipment
• People who may seem well but who carry germs that can make other people sick
• Poor personal hygiene habits of food employees
• Use of foods from unapproved sources

Some persons at particularly high risk should take more precautions.

Weakened Immune Systems

Pregnant women, the elderly, and those weakened immune systems are at higher risk for severe infections such as Listeria and should be particularly careful not to consume undercooked animal products. They should avoid soft French style cheeses, pates, uncooked hot dogs, and sliced deli meats, which have been sources of Listeria infections. Persons at high risk should also avoid alfalfa sprouts and unpasteurized juices. A bottle-fed infant is at higher risk for severe infections with Salmonella or other bacteria that can grow in a bottle of warm formula if it is left at room temperature for many hours. Particular care is needed to be sure the baby’s bottle is cleaned and disinfected and that leftover milk formula or juice is not held in the bottle for many hours.

Liver Disease

Persons with liver disease are susceptible to infections with a rare but dangerous microbe called Vibrio vulnificus, found in oysters. They should avoid eating raw oysters.

Bacteria must reach 160°F to ensure they are destroyed. Certainly boiling water (212°F) would be hot enough to destroy bacteria.

Freezing doesn’t kill all bacteria, yeasts and molds present in food, but it does prevent their multiplication if the food is held at 0°F or less. When thawed, the surviving organisms can multiply again and lead to foodborne illness.

To prevent food poisoning, take the following steps when preparing food:

• Carefully wash your hands and clean dishes and utensils.
• Use a thermometer when cooking. Cook beef at least 160°F, poultry to at least 180°F, and fish to at least 140°F.
• Do not place cooked meat or fish back onto the same plate or container that held the raw meat, unless the container has been thoroughly washed.
• Promptly refrigerate any food you will not be eating right away. Keep the refrigerator set to around 40°F and your freezer at or below 0°F. Do not eat meat, poultry, or fish that has been refrigerated uncooked for longer than 1 to 2 days.
• Do not use outdated foods, packaged food with a broken seal, or cans that are bulging or have a dent.
• Do not use foods that have an unusual odor or a spoiled taste.

View the Centers for Disease Control and Prevention Food frequently asked questions.

• Food Safety
• Center for Disease Control and Prevention Vital Signs - Food Safety
• Medline Plus
• United States Department of Agriculture (USDA) Food Safety Education
• USDA Food Safety Fact Sheets

Influenza is a contagious respiratory illness caused by influenza viruses. It can cause mild to severe illness, and at times can lead to death. The symptoms of influenza are: 

• Chills
• Diarrhea
• Fatigue
• Fever
• Headache
• Nausea
• Runny Nose
• Sore Throat
• Vomiting

People with flu can spread it to others up to about 6 feet away. Most experts think that flu viruses are spread mainly by droplets made when people with flu cough, sneeze, or talk. These droplets can land in the eyes, noses, or mouths of people who are nearby or possibly be inhaled into the lungs. Less often, a person might also get flu by touching a surface or object that has the flu virus on it and then touching their own mouth or nose. View more information on the Centers for Disease Control and Prevention website.

You can stop the spread of influenza by:

• Covering coughs and sneezes
• Getting a flu vaccine each year
• Staying home if you are sick
• Washing your hands

Influenza surveillance is conducted to monitor for unusual influenza activity. Guidance is provided to schools and healthcare facilities regularly during the influenza season from fall to spring each year. Every fall, influenza vaccinations are available at no cost to Gloucester County residents at scheduled locations throughout the county. The County is geared up for the peak flu season, with vaccines and manpower ready to keep our residents healthy and promote preventative health care. For your convenience, a schedule is printed in the County newsletter in September or October, announced in the local newspaper and on our website. 

During fall and winter, the schedule will be posted on our home page. Eligibility restrictions and supply availability may apply.

A pandemic is an outbreak that has the potential to infect individuals on a worldwide scale. The Gloucester County Department of Health has developed a Pandemic Influenza plan (PDF). Read more on pandemic influenza and the response actions we will take during a pandemic.

The seasonal influenza vaccine consists of four different strains of influenza and is made by multiple manufacturers. Each year scientists from the World Health Organization, Centers for Disease Control, and the Food and Drug Administration determine which strains will make up the seasonal flu shot based on the dominating strains the year before.

Diseases that may be passed on through sexual contact. These diseases can include:

• Bacterial Vaginosis (BV)
• Chlamydia
• Gonorrhea
• Hepatitis
• Herpes
• HIV/AIDS
• Human Papilloma Virus (HPV/Genital Warts)
• Pubic Lice
• Scabies
• Syphilis
• Trichomoniasis

View fact sheets and additional information on these diseases.

• Bacterial Vaginosis (females)
• Candidiasis/yeast (females)
• Chlamydia
• Gonorrhea
• HIV
• Syphilis
• Trichomoniasis (females)

• Genital warts
• Herpes
• Molluscum contagiosum
• Pubic lice
• Scabies

Syphilis and HIV are blood tests that are collected from all new clients. Females may need a pelvic exam conducted by the Doctor. Gonorrhea and Chlamydia testing will be done by urine sample.

• HIV is a rapid test. You will get your results before you leave the clinic.
• All other test results will be available in 2 weeks. You will be given a phone number to call to get those results.

You are treated on the day of your visit for any sexually transmitted infections (STIs) that the practitioner diagnoses. If a test comes back positive and you were not treated at your visit you will need to come back into the clinic to receive treatment.

• Hepatitis A and B - Twinrix
• Human Papilloma Virus (HPV) - Gardasil

No, pregnancy tests are only performed at our clinics if certain medications are needed for treatment.

Yes, we offer a screening test for Hepatitis C in high-risk individuals. This test requires a drop of blood from your finger. Further testing with your healthcare provider will be required for anyone who tests positive with this screening test.

• Centers for Disease Control and Prevention 

The test requires a drop of blood from your finger.

The test takes 20 minutes and you receive your results before you leave the clinic.

• If your finger stick blood test is positive, another finger stick blood test kit will be used for confirmation.
• You will be referred to a medical provider for treatment.

• All positive tests will be reported to the New Jersey Department of Health as required by law.
• With your consent, your test results will be provided to the medical provider who will confirm and treat you.
• Any other release of this will require my written consent or court order or subpoena.

• Centers for Disease Control and Prevention
• New Jersey Health

• Atlantic City Medical Center
  1925 Pacific Avenue
  Atlantic City, NJ 08401
  Appointments: 609-441-2104
• Cooper EIP
  3 Cooper Plaza
  Suite 520
  Camden, NJ 08103
  Appointments: 856-963-3715
• EIP at Jefferson Health
  709 Haddonfield-Berlin Road
  Voorhees, NJ 08043
  or:
  570 Egg Harbor Road
  Suite B5
  Sewell, NJ 08080
  Appointments: 856-566-3190

• Complete Care
  Collegetown Shopping Center
  715 Delsea Drive
  Glassboro, NJ 08028
• Phone: 856-863-5720

Tuberculosis (TB), is a disease caused by bacteria caused by Mycobacterium tuberculosis. It is spread from person to person through the air. TB usually affects the lungs. TB can also affect other parts of the body, such as the brain, kidneys, or the spine.

Active Bacteria

TB bacteria become active if the immune system can’t stop them from growing. The active bacteria begin to multiply in the body and cause TB disease. Some people develop TB disease soon after becoming infected before their immune system can fight the TB bacteria. Other people may get sick later when their immune system becomes weak for some reason.

Weaker Immune Systems

Babies and young children often have weak immune systems. People infected with HIV, the virus that causes AIDS, have very weak immune systems. Other people can have weak immune systems, too, especially people with any of these conditions:

• Cancer of the Head or Neck
• Certain Medical Treatments (Such as Corticosteroid Treatment or Organ Transplants)
• Diabetes Mellitus
• Leukemia or Hodgkin’s Disease
• Low Body Weight
• Severe Kidney Disease
• Silicosis
• Substance Abuse

Symptoms of TB depend on where in the body the TB bacteria are growing. TB bacteria usually grow in the lungs. TB in the lungs may cause:

• A bad cough that lasts longer than 2 weeks
• Coughing up blood or sputum (phlegm from deep inside the lungs)
• Pain in the chest

Additional Symptoms

Other symptoms of TB disease are:

• Chills
• Fever
• No appetite
• Sweating at night
• Weakness or fatigue
• Weight loss

TB is spread through the air from one person to another. The bacteria are put into the air when a person with TB disease of the lungs or throat coughs or sneezes. People nearby may breathe in these bacteria and become infected.

Effects

• When a person breathes in TB bacteria, the bacteria can settle in the lungs and begin to grow. From there, they move through the blood to other parts of the body, such as the kidney, spine, and brain.
• TB in the lungs or throat can be infectious. This means that the bacteria can be spread to other people. TB in other parts of the body, such as the kidney or spine, is usually not infectious.
• People with TB disease are most likely to spread it to people they spend time with every day. This includes family members, friends, and coworkers.

The nurse will arrange for a chest x-ray and lab work. Persons with normal chest x-rays and no signs or symptoms of Tuberculosis will be scheduled for a Chest Clinic appointment at the Health Department. These persons are infected with tuberculosis but don’t have active disease. They have a latent infection and are not contagious. Chest clinics are held on the first and third Thursday of the month from 4 pm to 6 pm, by appointment only.

You will receive a physical assessment and be asked to provide a detailed history. View the assessment sheet (PDF). You will be tested for HIV which will impact your treatment plan. Translation services are available at this clinic. You will be placed on medication which will be provided without charge.

You will be given follow up appointments and will have lab work done prior to each appointment. There is no charge for the lab work.

Tuberculosis is a treatable disease and most people do very well when they receive proper treatment. TB is an infectious disease, so you may be isolated until you are no longer infectious-usually several weeks. Most people find out they have tuberculosis while in the hospital where they will be placed in a negative pressure room, in isolation. Sputum specimens will be collected. A nurse from the health department will visit you in the hospital, or in your home, to talk with you about Tuberculosis and your plan of care. 

You will be asked to reveal the names of persons who you may have infected so that they can be tested and treated, as needed. You will take four different antibiotics to treat your tuberculosis. A nurse will come to your home 5 days a week to watch you take your medicines ( Directly Observed Therapy) and to assess how you are tolerating your medications.

• People with TB disease, need to take several different drugs for at least six months, even if they start feeling well after only a few weeks of treatment. This is because there are many bacteria to be killed. Taking several drugs as prescribed will do a better job of killing all of the bacteria and preventing them from becoming resistant to the drugs. TB disease can almost always be cured with medicine.
• People with TB of the lungs or throat are probably infectious. They need to stay home from work or school so that they don’t spread TB bacteria to other people. After taking their medicine for a few weeks, they will feel better and may no longer be infectious to others. Their doctor or nurse will tell them when they can return to work or school.
• Having TB should not stop a person from leading a normal life. When they are no longer infectious or feeling sick, they can do the same things they did before they had TB. The medicine that they are taking should not affect their strength, sexual function, or ability to work. If they take their medicine as their doctor or nurse tells them, the medicine will kill all the TB bacteria. This will keep them from becoming sick again.

Directly observed therapy (DOT) is a way that patients are administered their medication. Patients on DOT will meet with a health care worker every day or several times a week. They will meet at a mutually agreeable place. This can be tuberculosis (TB) clinic, at home or work, or any other convenient location.

Several Helpful Avenues

DOT helps in several ways. The health care worker can help persons remember to take their medicine and complete their treatment. This means they will get well as soon as possible. With DOT, they may need to take medicine only 2 or 3 times each week instead of every day. The health care worker will make sure that the medicine is working as it should. 

This person will also watch for side effects and answer questions you have about TB.

Continuous Observation

Even if a person is not getting DOT, they must be checked at different times to make sure everything is going well. They should see their doctor or nurse regularly while they are medicine. This will continue until they are cured.

When tuberculosis (TB) patients do not take their medicine as prescribed, the TB bacteria may become resistant to a certain drug. This means that the drug can no longer kill the bacteria. Drug resistance is more common in people who:

• Come from areas where drug-resistant TB is common (Southeast Asia, Latin America, Haiti, and the Philippines)
• Develop TB disease again, after having taken TB medicine in the past
• Do not take all of their prescribed medicine
• Do not take their medicine regularly
• Have spent time with someone with drug-resistant TB disease

Resistance

Sometimes the bacteria become resistant to more than one drug. This is called multidrug-resistant TB, or MDR TB. This is a very serious problem. People with MDR TB disease must be treated with special drugs. These drugs are not as good as the usual drugs for TB and they may cause more side effects. 

Also, some people with MDR TB disease must see a TB expert who can closely observe their treatment to make sure it is working.

People Who Have Spent Time with Someone Sick

People who have spent time with someone sick with MDR TB disease can become infected with TB bacteria that are resistant to several drugs. If they have a positive skin test reaction, they may be given preventive therapy. This is very important for people who are at high risk of developing MDR TB diseases, such as children and HIV-infected people.

TB infection is detected by the administration of a tuberculin skin test on the arm. A single needle is used to put some testing material, called tuberculin, under the skin. In two or three days, a nurse or a doctor will check to see if there is a reaction to the test. The test is "positive" if a bump about the size of a pencil eraser or bigger appears on the arm. This bump means a person probably has a TB infection. 

A chest X-ray is done to see if someone with a positive skin test (TB infection) also has TB disease.

Asymptomatic

People who are infected with TB do not feel sick, do not have any symptoms, have a normal chest X-ray, and cannot spread TB. However, they may develop TB disease at some time in the future. People with TB infection but are not yet sick can take medicine so that they will never develop TB disease.

A TB skin test is one way to detect TB infection. People can get skin tested at the health department or at their doctor’s office. Not everybody is at the same risk for TB infection and, therefore, does not to be tested. However, persons should get tuberculin skin tested if they:

• Are from a country where TB disease is very common (most countries in Latin America and the Caribbean, Africa, and Asia, except for Japan)
• Have spent time with a person with infectious TB
• Inject drugs
• Live somewhere in the U.S. where TB disease is common (most homeless shelters, migrant farm camps, prisons and jails, and some nursing homes).
• They have HIV infection or another condition that puts them at high risk for TB disease
• Think they might have TB disease

Testing

If a person has a positive reaction to the skin test, a doctor or nurse may do other tests to see if TB disease is present. These tests usually include a chest x-ray and a test of the phlegm people cough up. Because the TB bacteria may be found somewhere besides the lungs, a doctor or nurse may check the blood or urine, or do other tests. Persons with TB disease need to take medicine to cure the disease.

If a person has recently spent time with someone with infectious TB, the skin test reaction may not be positive yet. The person may need a second skin test 8 to 10 weeks after the last time they spent time with the infectious person. This is because it can take several weeks after infection for one’s immune system to be able to react to the TB skin test. If the reaction to the second test is negative, the person probably does not have a TB infection.

Asymptomatic

Many people who have TB infection never develop TB disease. In these people, the TB bacteria remain inactive for a lifetime without causing disease. But in other people, especially people who have weak immune systems, the bacteria become active and cause TB disease.

BCG is a vaccine for tuberculosis (TB). This vaccine is not widely used in the United States, but it is often given to infants and small children in other countries where TB is common. BCG vaccine does not always protect people from TB. Persons who were vaccinated with BCG may have a positive reaction to a TB skin test. This reaction may be due to the BCG vaccine itself or to a real TB infection. 

But one’s positive reaction probably means that they have TB infection if:

• The BCG vaccination was administered many years ago (because the BCG reaction gets smaller over time)
• The person has ever spent time with a person with infectious TB
• The person is from a country where TB disease is very common (most countries in Latin America and the Caribbean, Africa, and Asia, except for Japan)
• The skin test reaction is large
• Someone in the person’s your family has had TB

Many people who have TB infection never develop TB disease. But some people who have TB infection are more likely to develop TB disease than others. These people are at high risk for TB disease. They include:

• Babies and young children
• Elderly people
• People in close contact with a person who has infectious TB
• People who are sick with other diseases that weaken the immune system
• People who became infected with TB bacteria in the last 2 years
• People who inject drugs
• People with HIV infection

• If a person has a TB infection (a positive skin test reaction, without the presence of TB disease ) and they are in one of these high-risk groups, they need to take medicine to keep from developing TB disease. This kind of treatment is called preventive therapy. Also, if they are younger than 35 and have TB infection without disease, they may benefit from preventive therapy even if they are not in a high-risk group.
• People who have TB infection but do not receive preventive therapy need to know the symptoms of TB. If they develop symptoms of TB disease, later on, they should see a doctor right away.
• A single medication is usually used for preventive therapy. It kills the TB bacteria that are inactive in the body. If a person takes their medicine as prescribed, preventive therapy will keep them from developing TB disease.
• Most people must take preventive therapy between four and nine months, depending on the medication prescribed. Children and people with HIV infection need to take preventive therapy for a longer time.
• Sometimes people are given preventive therapy even if their skin test reaction is not positive. This is often done with infants, children, and HIV-infected people who have recently spent time with someone with infectious TB disease. This is because they are at very high risk of developing serious TB disease soon after they become infected with TB bacteria.
• It is important that people take all the pills prescribed for them so that their preventive therapy is effective. Persons starting on preventive therapy need to see their doctor or nurse on a regular schedule. He or she will check on how they are doing. Very few people have serious side effects on the medication. However, patients should report side effects to their doctor or nurse right away.

A person can have a tuberculosis (TB) infection for years without any signs of disease. But if that person’s immune system gets weak, the infection can quickly turn into TB disease. Also, if a person who has a weak immune system spends time with someone with infectious TB, he or she may become infected with TB bacteria and quickly develop TB disease.

High-Risk

Because HIV infection weakens the immune system, people with TB infection and HIV infection are at very high risk of developing TB disease. All HIV-infected people should be given a TB skin test to find out if they have TB infection. If they have TB infection, they need preventive therapy as soon as possible to prevent them from developing TB disease. If they have TB disease, they must take medicine to cure the disease. TB disease can be prevented or cured in people with HIV infection.

Resources

• For further questions on Tuberculosis contact the TB Program Nurse at 856-218-4102
• New Jersey Department of Health (NJDOH) Tuberculosis Program
• Additional information can be found on the Centers for Disease Control and Prevention website

Children must be accompanied by a parent or legal guardian (who must show proof of guardianship). If a parent or guardian cannot be present at the time of a scheduled visit, they must make arrangements ahead of time by calling us at 856-218-4151.

Documentation of all previous vaccinations must be presented upon the initial visit. These can most often be obtained from previous healthcare providers, school records (dependent upon child’s age) or the New Jersey Immunization Information System (a shared website for healthcare providers to document immunizations). An immunization history is needed in order to determine what vaccines are needed at time of visit.

Proof of immunization(s) given by the Health Department will be provided at the time of visit. The Gloucester County Department of Health is a participant of the NJIIS; all immunizations given are updated in the NJ database where it can be easily accessed by other healthcare providers when needed.

There is no charge for your child’s visit.

Be prepared to answer questions regarding your child’s health and immunization history.

The Surrogate is a constitutional officer who is elected for a five year term. The Surrogate is the Judge of the Surrogate Court and Deputy Clerk of the Superior Court Probate Part.

The Surrogate is responsible for probating Wills and other Estate Matters, supervising minors’ trust funds, and serves as the clerk of the court for adoptions, Adult Guardianships, and all probate matters.

Upon the death of a Testator or Testatrix (maker of the last will and testament), the probate procedure can begin. This is a legal process which the Surrogate establishes the genuineness of the will and appoints an Executor or Executrix.

Wills are not registered with the Surrogate Court. The original last will and testament will be filed in the Surrogate Court upon admission to probate.

The Gloucester County Surrogate Court is now open by appointment only. Our staff welcomes you to visit in person to conduct all business with the Court. Please call 856-853-3286 to discuss your individual issue and to schedule an appointment. To learn more, please view what to bring to our office.

Yes. The Gloucester County Surrogate’s Court is now open by appointment only. Our staff welcomes you to visit in person to conduct all business with the Court. 

Please call 856-853-3286 to discuss your individual issue and to schedule an appointment.

When there is no will, an Administrator is appointed by the Surrogate. The surviving spouse has the first right to apply for the position. Where one or several heirs (persons of the same or closer degree of kinship) seek to be appointed, all the other heirs must renounce their right to be appointed.

In most cases, a surety bond must be furnished to cover the value of the real and personal property of the estate.

The purpose of the bond is to protect the heirs and creditors of the estate. Pursuant to New Jersey Statutes Annotated 3B:15-1, the order of appointment includes a requirement that the Administrator post bond.

A Refunding Bond and Release must be filled out by every beneficiary of the estate, including the Executor/Administrator, once all the debt has been paid and the money has been distributed. This form releases the Executor/Administrator from all claims and demands whatsoever in respect to the estate of the decedent. The Surrogate’s office files the original Refunding Bond and Release form for a filing fee of $10 and the bonding agency gets a file stamped copy.

If the decedent dies without a will, there is statue which determines to whom the decedent’s property is to be distributed according to the degree of family relationship, New Jersey Statutes Annotated 3B:5-3 and New Jersey Statutes Annotated 3B:5-4.

1. In cases where there is a spouse and children of the decedent, all of which are children of the spouse, the spouse receives 100% of the estate.
2. In cases where there is a spouse and children of the decedent, some of whom are not children of the spouse, the spouse receives the first 25% (but not less than $50,000 nor more than $200,000) plus one half of the balance. The children receive all other estate assets.
3. In cases where there is a spouse and parent(s) but no children, the spouse receives the first 25% (but not less than $50,000 nor more than $200,000) plus one half of the balance. The parent(s) receive all other estate assets.

There are two procedures:

1. There is a procedure whereby the assets of the small estate can be transferred to the surviving spouse without the necessity of Administration. An Affidavit of Surviving Spouse can be issued to the surviving spouse if the decedent did not have a will and the real and personal assets of the decedent do not exceed $50,000.
2. A similar procedure is used when the decedent dies without a will, leaving no surviving spouse, but does leave next of kin. In such a case, if the total value of the real and personal property of the decedent does not exceed $20,000 one of the next of kin, with the consent of the others, may file an Affidavit of Next of Kin in lieu of Administration.

Both procedures can only be done when the decedent did not have a will. If there is a will, it must be probated.

Please provide:

• Birth/baptismal certificates., adoptions documents
• Checking / Savings / CD account numbers and banks
• Death certificate
• Income tax records
• Installment loans
• Insurance polices
• Marriage, divorce, prenuptial documents
• Military and civil service documents
• Pension and annuity records
• Real estate deeds, related records
• Social security number
• Stocks, bonds, mutual funds, other securities
• Union/company health and other benefits
• Vehicle titles
• Will and final instruction documents

The decedent’s personal representative should make a list of all decedent’s next of kin, degree of relationship, address and age.

The short certificate acts as evidence of the authority of the personal representative to act.

A short certificate will be needed for the transfer or sale of every asset in the decedent’s name alone. Determine how many assets there are and that is how many shorts will be needed.

Typically, a short certificate is valid for up to a year. However, some places will only accept one dated within 60 days.

No. Power of Attorney is a legal document that becomes null and void once the principal dies. You will need to be appointed the Executor or Administrator in order to transfer or sell any estate assets. The Power of Attorney ceases upon the death of the decedent. 

To obtain a certified copy of a death certificate go to the municipal building of the town where the person died.

The Executor or Administrator is, in general, required to:

• Collect and safeguard the assets of the estate
• Make distribution to the devisees under the will or heirs if the decedent had no will
• Pay the debts of the decedent and as well as any taxes due
• Provide an accounting of the administration for the estate.

Yes. Within 60 days of the date of probate a notice in writing that the will has been probated, the place of and date of probate, the name and address of the personal representative and a statement that a copy of the will shall be furnished upon request.

The Executor/Administrator will pay the debt out of the estate assets. Generally, the Executor/Administrator should open an estate checking account which can be used to receive and disburse funds.

If claims are made, the Executor does not have to automatically accept the claims but can dispute them and has three months to make any decisions.

Generally, an Executor or Administrator is entitled to a commission of 5% on the estate assets and 6% on the income generated during the period of administration.

The Executor is permitted to remove the original will, as well as the deed to a cemetery plot and certain life insurance policies, from the decedent’s safe deposit box before probate in the presence of a bank officer.

The Surrogate will advise the personal representative as to the proper procedure in order to allow the Will to be admitted to probate. This procedure normally involves a formal hearing before a Judge of the Superior Court.

Formal accounting is a complex breakdown of all:

• Assets
• Commissions
• Disbursements
• Distributions
• Fees

It is generally prepared by an attorney.

No.  You do not need a formal accounting unless ordered by court or you elect to do so.

A divorce operates as revocation of any bequest made to your former spouse or any appointment of your former spouse as executor, but in all other respects the will is still effective.

Yes, but this is not recommended. Without professional guidance and advice it may not be legally sufficient to be admitted to probate.  "Do it yourself Wills", often do not contain all the necessary components that are required by law.

Resources for Writing Wills

1. If you are over the age of 60 take advantage of Gloucester County’s Free Wills for Seniors Program. Call 856-384-6900 for more information. 
2. If you’re a veteran under the age of 60 take advantage of the Gloucester County’s Free Wills for Veterans program. Call 856-401-7660 for more information. 
3. All others should contact an attorney. Call Lawyer Referral at 856-853-4589.

You should keep your will in a safe place such as a fire proof strong box. Your Executor should know exactly where it is.

Yes. No matter how small of an estate a will is still necessary. It is important to safeguard your estate and designate who you want in charge.

A living trust is a document by which the owner of an asset transfers ownership of that asset to a trustee. The alleged benefit of the trust is to remove that asset from one’s probateable estate by relinquishing ownership. According to the marketers of these trusts, removing assets from one’s probatable estate will result in significant tax savings and will avoid the probate process. 

Downsides

However, a living trust is very costly and in most cases not necessary. Avoiding probate is not always a guarantee. Even if there is just one titled asset, such as a vehicle, left out of the trust probate will still be necessary.

Also, a vast majority of estates are not subject to any federal or estate taxes. Generally, the probate process is very easy. There is only a ten day waiting period from the date of death before a will can be probated. Once that time has passed, the process can begin and be completed within a few days if the will is properly executed and no one is contesting the probate.

Senior citizens especially are cautioned to be aware of solicitation for living trusts.

A Master Plan is a public document that reflects a community’s vision for how it should grow and change over time. It usually covers a long-term time period; in this case, Gloucester County is planning for its future growth and development 25 years into the future. When updated, the County’s Master Plan will provide a framework within which to evaluate the community’s progress towards the goals that came out of the gc2040 Community Visioning process.

Themes covered in Master Plans are usually referred to as "Elements." Typical Master Plan Elements include:

• Environment
• Farmland Preservation
• Hazard Mitigation
• Housing
• Land Use
• Open Space
• Recreation/Trails
• Transportation
• Utilities

During the gc2040 Master Plan Update, Gloucester County will update the Land Use and Transportation Elements of its Master Plan.

County Planning Boards in New Jersey are required by law to adopt a Master Plan and a map for the physical development of the county. The last time Gloucester County updated its Master Plan was in 1982! It is outdated and does not reflect today’s physical reality. Updating the plan will:

• Develop recommendations, prioritize projects, and guide funding allocations according to the community’s vision
• Improve coordination and cooperation between the County and its municipalities
• Provide a framework within which to evaluate the community’s progress
• Enable access to additional funding sources

The Land Use Element and the Transportation Element will both be updated during this Master Plan update. Because land use and transportation infrastructure are so closely linked, the two elements will be combined to form one unified Land Use and Transportation Element.

We’ve provided a few helpful links to discuss land use and transportation in more detail:

• Delaware Valley Regional Planning Commission (DVRPC), Land Use and Environment page
• DVRPC, Smart Growth page
• New Jersey Future, Land-Use Solutions page

• Children under the age of 6 and pregnant women are at greatest risk
• Even children who seem healthy may have high levels of lead in their blood
• Lead is easily absorbed into the body
• A serious but preventable health problem

• Lead can harm your child’s growing brain and nervous system.
• Lead may cause learning and behavior problems.
• The longer your child is exposed to lead, the more damage it can cause.

• Lead dust is produced from lead paint as the paint gets older or damaged.
• Lead in house dust and soil is a major source of exposure for children because it gets on their hands, toys, and pacifiers.
• Lead is a heavy metal that is found naturally in our earth.
• The most common source of lead in old paint and leaded dust and soil. Houses built before 1978 may contain lead paint.

Children mainly get lead from ingestion such as:

• Hand to mouth activity
• Occasionally toys that come from foreign countries
• Paint dust, paint chips, contaminated soil

Test Consumer Products

The Gloucester County Health Department can test consumer products that may contain lead such as toys pottery, jewelry, and makeup. Residents can call to schedule a drop off time for the items they would like tested for lead. Review the information in English (PDF) or Spanish (IMG).

• All children should be tested at both 12 and 24 months of age.
• Any child 25 to 72 months (less than 6 years) who has never been tested previously.
• Any child up to 72 months of age who has been exposed to a known or a suspected source of lead.
• Risk Factors Include:
  • If another child in the home tests positive for lead
  • Lives in or regularly visit a house or daycare built before 1978
  • Lives with or frequently visits an adult whose job or hobby involves lead (painters, home improvement workers, fishermen, etc.)

All immediately reportable diseases should be reported to the Gloucester County Department of Health at 856-218-4102. To reach a public health official in the evening or weekend call the Gloucester County Communications center at 856-589-0911. If the patient does not live in Gloucester County the report should be called into their local health department or New Jersey Department of Health at 609-826-5964 during regular business hours, and 609-392-2020 on nights, weekends, and holidays. For diseases that must be reported within 24 hours of diagnosis, call the Gloucester County Department of Health or fax a report to: 856-218-4145.

For communicable disease control efforts to be maximally effective, health care providers should take time to advise their patients about the legal requirement of disease reporting, what the patient can expect to happen, and how the community may benefit. Patients who are surprised when they receive a phone call from the local health department about their illness may be less than fully cooperative with the health department and are often unhappy that their health care provider didn’t advise them that they might receive a call from someone at the health department. Instead of viewing this as a referral for health care follow-up, patients may view it as a breach of confidentiality because they weren’t provided the opportunity to understand what is happening and why.

• A "reportable communicable disease" refers to any disease listed in New Jersey Administrative Code (N.J.A.C.) Title 8, Chapter 57. View the Quick Reference Guide (PDF).
• It is the responsibility of health care providers to notify the local health department where the patient resides. View a quick reference for Communicable Diseases reportable in Domestic Companion Animals (PDF) is available for veterinarians.

• These diseases were selected because swift actions must be taken to stop further spread of the diseases or information is needed to evaluate whether existing control measures are working.
• Certain diseases must be reported immediately by phone, even if the diagnosis is based only on clinical suspicion. There is no time to wait for laboratory confirmation. Preventing the spread of these diseases is important, and the good judgment of the health care provider is enough to initiate a public health response.
• Other diseases must be reported within 24 hours of diagnosis. Supporting laboratory work is desirable, but for some diseases, a report based solely upon clinical judgment is acceptable.
• All outbreaks (suspect or confirmed) must be reported immediately by phone at 856-218-4102 during normal business hours. After hours call 856-589-0911.

The earlier illnesses are reported, the faster public health authorities can act. Timely investigations are needed to immediately enact prevention and control measures. Such measures may include embargoes of food products, prophylaxis of patient contacts, and closure of public swimming places.

In addition to the name of the disease and the name of the patient, regulations require reporting of the patient’s:

• Address and telephone number
• Age or birth date
• Date of illness onset
• Ethnicity
• In the case of sexually transmitted diseases, any treatment provided
• Race
• Results of laboratory tests that support the diagnosis
• Sex

View the Communicable Disease Reporting Forms (CDS-1).

The HIPAA Privacy Rule permits covered entities (i.e., health care providers, laboratories, and hospitals) to disclose protected health information, without authorization, to public health authorities who are legally authorized to receive such reports for the purpose of preventing or controlling disease, injury, or disability. Examples of public health authorities include the state and local health departments in New Jersey and the Centers for Disease Control.

Reports are used to trigger the prompt implementation of disease control and prevention measures. When reports are compiled and analyzed, they provide public health authorities with important information about a disease, including trends, risk factors, and whether existing disease prevention activities are working.

The health care provider will be the first person to make the diagnosis or be the first health care professional to suspect that the illness is occurring. They often possess clinical information that the laboratory doesn’t have -information that often is critical for public health authorities to perform their duties in a timely and efficient fashion.

Health care providers will be asked to provide clinical or diagnostic information regarding a patient. They also may be asked to collect additional clinical specimens to confirm the diagnosis of cases and to participate in prevention activities, including administering vaccines and prophylactic antibiotics.

Reservations for picnic pavilion may be made online here or by calling the Gloucester County Parks and Recreation office at 856-251-6710, Monday through Friday, 8:30 am to 4 pm. Reservations can be made from the first working day starting in January of the same year. Shelters may be reserved for the same year only - not for the next year. 

Parks are public facilities and cannot be closed for private events. Throughout the year there are various activities, programs and special events that take place each day. However, residents are free to have their wedding ceremonies in the park, keeping in mind that no area of the park can be closed to the public. Also please note that no chairs or structures can be set up to accommodate a wedding.

All field reservations are made by emailing written requests to Kim Miller.

Visit: https://www.gloucestercountynj.gov/FormCenter/Public-Information-24/Newsletter-Sign-Up-104 

For further information contact the Parks & Recreation main office 856-251-6710.

There are two County owned parks that allow fishing, which are Scotland Run Park and Greenwich Lake Park. You must have a valid fishing license to fish at any of the County Parks. Children age 15 or under do not require a fishing license.

James G. Atkinson Park
138 Bethel Mill Rd.
Sewell, NJ 08080

We are not qualified to rehabilitate injured wildlife. Please call the Gloucester County Animal Shelter at 856-881-2828.

Anything you find in nature let it be, however if the wildlife poses a danger please contact the Gloucester County Animal Shelter at 856-881-2828.

For the safety of all visitors and the cleanliness of our parks, we do not allow dogs in any of the county parks.

Sex offenders must fill out a registration form and submit it to their local police department. The form requests personal information of the sex offender, including home address and place of employment. The accuracy of the information on the form is confirmed. This information is kept by the Division of State Police in a Sex Offender Registry.

The offenses requiring registration include:

• Aggravated criminal sexual contact
• Aggravated sexual assault
• Criminal sexual contact if the victim is a minor
• Endangering the welfare of a child by engaging in sexual conduct which would impair or debauch the morals of the child
• Endangering the welfare of a child through acts involving pornography featuring a child
• Luring or enticing, kidnapping, criminal restraint, and false imprisonment if the victim is a minor and the offender is not a parent of the victim
• Promoting prostitution of a child
• Sexual assault

Sex offenders who have been convicted since Megan’s Law went into effect on October 31, 1994, or who were serving a sentence on the effective date of the law are required to register. Sex offenders who have been found to be repetitive and compulsive by experts and the courts, regardless of the date of conviction, are required to register.

A juvenile sex offender is a person who commits a sex offense while under the age of 18. Juvenile sex offenders must register like adults.

Sex offenders convicted in another state are required to register within 10 days of moving to New Jersey. In addition, sex offenders convicted in another state are required to register even if they are just attending school or are employed in New Jersey.

Sex offenders are required to report every change of address. Sex offenders must notify the local police at least 10 days prior to the move. In addition, law enforcement agencies will monitor whether sex offenders are reporting change of addresses. Some sex offenders must verify their addresses annually. Others must verify their addresses every 90 days.

All sex offenders subject to Megan’s Law must register for the remainder of their lives. Sex offenders may apply to the court to be removed from the Sex Offender Registry if they committed only one offense, have not committed another offense for 15 years, and prove that they are not likely to pose a threat to the safety of others.

Juvenile sex offenders may also apply to the court to be removed from the Sex Offender Registry if they were under the age of 14 at the time of their offense but are now over the age of 18.

Information is available on the Internet. The law limits the information to be placed on the Internet to all high risk (Tier 3) offenders and some moderate risk (Tier 2) offenders. The law excludes many juvenile sex offenders, except for Tier 3 juvenile sex offenders, most moderate risk offenders whose crimes were committed against members of their families or households, and most moderate sex offenders whose crimes were considered statutory because of age.

Failure to comply is a third degree crime. If you know someone has been convicted of a crime requiring registration, you can always provide that information to the local police or county prosecutor. However, they will not be able to advise you whether or not that particular sex offender is registered.

A criminal offense involving violence or the threat of violence by an adult against a family or household member, a former or present dating partner or co-parent of the offenders child.

Mandatory Arrest

A domestic violence offender must be arrested by police when:

• The victim has visible injury.
• A restraining order was violated.
• A weapon was used in the crime.
• Any other arrest warrant is outstanding.

Discretionary Arrest

The police may arrest an offender when there is probable cause that any other act of domestic violence occurred and the victim continues to be in danger.

Charges cannot and will not be dropped simply because the victim makes this request. This is true whether the defendant and the victim have resumed their relationship or remain separated. You can honestly tell the defendant that the decision is out of your hands.

Domestic violence charges may not be heard in municipal court for a month or longer. When domestic violence charges will be resolved through a jury trial, the case may not be completed for many months. During that time victims of domestic violence are placed under great pressure to "drop" the charges. The offender’s family may pressure you to drop charges or try to make you feel guilty about the charges.

Who to Contact

There are often bail conditions for a civil restraining order in effect which prohibits the defendant from having contact with you or possessing firearms. If the defendant is violating these court orders, please call your local police immediately.

If you are being harassed or threatened if the charges are not dropped, let the police know right away. Please contact the Prosecutor’s Office the next business day and let the Domestic Violence Prosecutor or Victim/Witness staff know as well.

Crimes

Indictable offenses with weapons and aggravated assault. These charges are heard in the New Jersey Superior Court, Criminal Division in Woodbury, New Jersey.

Disorderly Persons

These charges are heard in municipal court, usually in the municipality where the offense occurred. Examples of disorderly person’s charges are Simple Assault and Harassment. An indictable charge may also be reduced, when legally appropriate, by the Prosecutor to a disorderly offense called an Administrative Remand.

Violation of Restraining Orders

These offenses are heard in the Family Court in Woodbury.

To be considered for a place on the HSAC or any of its subcommittees please complete our volunteer application (PDF).

The HSAC facilitates, coordinates, and enhances the delivery of human services through collaborative relationships within our county, and among private and state agencies.  An example of a body of work performed by HSAC is the  2020 Needs Assessment requested by the NJ Division of Children and Families. 

Please call 1-877-652-7624, a 24-Hour toll-free access line with the NJ Division of Children and Families (DCF)’s Children’s System of Care (CSOC).  This agency serves children and adolescents with emotional and behavioral health care challenges and their families; children with developmental and intellectual disabilities and their families; and children with substance use challenges and their families.  CSOC is committed to providing services based on the needs of the child and family in a family-centered, community-based environment.

Gloucester County residents can contact the Division of Social Services. The office is open Monday through Friday from 8 am to 4 pm. For your convenience, the office is open from 8 am to 6:30 pm on the first and third Tuesday of each month. For after-hours emergency situations, please call 211.

Yes. The county sub-contracts with many agencies classified by the Internal Revenue Services as 501 © 3 or not for profit agencies. These agencies then provide services to our residents. Services can include Children’s Day Care Services, Homelessness Assistance, Addiction and addiction prevention, Juvenile Justice Assistance, etc. Residents can then go directly to these sub-contracted agencies and apply for help.

No. It is the agency’s responsibility to routinely visit the Purchasing Department website for information on available grants.

The county places a notification of funding available on the Purchasing Department website. Any agency wishing to apply for funding must contact the Purchasing Department and request an application bid package.

No, fares are not currently charged for transportation provided by DTS.

Yes, limited service is provided to neighboring counties and Philadelphia. Please call the scheduling line at 856-686-8350 for specific details.

Currently, no service is offered on weekends, however, future employment transportation grants may allow for limited service to job opportunities on weekends.

Birth certificates may be obtained through the municipality where the birth occurred. You may also go through the New Jersey State website.

1. If the woman is a resident of New Jersey, submit the application in the municipality where she lives.
2. If the woman is not a New Jersey resident but the man is, submit the application in the municipality where he lives.
3. If neither is a New Jersey resident, submit the application in the municipality where the marriage will be performed.

You may obtain a marriage application and the requirements needed through either the appropriate municipality or by visiting the New Jersey State website.

Marriage licenses may be obtained through the municipality in which the marriage occurred. You may also go through the New Jersey State website.

Residents of Gloucester County can apply either at Gloucester County Division of Social Services or online at the MyNJHelps.gov. Once the application is received by the Gloucester County Division of Social Services, the applicant will receive an appointment for an office interview. WorkFirst NJ TANF/GA programs require an in-person interview.

For more information, call 856-256-2146.

Residents of Gloucester County can apply either at the Gloucester County Division of Social Services or online at the MyNJHelps.gov. Once the application is received by the Gloucester County Division of Social Services, the applicant will receive an appointment for a phone interview. NJ SNAP does not require an in-person interview.

Check status of your online application on the MyNJHelps Application Status page or upload required documents on the MyNJHelps Page.

For more information, call 856-256-2146.

For updates and more information on SNAP and WFNJ programs related to the coronavirus, visit the NJ Division of Family Development website.

Autopsy and toxicology reports are available upon submission of Records Request Form

Upon receipt of your records request you will receive a response by our records department detailing the next steps, allow three business days for this response. Please ensure your information, including email, is accurate on the submitted form. 

Our office completes only the certification portion of a death certificate, which is then completed by the funeral director who files it. Original copies for insurance and estate purposes are usually provided by the funeral director, but can also be obtained from the Vital Statistics Officer in the municipal jurisdiction of the death location, or by contacting the New Jersey Department of Health and Senior Services by calling 609-292-4087 or writing to: Vital Statistics P.O. Box 370 Trenton, NJ 08625-0370

Contact should be established by the Next of Kin to a funeral home of your choice. The funeral home representatives are knowledgeable on the established protocols for the release of the decedent and final arrangements.

Not all cases that are determined to fall under the jurisdiction of the Medical Examiner’s Office require an autopsy. This determination is made by the pathologist after review of the decedent’s medical/social history, investigative information and other documentation. 

The Medical Examiner autopsy, unlike a hospital autopsy, does not require permission from the next of kin. It is done under statutory authority. If the family has a religious objection to the autopsy, the Medical Examiner will make every effort to limit the procedure as far as possible. If the Medical Examiner does determine that a full autopsy is necessary to fulfill legal responsibilities, the family may present their objection to a court of law for consideration before the autopsy is performed.

Our facility does not permit visitation, but you may make arrangements to visit the decedent at the funeral home through your funeral home representative.

Vaccines work by triggering a person’s immune system to develop protection against a disease.

COVID-19 vaccines help our bodies develop immunity to the virus that causes COVID-19 without us having to get the illness. Different types of vaccines work in different ways to offer protection.

Both of the vaccines that have received an FDA Emergency Use Authorization to date are messenger RNA vaccines (mRNA). Unlike many other vaccines which put a weakened or inactivated germ into our bodies, mRNA vaccines when injected instruct our cells how to make a protein—or even just a piece of a protein—that triggers an immune response inside our bodies. That immune response, which produces antibodies, is what protects us from getting infected if the real virus enters our bodies.

This is the first time that mRNA vaccines have received Emergency Use Authorization or been distributed to the public, but researchers have been studying and working with mRNA vaccines for decades. Interest has grown in these vaccines because they can be developed in a laboratory using readily available materials. This means the process can be standardized and scaled up, making vaccine development and production faster than traditional methods of making vaccines.

As soon as the necessary information about the virus that causes COVID-19 was available, scientists began designing the mRNA vaccine for cells to build the unique spike protein into an mRNA vaccine.

For more of how COVID-19 mRNA vaccines work, visit this CDC page. Additional information on other COVID-19 vaccines that are or soon will be undergoing large-scale (Phase 3) clinical trials in the United States can be found here.

What to Know About Available COVID-19 Vaccines

COVID-19 vaccines that are authorized for use have gone through clinical trials involving tens of thousands of participants to determine their safety and efficacy.

The U.S. Food and Drug Administration has issued Emergency Use Authorizations for the Pfizer-BioNTech COVID-19 vaccine and the Moderna vaccines.

For the Pfizer-BioNTech vaccine, please consult these FDA fact sheets:

• Fact Sheet for Pfizer-BioNTech Vaccine Recipients and Caregivers
• Fact Sheet for Healthcare Providers Administering Vaccine
• Additional Information and Translated Materials

For the Moderna vaccine, please consult these FDA fact sheets:

• Fact Sheet for Moderna Vaccine Recipients and Caregivers
• Fact Sheet for Healthcare Providers Administering Vaccine
• Additional Information and Translated Materials

Both vaccines are given as an injection into the muscle and as a series of two shots. The Pfizer-BioNTech vaccine is two doses given 21 days apart and the Moderna vaccine is two doses given 28 days apart.

COVID-19 vaccines will not give you COVID-19. None of the COVID-19 vaccines currently in development use the live virus that causes COVID-19.

COVID-19 vaccines will not cause you to test positive on COVID-19 viral tests. Vaccines won’t cause you to test positive on viral tests, which are used to see if you have a current infection.

People who have gotten sick with COVID-19 may still benefit from getting vaccinated. At this time, experts do not know how long until someone is protected from getting sick again after recovering from COVID-19. The immunity someone gains from having an infection (natural immunity) varies from person to person. Some early evidence suggest natural immunity may not last very long. Although there is no minimal interval between infection and vaccination, current evidence suggests reinfection is uncommon in the 90 days after initial infection, and thus persons with documented acute infection in the preceding 90 days may defer vaccination until the end of this period, if desired.

Getting vaccinated can help prevent getting sick with COVID-19. There is no way to know how COVID-19 will affect you. If you get sick, you also may spread the disease to friends, family, and others around you while you are sick. COVID-19 vaccination helps protect you by creating an immune response without having to experience sickness.

Receiving an mRNA vaccine will not alter your DNA. mRNA (messenger ribonucleic acid) can most easily be described as instructions for how to make a protein or even just a piece of a protein. mRNA is not able to alter or modify a person’s genetic makeup (DNA).

COVID-19 vaccines that are authorized for use have gone through clinical trials involving tens of thousands of participants to determine their safety and efficacy.

The U.S. Food and Drug Administration has issued Emergency Use Authorizations for the Pfizer-BioNTech COVID-19 vaccine and the Moderna vaccines.

For the Pfizer-BioNTech vaccine, please consult these FDA fact sheets:

• Fact Sheet for Pfizer-BioNTech Vaccine Recipients and Caregivers
• Fact Sheet for Healthcare Providers Administering Vaccine
• Additional Information and Translated Materials

For the Moderna vaccine, please consult these FDA fact sheets:

• Fact Sheet for Moderna Vaccine Recipients and Caregivers
• Fact Sheet for Healthcare Providers Administering Vaccine
• Additional Information and Translated Materials

No one will have to pay for the vaccine itself.

The COVID-19 vaccine will be available without cost sharing barriers. Based on the CDC COVID-19 Vaccination Program Provider Agreement, all providers must vaccinate individuals regardless of whether they have health insurance coverage or what type of coverage they have, and are prohibited from balance billing or otherwise charging vaccine recipients.

Read more.

Submit a help ticket here: https://covid19.nj.gov/forms/vaccine/vss-feedback

The Project SEARCH Program is a unique, business-led, one-year, transition program that takes place entirely in a host business. Total workplace immersion facilitates a seamless combination of classroom instruction, career exploration and relevant job-skills training through strategically designed internships.

An application must be completed entirely and submitted by each year’s deadline. Applications are reviewed for eligibility and then an assessment is conducted by the Project SEARCH staff and Advisory Committee. The final step is participation in the “Skills-Assessment and Selection Day”. Information from the application, assessment and selection day are taken into consideration when the Advisory Committee chooses interns for the program. Applicants are informed of admittance by early June. Applications must have an open case with DVR and a long-term funding source.

The intern must have basic number and word recognition skills. He/she should have the ability to learn systematic work routines and be able to communicate his/her needs. Interns must have completed all high school credits necessary for graduation.

Project SEARCH in Gloucester County follows the Gloucester County Special Services School District calendar.

Project SEARCH can accept a maximum of 12 interns for each location. Those who are not selected for the program may be placed on a wait list in the event that an opening becomes available. Previous applicants can reapply the following year, provided they are 21 years of age or younger and are have not graduated high school

During orientation, the Project SEARCH intern agrees to actively pursue employment. Project SEARCH program partners work intensely to help each intern seek and apply for appropriate jobs, develop a resume, prepare for interviews and request letters of recommendation from department management. Our goal is 100% competitive employment.

No, unpaid internships are common in trade for real work experience.

After a department expresses an interest in hosting an intern, Project SEARCH staff conducts a thorough job and task options analysis to understand the expectations, skill sets and needs of each department. Available rotations options may change throughout the year depending on the department workflow needs.

The expectation of the job coach is that interns will become independent in the workplace. A mentor who works closely with the intern is selected by the department manager and Project SEARCH staff.

Each intern is responsible for his/her transportation to and from the program. Travel training will be provided before the program begins.

The student interns arrive directly to the host business via public transportation or other independent means (i.e. not a school bus). They begin each day in the training room for about 1 hour of employability skills using the approved Project SEARCH curriculum and building specific job related skills needed for each rotation. The interns work in their internship departments for about 5 hours (including lunch) and return to the training room for journaling and daily wrap up for about 30 minutes before adjournment.

Project SEARCH staff assess the skill sets, prior to experience and career goals of each intern to match department needs. After a brief introduction to each rotation, the intern expresses his/her interests and those are taken into consideration when assigning their rotations.

The goal is for each intern to complete three different rotations during the year. An intern may be placed in a rotation twice if the team decides that is best to meet his/her career goals. We utilize a wide variety of departments. Most departments host an intern once or twice per year.

Project SEARCH and department staff communicate daily regarding the intern’s work production and progress. Daily check-ins as well as brief weekly meetings to discuss development are held with each intern. Interns also have a monthly meeting with DVR, Project SEARCH staff and parents.

The host business has the option of hiring any one of the interns at any time. If a student is not hired by the host business, a job developer will help the student look for employment in their community.

Competitive employment is defined as 16 hours/week in an integrated setting making prevailing wage for that position.