Environmental Health

Health Center


Each youth camp operating within the State of New Jersey are required to staff a health director and designate a health center.  The health director must always remain onsite. This ensures that each youth camp will have immediate access to capable personnel to provide health guidance, bandage scrapes and bruises and alert EMS when and if a serious injury or illness occurs within the youth camp setting.  More details about the requirements for the health center and health director can be found under 8:25-5 Health



The health center should be stocked with appropriate supplies to care for an ill or injured staff or camper.  The Health Center Supplies lists the minimum supplies required within the center.

First aid supplies shall be available at all times and fully restocked within 48 hours of use. The health director shall ensure that a first aid kit is available for out-of-camp trips and stocked with the items deemed appropriate and necessary for the activities of that trip.

Youth camps are also required to post emergency numbers, document illness for traceability and report accidents and illness at the end of each season using the Annual Accident Report form.



The health director is the primary administrator knowledgeable about various health concerns within the youth camp community.

All DAY AND RESIDENT youth camp health directors shall hold a certification from a listed certification agency approved by the Department as listed in "Recognized Certifications,“ available here, in professional-level infant, child, and adult cardiopulmonary resuscitation.

The camp director at a DAY youth camp, at a minimum, shall have on duty at all times, a health director who is an adult and is certified by the American Red Cross in standard first aid-level training, or has equivalent certification approved by the Department as listed in "Recognized Certifications".


At all RESIDENT youth camps, the camp director shall ensure that a health director is on duty at all times who is an adult and either:

  • A physician licensed by the New Jersey State Board of Medical Examiners to practice medicine or osteopathy;


  • A registered nurse or licensed practical nurse, licensed by the New Jersey Board of Nursing;


  • An individual who is certified in advanced first aid, paramedic or emergency medical technician or first responder/CIM accredited by a certification agency approved by the Department as listed in "Recognized Certifications (CPR-First Aid-Lifeguarding-Trained Pool Operator),“ available here;


  • An athletic trainer that has a valid certification from the Board of Certification, Inc. (BOC). Information on the BOC is available through a written request to Board of Certification, Inc., 4223 South 143rd Circle, Omaha, Nebraska 68137 4505, or through the following toll-free telephone number (877) 262-3926, or online at http://www.bocatc.org/ 

More details about the requirements for the health director can be found under §N.J.A.C. 8:25-5.2 Health Director.



Approximately 32 million people in the United States have food allergies, including 1 in 10 adults and 1 in 13 children, that is roughly two in every classroom. Food allergy reactions are serious and can be life-threatening. Every three minutes, a food allergy reaction sends someone to the emergency room.
Source: FARE

In New Jersey, at the time of admission to the camp, a parent or a legal guardian of a camper is required to submit a written health history for the camper including physical conditions, mental conditions and allergies. Staff members are also required to submit their health history record.

Health Director is required to maintain health histories on file as well as maintain on site written parental consent for emergency treatment. A written documented arrangement must be made with a local Emergency Medical Service (EMS) or an ambulance squad for transport to the nearest hospital. Health Director who is trained in professional-level CPR, must be on duty at all times.

More Info: NJ Guidelines for the Management of Life-Threatening Food Allergies in Schools


Epinephrine Auto-Injectors

New Jersey regulations require camps to establish written medical policies and procedures on treatment of illness and injury and administration of both prescription and non-prescription medications.

CDC recommends that a plan is developed for responding to food allergy emergencies, including the administration of epinephrine. It is advisable to train staff to improve their understanding of food allergies and their ability to respond to food allergy emergencies (including administration of epinephrine).

2016 NJ Youth Camp Epinephrine Access and Emergency Treatment Act details that a camp may develop a policy for the emergency administration of epinephrine via a pre-filled auto-injector mechanism to a member of the youth camp community. The law allows for youth camp to carry, in a secure but easily accessible location, a supply of pre-filled epinephrine auto-injectors that is 13 prescribed under a standing protocol from a licensed physician or other authorized prescriber. Youth camp must provide standardized training for emergency epinephrine administration.

Read full text of the Epinephrine Administration Act here.


Code Ana's Epinephrine Training Program Video


Allergies and Anaphylaxis – NASN Resources

          • Sample Planning Checklists 
          • Sample Anaphylaxis Policy
          • Sample Practice Forms
          • School Personnel Training Resources
          • Education Resources

Food Allergy Research & Education

          • Cross-Contact Poster (available in English and Spanish)
          • Sample Emergency Plan




Last Reviewed: 6/1/2021