Michael Mendoza,

Commissioner of
Public Health

More Info

The Monroe County Department of Public Health provides direct public health services designed to protect the public from disease and environmental hazards, and community leadership to ensure improved health status of individuals, families and the environment. Services include education, preventive services, and enforcement of health codes and medical policies.

We strive to achieve excellence in our performance to advance Monroe County as a leader in the field of public health, collaborate with community partners to achieve optimum health status in the community, and interact proactively with the challenging health care environment to ensure that public health issues are quickly recognized and addressed.


School Vaccination Requirements

As of June 13, 2019, there is no longer a religious exemption to the requirement that children be vaccinated against measles and other diseases to attend either:

  1. public, private or parochial school (for students in pre-kindergarten through 12th grade)
  2. child day care settings

Birth & Death Certificates (Vital Records)

 The Vital Records Office is open by appointment only.

The Vital Records Office is now located at the Ames Building, 740 East Henrietta Rd, at the intersection of E. Henrietta and Crittenden Rds (near Rt 390 and the MCC Campus). Free parking available. Directions

Order Birth/Death Certificates Online Make Appointment

Other Ordering Options/Vital Records Information

Immunization Clinics ​​​​​​

 The Immunization and Tuberculosis clinics are open by appointment only. Please call for an appointment or more information.​​

  • Immunizations: (585) 753-5150
  • Tuberculosis: (585) 753-5162

New York State requires a number of immunizations to attend school. If your child or college student has not been able to get into their doctor to get all the required shots, we can help. We have clinic hours on:

  • Tuesdays, BY APPT ONLY, Call for availability
  • Wednesdays, BY APPT ONLY, from Noon - 6 pm
  • Thursdays, BY APPT ONLY, Call for availability

Most vaccinations are provided at no-cost through age 18. Please bring any health insurance cards and any letters that you received from school about shots that your child is missing.  Attached is a form that requires completion. If you like, you can print it at home and complete it prior to coming to save time. Appointments are also available; call 753-5150. You can e-mail us at immclinic@monroecounty.gov to ask general questions, but not to schedule an appointment.

More Immunization Clinic Info

STD/HIV Info | Tuberculosis (TB) Info

Opioid Resources/Narcan Training

Learn About Addiction/Find Treatment

 In-person Narcan training is cancelled until further notice. Virtual Narcan Training is Now Available. 

Register For Virtual Narcan Training

Clinical Providers: Buprenorphine Waiver Eligibility Training Registration


A person is considered immune and is unlikely to get measles if they were born before January 1, 1957, or have received two doses of the MMR (Measles, Mumps and Rubella) vaccine or have a lab test confirming immunity.

Those individuals lacking immunity or not sure if they have been vaccinated are at risk of developing measles. Symptoms include a fever, rash, cough, conjunctivitis (red eyes) and/or runny nose. Symptoms usually appear in 10-12 days after exposure but may take as long as 21 days.

Anyone who is unvaccinated who may have been at these locations on these dates during these timeframes may be at risk of developing measles for up to 21 days after being exposed and should:

  • Review their immunization and medical records to determine if they are protected against measles. People who have not had measles infection previously or received the measles immunization may not be immune and should talk with a health care provider about receiving measles, mumps and rubella (MMR) immunization.

  • Contact and notify their health care provider as soon as possible about a potential exposure if they are pregnant, an infant, have a weakened immune system and/or are unimmunized.

  • Monitor themselves for illness with fever and/or an unexplained rash from 7 days to 21 days after their exposure (the time period when symptoms may develop); if symptoms develop, stay at home and call a healthcare provider immediately.

Symptoms of measles generally appear in two stages. In the first stage, which lasts two to four days, the individual may have a runny nose, cough and a slight fever. Eyes may become reddened and sensitive to light while the fever gradually rises each day, often peaking as high as 103° to 105° F. Small bluish white spots surrounded by a reddish area may also appear on the inside of the mouth.


The second stage begins on the third to seventh day and consists of a red blotchy rash lasting five to six days. The rash usually begins on the face and then spreads downward and outward, reaching the hands and feet. The rash fades in the same order that it appeared, from head to extremities. A person can spread measles from 4 days before the onset of rash through 4 days after the rash begins. Although measles is usually considered a childhood disease, it can be contracted at any age.

The single best way to prevent measles is to be vaccinated. Individuals are recommended to receive 2 doses of MMR vaccine to be protected. 

For more information about measles, please visit https://www.health.ny.gov/publications/2170/ 
and http://www.cdc.gov/measles/index.html.

Lyme Disease

Picture of tick on fingerLyme disease is caused by a bacterium. It is transmitted to humans through the bite of infected blacklegged – or deer - ticks. Typical symptoms include fever, headache, fatigue, and a characteristic “bull’s eye” skin rash.
Most cases of Lyme Disease can be treated successfully with a few weeks of antibiotics. If left untreated, infection can spread and become much more serious. Lyme Disease is diagnosed based on symptoms, physical findings (e.g., rash), and the possibility of exposure to infected ticks; laboratory testing is also sometimes helpful.
The number of cases in Monroe County has increased over the past few years. Steps to prevent Lyme Disease include avoiding walking through tall grass where ticks are often found, wearing light colored clothing to aid in spotting ticks, examining your body closely after having been out in areas where ticks are common, and using insect repellent containing DEET (be sure to follow label instructions). Ticks must stay attached to your body for between 24-48 hours to transmit Lyme, so promptly removing them with tweezers will likely prevent contracting Lyme disease.

West Nile Virus

Picture of mosquitoWest Nile virus (WNV) is an illness transmitted by the bite of an infected mosquito. The illness is most serious for older people. Healthy children and younger adults are at very low-risk for 'serious' WNV infection. The risk of human WNV infection increases towards the end of summer and into early Fall. Risk continues until the first frost. Mosquitoes are most active at dusk and dawn. Covering exposed skin and use of insect repellent are effective at preventing bites.

Wind Chill Index

Picture of young boy out in snow with scarf blowing.During the winter months in Rochester, the combined effect of wind and temperature—known as the Wind Chill Index (WCI)—can be very dangerous. Learn more by following the links below:

Sexually Transmitted Disease Testing

The Monroe County Department of Public Health provides confidential STD testing both at our clinic located in Bullshead Plaza, 855 West Main St., and at some community locations jointly with the City of Rochester. We provide education about STDs and HIV and talk with you about ways to reduce risky sexual behavior and promote healthier choices.

Your confidentiality is protected by public health laws. Everything you tell us is completely confidential.

Appointments not needed at clinic or Community Sites:

  • Monday: 8:30 a.m. - 3:30 p.m.
  • Tuesday: 8:30 a.m. - 3:30 p.m.
  • Wednesday: 8:30 a.m. - 3:30 p.m.
  • Thursday: 8:30 a.m. - 11:30 a.m.
  • Friday: 7:30 a.m. - 2:30 p.m.

Phone: 585 753-5481

Blue Green Algae

Blue Green Algae has begun to appear in waterbodies throughout New York State. Certain types can be harmful to people and pets. Avoid It! Report It! Click below for more information.

Harmful Algal Blooms (Blue Green Algae)


Picture of mosquitoZika Virus is primarily spread by the bite of an infected mosquito. There is no risk of Zika in Monroe County at this time. The public will be alerted if this situation changes. We are working closely with the local medical community to assure that appropriate testing occurs in people with possible Zika virus exposure.

Below are links to credible sources of information on: Zika, travel recommendations to avoid Zika, and methods to reduce mosquito populations (of all types) in and around your home. The CDC continues to monitor this matter very closely and regularly updates its travel restrictions and recommendations, which are particularly important for pregnant women, or women trying to become pregnant. (Updated March, 2018). NOTE: NEW GUIDANCE for Health Care Providers below!

Diabetes Resource Guide - Greater Rochester

There are numerous programs in the Greater Rochester to help prevent and control diabetes. Click the link below to learn more.

Online Health Information

The Internet is an excellent place to become more knowledgable about health. However, while there are many credible health sites, there are also sites that may contain information and recommendations that are not valid. The links listed below contain reliable health information.