Child & Adolescent Health
 
 

Providing opportunities for healthy development early in life sets children and teens up for long-term health and wellbeing. We work with families and community organizations to support, strengthen, and expand relationships that promote health and nutrition outcomes in children.

We can assist with accessing healthy food, finding medical and dental providers, interpreter services, transportation to and from appointments, and more.

Child and Teen Checkups (C&TC) Program

 

Breastfeeding/Chestfeeding Support

All families deserve support on their feeding journey. Our staff and community partners provide education, encouragement, and connections for pregnant and breastfeeding/chestfeeding individuals. Breastfeeding is the best, most nurturing way of feeding your baby – something special you can do for your child. Support is available through the WIC program and local resources for those who are not WIC-eligible.

 

General Lactation Information:

About Breastfeeding - MN Dept. of Health- General information about lactation from MDH

Making the decision to breastfeed- Benefits of providing human milk, US Dept of Health and Human Services

Preparing to breastfeed- Getting Ready to Breastfeed, US Dept of Health and Human Services

Getting Back to Work and Breast/Chestfeeding:

Information about parental leave, returning to work, expressing milk, childcare and more. Back to Work | BreastmilkCounts.com

Minnesota State laws that protect people Sec. 181.939 MN Statutes

Forgot your pump? Guide to hand expression: Hand-Expression-Handout-IYCF-E and an excellent video How to Express Breastmilk - Video - Global Health Media Project

Proper Storage and Handling of Human Milk Breast Milk Storage and Preparation | Breastfeeding | CDC

 

Community Resources (Non-WIC)

St Louis County Public Health Nurses including Certified lactation educators and consultants- Evidence Based Home Visiting Programs - https://www.stlouiscountymn.gov/departments-a-z/public-health-human-services/public-health/family-home-visiting

Essentia Health - Northland Breastfeeding Resources
Certified lactation consultants available 7 days/week. Services include baby weight checks, latch help, pump rental, and phone consults.
Link: https://www.essentiahealth.org/services/obstetrics/breastfeeding-support/northland-breastfeeding-resources

Essentia Health - The Lactation Club (TLC)
A free, parent-to-parent support group with lactation staff present. Meets at the Essentia Lakewalk Clinic, 1502 London Rd, Duluth.
Link: https://www.essentiahealth.org/services/obstetrics/breastfeeding-support

St. Luke’s Hospital - Birthing Center Support
After Care Clinic provides latch help, weight checks, and phone consults. Monthly breastfeeding support group available. Location: 915 E. 1st St, Duluth.
Link: https://www.slhduluth.com/services/birthing-center/

Lake Lactation Lounge - Duluth
Free, parent-led monthly meetings and peer support. Local leaders available for questions and encouragement. Facilitators: Lacey Parr 218-340-5136 & Rosalyn Horn 715-864-2921.

Help Me Connect - Lactation Support Directory
Statewide directory of local breastfeeding and chestfeeding resources, including private lactation consultants and peer groups.
Link: https://helpmeconnect.web.health.state.mn.us/HelpMeConnect/Search/PregnantandExpectantFamilies/BasicNeeds/BreastfeedingandLactationSupport?f=Area+Served+by+County%3ASt.+Louis+County

Northeast SHIP - Lactation Support Initiatives
Regional partnerships supporting Baby Cafés, breastfeeding education, and lactation-friendly workplaces.
Link: https://www.northeastship.org/initiatives/lactation-support

 

Click here for more lactation information through our WIC Services

Follow Along Program

 

Asthma Program

Emergency Room visits and hospitalizations related to asthma in St. Louis County are higher than the state average. People who are diagnosed with asthma are more likely to have frequent absences from work and school due to their symptoms.

St. Louis County Public Health offers home visiting for individuals aged 0-18 who have concerns about their asthma control. Indicators that a person’s asthma isn’t as well controlled as it could be are:

  • Having frequent nighttime wakening due to asthma symptoms

  • Making asthma-related Emergency Room visits

  • Using a rescue inhaler 2 or more days per week

  • Having symptoms that make it hard to exercise, play, go to school, or work

 

Public Health Nurses with special asthma training can come to your home to:

  • Check your home for asthma triggers

  • Teach you how to care for your child’s asthma

  • Help you get an Asthma Action Plan and/or explain how to use it

  • Help you understand what your child’s medications are for and when to use them

  • Check how your child uses an inhaler and/or nebulizer and show ways to make it work even better

  • See if you qualify for supplies to help manage asthma symptoms

  • Help you coordinate your child’s asthma care with their health care providers

 

To learn more about asthma, please visit the Minnesota Department of Health – Asthma Basics page: Asthma Basics - MN Dept. of Health

For more information on managing asthma, check with the Minnesota Department of Health – Managing Your Asthma site: Managing Your Asthma - MN Dept. of Health


If you want more information about the St. Louis County Asthma Home Visiting program, please call Kelly Bruels at 218-725-5212, fill out the online referral form.

 

Lead Exposure

Lead exposure can harm a child’s growth, learning, and behavior. Even small amounts of lead are unsafe, especially for children under age six and pregnant people. Our public health staff provide education, resources, and connections to reduce lead exposure and keep families safe.

Services include:
- Information about common lead sources in homes, water, and the environment
- Support for families if a child has an elevated blood lead level
- Guidance for safe renovation and repair in older homes
- Connections to local and state resources

Learn more about lead poisoning prevention:

-St Louis County Lead-Lessons.com 
- Lead Program - MDH 
- Lead Poisoning Prevention - CDC

Contact: Jenna Davis, PHN, IBCLC 218-725-5266

Children & Youth with Special Health Needs (CYSHN)

Birth Defects Monitoring System (BDIS)

The Minnesota Birth Defects Monitoring and Analysis Program (also called the Birth Defects Information System, or BDIS) collects and tracks data on selected birth defects diagnosed within a child’s first year of life. Each year, the program gathers information from hospital and clinic records to monitor trends, support research, and help families affected by birth defects.

 

Program Features & Conditions Monitored:

- BDIS actively reviews over 60 different congenital conditions from hospital and clinic charts.
- Includes 45 birth defects in Minnesota diagnosed in infants under 1 year.
- Covers a wide range of systems (e.g., heart, neural tube, limbs, cleft lip/palate).
- Authorized by Minnesota statute (MS 144.2215).
- Uses active surveillance from hospitals, NICUs, and clinics.
- Data linked with birth certificate records for demographics.
- Diagnoses captured up to one year after birth.
- Program began in 2005 with coverage in certain counties.

Services / Uses for Families & Public Health:

- Connection to early intervention services and resources for families and providers. --------- - Connection with a St Louis County Public Health Nurse

- Offers fact sheets for over 40 birth defects with descriptions and resources.
- Sends informational letters to families with identified cases.
- Families can contact the MCYSHN Information & Assistance Line for support.

 

Learn More & Links:

• MDH Birth Defects Monitoring and Analysis / BDIS: https://www.health.state.mn.us/people/childrenyouth/birthdefects/index.html
• MDH Birth Defects Information System (BDIS): https://www.health.state.mn.us/people/childrenyouth/birthdefects/bdis.html
• Minnesota statute authorizing BDIS (MS 144.2215): https://www.revisor.mn.gov/statutes/?id=144.2215

 

Heritable Conditions

Heritable conditions are genetic disorders or conditions that can be passed from parents to children. The Minnesota Department of Health and St Louis County Public Health provides information, resources, and support for families navigating these conditions.

Services include:

- Connection with a St Louis County Public Health Nurse

- Connection to early intervention services and resources for families and providers

 

Congenital Cytomegalovirus (cCMV)

Congenital cytomegalovirus (cCMV) is the most common infectious cause of birth defects in the United States. Minnesota promotes awareness, testing, and support for families impacted by cCMV. Educational materials and family resources are available through the Minnesota Department of Health and St Louis County Public Health.

Services include:

- Connection with a St Louis County Public Health Nurse

- Connection to early intervention services and resources for families and providers

 

Early Hearing Detection & Intervention (EHDI)

Description Text:
The EHDI program works to make sure babies who are deaf or hard of hearing are identified early, so families can get services and support as soon as possible. Early detection and follow‑up are critical to language, social, and cognitive development.

 

 

Services include:

- Connection with a St Louis County Public Health Nurse
- Connection to early intervention services and resources for families and providers

Learn more about EHDI in Minnesota:
- MN Dept. of Health – Early Hearing Detection & Intervention: https://www.health.state.mn.us/people/childrenyouth/improveehdi/index.html
- MN Low Incidence Projects – EHDI Resources: https://www.mnlowincidenceprojects.org/Projects/ehdi/ehdiResources.html

 

Contact: Jenna Davis, PHN, IBCLC 218-725-5266

 

 

WIC and Breastfeeding

 

Contact

Public Health Main Offices

Southern St. Louis County
218-725-5210

Northern St. Louis County
 218-471-7600


WIC Program
Northern St. Louis County:
218-471-7604

Southern St. Louis County:
218-725-5211

C&TC Program
Sarah Lehrke
218-725-5275
Email

Asthma Program
Kelly Bruels  
218-725-5212 
Email

Follow Along Program
Kelly Bruels  
218-725-5212 
Email

Lead Exposure
Jenna Davis
218-725-5266
Email

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