News and Information


Olmsted County Public Health are closely monitoring the COVID-19 situation closely. This page is no longer being updated: please visit our COVID-19 webpage


February 10, 2020

Coronavirus Outbreak

The Centers for Disease Control and Prevention (CDC) is closely monitoring an outbreak caused by a novel (new) coronavirus first identified in Wuhan, Hubei Province, China. Since the outbreak began in late December of 2019, tens of thousands of cases have been identified and the death toll continues to rise. 

For the most current information please visit the CDC 2019 Novel Coronavirus website

The risk to our area at this time is minimal, Olmsted County Public Health leadership are closely following the changing situation and discussing future actions should the virus continue to spread. We created our own coronavirus webpage to share local information related to this evolving situation.  


December 10, 2019

E. coli Linked to Fresh Express Sunflower Crisp Chopped Salad Kits

Five Minnesotans are among nine people from three states whose E. coli O157:H7 infections have been linked primarily to Fresh Express Sunflower Crisp Chopped Salad Kits.

State and national health officials are warning consumers to not eat the salad mix and if they have it in their refrigerators, to throw it out. The advice to consumers, restaurants and retailers is to not eat, serve or sell Fresh Express Sunflower Crisp Chopped Salad Kits with an identifying code of UPC 0 71279 30906 4, beginning with lot code Z, and a best-before date up to and including 07DEC19. This information is printed on the front of the bag in the top right corner.

Information about the outbreak and what to do if you have symptoms of E. coli can be found in this food safety alert from the Centers for Disease Control and Prevention (CDC).


December 2, 2019

Medical cannabis program adds chronic pain, macular degeneration as qualifying conditions in 2020

The Minnesota Department of Health (MDH) announced it will add chronic pain and age-related macular degeneration as new qualifying conditions for the state’s medical cannabis program. Under state law, the new conditions will take effect in August 2020.

MDH also approved two new delivery methods to give patients more options. The new methods being added are water-soluble cannabinoid multi-particulates (for example, granules, powders and sprinkles) and orally dissolvable products such as lozenges, gums, mints, buccal tablets and sublingual tablets.

In addition to the newly approved conditions, MDH received petitions for four other conditions: anxiety, insomnia, psoriasis and traumatic brain injury. The petitions were rejected because the conditions had been petitioned previously and this year’s petitions did not include new scientific evidence.

More details are available on the Medical Cannabis website


Remember to check home appliances and carbon monoxide detectors

As we prepare to for daylight savings and winter, state and local health officials remind residents to take actions that can prevent carbon monoxide poisoning.  Hundreds of Minnesotans end up in emergency rooms due to carbon monoxide poisoning each year. 

To protect yourself and your family, follow these safety tips: 

  • Make sure you have working carbon monoxide detectors. Detectors can be purchased at most hardware and big box stores. The change from Daylight Savings Time to Standard Time is a good time each year to replace the batteries in your detector and push the “Test” button to be sure it’s working properly. Replace your detector every five years or according to manufacturer’s instructions.

  • Have your furnace or wood-burning stove inspected annually. Hire a professional to make sure it is functionally sound and vents properly outside the home.

  • Never run a gasoline or propane heater or a grill (gas or charcoal) inside your home or in an unventilated garage. Any heating system that burns fuel produces carbon monoxide. Use a battery-powered detector where you have fuel burning devices but no electric outlets, such as in tents, cabins, RVs, and boats with enclosed cabins.

  • Generators should be run at a safe distance (at least 20 feet) from the home. Never run a generator in the home or garage, or right next to windows or doors.

  • Never run a car in an enclosed space. If you must idle a vehicle, back it out of the garage before idling. 


October 9, 2019

2019 Community Health Needs Assessment Now Available

This is the third report since Olmsted County, Olmsted Medical Center, and Mayo Clinic got together in 2012 to jointly produce a comprehensive assessment for our community.  This collective effort includes defining leading health indicators for our community after combing through data from surveys and listening sessions with community members to understand concerns and perceptions of health, safety, and quality of life.

“This cooperative effort is really a great example of how Mayo Clinic and the community of Rochester and Olmsted County are inextricably linked,” said Erin Sexton, Enterprise Director of Community Relations, Mayo Clinic. “We are so grateful to participate in this with so many wonderful organizations and individuals who are committed to collaboration to ensure a strong, healthy, vibrant and inclusive community.”

While our overall health status remains very positive it also shows more work is needed to achieve improved health in specific areas.  Several opportunities for improving our overall health and wellness were identified, including three priority issues: Mental Health, Financial Stress, and Substance Use. Nearly everyone has been touched by one of more of these issues, with our vulnerable populations often bearing a disproportionate burden.  “Healthcare systems continually strive to balance organizational resources with community need,” said James A. Hoffman, D.O., Olmsted Medical Center President. “The Community Health Needs Assessment (CHNA) is a valuable tool to assist healthcare systems in focusing initiatives, programs and resources to effectively address the needs of our community as defined in this report.”

The full CHNA assessment, executive summary and supplemental documents can be found at 2019 CHNA Assessment


September 12, 2019

State’s adult obesity rate now tops 30%

Minnesota’s adult obesity rate rose from 28.4% in 2017 to 30.1% in 2018, putting more Minnesotans at increased risk for heart disease, diabetes, some types of cancer and other serious health conditions.

The national adult obesity rate rose from 30.1% in 2017 to 30.9% in 2018, according to data released today by the U.S. Centers for Disease Control and Prevention (CDC). In addition to being a significant health concern, obesity is also a significant driver of health care costs. In Minnesota, 2017 health care costs due to obesity were estimated to be $3.2 billion.

“Obesity is more than just a health concern for individual Minnesotans – it’s a major challenge for the entire state,” said Minnesota Commissioner of Health Jan Malcolm. “Addressing this challenge requires an individual and community-level response, including smart changes to our food and physical environments.”

Commissioner Malcolm noted that while Minnesota had managed to put the brakes on rising obesity rates for several years, these efforts have been undercut by a combination of factors that includes the ongoing popularity of sugary beverages and increased time spent on computers and mobile devices.

“Sugary drinks are the largest source of added sugars in the American diet, and the added calories from sugary drinks are strongly associated with weight gain and obesity,” Commissioner Malcolm said. “Also, young adults between 15 and 18 are spending more than seven and a half hours per day sitting in front of a screen – that’s time they’re not being active.”

Minnesota’s efforts like the Statewide Health Improvement Partnership and other local initiatives are working to create healthy communities that have increased access to healthy food and opportunities for physical activity in neighborhoods, schools, worksites and health care settings. SHIP also supports state initiatives to improve and expand bike and pedestrian infrastructure and national efforts to promote walking and walkable communities. SHIP is active in all 87 counties and 10 tribal nations, and communities across the state have leveraged SHIP to make positive impacts at more than 5,250 sites across Minnesota.

In addition to SHIP, other statewide efforts include the National Diabetes Prevention Program, which supports people who have prediabetes or are at risk for type 2 diabetes, and the Women, Infants and Children (WIC) Program, which helps eligible pregnant women, new mothers, babies and young children eat well, learn about nutrition and stay healthy.


August 13, 2019

Severe lung injuries found among vaping teens

Children’s Minnesota has reported finding four cases of severe lung injury in the metro area potentially related to vaping. These cases are similar to lung disease cases recently reported in Wisconsin and Illinois, though it is too early to say whether they are connected.

“There are still many unanswered questions, but the health harms emerging from the current epidemic of youth vaping in Minnesota continue to increase,” said Dr. Ruth Lynfield, state epidemiologist and MDH medical director. 

In Minnesota, symptoms have resulted in hospitalizations lasting multiple weeks, with some patients being admitted to the intensive care unit. Product names are unknown.

Clinical presentation among Minnesota cases included shortness of breath, fever, cough, and vomiting and diarrhea. Other symptoms reported by some patients included headache, dizziness, and chest pain.

Patients and people with a history of vaping who are experiencing lung symptoms should seek clinical care. Patients and those experiencing symptoms should avoid using e-cigarettes and other vaping products.  

E-cigarette aerosol contains harmful chemicals, such as ultrafine particles, oil, heavy metals like nickel, tin and lead, and other cancer-causing chemicals. E-cigarettes, vapes, e-pipes and other vaping products are battery-powered devices that allow users to inhale aerosolized liquid. E-cigarettes contain nicotine, which is highly addictive and harmful to the adolescent brain. Nicotine can impact learning, memory and attention span, and contributes to future addiction to tobacco and other substances.

Learn more about e-cigarettes and other vaping products at E-cigarettes and Vapes


July 19, 2019

Free Water Screening for Nitrates

The Southeast Minnesota Water Analysis Lab (SEMWAL) and Olmsted County Public Health (OCPHS) is offering free water testing for nitrates for individuals who get their water from a private well.  The process is quick, easy and convenient. Water samples need to be collected in a clean, never used, disposable receptacle (e.g., water-tight quart size plastic bag) and brought to the Public Health booth/tent. Results will be provided within 5 minutes. Staff will also provide information about water quality, the health risks of nitrates, and how they may indicate additional concerns.

Screening Times and Locations

 Rochester Farmers Market                   8 am – Noon
    July 20, August 10, 17 and 24

Olmsted County Fair                           10 am – 4 pm        
    July 25  in the conservation building

Oronoco Gold Rush                             10 am - 4 pm   
    August 16                   


July 18, 2019

Heat Advisory

Due to extremely hot weather expected on July 18 and July 19, 2019, the City of Rochester and Olmsted County announce ways to beat the heat. Heat index could rise above 100 degrees.

  • Rochester Public Transit (RPT) is offering free rides on July 18 and July 19. This will allow residents who need transportation an easy way to get to a cool place. Just tell the bus driver you are taking the free offer for "A Cool Place to Be."

  • Salvation Army's Community Center will be open from 8:00 a.m. – 4:00 p.m. on July 18 and July 19.

Public health officials encourage residents to stay hydrated by drinking plenty of water and utilizing air-conditioning. If air-conditioning is not available, seek public buildings during the heat of the day such as libraries and community centers, malls and movie theaters. Children and pets should not be left unattended in a vehicle, even with the windows rolled down, even for a few minutes.

Quick Tips:

  • Use air-conditioning or spend time in air-conditioned locations

  • Limit your time outdoors, including outdoor activities such as sports, lawn mowing, and home improvement projects

  • Take frequent breaks if you must be outside

  • Minimize direct exposure to the sun

  • Stay hydrated – drink water or nonalcoholic fluids

  • Take a cool bath or shower

  • Wear loose fitting, light-colored clothes

  • Check on your neighbors, friends and family members – especially those who are older and/or have health issues


July 1, 2019

Cleaning basements contaminated by floodwaters or sewer backup


The recent heavy rainfall has caused basements to flood and sanitary sewers to back up.  Both floodwaters and sewage are likely to contain harmful bacteria, viruses and/or chemicals.  
Tips for Flood Clean-Up 2019.pdf (136 KB)


Protecting yourself during cleanup

Always wear water-resistant gloves, boots, and eye protection. It is important to wash hands thoroughly before eating or drinking.  Keep contaminated boots, gloves and clothes away from other family members and the clean parts of the house. During flood cleanup, the risk of incurring wounds may be increased. For this reason, cleanup workers should be sure that they are up-to-date with tetanus vaccination.  Contact your healthcare provider or local public health for immunization status. 


Cleanup of home and furnishings

Non-absorbent surfaces and furnishings that have been flooded or soiled can be flushed, scrubbed, and disinfected.  Absorbent materials such as carpeting, carpet pads, upholstered furniture, sheetrock and insulation cannot be thoroughly cleaned – and should be discarded. Remove all items that have been wet for more than 48 hours and cannot be cleaned and dried to avoid mold growth. 2019 mold clean up table.pdf (95.7 KB)

Drinking Water

If you have a drinking water well and the flood waters reached or covered your well assume it is contaminated. If flood water came within 50 feet of your well, you should test your drinking water well for coliform bacteria. Contact SE MN Water Analysis Lab at 507 328-7500.


If water softener brine tanks have been flooded, they need to be emptied, cleaned and disinfected following the advice of the manufacturer or dealer.


For more information on cleaning and disinfecting flooded homes and associated health concerns, see the following websites:

Minnesota Department of Health

University of Minnesota Extension


June 11, 2019

New Report Traces Health Impacts of Air Pollution Across Minnesota

While air quality in Minnesota is generally good, a new joint analysis by the Minnesota Department of Health (MDH) and the Minnesota Pollution Control Agency (MPCA) found that air pollution that does occur plays a measurable role in deaths and hospitalizations across the state.

The report, titled “Life and Breath: How Air Pollution Affects Health in Minnesota,” broadens the scope of a 2015 analysis covering only the Twin Cities metro area. The new report looked at air pollution and health data from outside the metro area. It found that air pollution’s impact on health is not limited to the state’s urban core and even people in rural areas can feel the effects. 

Air pollution in Minnesota plays a role in up to 4,000 deaths, 500 hospitalizations, and 800 emergency-room visits annually. Groups most affected by air pollution include older adults, children with uncontrolled asthma, and people in poverty. The report says that air pollution is not just a city problem, and that overall pollution levels are higher in the southern part of the state.

June 6, 2019

Annual Rabies Vaccination Clinic

Wednesday, June 12, 2019


The annual rabies vaccination clinic for dogs, cats and ferrets sponsored by local veterinarians and Olmsted County Public Health Services will be Wednesday, June 12, 2019.  Rabies vaccinations for dogs, cats and ferrets will be available for only $20 each.  Pet owners are encouraged to bring their animals in pet carrier devices or on a leash. 

Jeff's Little Store  
3335 Marion Rd. SE, Rochester
8:00 a.m. - Noon

Rochester Pet & Country Store
1550 3rd Ave. SE, Rochester
12:30 p.m. – 4:00 p.m.

Olmsted Co. History Center
1195 West Circle Dr. SW, Rochester
4:30 p.m. - 7:30 p.m.

Rochester Fire Department, #4
41st Street NW, Rochester   
5:00 p.m. – 6:30 p.m.

Chosen Valley Veterinary Clinic    
115 S. Main, Chatfield       
9:00 a.m. – 11:00 a.m.

Byron Pet Clinic                      25 Frontage Road NE, Byron  
4:00 p.m.  - 6:00 p.m.

Stewartville Animal Clinic  
205 S. Main Street, Stewartville 
6:00 p.m. -7:00 p.m.

Marion Village
Jeff's Little Store, Hwy 52 S.
8:00 p.m.  - 9:00 p.m.

This is an opportunity for pet owners to help protect their pet(s), family and community from the risk of rabies.  While most of the rabies cases occur in wild animals like skunks, bats and raccoons, it is important to protect our pets and families by providing the necessary vaccinations. Wild animals may often be a source of rabies exposure for domestic pets and livestock. The domestic pets and livestock most often reported rabid are cats, dogs and cattle.  Vaccinated pets, however, prevent the spread of rabies from wildlife to humans.  


May 20, 2019

Measles Trend is Worth Watching

Olmsted County Public Health is currently following a concerning national trend around measles. Over 700 cases of measles have been identified in 23 states so far this year across the U.S., the most cases since the early 90s in this country and it is only May. Last month, two cases were diagnosed in Iowa, just a few hours’ drive from Rochester. While modern air travel always means measles is just a plane ride away, the cases in Iowa bring the reality of this national outbreak closer to home.  

Vaccinations are one of the great public health victories over the last century. Prior to the vaccine era, infectious diseases like diphtheria, smallpox, and polio maimed and killed tens of thousands of people, mostly young children, every year in the U.S. Take polio for example. In 1954, the year before a vaccine became available, this country reported an average of over 16,000 people succumbing to lifelong paralysis due to poliovirus infection with another 2,000 dead. Smallpox used to kill one-third of the people that caught it. Public Health efforts successfully eradicated both of these diseases from the U.S. by 1980. In fact, deaths from vaccine preventable diseases have decreased over 99% in the U.S. since the vaccinations became routine.

Measles is another example of a disease that vaccination has impacted. The U.S. eliminated transmission of measles in 2000, almost 20 years ago. In the 1950s, before vaccine, 3-4 million Americans, mostly children, got the measles every year; about 50,000 were hospitalized, and 400-500 people died every year. So why is the U.S. experiencing a measles outbreak now? 

Unfortunately, a decrease in childhood vaccination across the country is the driving factor. This is based in part on an infamous and discredited study that suggested the MMR vaccine could lead to developmental disorders. This led to the revocation of the license of the physician that coordinated the effort after the study was shown to be fraudulent. Experts have since looked multiple times and have found NO association between autism or other illnesses in children being vaccinated. Most of the current measles cases across the country are in unvaccinated Americans, including about 100 children under a year old that are usually too young for the vaccine.  

The alarming trend of reduced vaccination in children puts the unvaccinated and other high-risk individuals in significant peril. In addition to protecting your own children from the consequences of illness, vaccination programs protect all of us. When you vaccinate your family, you not only protect them, but you also shield infants that are too young, immune compromised people, and those that can’t take vaccine due to medical reasons. Let’s hypothetically say a case of measles wanders through a store here in Rochester. If everyone else in that store is vaccinated, the virus has nowhere to go and therefore can’t spread into our community. This measles case then leaves the store without putting anyone else at risk. This idea is called “herd immunity” and it is what protects communities from outbreaks. 

The key is working together to make sure our communities are well vaccinated before measles finds its way into our county. The current trend across the country is alarming, but we can reduce this threat locally. Have a discussion with your medical provider about measles and make sure you understand your immune status. If you are delaying vaccination, consider moving the MMR vaccine to the top of the list due to the current situation. It takes a little effort from all of us to prevent a public health emergency with the potential for severe impacts to our most vulnerable residents. Given the choice to live in the pre- or post-vaccine era, I, for one, will take the latter.  

Editorial by Graham Briggs, printed in Post Bulletin


April 16, 2019

2019 Public Health Champion Award: Rochester Farmers Markets

Congratulations to the Rochester Farmers Markets on being awarded the Public Health Champion Award! This organization provides a year-round opportunity for people to obtain healthy produce, meats and other agricultural products directly from the growers and producers who live and farm within 50 miles of Rochester, Mn.  The Winter Market, is held indoors at Graham Park twice a month January through April. The Summer Market, is held outdoors in downtown Rochester and is open every Saturday May through October.

The Summer Market is home to a vibrant agricultural marketplace that provides local access to quality farm products and strengthens the ties between the family farm and the community. The Market has something for everyone: fresh produce, dairy and eggs, flowers and plants, pasture-raised meats, baked goods, specialty products, crafts, music, nutrition and health education, chef demonstrations, and community resource information.

Consumers can obtain the freshest possible produce, meats, breads, and more and get to know the farmers who produced it. Farmers can sell directly without the "middleman".  Farmers and customers often become friends, leading to people volunteering at a farm or even becoming farmers themselves. The farmers support each other - as customers, sharing knowledge, and promoting each other. They also supply fresh, local ingredients to many area chefs who shop the market for local, seasonal ingredients. In 2018, Market vendors donated over 21,000 lb. of produce to the Channel One food shelf.  They also launched "Market For All," to celebrate diversity and hosted four themed events with community partners that included chef demonstrations, healthy international recipes, outreach and children's activities. The Market proudly offers and accepts Market Bucks for SNAP recipients and Farmers Market Nutrition Program vouchers for seniors and WIC participants.


​April 12, 2019

Food Safety During/After Power Outages

Due to the latest storm system sweeping through the area, many households lost power and continue to be without power today. Knowing how to determine if food is safe and how to keep food safe during extended power outages will help minimize the potential loss of food and reduce the risk of foodborne illness. Friends and neighbors are encouraged to check on each other to assure they are safe during this weather event.

When the Power Goes Out . . .

  • Keep refrigerator and freezer doors closed as much as possible to maintain cold temperatures

    • The refrigerator will keep food cold for about 4 hours if it is unopened

    • A full freezer will keep the temperature for approximately 48 hours (24 hours if it is half full).

  • Do not eat refrigerated, perishable foods, such as meat, poultry, milk, eggs, and deli Items, after 4 hours without power

  • If your power outage will continue during cold weather, use a clean, secure cooler or tote to store your perishable food items outside.  Monitor temperatures to keep food at 40 F or lower.

  • Never use a generator, fuel-powered tools, gas or charcoal grill in the house, garage, in enclosed areas, or near windows, doors, vents, window air conditioners, and other openings.

Once Power is Restored . . .

You'll need to determine the safety of your food. Here's how:

  • If an appliance thermometer was kept in the freezer, check the temperature when the power comes back on. If the freezer thermometer reads 40°F or below, the food is safe and may be refrozen.

  • If a thermometer has not been kept in the freezer, check each package of food to determine its safety. You can't rely on appearance or odor. If the food still contains ice crystals or is 40 °F or below, it is safe to refreeze or cook.

  • Refrigerated food should be safe as long as the power was out for no more than 4 hours and the refrigerator door was kept shut. Discard any perishable food (such as meat, poultry, fish, eggs or leftovers) that has been above 40°F for two hours or more.

Keep in mind that perishable food such as meat, poultry, seafood, milk, and eggs that are not kept adequately refrigerated or frozen may cause illness if consumed, even when they are thoroughly cooked.​


April 11, 2019

Community Listening Sessions Scheduled

​Five community listening sessions will be held throughout the county designed to hear directly from residents about successes and challenges in their neighborhoods and communities related to our collective health, health care services and access to care. Feedback from the listening sessions will help community leaders and organizations determine future efforts aimed at improving the health status of our residents. The same questions are asked at each session and are hosted by volunteer facilitators and notetakers. Sessions are open to residents 18 years and older and no registration is needed. 

Date                Time                          Location

April 15        6:00 – 7:30 PM      Eyota American Legion

April 23        6:00 – 7:30 PM      Eagles Club, Rochester

             *focused on Veterans and their families

April 25        7:00 – 8:30 PM      125 LIVE 
              *focused on Seniors, in partnership
                 with the City for Good and AARP

April 29        6:00 – 7:30 PM      Chatfield Public Library

April 30        6:00 – 7:30 PM      Stewartville Civic Center

​The listening sessions are a part of a comprehensive Community Health Needs Assessment (CHNA), conducted every three years by Olmsted County Public Health Services, Mayo Clinic, Olmsted Medical Center and other partnering organizations.  Information gathered from these sessions will be included in the 2019 CHNA document to be released this October.


​April 2, 2019

Minimum Age to Purchase Tobacco Products Increases

 On Tuesday, April 2, 2019 the Olmsted County Board of Commissioners passed a change to the current Tobacco Sales and Youth ordinance for the county, 4 – 3. Olmsted County joins 30 other Minnesota communities in raising the minimum age to purchase tobacco products, including e-cigarettes and vaping devices, to 21.  This change goes into effect on July 1, 2019 and will further protect our youth from the ill effects of tobacco and nicotine addiction.

 The Olmsted County Board of Commissioners acts as the County Board of Health and responsible for regulating actual or potential threats to the public's health. "As the Board of Health for the county, we have the responsibility to enact regulations designed to protect the health of our citizens," said Stephanie Podulke, Olmsted County Board Commissioner. "The current push by tobacco and vaping companies to entice youth to start nicotine dependency and/or tobacco use is unconscionable. By targeting children well before their brains have reached maturity and understand the consequences of choices they are making, these companies create a lifetime market for their products. Once addicted, our children then face a life-time of struggles with nicotine dependency" she said.

"This is a positive step in the right direction towards a safer, healthier community," says Graham Briggs, Director of Olmsted County Public Health Services. "I am very proud of our county commissioners for their strength and determination in taking on an issue that at times has been controversial. I applaud their leadership and dedication to preserving and protecting the health of our youth."


​March 14, 2019

Public Health Recommends Strengthening Tobacco​ Ordinance

Olmsted County Public Health Services recently introduced proposed changes to the county’s current Tobacco Sales and Youth ordinance that would raise the minimum age to purchase tobacco products, including e-cigarettes, from 18 to 21 in Olmsted County. This measure is supported by the U.S. Surgeon General, who recently declared youth e-cigarette use an epidemic, due in part to the record climb in e-cigarette use among our youth, known as vaping. 

“In Olmsted County tobacco kills over 150 residents and costs the county more than $85 million dollars every year. Growing evidence indicates that the younger you are when you start using nicotine the more likely you are to be addicted for the rest of your life.” says Graham Briggs, Director of Olmsted County Public Health Services. “After decades of fighting to reduce harm from tobacco, a new threat is emerging in our youth and Olmsted is not exempt. We have a crisis developing in our schools with vaping and it is creating an entirely new generation of people addicted to nicotine. A change in the age for tobacco access is our best option to put a dent in this concerning trend.”  

The Olmsted County Board of Commissioners will conduct a public hearing to consider the proposed revisions on:

Tuesday, April 2, 2019

9:00 a.m.

Government Center Council/Board Chambers

151 4th Street SE

Rochester, MN 55904

​​Over the last year, Public Health staff, in partnership with multiple local organizations, have conducted extensive research on local tobacco use and potential impacts of this change locally. Discussions with healthcare providers, teachers, administrators, parents, youth and civic organizations confirm that Olmsted County is seeing an unprecedented increase in youth tobacco usage. ​