Public Health Nursing
      Patricia Kiesel, RN
      Diane Rokosky, RN

    Infectious Diseases

    There are five measures that can help prevent
    Infectious Diseases, including: handwashing; staying    
    current on vaccines; food safety; practicing safe sex;
    and avoiding animal bites.
    The Public Health Department has legal responsibility
    for the investigation of Reportable Infectious Diseases within the City of Waterbury, including
    surveillance, case investigations, counseling, referrals, health education and control measures
    to prevent the spread of Infectious Diseases.

      Physicians and laboratories are
    required by the State of Connecticut
    to report on key Reportable Diseases,
    Emergency Illness, and Health
    Conditions. Current Reportable
    conditions and emergency contacts
    are available at:
    • Or as a pdf: 

    Listing files in 'Public Health Nursing Resources'

    Tuberculosis Testing & Specialty Care for Persons with Tuberculosis
    The Public Health Nursing Program provides testing and specialty case management for
    Tuberculosis, a serious infectious disease.   

    PPD Testing
    : The PPD skin test is a method used to
    screen a person for exposure to Tuberculosis (TB).
    A positive test result indicates that the person may
    have a Tuberculosis Infection, and will require further medical evaluation.
    •   PPD Testing is available on Mondays and Tuesday,
         8:30 am - 9:30 am.

    •   PPD Reading of test results are provided 
        Thursdays only, 8:30 - 9:30am.

    •   $20.00 fee for service, includes testing and result
        reading: cash only.

    CDC guidelines advise certain people to be tested for TB
    Infection. These individuals at higher risk include:
         • People who have spent time with someone who has TB Disease;
         • People from a country where TB Disease is common (most countries in Latin America, the 
           Caribbean, Africa, Asia, Eastern Europe, and Russia);
         • People who live or work in high-risk settings (for example: correctional facilities, long-term
           care facilities or nursing homes, and homeless shelters);
         • Health-care workers who care for patients at increased risk for TB Disease;
         • Infants, children, and adolescents exposed to adults who are at increased risk for
           Latent Tuberculosis Infection or TB Disease

    Many people who have been exposed to TB may never develop TB Disease.
    Those at high risk for developing TB Disease include:

    •   People with HIV infection
    •   People who became infected with TB bacteria (Latent TB Infection) in the last 2 years
    •   Babies and young children
    •   People who inject illegal drugs
    •   People who are sick with other diseases that weaken the immune system
    •   Elderly people
    •   People who were not treated correctly for TB in the past

    TB tests are generally not recommended for people with a low risk of infection with TB bacteria.

        o For more information about TB, visit the CDC at:

     Specialty Care for Persons with Tuberculosis
    Chest Consultation Services: Evaluation and follow up of Tuberculin Reactors and persons with Tuberculosis Disease is provided in collaboration with Saint Mary’s Hospital-Pulmonary Department. This service is provided two Tuesdays per month starting at 9 am. An appointment is required. To schedule an appointment, call the Clinic at: 203-709-6244  


    Staying up-to-date with vaccinations can help prevent infectious diseases.
    You may need additional vaccines based on your age, health conditions, job, lifestyle, or travel habits.
    Learn more about other vaccines that may be recommended for you and talk
    to your healthcare professional about which vaccines are right for you.

    For more information about adult vaccinations, see the following resources:
          o Adult Recommended Immunizations
          o Do You Know Which Adult Vaccines You Might Need?


     Sexually Transmitted Infections
     Practicing safe sex can help prevent sexually transmitted infections (STIs).
    The Waterbury Health Department’s HIV Prevention Program provides free,
    confidential outreach and testing daily for the following STIs:
    •    HIV
    •    Chlamydia     
    •    Gonorrhea
    •    Hep C
    •    Syphilis (symptom screening & referral only)
    The HIV Prevention Program provides linkage to treatment for HIV,
    STIs, and other needed care by means of daily standing appointments
    with the Chase Infectious Disease Clinic, Planned Parenthood and
    other healthcare providers.
    Additional services of the HIV Prevention Program include harm and
    risk reduction, support groups, and more.
    For more information about STI outreach, testing and linkage to treatment, call the
    HIV Prevention Program at 203-574-6883 or visit the webpage at:
                 o For more information about STIs, visit the CDC website at: