LPHA INFO HUB
The LPHA Hub is not searchable on the web and is only intended for use by staff of DHSS and local public health agencies. However, anyone with a direct link is able to gain access. We encourage you to avoid sharing LPHA Hub links with anyone outside of DHSS or LPHAs. If information is needed for external users, please download and send the file, or copy/paste and provide separately. Thank you.
Emergency Response Center (ERC): 800-392-0272
DHSS Updates
► DHSS Reorganization NEW!
To better meet statewide needs, DHSS is evolving—aligning programs, data systems and operations so the department can respond more effectively to modern public health demands. The department is moving from program-centered and disease-centered approaches to whole-person strategies. DHSS will continue reorganizing to unite related functions together, enhance collaboration, reduce burden on staff resulting from fragmentation, make DHSS more navigable for internal and external collaborators, and enable organizational cohesion for improved public health outcomes. Most changes won’t occur until 2027. DCPH Director Daniel Bogle will continue to provide updates on the future structure to LPHAs as changes are in place.
► New Deputy Director NEW!
DHSS has named its new department-wide deputy director, Adam Moore. He begins with DHSS on November 16. Moore currently serves as Executive Director of Practice Management and Clinical Operations at A.T. Still University, where he leads a multi-state ambulatory enterprise. His work has focused on expanding access to care, strengthening financial performance, supporting providers and staff, and using data to guide operational improvements. His public health background includes serving as Administrator of the Sullivan County Health Department and working in maternal and child health, nutrition services, and chronic disease initiatives. He also teaches graduate-level courses in health administration. Moore holds a Doctor of Health Administration degree and is a Certified Medical Practice Executive. Outside of work, he enjoys spending time with his wife and children, farming, and outdoor activities.
► Data Sharing Agreement NEW!
An optional ShowMe WorldCare Data Sharing Agreement (DSA) was introduced in August 2024 as the system was implemented. Since that time, 85 local public health agencies (LPHAs) have signed the agreement. The current agreement expires on December 31, 2026. Becca Mickels will share information and take questions on the 2027-2029 version of the agreement during the LPHA Update Call scheduled for Tuesday, November 3, 2026, at 3:00 PM. Additional details about the new DSA will be shared via email following th call.
Upcoming Due Dates
► Nov 12: Deadline to submit CHIP H.S.I. Net expenditure report for Quarter Ending 09-26 (July 1, 2026, to September 30, 2026)
LPHA Directory for public; scroll down to Find Your Local Public Health Agency)
LPHA Directory (for internal LPHA use only) updated 10/5/2026
Mandated Reporting of Abuse or Neglect
Weekly Communication Bulletins
Automated Security Accessing Processing (ASAP)
ASAP Log-In Portal (add users or change access for users)
LPHA ASAP Manual (10/6/2026)
DHSS and DSS Access Available to LPHAs (10/6/2026)
Data Requests, from DHSS Health Informatics
► Alpha-Gal Syndrome, DHSS
► Chemical Water Testing (revised test request forms):
► Communicable Disease Data Dashboard, DHSS
► Cooling Centers Map, DHSS
► Hep C Testing: Free Hepatitis C testing through the State Public Health Lab (10/20/2025 letter) (instructions)
► Kratom, DHSS
► Mental Wellbeing in the Workplace: Brown University offers Missouri LPHAs free online Mindfulness-Based Stress Reduction courses. To enroll, email mindfulness@brown.edu with the subject line Mindful-Missouri to apply the LPHA discount. View the class schedule
► Missouri Environmental Health Specialist Survey
Public Health and HIPAA (informational brochure)
► Radon text kits available free to the public and videos on how to use the test kit (also in Spanish). (link)
Cancer
► Addressing Cancer Concerns (video)
► Cancer, Chemicals, and the Environment (video)
Cannabis
► Cannabis Regulation (main webpage), DHSS
Childhood Lead Poisoning Prevention
► Missouri Lead Risk Assessment Tool
► Lead Poisoning Prevention landing page
Emergency Planning
Resources from the Fall 2026 Planner’s Summit:
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An Overview of ASPR: Administration for Strategic Preparedness and Response, Patrick Lindner, Regional Emergency Coordinator, ASPR Region 7 (ppt)
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OEC Updates and Org Chart, Ebola Process, Medical Incident Coordination Team, Cybersecurity, World Cup Lessons Learned, Accessibility During an Emergency, and SEMA Recovery Division (ppts combined into a single document)
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MO DHSS empower Fact Sheet (pdf)
Naloxone
► Standing Order (updated 6/3/2026)
► Naloxone Pick Up Locations in Missouri
Rabies
Health Advisory due to an increasing number of reported human rabies exposures and post-exposure prophylaxis (PEP) administration errors. 9/10/2026
Sexual Violence
► Sexual Violence Services, DHSS
► Sexual Assault Response: SAFEvT, Sexual Assault Forensic Exams via Telehealth Network (sites map)
► Sexual Violence Statewide Resource Map
Tobacco
► Smoke-free Housing: Missouri Smoke-free Housing Directory
► Missouri Tobacco Free Workplace Toolkit, from DHSS
Vaccinations / Immunizations
► School Vaccination Requirements and Resources, DHSS
► Missouri School Immunizations Dashboard, DHSS
► Vaccine Guidance from DHSS and the State Board of Nursing regarding the updated vaccination schedule
► COVID-19 vaccine available for VFC providers to order via ShowMeVax
► Docket® vaccination portal (smartphone app and web platform)
► Shared Clinical Decision-Making Guidance
► ShowMeVax, Missouri Immunization Registry
► CDC Revised Immunization Recommendations
► 2026 Childhood Immunization Schedule, American Academy of Pediatrics
Wastewater
► Wastewater Surveillance: Program Update
► Wastewater: Find a Professional Tool
► SB 914 was signed into law and updates state sewage regulations as of Aug 28, 2026. Changes include:
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Elimination of percolation tests from the rules, replacing them with soil morphology evaluations.
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Removal of the $90 permit fee cap, enabling the DHSS to set more current, cost-based permit fees.
National News
► 10/29/2026: The Ebola outbreak in Congo passed 10,000 confirmed cases this week, and nearly half of the people infected with the virus have died. (link)
► 10/29/2026: Postural orthostatic tachycardia syndrome (POTS), a disorder of the autonomic nervous system, has become much more common since the pandemic, especially among young women. (link)
► 10/29/2026: A group of 22 international nutritionists releases a new food pyramid that prioritizes plant-based proteins, fruits, vegetables, and low-glycemic grains. (link)
► 10/28/2027: CDC lists 19 several drug-resistant bacteria and medication-resistant fungi in its updated Antimicrobial Resistance Threats Report, including four that are flagged as serious or concerning threats. (link)
► 10/28/2026: H5N1 avian flu activity is increasing across the United States, with 29 confirmations in the past 30 days, including 11 commercial flocks and 18 backyard flocks. (link)
► 10/28/2026: More than 1,300 cases of Miyoko's Creamery European Style Salted Plant Milk Butter is recalled due to concerns over yeast, mold and E. coli. (link)
Learning Management System, Missouri Rural Health Association
Ongoing or Archived Training
► Animal Bite & Rabies Investigations: Training video from DHSS
► CIFOR (foodborne disease investigation and control), APHL
*Note: Requires an APHL account.
► Community Water Fluoridation video training series
► FDA Training and Continuing Education
► Grants Management and Compliance Training (eligible for incentive funds)
► Health Insurance Portability & Accountability Act (HIPAA), DHSS
► Human Trafficking: The Missouri Attorney General’s Office offers free training. Training video for non-forensic medical staff and LPHAs
► Introduction to MO Health Alert Network System (HNS), DHSS
► Learning Connection, CDC
► Mathematical Modelling, by John Fieno
► MO FPHS Model: Mastering Missouri's Foundational Public Health Services Model (asynchronous online training module; 30 minutes)
► MDROs and Infection Prevention
► Public Health Communications Collaborative Academy
► Roots of Health Inequity, NACCHO
► Sexual Assault Forensic Exams, training courses
► Sexual Harassment Annual Training, DHSS
► Strategic National Stockpile (SNS) Point of Dispensing Train the Trainer, SEMA
► Subrecipient Training (slide deck), M Mahaney, DHSS OA, 5/14/2023
► VFC 411 training sessions in 2026 (downloaded document)
This program aims to strengthen the public health workforce by creating a pipeline program that supports students’ interest in public health and provides a pathway to permanent positions. DHSS has partnered with Missouri State University's MPH program to match interested students from across Missouri with DHSS and LPHA internships.
Students receive a stipend of $20 per hour up to $6,400 for completing an internship of up to 320 hours depending on academic program requirements and agency projects. Students and recent graduates in nursing, environmental health, undergraduate or graduate public health programs, and other disciplines interested in pursuing a public health career are encouraged to apply by the following deadlines:
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Spring 2027 Semester: October 17, 2026
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Summer 2027 Semester: March 14, 2027
Agencies interested in hosting a student should also apply.
Interns are randomly selected and matched to DHSS or LPHA hosts. Hybrid models are acceptable, but fully remote internships are not supported. Selection announcements will be made on the following schedule:
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Spring 2027 Semester: October 20, 2026
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Summer 2027 Semester: March 17, 2027
Direct questions to Rebecca Damron at MSU.
This work is supported by funds made available from the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS), National Center for STLT Public Health Infrastructure and Workforce, through OE22-2203: Strengthening U.S. Public Health Infrastructure, Workforce, and Data Systems grant. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.