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Louisa County public health presents annual report: immunizations, TB case, and home-care revenue details
Summary
The county public health director reported key metrics for July 2024–June 2025: 490 vaccine doses given, six reportable disease investigations including one active TB case, and that home-care services generated 79% of department revenue while county planned funding was $400,000 but only $314,000 was required.
Louisa County's public health director presented the department's annual report for July 2024–June 2025, highlighting service metrics, reportable disease counts and the department's revenue mix.
The report summarized community health priorities identified in the county's health needs assessment tied to a health improvement plan: mental and emotional health, drug use, elderly wellness, preventable injury and farming-related falls, housing and access to care, and gaps in health insurance. The department also participates in regional emergency-preparedness activities, including a five-county point-of-dispensing drill to practice mass distribution of medication.
On reportable diseases, the county investigated six cases during the year: one active tuberculosis case, two pertussis cases, one cryptosporidiosis, and one perinatal hepatitis B (total of six investigations). The immunization program delivered 490 doses in 2024–25 (compared with 472 in the prior year). The director explained the county transitioned to a new vaccine management system in May 2024.
Home-health and homemaker services remain the primary revenue source: the report said 79% of department revenue came from home-care services and 21% from public-health activities. The county planned to fund the department at $400,000 but required only $314,000, leaving a $85,000 difference attributed to service revenue and reimbursements.
The board asked for comparisons to pre-COVID immunization levels; the director said she would need to look up that historical data. The presentation also noted environmental health contracts for private well testing, septic permits and nuisance complaints. The board received the report and did not record further formal action in the transcript.
What to watch: the department will continue alignment conversations pending state legislation and track infectious-disease surveillance and emergency-preparedness exercises.
