Alcohol and Other Drug Prevention

Alcohol & Other Drugs Prevention

Coordinates comprehensive alcohol and other drugs prevention education through training and public awareness. Naxalone training available upon request.

Responsible Beverage Service Training: We offer TIPS (Training for Intervention ProcesdureS), which is a skills-based training program designed to prevent intoxication, underage drinking, and drunk driving.

Parenting Education

Parenting Education

Parenting Wisely

An interactive, computer-based parent education program.

Co-parenting Education Seminar

Education sessions for parents who are separated or divorced.

Parenting Inside Out

A 12-week program for incarcerated mothers and fathers. Topics include: communication, problem-solving, nurturing, and non-violent discipline.

Guiding Good Choices

Five sessions designed for parents of early adolescents.

For more information, please call 410-632-1100 option 4.

Tobacco Prevention & Cessation

Tobacco Programs

Smoking Cessation

Free group smoking cessation counseling offered at rotating sites within the county, monetary vouchers are available for those wishing to add pharmacological therapy (Nicotine patch, gu, lozenge,and CHANTIX) to their behavior change efforts.

For more information call 410-632-1100 option 4

Vaccine Requirements for Students

Snow Hill, MD - Vaccines are vital to protect children from potentially serious diseases. Parents are encouraged to contact their child’s doctor to determine which vaccines are needed and schedule an appointment as needed. 

Changes in Maryland law in 2015 expanded the vaccine requirements for students. For the 2019-2020 school year, students are required to have:

  • Two doses of Varicella vaccine for all students entering Kindergarten through 5th grade.
  • A single dose of Tdap vaccine students entering 7th - 12th grade.
  • A single dose of Meningococcal (MCV4) vaccine for students entering 7th - 12th grade.

Free Naloxone Training Kits

Naloxone/Narcan is a medication designed to rapidly reverse an opioid overdose. Worcester County Health Department offers FREE Naloxone training to all interested community members across the county. We are also able to distribute Naloxone kits directly. For more information please visit

Click on the image below to watch the video.


 Administration Program
 Snow Hill Health Center
 Phone: 410-632-1100
 Hours: 8 a.m.-4 p.m.

altWorcester County Health Department issues certified copies of birth and death certificates for events that occur in Maryland. Contact the Snow Hill Health Center for more information.

Environmental Health Program
Isle of Wight Center
Phone: 410-641-9559
Hours: 8 am to 4:30 pm
After Hours: Call your local law enforcement agency or 911


If you have been bitten or scratched by an animal, or if you find a bat in the living area of your home, or your pet has been exposed to a rabies suspect animal such as raccoons, foxes, skunks, opossums, groundhogs, stray cats, contact our office for further assistance.

Maryland Children's Health Program (MCHP)


     Contact: Berlin Health Center
 Phone: (410)629-0164

 Hours: Monday - Friday

         8:00 a.m. - 4:30 p.m.


Maryland Children's Health Program (MCHP) 

Maryland Children's Health Program (MCHP) uses funds to provide health coverage to low income children and pregnant women. The program provides education regarding benefits, HealthChoice enrollment process, and Managed Care Organization selection process. Referrals are provided for Women Infants and Children program (WIC), Administrative Care Coordination Unit, Early Care and other health services.


Additional Location

  • Snow Hill Health Center
    6040 Public Landing Road
    Snow Hill, MD 21863
    8:00 a.m. - 4:30 p.m.


Lower Shore Health Insurance Assistance Program (LSHIAP)


     Contact: LSHIAP Local Call Center
 Phone: 1(855)445-5540

 Hours: Monday - Friday

         8:00 a.m. - 5:00 p.m.


Lower Shore Health Insurance Assistance Program


LSHIAP provides outreach, education and enrollment assistance for the uninsured and underinsured residents of Somerset, Wicomico and Worcester counties. Certified Navigators within the program provide aid to the consumers by not only providing in-person assistance with the enrollment process through Maryland Health Connection (MHC), but also by working with the consumer pre and post enrollment to ensure linkage to appropriate health related resources and continuity of care. Please visit our website or call us to speak with a Certified Navigator to address questions and/or schedule an in-person appointment. 



LSHIAP Referral Form


Contact Information

Phone: 1(855)445-5540


Facebook: @lowershorehealth

Twitter: @LSConnector

Community Data Reports








Community Strengths and Themes Survey


Community Health Assessment 2017


Community Health Improvement Plan (2017-2020)

Summary Table High School 2014


Summary Table Middle School 2014


Summary Table Sexual Identity 2014


Community Health Needs Assessment 2014


 Summary Table High School 2013


Risk Behaviors 2013


Summary Table Middle School 2013


 Berlin Health Center
 Pocomoke Health Center
 Phone: 410-629-0164
 Hours: 8 a.m. - 4:30 p.m.

altWomen's Health services support the health of women during the span of their reproductive years, with sensitivity to the special needs of adolescents. Examples of services include well women visits for reproductive health, screening for sexually transmitted infections, birth control, education on a variety of health issues, and pregnancy testing. During pregnancy, our free childbirth classes and Early Care program also focus on newborn health and safety. Center for Clean Start is designed to meet the special needs of women with drug or alcohol use during and after pregnancy. We understand that males have an important role in health of women, so males can also receive services for screening and treatment for sexually transmitted infections, attend childbirth classes and receive Early Care services. Women who are interested in mental health counseling can receive services listed under Mental Health Services on our website. For domestic abuse or suicidal thoughts after regular business hours, call 211 or 410-749-HELP and for concerns about Human Trafficking call 1-888-373-7888.

Decisions Matter

 Decisions Matter
Addiction is a Disease. Recovery is a Decision. Decisions Matter

Treatment is Available

If you or someone you know struggles with substance abuse, treatment is available locally.
Contact the Worcester Addictions Cooperative Services Center at 410-213-0202 for more information.

Entering adulthood can be an emotional time, but sometimes the ups and downs can mean something more.
Millions of young adults are living with a mental or substance use disorder and many either do not realize they have one or are not paying attention to the signs and not seeking help. In fact, of the 8.9 million young adults who reported having a mental illness in 2018, more than 2 in 5 went untreated and of the 5.1 million with a substance use disorder, nearly 9 in 10 did not get treatment.

It is important to remember that asking for help is a normal part of life, and you should never feel like you have to take on the world alone. If you are concerned that you or someone in your life may be drinking too much, using drugs, or dealing with mental illness, there are resources available to help.

Click the image below to learn more about the signs of addiction and how to get help.

Throw out expired medications
Most opioid abusers don’t begin with heroin and instead start by misusing prescription opioids like painkillers which may only require a trip to the family medicine cabinet. It is vital for parents and guardians to realize that even if their doctor prescribed it, an opioid can be dangerous and addictive if misused. Medicine cabinets need to be monitored and expired prescriptions disposed of safely. There are three medicine drop-boxes across Worcester at both the northern and southern ends of the county.       
Addiction in the Workplace 
Could you spot the signs of substance use in the workplace? Even when it takes place off-the-clock, substance use can take a heavy toll on workers’ productivity, health, and happiness. Worcester County Health Department can provide material and training to help managers and owners understand the signs of addiction in employees and to connect those in need to local treatment resources.

For more information, visit or call 410-632-1100 option 4. If you or someone you know struggles with substance use and needs help finding recovery resources, dial 2-1-1 or call 410-749-4357. Local treatment options are available through the Worcester Addictions Cooperative Service Center at 410-213-0202.
Naloxone Can Reverse Overdoses and Save Lives      
Worcester County Health Department offers Naloxone trainings for free to all interested community members across the county. Trainings are offered in Snow Hill every 2nd and 4th Friday of the month. If you would like to attend a free Naloxone training or learn more, please call the Worcester County Health Department at 410-632-1100 option 4.
Find Resources in Maryland
Before It’s Too Late is a statewide online resource with information about naloxone and overdose prevention, drug treatment resources, family support services, prescription drop-off services, and much more.
This service is free and kits can be obtained by mail.
Maryland's Good Samaritan Law
​Maryland’s Good Samaritan Law protects people assisting in an emergency overdose situation from arrest, as well as prosecution, for certain crimes.

The purpose of the law is to encourage any person, regardless of age, who experiences or observes a medical emergency caused by the ingestion or use of alcohol or other drugs to seek medical assistance without fear of arrest or prosecution for:
  • Possessing or using a controlled dangerous substance
  • Possessing or using drug paraphernalia
  • Providing alcohol to minors

    The Good Samaritan Law applies to any person who seeks, provides, or assists with the provision of medical assistance as the result of a person ingesting or using alcohol or drugs.


 Binge Drinking Risks
According to the CDC, binge drinking is a serious but preventable public health problem.

Binge drinking is the most common, costly, and deadly pattern of excessive alcohol use in the United States. The National Institute on Alcohol Abuse and Alcoholism defines binge drinking as a pattern of drinking that brings a person’s blood alcohol concentration (BAC) to 0.08 grams percent or above. This typically happens when men consume 5 or more drinks or women consume 4 or more drinks in about 2 hours. Most people who binge drink are not alcohol dependent.
Binge drinking is a pattern of drinking that brings blood alcohol concentration (BAC) levels to 0.08 g/dL. This typically occurs after 4 drinks for women and 5 drinks for men—in about 2 hours.

1 in 6 adults binge drink.

Binge drinking is most common among younger adults aged 18–34 years, but more than half of the total binge drinks are consumed by those aged 35 and older.

Binge drinking has serious risks.

• Unintentional injuries such as car crashes, falls, burns, and alcohol poisoning.
• Violence including homicide, suicide, intimate partner violence, and sexual assault.
• Sexually transmitted diseases.
• Unintended pregnancy and poor pregnancy outcomes, including miscarriage and stillbirth.
• Chronic diseases such as high blood pressure, stroke, heart disease, and liver disease.
• Cancer of the breast, mouth, throat, esophagus, liver, and colon.
• Memory and learning problems.
• Alcohol dependence.

Signs of Alcohol Poisoning

• Mental confusion, stupor, coma, or the person cannot be roused
• Vomiting
• Slow or irregular breathing
• Hypothermia or low body temperature, bluish or pale skin

Alcohol poisoning can lead to permanent brain damage or death, so a person showing any of these signs requires immediate medical attention. Don’t wait. Call 911 if you suspect alcohol poisoning.
(Source: CDC)
(Source: NIH – National Institute on Alcohol Abuse and Alcoholism)
Dangers of Vaping
  • The use of e-cigarettes is unsafe for kids, teens, and young adults.
  • Most e-cigarettes contain nicotine. Nicotine is highly addictive and can harm adolescent brain development, which continues into the early to mid-20s.1
  • E-cigarettes can contain other harmful substances besides nicotine.
  • Young people who use e-cigarettes may be more likely to smoke cigarettes in the future.

Click the image below to learn more about vaping. 


Tobacco 21
Click below to learn more about changes to Maryland's tobacco and vaping purchasing laws (effective October 1, 2019)

Maryland 2-1-1

From the MD 2-1-1 website: Every hour of every day, people need essential human services. They are looking for help finding affordable housing, food, employment training, utility payment assistance, services for their children or aging parents, and many other issues.
2-1-1 Maryland is a partnership of four agencies working together to provide simple access to health and human services information. 2-1-1 is an easy to remember telephone number that connects people with important community services. Our specially trained call specialists answer calls 24 hours a day, every day of the year.
The 2-1-1 database has information on nearly 5,000 agencies and programs across the state. Each week 2-1-1 Maryland handles thousands of calls from people in need, providing referrals to services and helping people problem-solve when the services they need are not available.
Whether you are an individual looking for help for yourself, a friend or family member, or someone who works for an agency calling on behalf of someone you serve, we are here to help you find resources to help solve your problem. Call us by dialing 2-1-1 on your phone or explore the website and database.
Marijuana Risks
Marijuana refers to the dried leaves, flowers, stems, and seeds from the Cannabis sativa or Cannabis indica plant. Marijuana is a psychoactive drug that contains close to 500 chemicals, including THC, a mind-altering compound that causes harmful health effects. People also smoke or eat different forms of marijuana extracts, which deliver a large amount of THC and can be potentially more dangerous.

Brain health: Marijuana can cause permanent IQ loss of as much as 8 points when people start using it at a young age. These IQ points do not come back, even after quitting marijuana.

Mental health: Studies link marijuana use to depression, anxiety, suicide planning, and psychotic episodes. It is not known, however, if marijuana use is the cause of these conditions.

Athletic Performance: Research shows that marijuana affects timing, movement, and coordination, which can harm athletic performance.

Driving: People who drive under the influence of marijuana can experience dangerous effects: slower reactions, lane weaving, decreased coordination, and difficulty reacting to signals and sounds on the road.

Daily life: Using marijuana can affect performance and how well people do in life. Research shows that people who use marijuana are more likely to have relationship problems, worse educational outcomes, lower career achievement, and reduced life satisfaction.

(Source: SAMHSA)
Know How to Spot the Signs of Addiction 

According to the National Council of Alcoholism and Drug Dependency, here are some of the most common indicators of drug abuse:
  • Eyes that are bloodshot or pupils that are smaller or larger than normal.
  • Frequent nosebleeds could be related to snorted drugs (meth or cocaine).
  • Changes in appetite or sleep patterns.  Sudden weight loss or weight gain.
  • Seizures without a history of epilepsy.
  • Deterioration in personal grooming or physical appearance.
  • Impaired coordination, injuries/accidents/bruises that they won’t or can’t tell you about-  they don’t know how they got hurt.
  • Unusual smells on breath, body, or clothing.
  • Shakes, tremors, incoherent or slurred speech, impaired or unstable coordination.
  • Behavioral signs of alcohol or drug abuse.
  • Skipping class, declining grades, getting in trouble at school.
  • Drop in attendance and performance at work--loss of interest in extracurricular activities, hobbies, sports or exercise--decreased motivation.
  • Complaints from co-workers, supervisors, teachers or classmates.
  • Missing money, valuables, prescription or prescription drugs, borrowing and stealing money.
  • Acting isolated, silent, withdrawn, engaging in secretive or suspicious behaviors.
  • Clashes with family values and beliefs.
  • Preoccupation with alcohol and drug-related lifestyle in music, clothing and posters.
  • Demanding more privacy, locking doors and avoiding eye contact.
  • Sudden change in relationships, friends, favorite hangouts, and hobbies.
  • Frequently getting into trouble (arguments, fights, accidents, illegal activities).
  • Using incense, perfume, air freshener to hide smell of smoke or drugs.
  • Using eyedrops to mask bloodshot eyes and dilated pupils.
  • Psychological warning signs of alcohol or drug abuse.
  • Unexplained, confusing change in personality and/or attitude.
  • Sudden mood changes, irritability, angry outbursts or laughing at nothing.
  • Periods of unusual hyperactivity or agitation.
  • Lack of motivation; inability to focus, appears lethargic or “spaced out.”
  • Appears fearful, withdrawn, anxious, or paranoid, with no apparent reason.
Opioids are powerful drugs.

Opioids are drugs that slow down the actions of the body, such as breathing and heartbeat. Opioids also affect the brain to increase pleasant feelings. 
People take opioids for medical reasons.

Doctors prescribe opioid medication to treat pain and sometimes for other health problems such as severe coughing. The medication comes in a pill, a liquid, or a wafer. It also comes in a patch worn on the skin. 
Examples of prescribed opioid medications include:

• Codeine—an ingredient in some cough syrups and in one Tylenol® product
• Hydrocodone—Vicodin®, Lortab®, or Lorcet®
• Oxycodone—Percocet®, OxyContin®, or Percodan®
• Hydromorphone—Dilaudid® • Morphine—MSContin®, MSIR®, Avinza®, or Kadian®
• Propoxyphene—Darvocet® or Darvon®
• Fentanyl—Duragesic®
• Methadone.
Learn more about our Behavioral Health Services, including addiction treatment and mental health counseling, here.

Heroin is an illegal, highly addictive drug processed from morphine, a naturally occurring substance extracted from the seed pod of certain varieties of poppy plants. Impure heroin is usually dissolved, diluted, and injected into the veins, muscles, or under the skin. A nationwide survey indicates that heroin users are attracted to the drug not only for the “high” but because it is less expensive and easier to get than prescription painkillers.

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The Maryland Youth Risk Behavior Survey (YRBS) showed that 7.4-percent of 12th graders in Worcester County had used heroin. In appealing to youth, the task force will emphasize the loss of decision making that comes with dependence and the ease of slipping into addiction. Lives are being lost every year, often in their prime, due to a lack of understanding of the problem. In 2014 alone there were 14 accidental overdose deaths in Worcester County, up from 6 the year before. Heroin and prescription opioids make up the majority of those deaths across the state as of 2014.
Maryland DHMH Overdose Statistics
Naloxone, also known as Narcan, is a medication that can be used to save a life in the event of an opiate overdose. The Health Department  offers Naloxone trainings for friends, family members and anyone that might come in contact with an opioid abuser. For more information on trainings call 410-213-0202. 


Need to Dispose of Expired Medications Safely? Find the Prescription Dropoff Box Closest to You by Clicking Below


Funding provided by the Maryland Department of Health and SAMHSA.


Safe Food Handling Training

Safe Food Handling Training

altIn an effort to reduce the risk of foodborne illness and to educate food service facility employees, the Worcester County Health Department is pleased to announce the implementation of Safe Food Handling Training for all food service workers.  This training is free and available on a voluntary basis to all licensed facilities in Worcester County.  Topics include proper handwashing, temperature control, and preventing cross-contamination.

Upon successful completion of the training, the food service facility will receive a certificate for public display.  At least 60% of employees must attend the training in order to receive the certificate.  The training will be held at your facility and will last approximately 30 minutes.  Please call our Office at 410-352-3234 or 410-641-9559 to schedule a training session for your food service facility.

Worcester County Certified Food Operator Class

2020 Certified Food Operator Class Schedule


Date                                                         Time                                     Location

Wednesday, April 1, 2020                10:15 a.m.-12:45 p.m.         Ocean Pines Library

Monday, May 4, 2020                      10:15a.m.-12:45p.m.          Ocean Pines Library

Wednesday, June 3, 2020              10:15a.m.-12:45p.m.          Ocean Pines Library

Wednesday, September 2, 2020    10:15a.m.-12:45p.m.          Ocean Pines Library


 Location of the Ocean Pines Library:

  • 11107 Cathell Rd, Ocean Pines, MD 21811

Please call 410-352-3234 or 410-641-9559 to register.


Stage One: Governor Hogan Announces Gradual Reopenings

On May 13th, Governor Larry Hogan announced the beginning of Stage One of the ‘Maryland Strong: Roadmap to Recovery,’ which includes moving from a Stay at Home order to a Safer at Home public health advisory and the gradual reopenings of retail, manufacturing, houses of worship, and some personal services. 

COVID-19 Update 4-6-20

Worcester County has 10 confirmed COVID-19 cases. The most recent case is a male in his 40s. He is recovering at home. Worcester County Health Department continues to conduct contact investigations following Maryland Department of Health guidelines. For more information on COVID-19 in Worcester County, including prevention and social distancing information, continue visiting

COVID-19 Update 4-5-20

Worcester County has nine confirmed COVID-19 cases. The two most recent cases are a male in his 60s and a female in her 30s. They are both currently recovering at home. Worcester County Health Department continues to conduct contact investigations following Maryland Department of Health guidelines. For more information on COVID-19 in Worcester County, including prevention and social distancing information, continue to visit

As of yesterday, we have received results from 171 COVID-19 tests. To date, we have released three (3) of our previous positive cases from public health monitoring following their recovery.