Panhandle Public Health District Annual Report
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Letter from the Board President
As we reflect on the past year, we are incredibly proud of the progress and resilience demonstrated across the Panhandle. This has been a year marked by strengthened partnerships and meaningful impact throughout our communities. The work carried out this year reflects both dedication and heart. None of this would be possible without our exceptional staff. Their professionalism, passion, and commitment to serving the Panhandle make a real difference every single day. The Board is encouraged by the opportunities ahead. With a renewed strategic plan, expanded partnerships, and a strong foundation built by our team, we are well- positioned to continue making progress. As the team engages in the Community Health Needs Assessment process, future strategies will reflect the priorities and voices of Panhandle communities. On behalf of the entire Board, we would like to thank the team for their dedication, adaptability, and unwavering commitment to the communities we serve. Their efforts make a meaningful difference every day, and we look forward to supporting your continued work as we advance a healthier, safer future for all Panhandle residents.
Board of Health Members Banner County Don Lease, County Commissioner Bob Gifford, Community-Spirited Citizen Box Butte County Michael Sautter, County Commissioner Joni Jespersen, Community-Spirited Citizen Cheyenne County Randy Miller, County Commissioner Mandi Raffelson, Community-Spirited Citizen Dawes County Vic Rivera, County Commissioner Diana Lecher, Community-Spirited Citizen Deuel County Jim Reichman, County Commissioner Judy Soper, Community-Spirited Citizen Garden County Dixann Krajewski, County Commissioner Sarah Quinn, Community-Spirited Citizen Grant County Brian Brennemann, County Commissioner Jon Werth, Community-Spirited Citizen Kimball County Elyse Schlake Lukassen, County Commissioner Randy Bohac, Community-Spirited Citizen Morrill County Susanna Batterman, County Commissioner Kay Anderson, Community-Spirited Citizen Scotts Bluff County Mark Harris, County Commissioner Marie Parker, Community-Spirited Citizen Sheridan County Dan Kling, County Commissioner Pat Wellnitz, Community-Spirited Citizen Sioux County Hal Downer, County Commissioner Jackie Delatour, Community-Spirited Citizen At Large Dr. David Cornutt, MD, Medical Doctor
As we move forward, we carry both roots and wings, honoring and remembering those who worked tirelessly to bring us to where we are today, while finding the courage to innovate, grow, and soar into the future. Dan Kling Board of Health President
Dr. Haley Beaudette, Dentist Jon Werth, DVM, Veterinarian
This year we welcomed new Board of Health representatives and continued to expand our capacity to serve the region. Our programs in maternal and child health grew significantly, including enhanced supports for families, and increased collaboration with clinical and community partners. We also built new capacity to address lead hazards in housing, strengthening prevention and response with a focus on protecting the health of children and families. Our team had opportunities to testify before legislative committees and to work closely with our local senators on initiatives important to rural public health. These partnerships ensured that the needs and perspectives of Panhandle communities were represented in statewide policy discussions. In May, Nebraska confirmed its first measles case in nearly a decade, identified here in the Panhandle. Our team quickly coordinated with Gordon Memorial Hospital, local providers, and DHHS to identify exposures, provide post-exposure protection, and share accurate information. This swift response prevented further spread, avoided disruptions, and saved significant healthcare costs, an outcome made possible by years of investment in preparedness. We also completed an updated strategic plan built around adaptability, strong communication, cross-sector collaboration, workforce development, and improved technology and data systems. More than just a document, this plan reflects our collective commitment to enhancing a resilient and responsive public health system that meets the needs of our communities now and into the future. In navigating these complexities, our mission remains clear: Working together to improve the health, safety, and quality of life for all who live, learn, work, and play in the Panhandle. Public health capacity is a strategic investment, every dollar spent on prevention saves many more in treatment and crisis response. The successes of this past year are the direct result of strong partnerships, a committed board, and a dedicated, mission-driven workforce. We remain steadfast in our commitment to ensuring every Nebraskan has the opportunity to live a healthy, safe life. Letter from the Director Public health is in the midst of profound transformation, and we are determined to rise to the challenge. As the expectations of our communities continue to evolve, we are committed to adapting, listening deeply, and leading through our values and purpose.
Jessica Davies, MPH Director 308-760-6492 jdavies@pphd.ne.gov
With gratitude, Jessica Davies
Community Health Improvement Planning
Every three years, PPHD leads a Community Health Improvement Planning (CHIP) process that brings together residents, partners, and organizations to assess local conditions, identify shared priorities, and guide collective action to improve health across the Panhandle. Community health takes all of us, especially in rural areas with limited resources. The CHIP process builds on each community's strengths and ensures that local voices help shape future strategies. This past fall, PPHD hosted community meetings in all 12 Panhandle counties, engaging more than 70 community members.
What supports health in your community?
What are the barriers to health in your community?
What would you like to see your community focus on in the next few years to improve health?
We asked these questions at each community meeting and will continue to gather input at community events throughout the winter and spring. Your perspective matters, and we want to hear from you.
It’s not too late to share your input!
Scan the QR code or go to pphd.ne.gov to fill out the survey!
Megan Barhafer, MPH Community Health Planner mbarhafer@pphd.ne.gov
Please fill out this survey to share your thoughts and help us improve health in our communities!
Community Health Improvement Plan Updates COLLABORATION
Community health improves through sustained teamwork and time. This health improvement cycle builds on initiatives from previous years, with progress in housing, childcare, behavioral health, and language access made possible through strong partnerships.
HOUSING & HOMELESSNESS In 2025, the housing and homelessness coalition continued to meet.
LANGUAGE ACCESS
CHILDCARE Hospital partners continued to expand and explore childcare options, while business and social service partners collaborated to identify new solutions to improve access. Through the 6 Regions, One Nebraska initiative, regional partners advanced the Panhandle Childcare Expansion Project, supporting new in-home childcare providers.
Technical assistance to hospitals to strengthen language access resources was a primary focus this past year, alongside PPHD’s analysis of language access gaps in community meetings, so all residents can access health information and services.
We also provided technical assistance to
communities interested in the landbank initiative.
BEHAVIORAL HEALTH In 2025, the Panhandle made meaningful progress in expanding capacity for regional behavioral health support. Community meetings across the region led to a successful Region 1 funding application to open a Crisis Stabilization Center. With community partners signing on and supporting the application, we knew we were moving forward with a project that would support the whole region. Meetings in Kimball ensured local voices helped guide planning. The Crisis Stabilization Center will provide an important service for individuals and families across the region.
Youth Advisory Council
2025 Youth Advisory Council Members from Left to Right: Top Row, Ahris McClaren, Marlee Keracik, Austin Benda, Kail Miles, Aiden Heiser, Bristol Prado, Norman Coley, Kapri Stover, Katelyn Walker, Tayten Haas, Miranda Betson, Carson Wilkins, Kate Pieper, Ellison Paetow, Jacey Cochran, Rubie Gies, Madison Engel, Jazlyn Ferguson, Adeline Fredrickson, Kirstyn Beberniss, Bianca Vargas
It's important for young people to have a voice because we are the future of the community. -YAC Member
Now in its second year, the Youth Advisory Council (YAC) provides a platform for Panhandle youth in grades 10–12 to share their perspectives on important health topics in their communities. The YAC has grown from 14 to 21 high school students, representing Chadron, Crawford, Gering, Gordon- Rushville, Hay Springs, Hemingford, Mitchell, Morrill, Garden County, and Scottsbluff. PPHD highly values the input of youth and uses their feedback to help shape our work.
From developing health promotions and advertisements to reviewing data and statistics, youth offer meaningful insights that might otherwise be overlooked. The YAC meets virtually over Zoom every other month to remove transportation barriers, and youth are compensated for the time they dedicate to improving the health of their communities. If you or your organization would like to incorporate youth voice into your work, please email Kelsy Sasse at ksasse@pphd.ne.gov to inquire about being added to an upcoming meeting agenda.
of YAC Members report feeling more empowered or represented due to input they provide at meetings
“I'm proud to be a part of the Youth Advisory Council and to be a
better leader and louder voice in my community.”
- YAC Member
Partnering for Health In 2025, PPHD partnered with the Nebraska Minority Resource Center (NMRC) on planning efforts to better understand community needs and
youth leadership, civic engagement, and local collaboration. The Box Butte County Youth Grantmakers received a state-level award from Voices for Children, recognizing these youth for their leadership and innovative approach to community-based philanthropy and youth- driven decision-making.
inform future public health work across the Panhandle. This collaboration included structured discussions and community input that helped identify gaps and guide program planning and service coordination. PPHD also partnered with the Snow Redfern Foundation to support the Box Butte County Giving Circle, a youth-led grantmaking initiative involving nine middle and high school students from Alliance and Hemingford. The youth reviewed grant applications, discussed local needs, and made final decisions on which projects received funding. With support from PPHD, Alliance Recreation Center, and UNL–Nebraska Extension, this initiative strengthened
Partners from across the region met to discuss priorities at the Mari Sandoz Center in Chadron
Box Butte County Youth Grantmakers gathered to make award decisions for their communities. Members include: Avenell Soriano, Ryleigh Mashburn, Emmy Wade, and Ayvrie Waldron of Alliance. Kennedy Mahony, Jade Sorensen, Jayce Haas, Berkley Davies, and Adde Bryner of Hemingford
PPHD is continuing to grow the Health in Disproportionately Affected Communities (HDAC) Advisory Committee and invites community members with personal stories to help guide our work. Individuals interested in sharing their perspectives, shaping local health priorities, and strengthening community voice can join by scanning the recruitment QR code. HDAC members play an important role in ensuring our programs reflect real needs and lived realities across the Panhandle and compensation is available for your time in participating!
Kelsy Sasse, MHA Community Health Worker Program Supervisor ksasse@pphd.ne.gov
Customized Professional Development Opportunities
Need training that fits your schedule or tailored sessions for your team? We’ve got you covered! Our Professional Development programs offer over 25 customizable training options led by experienced facilitators. Enhance your team’s skills and career growth with learning experiences designed to meet your specific needs. Register for upcoming trainings and take advantage of professional development opportunities. From 8 to Great to Healthy for Life, we offer a variety of programs designed to support your growth and success. Training and Event Calendar
CredibleMind in Action
This year, CredibleMind helped empower nearly 4,000 individuals across the Nebraska Panhandle to take charge of their mental health. With 8,169 sessions and 161 registered users, the platform continues to provide trusted, evidence- based tools and expert In 2025, the top five topics explored were depression, self-care, mental health, anxiety, and yoga. Demographic data showed that nearly 75% of users were female, with the highest use age range being 13-17, followed by 18-24 year olds. Explore CredibleMind today to discover helpful tools, resources, and strategies designed to support you and your kiddos on their journey to better mental health and overall wellbeing! guidance to support emotional and mental wellbeing.
Scan the QR code to explore our array of professional development opportunities.
We’re grateful to the ten schools partnering with us to implement Base Education, an evidence-based program that fosters positive youth development and substance misuse prevention. Together, we’re equipping students with essential life skills and supporting their success. Partnering with Schools for Impact
Training Opportunities
Responsible Beverage Server Training (RBST) Resilience First Aid Starter Training (RFAST) Mental Health First Aid (MHFA) 8 to Great Hope Squad My Ascension Power of Parents Alcohol Health Literacy
Wellness Recovery Action Plan Resilience & Thriving Question Persuade Refer (QPR) Counseling on Access to Lethal Means (CALM) Psychological First Aid Base Education Hope Champions Bridges Out of Poverty Catch My Breath and more!
Scan the QR code today!
PANHANDLE PREVENTION COALITION
Suzanne Crane Community Prevention Coordinator 308-672-9800 scrane@pphd.ne.gov
Throughout the past year, the Panhandle Prevention Coalition (PPC) delivered high-impact prevention work across the region and outreach at multiple community events across several counties. PPC also organized a regional prevention symposium and expanded digital prevention messaging through coordinated social media and community campaigns. These efforts strengthened partnerships, increased access to prevention education, and expanded the coalition’s reach across the Panhandle.
Get Involved The PPC holds bi-monthly meetings to collaborate on initiatives. We’re always seeking new voices and perspectives to join us. If you’d like to learn more about how to get involved, please reach out to Suzanne Crane at scrane@pphd.ne.gov. We’d love to hear from you!
Goals of the PPC: Reduce the impact of substance misuse and abuse including: Underage & binge drinking Drinking and driving Tobacco use Drug use, including prescription drugs Increase community supports for mental health, suicide prevention, and behavioral health.
Join the PPC Mailing List!
Suicide Prevention Community Walks Walks are coordinated by PPHD and partners during the month of September. All funds donated support the annual walks and suicide prevention programs throughout the Panhandle, including Question. Persuade. Refer. (QPR) and Hope Squad. Compliance Checks The Nebraska State Patrol conducts checks to ensure businesses do not sell alcohol or tobacco to minors. These inspections enforce legal sales practices, prevent underage drinking, and promote community safety.
Jessica Rocha Community Prevention Educator jrocha@pphd.ne.gov 308-299-8913
SUICIDE PREVENTION
BECAUSE YOU MATTER
Suicide prevention is for all of us, and through collaborative efforts, we can save lives. By fostering an environment of compassion, awareness, and open dialogue, PPHD and the PPC are working with schools, healthcare organizations, and other community partners to create a community where every individual feels valued and supported. Our goal is to ensure that everyone living in the Panhandle has access to the tools, resources, and information needed to have conversations about preventing suicide and to feel comfortable seeking help if needed. The programs below are part of those efforts.
Hope Squads: Hope Squad is a school- based, peer-to-peer bullying and suicide prevention program. Hope Squad members, nominated by peers, meet with advisors to discuss mental health, learn to recognize distress signs, and connect peers to help. Eight Panhandle schools have Hope Squads.
QPR: QPR empowers anyone with the tools and skills to make a positive difference in the life of someone they know. PPHD offers QPR trainings virtually every month, and our team of QPR trainers is available to do trainings for your organization. Use the QR code to register for a monthly QPR webinar. We also provide virtual or on- site training for partner organizations. 251 residents participated in QPR in 2025.
Register for QPR here
The 988 call and chatline is here for all of us. If you or someone you know is in crisis, reach out to 988. For more information, resources, to participate or get involved in upcoming events, please reach out to us. PPHD’s suicide prevention team is here to
CALM: Conversations on Access to Lethal Means (CALM) is a powerful addition to existing strategies to reduce the risk of suicide death in at-risk people while respecting their rights and autonomy. Learn to work with at-risk individuals on safe storage of firearms and medications.
help in any way possible. No judgment. Just hope.
VISIT OUR WEBSITE FOR MORE INFORMATION, WWW.PPHD.NE.GOV
Tobacco Free in the Panhandle These senior students promote a tobacco free lifestyle. Thank you for making the safe and healthy decision! PPHD teams up with area athletes to highlight student leaders making a positive impact by promoting tobacco free lifestyles and raising awareness about the dangers of e-cigarettes and nicotine on youth health.
The Nebraska Tobacco Quitline can help you quit tobacco for good. The Nebraska Tobacco Quitline is free, convenient, safe, and secure. The cessation program uses proven strategies and professional coaches to help you quit. Did you know? Combining counseling and quit medication can double your chance of successfully quitting tobacco. Enroll online, or find a class near you by visiting: QuitNow.ne.gov
Espen Lanik
Kail Miles
DID YOU KNOW?
Quitting Today Will Help You For Years Benefits of quitting tobacco:
34,749 motivational texts sent to
Nebraskans from the Quitline
Save money - if you smoke a pack a day, at an average price around $8 per pack, you can save an average of $240 a month In one year, you’ll have saved $2,920. After 20 years, you’ll have saved over $58,400!! Decrease your chances of multiple types of cancer, heart disease, and diabetes. Decrease your risk of vision loss. Reduce the risk the people around you dying from the effects of secondhand smoke. Decrease your medical care expenses. Increase the years in your life. Boost your immune system and decrease the chances of catching common illnesses. Have more time to spend with family or engaging at social events.
4,003
CLINICAL SERVICES WALK-IN OR SCHEDULE AN APPOINTMENT
Have questions about immunizations, please call
633-2866 or go to www.pphd.ne.gov/ immunizations.html
IMMUNIZATION SERVICES
Vaccines matter at every age. Staying up to date helps protect your health and prevent serious illness. Ask us about pneumonia, shingles, tetanus, flu, COVID, and RSV. WORKSITE/SCHOOL CLINICS We deliver on-site immunization clinics at worksites and schools to reduce barriers and strengthen community health. In 2025, we provided 89 off-site clinics. ROUTINE IMMUNIZATIONS We provide routine immunizations for all ages. If you are underinsured or have no insurance, you may qualify for immunizations at no cost. FOR THOSE 50+
Going on a trip and want to make sure you are protected? We provide travel consults and provide recommended immunizations. TRAVEL IMMUNIZATIONS RESPONSE & OUTBREAK SUPPORT When unexpected events or outbreaks occur, timely immunization clinics help protect residents, limit disease spread, and keep communities safe.
Tina Cook , RN, BSN Immunization Coordinator tcook@pphd.ne.gov
Immunization Clinic Nurses
Immunization Clinic Nurses Clockwise: Cheri Berry, RN Peg Jackson, RN Sheila Roberts, LPN Julie Brock, LPN (not pictured) Sandy Preston, RN Carol Sinner, RN MRC Volunteer Nurses Marilyn Noel, RN (not pictured) Betty Walsh, RN
From the Front Lines: Vaccines Changed Everything
"Over the years, vaccines changed everything. They spared children from suffering, and spared families from unimaginable loss." -Betty Walsh, RN, Medical Reserve Corps Volunteer
Betty began her nursing career in 1974, walking into pediatrics at a time when childhood illness was something you heard, saw, and carried home with you. Over 33 years as a pediatric nurse, she cared for generations of children, witnessing firsthand how vaccines quietly transformed pediatric care. “In the 1980’s, meningitis caused by Haemophilus influenzae type B (HIB) infection, was a regular and devastating sight,” she recalled. “Children would scream in pain, arching their backs, and even when they survived, we feared lasting damage such as hearing loss.” Then, the HIB vaccine was introduced. “After that, I never saw another case,” she said. “Not once.” Chickenpox, diphtheria, and other once-common diseases left lasting impressions. Chickenpox became painfully personal when her own daughter contracted it before the vaccine existed. “She was very sick, high fever, sallow color, limp in my arms. She had to be hospitalized.” Even more devastating was a two-year-old patient she cared for who developed Reye’s syndrome following chickenpox. “That child didn’t survive.” As vaccines became more widely available, the nursing capacity changed. “We used to have dozens of pediatric patients at a time,” she said. “Currently, it’s one or two patients, and only a few pediatric nurses are needed. Vaccines keep kids out of the hospital. We just don’t see those terrible diseases anymore.” She is quick to remind people that some diseases haven’t disappeared completely. “Diphtheria and tetanus aren’t eradicated, they’re still in the ground, in the water,” she said. “And pertussis used to be everywhere. Babies under two months would cough so hard you didn’t know if they’d take another breath.” Her belief in vaccines is rooted not just in her career, but in her own childhood. “I remember getting my sugar cube for polio at a community clinic,” she said with a smile. “After that, you just didn’t hear about polio anymore.”
Protect Yourself and Your Family Routine immunizations— are essential for lifelong health. Vaccination protects you and your community. Many vaccines, including HPV, can prevent cancers later in life. Families with no insurance may qualify for free vaccines through the Vaccines for Children program. Take Action: Make sure you and your loved ones are up to date on all recommended vaccines. It’s easy and simple, scan the QR code below to visit the Nebraska State Immunization Information System.
If you need help give Tina a call at 308-633-2866.
DISEASE SURVEILLANCE & GENETICS CLINIC Disease Surveillance PPHD works to prevent and control the spread of disease by partnering with local hospitals, schools, nursing homes, laboratories, and Nebraska DHHS. Through ongoing disease surveillance, staff monitor reportable conditions, identify outbreaks early, and support timely public health response, including sexually transmitted infections.
Panhandle Public Health District AIDS Animal Exposure (bite or nonbite) Aseptic meningitis Campylobacteriosis Chlamydia trachomatis infection Coccidioidomycosis Cryptosporidiosis 2025 Disease Report 2024 0 55 2 55 222 2 1
Munroe Meyer Genetics Outreach Clinic PPHD hosts and coordinates a Genetics Clinic, available both in person at the Scottsbluff office and via telehealth. The clinic is staffed by the genetics team from the Munroe-Meyer Institute (MMI) at the University of Nebraska Medical Center in Omaha, including: Dr. Craig Baker, Metabolic and Clinical Geneticist Dr. Brett Kuhn, Ph.D., Behavioral Psychologist Sydney Stogdill, MGC, GCC, Certified Genetic Counselor The clinic’s goal is to provide accessible medical genetics services to communities across the Panhandle. It plays a vital role for families who are unable to travel to Eastern Nebraska or face insurance barriers that limit access to care outside the state. To refer a child to the clinic or for more information, call 308-633-2866
2025 1 62 1 59 234 0 4 13 77 5 11
Enteroaggregative Escherichia coli (EAEC) Enteropathogenic Escherichia coli (EPEC) Enterotoxigenic Escherichia coli (ETEC) Escherichia coli (STEC) gastroenteritis
25 57 9 21 2 23 9 8 1 1 0 1 2 30 16 2
Giardiasis Gonorrhea
3 9 3 2 0 2
Group A Streptococcus, invasive Group B Streptococcus, invasive HIV Haemophilus influenzae, invasive Hemolytic uremic syndrome, post-diarrheal Hepatitis A, acute Hepatitis B virus infection, chronic Hepatitis C Virus Infection, chronic or resolved Lead poisoning Legionellosis Malaria Measles (Rubeola) Mumps Noroviruses, outbreak Pertussis Prion Disease Q Fever, acute Rabies, animal Rabies, human Salmonellosis (excluding S. typhi/paratyphi) Shigellosis Strep, other, invasive, beta-hem (non-A nonB) Streptococcus pneumoniae, invasive disease (IPD) Syphilis, Unknown Duration or Late Syphilis, congenital Syphilis, early non-primary, non-secondary Syphilis, primary Toxoplasmosis Tularemia Varicella (Chickenpox) Vibriosis (non-cholera Vibrio species infections) West Nile virus disease, neuroinvasive West Nile virus disease, nonneuroinvasive Yersiniosis (non-pestis) Total confirmed, probable, & suspect cases
1 1 0 21 28 0 1 1 1 2 19 1
0 0 1 14 7 0 2
0 0 0 21 4 0 12 11 2
1 1 30 2 14 7 18
2 2 2 2 2 0
0 0 2 0 10 0 7 6 15 652
2 3 6 9 671
Allyson De Los Santos, RN, BSN Disease Prevention Coordinator adelossantos@pphd.ne.gov
LIFE-SAVING TRAININGS
N-95 Respirator Fit Testing A respirator fit test is a test protocol conducted to verify that a N95 respirator is comfortable and provides the wearer with the expected protection from airborne hazards. Utilizing OSHA-approved fit testing, PPHD provides the medical evaluation and qualitative and quantitative methods of testing. We can Fit Test for organizations and/or individuals required to do this. PPHD has three PortaCount machines available for rent. In 2025, we have rented each machine to aid in the quantitative testing for Nursing Homes within the Panhandle, completing 150+ employee fit tests since August 2025. CPR Training Anyone can save a life! PPHD is a Training Site through the American Heart Association. We offer both HeartSavers and Basic Life Support (BLS) training. These trainings can include CPR/AED for adults, children, and infants. First Aid training can also be added to a CPR class. These interactive classes include watch-and- learn videos, hands-on practice with manikins, and a provided workbook. Participants receive a CPR certification card that remains valid for two years. In 2025, PPHD completed 10 classes, 3 of which were local schools, and certified 87 participants! Sign up for a class today, and we will travel to you! Now Offering: ACS Stop the Bleed Classes Life-threatening bleeding can happen anytime, during an accident, disaster, or everyday life. Every second matters in these emergencies. American College of Surgeons (ACS) Stop the Bleed classes teach you how to recognize and control bleeding, empowering you to act quickly and save lives. Join a class to gain the skills to make a difference when it matters most. Stop the Bleed—because every second matters.
Heart Safe Site PPHD is now a Heart Safe Organization. In 2025, we received our Heart Safe Designation through partnerships with Project ADAM and Children’s Nebraska. With our Avive AED machine, we are able to train and maintain readiness. The Cardiac Emergency Response Plan (CERP) is reviewed annually with all staff and training and drills conducted with the Cardiac Emergency Response Team (CERT), who remain BLS-certified.
The CERT team (L-R): Tina Cook, Allyson De Los Santos, Kendra Lauruhn, and Myrranda Kelley (lead).
Myrranda Kelley, RN, BSN Public Health Nurse CPR Certified Instructor, Heart Safe Site Champion Lead, Fit Testing Coordinator mkelley@pphd.ne.gov
For questions or to schedule an appointment, please call 308-633-2866
Preparedness Ready When It Matters Most Public health preparedness ensures our communities are ready to prevent, respond to, and recover from emergencies. By fostering collaboration, planning, and resource sharing, we protect health and save lives. Health Care Coalitions play a vital role, uniting healthcare providers, public health agencies, and emergency management to ensure a coordinated and effective response to any crisis. Together, we are building stronger, safer communities. Through planning, exercises, and partnerships, PPHD strengthens six key areas of preparedness to enhance state and local public health systems' readiness for health emergencies. Community Resilience: Preparing for and recovering from emergencies Incident Management: Coordinating an effective response Information Management: Making sure people have information to take action Countermeasures and Mitigation: Getting medicines and supplies where they are needed Surge Management Expanding medical services to handle large events Biosurveillance: Investigating and identifying health threats
Preparedness in Action Panhandle identified Nebraska’s first confirmed measles case. PPHD responded immediately, and no additional cases were identified. PPHD supported healthcare providers by distributing measles testing guidance, ensuring access to PPE, providing bilingual signage, and maintaining timely communication throughout the response. Community Outreach & Prevention MMR vaccine clinics were offered, and an Every Door Direct Mail campaign distributed approximately 15,000 flyers to counties with MMR vaccination rates below 95%. These materials were also adapted into posters and distributed to vaccine providers across the region. Medical Reserve Corps In 2025, the MRC accomplished the following: A total of 297 volunteer hours served 10 new members joined our team 4 members completed CPR training 4 members completed Stop the Bleed training Join the MRC to make a meaningful impact on the health and safety of our communities.
We need VOLUNTEERS to fill non-medical and medical roles. Join today
Emily Timm Preparedness & Risk Reduction Coordinator etimm@pphd.ne.gov
Looking Ahead Preparedness is ongoing. PPHD will continue strengthening partnerships, expanding training, especially in behavioral health preparedness, and improving coordination to ensure the Panhandle remains ready to respond when it matters most.
Kendra Lauruhn, PHRDH Dental Health Program Manager klauruhn@pphd.ne.gov
6,939 dental screenings performed to detect early signs of dental disease.
PPHD’s school-based dental program offers preventive dental care to students. We go to where children are, in schools, to provide dental screenings, fluoride treatments, sealants, education, and referrals. These services create healthier teeth so children can concentrate on playing and learning without pain.
Applied 4,447 fluoride treatments to strengthen teeth Fluoride Treatments
Silver Diamine Fluoride Applied 1,212 silver diamine fluoride to help stop tooth decay Gave 70 dental health presentations that reached 1,998 people Dental Health Education
Placed 146 sealants to help protect molars from cavities Dental Sealants
Dental Sealants
Safe Driving Starts with You
Bring national speaker Cara Filler to your school at no charge!
Contact Janelle at jvisser@pphd.ne.gov to find out how.
Cara Filler is DRIVEN to Inspire. She is a compelling author, entrepreneur, and traffic safety specialist. Drawing from an immense personal tragedy in her own life, Cara’s inspiring presentation focuses on dealing with peer pressure, traffic safety, and making everyday choices count. Why? Because it could just save a life! As of now, Cara has spoken at 18 Panhandle schools, engaging around 2,000 students and residents in the Panhandle.
Panhandle Schools offered Cara’s Highway Safety Assembly in 2025.
The Panhandle Needs Increased Access to Driver’s Ed
Only 20% of Panhandle teens take Driver's Education courses compared to the state average of 50%. Driver's Education reduces crashes and traffic tickets enhancing individual and community safety.
Scan here to see WNCC’s future driver's ed classes!
Complete a parent survey accessible here.
Although 64% of Panhandle drivers always wear their seat belt when driving or riding in a car, we are 13% below the state average and nearly 26% below the U.S. average. This is concerning considering the long distances between rural Panhandle communities, travel on rural roads, and heavy agricultural traffic with trucks.
Your life is worth saving!! Don’t drive distracted!
Preventing Chronic Disease Together
Chronic Disease in the Panhandle Living in our beautiful rural area has its perks, fresh air, open spaces, and tight-knit communities. But let’s talk straight: obesity is a real challenge for many of us, and it’s hitting rural areas like ours harder than large cities. Extra weight can lead to serious health issues like diabetes, heart trouble, and joint pain, making it tougher to keep up with farm work, family, or just enjoying life. The good news? You don’t need a big-city gym or fancy grocery store to stay healthy. With some practical steps, we can stay healthy right here at home, save money, and feel better for the long haul. Why it Matters 1 in 3 adults in the Panhandle live with a chronic health condition. Heart disease, cancer, and diabetes are leading causes of illness and death. Obesity affects about 36% of adults in the region. 1 in 10 adults in Nebraska has diagnosed with diabetes. 1 in 3 adults has been told they have high blood pressure. Chronic diseases are the leading causes of death and disability, but most are preventable through healthy choices, regular checkups, and community support. That’s where PPHD comes in, with workshops and programs to support your healthy lifestyle, no matter where you live. Our programs are proven to work and to help participants learn how to do the things your doctor recommends for you to live your best life.
PPHD’s award- winning National Diabetes Prevention Program provides the tools and support to get you on track with your health journey. Over the last 12 years, panhandle participants have lost over 1,200 pounds. For those of us on a tight schedule, the virtual program is offered in 2026 on Tuesdays at noon. An in- person program is available in Chadron. What You’ll Get: A personal session to set your unique goals 16 weekly Zoom sessions Monthly Zoom support for the first year Fully online platform and support available Learn skills and strategies to: Look and feel great now Get healthier your way Reach your goals Reduce your risk for diabetes & other illness Prevent Diabetes & Other Diseases
Prevent Colon Cancer
Early detection prevents major complications from this often silent disease. Talk to your healthcare provider about the best screening options for you. Are you between 45 - 74? Get a simple one-swipe FREE at-home test! Get Your Test Kit Here
What's your poo telling you?
Register Here
or Call 308-220-8020
or Call 308-220-8020
VISIT OUR WEBSITE FOR MORE INFORMATION, WWW.PPHD.NE.GOV
Support for Your Health Journey Much of what happens with our health is determined by what happens outside the clinic. PPHD supports your health across the lifespan with programs that are proven to equip participants with the tools and support to improve health outcomes. Even if you are living with a chronic, ongoing health condition, PPHD has a program to provide support and proven strategies for you to get and stay healthy.
Whether you want to manage your weight, improve your blood sugar, cholesterol, blood pressure, or figure out how to implement a healthier lifestyle, we have the no-cost program to support you in your journey. Programs are offered in person in some communities or virtually from the comfort of your home or office.
Living Well with Chronic Conditions These 6-week workshops provide the knowledge and strategies to help you take charge of your health. What You’ll Get: Support from others Strategies to deal with pain, fatigue, frustration Discover how healthy eating can improve your condition Create an activity program that works for you Understand treatment choices Explore how to talk with your doctor and your family about your needs.
Living Well with Diabetes These 6-week workshops provide you with the knowledge and skills to manage your diabetes effectively and improve your quality of life. The workshop includes guidance on: healthy eating physical activity blood sugar monitoring taking medications effectively Living Well with High Blood Pressure Starts January 15, Thursdays at Noon Join our proven 8-week workshop designed to help you manage blood pressure through lifestyle changes, with support from your coach and fellow group members. Register here
Living Well with Chronic Pain These 6-week workshops provide you with the knowledge and skills to manage pain effectively and improve your quality of life. The workshop includes guidance on: healthy eating physical activity medication management pain management
Cheri Farris, MPH Wellbeing Program Coordinator cfarris@pphd.ne.gov To learn more contact:
VISIT OUR WEBSITE FOR MORE INFORMATION, WWW.PPHD.ORG Practical tools. Real support. Healthier days ahead.
Think Well, Live Well
LOVE YOUR BRAIN
Recent scientific studies show that we can protect our brain from dementia by eliminating or modifying other risk factors, which account for more than 40 percent of cases, with our lifestyle choices. Moreover, researchers show that these modifications don't have to be significant, life- altering events. Even slight changes starting at any stage of life can be effective. Dementia Prevention Basics
Be active daily Stay connected Quit smoking Drink less alcohol Prevent head injuries
Protect your hearing Manage health conditions Address depression Care for your heart Get quality sleep
Alzheimer’s, the leading cause of dementia, affects memory, thinking, and behavior. In Nebraska, over 35,000 people live with Alzheimer's, and this number is expected to increase as the population ages. Promoting brain health by managing risk factors can help prevent or slow Alzheimer's. Early diagnosis and intervention are key to improving quality of life. Talking to your doctor as soon as you notice warning signs can increase your options for treatment. PPHD is available for presentations to community and medical organizations. Panhandle Dementia Coalition The Panhandle
10 WARNING SIGNS OF ALZHEIMER’S Memory loss that disrupts daily life Challenges in planning or solving problems Difficulty completing familiar tasks Confusion with time or place Trouble understanding visual images and spatial relationships New problems with words in speaking or writing Misplacing things and losing the ability to retrace steps Decreased or poor judgment Withdrawal from work or social activities Changes in mood and personality
Dementia Coalition meets quarterly to strengthen collaboration, share resources, and support local dementia awareness and prevention trainings.
Scan the QR code for Coalition Resources
Contact Janelle at jvisser@pphd.ne.gov or 308-760-6493 for information regarding presentations.
Maternal & Child Health Support Pregnant Keep Your Blood Pressure In Check! FREE Self-Monitoring Blood Pressure Cuffs and Education
WHAT WE OFFER:
WHY IT MATTERS: Tracking your blood pressure during pregnancy helps protect you and your baby. High blood pressure can be serious, but early detection and monitoring can make a difference.
FREE blood pressure cuff for home use. Education and support to help you understand your readings. This opportunity offers education that works alongside your provider visits. NO referral needed – just walk in!
Take control of your health at home.
HOW TO PARTICIPATE:
Healthy starts mean healthy babies.
Walk-in Tuesday–Friday, 8:30 a.m.–4:00 p.m. Location: Panhandle Public Health District 18 W 16th Street, Scottsbluff, NE
Questions: Contact: Dez Brandt 308.765.5249 dbrandt@pphd.ne.gov
FREE CAR SEAT PROGRAM
73 Installed Seats 59 Car Seats Given Out
PPHD provides free car seats and installation assistance for qualifying families to improve child safety in vehicles.
Please call us at 308-633-2866 to confirm eligibility and to book an appointment for your car seat installation.
Healthy Families America (HFA) Evidence-Based Home Visiting Promotes Child Well-Being and Strong Parent-Child Relationships
Family Impact & Outcomes Strengthened parent–child bonding Boosted confidence in newborn and infant care Increased safe sleep and breastfeeding practices Connected families to needed community resources Supported early learning and developmental milestones
Program Highlights
Expanded HFA services, now serving all panhandle counties Enrolled 90 Families Served 153 Families Provide 2,024 Home Visits
Supporting Families Through Home Visitation
Personalized guidance tailored to each family’s needs. Regular check-ins to track progress and celebrate milestones. Encouraging child well- checks, immunizations, and preventive care. Coaching on parent well-being and stress management. Strengthening connections with community programs and services.
Early Support= Life Long Success
Healthy Starts = Healthy Babies
Our Home Visitation Goal is to Strengthen Bonding and Attachment, Enhance Family Function, and Promote Healthy Childhood Growth and Development
Meet the Team: Dedicated Professionals Supporting Families Every Step of the Way
Dez Brandt MCH Program Manager dbrandt@pphd.ne.gov
Monica De Los Santos Supervisor mdelossantos@pphd.ne.gov
Jenn Buxbaum Supervisor jbuxbaum@pphd.ne.gov
Ashleigh Rada Family Outreach Coordinator arada@pphd.ne.gov
Home Visitation Specialists
Linda Ainslie lmainslie@pphd.ne.gov
Alma Sanchez asanchez@pphd.ne.gov
Dezirae Wilkins dwilkins@pphd.ne.gov
Nohemi Leal nleal@pphd.nev
Becky Corona bcorona@pphd.ne.gov
Shawna Heilman sheilman@pphd.ne.gov
McKenzie Cassel mcassel@pphd.ne.gov
Brittney Todd btodd@pphd.ne.gov
For more information, call or text (308) 765-5249
Accepting Referrals: Prenatal Through Three Months of Age FREE and Voluntary
http://www.pphd.ne.gov/Pages/hfa.htm
PANHANDLE WORKSITE WELLNESS COUNCIL The council serves area worksites, organizations, schools, and hospitals with a multitude of wellness and safety services. We proudly oversee the Governor's Wellness Award. This award was developed to help organizations of all sizes across the state of Nebraska become recognized for their wellness efforts and is sponsored by the Nebraska Department of Health & Human Services. Annually, the council issues a survey to area worksites to evaluate and monitor area needs and opportunities. The worksite then receives a customized scorecard to help identify areas of opportunity. The scorecard initially focused on physical wellbeing in terms of healthy eating, active living, and tobacco cessation. It now also includes mental health, substance misuse, and driving behaviors. The follow-up consultation recommends evidence-based strategies, resources, and support along the prevention continuum to include policy, environment, programming, education, and awareness. Workplace Policies: Advancing Health & Safety 41% of workplaces now allow flextime for employees to engage in physical activity during work hours, up from 19% in 2011. 30% of workplaces now provide onsite exercise facilities, such as workout rooms or basketball courts, available to employees during work hours, up from 13% in 2011. 74% of workplaces now have policies requiring employees to wear seatbelts while driving or operating a vehicle for company business, up from 56% in 2011. 65% of workplaces now prohibit smoking in outdoor work areas, up from 50% in 2011. Additionally, 54% have policies restricting smoking near building entrances, an increase from 25% in 2011. The council offers staff training, monthly promotions, newsletters, public communications, quarterly wellness chats, health risk appraisal and interest survey, mental health toolkit, and consultations. Set up an appointment today to complete the newly updated Governor's Wellness Award application.
Nicole Berosek, MS Wellness and Prevention Program Manager 308.279.3496 nberosek@pphd.ne.gov
Council Advisory Committee
Dan Newhoff, Chair Box Butte General Hospital
Diana Lecher Chadron Community Hospital
Amy Doll Platte Valley Bank
Brooke Smith Northwest Community Action Partnership
Jenny Keener Western Nebraska Community College Jamie Bright Rural Prospersity Nebraska, Nebraska Extension
2025 PANHANDLE SAFETY & WELLNESS CONFERENCE
Amazing work by everyone, lots of great information!
Jenny Keener was named the 2025 Leading Light Award Recipient
Comments from the conference:
This was a really great event to attend! The content was so relevant to today's environment, and the agenda timeframe was attended to so well! The hearty lunch and snacks (and unlimited coffee!) were fabulous! Thank you to PPHD, sponsors, and speakers for providing a valuable experience. The opening presentation had great, actionable items!!! She did a great job of making change practical and achievable. I love the wellness breaks. Good variety of speakers this year. Lots of information from the presentations, and I enjoyed learning from them all. I especially liked the caregiver presentation, which is helpful to learn about stress and how to manage it. It is always very smooth and I really appreciate how secretive the leading light award is! It is such a sweet moment every time!
Panhandle Worksite Wellness Council is a great asset to Western Nebraska, providing valuable information to support worksite wellness. ~ Box Butte General Hospital
Being part of the PWWC, you will have access to personal service and support to help you establish and grow your wellness & safety program.
Sign up to receive the monthly newsletter:
2026 Panhandle Safety & Wellness Conference September 17, 2026 Gering Civic Center
Let us customize a training for your worksite, organization, hospital, or school!
A West Nile Story A single mosquito bite changed everything.
For Rick Horstman, a third-generation farmer living just outside of Hemingford, summer typically means long days in the field and family life centered around harvest. Last July, a single mosquito bite abruptly brought that routine to a halt. Rick began experiencing persistent headaches and congestion in his lungs. Initially treated for a respiratory illness, his condition continued to worsen. He soon developed encephalitis, dangerous swelling of the brain, causing severe pain, uncontrollable shaking, and significant confusion. Combined with the effects of the illness and medications, he was disoriented and unable to recognize himself for several days. “I didn’t even know who I was,” he recalled. Rick was airlifted to Cheyenne, where he spent several days hospitalized, unable to walk and with critically high white blood cell counts. While there, he was diagnosed with West Nile virus. After briefly returning home, his condition did not improve. Early one morning, he went to the emergency room and was transported by ambulance to Rapid City, where he spent another four to five days hospitalized. It was there that doctors also diagnosed him with tularemia. In total, Rick battled two serious vector-borne infections and endured an extended period of severe illness, spending much of that time confined to his home. “Just imagine being at the height of wheat harvest and feeling so sick you don’t even want to leave your house,” he said. “That’s how hard it was.” Months later, Rick continues to experience lingering headaches from the encephalitis, a reminder that recovery from West Nile virus can take a year or longer. Farmers, ranchers, and agricultural workers face a higher risk of mosquito-borne illnesses due to extended time outdoors, particularly during peak mosquito activity at dawn and dusk. To better understand and address this risk locally, PPHD is collaborating with academic and community partners to expand education and research efforts focused on West Nile virus among agricultural workers. A team from UNMC will be at the Farm & Ranch Expo at the Scotts Bluff County Fairgrounds in February, with an additional event planned in Box Butte County, offering voluntary “Spit for Science” testing to help determine the prevalence of West Nile virus among the agricultural population in the Panhandle.
The University of Nebraska Medical Center is partnering with the Panhandle Public Health District to study West Nile virus risk among people working in the agricultural sector in western Nebraska. This pilot project is funded by the Central States Center for Agricultural Safety and Health (CS-CASH). The project launched in December, 2025, with a collaborative team meeting hosted by PPHD in Scottsbluff. The study team will work with local community partners to provide education on West Nile virus and enroll volunteers in a study to assess environmental risks for exposure to the virus.
Betsy, Ty, Dakota, Emerson, & Rick Horstman
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