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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

Health Alerts, Advisories, and Updates, DHSS  

DHSS Updates

Cooling Centers Map  

NAO/All In Meeting Agendas  NEW!

MCH FFY2027 Kick Off Meetings  NEW!

Kick-off meetings for the FFY2027 MCH Service Contract will take place around Missouri October 1 - 22. See the Hub Calendar for details.

ShowMe WorldCare  

Now that ShowMe WorldCare has been operating successfully for approximately 8 months, EnvSurv and WebSurv will be decommissioned on July 31, 2026. Data will be archived and can be accessed by DHSS if necessary, but relevant data has been moved to ShowMe WorldCare. 

Cyclosporiasis Update  

  • Cyclosporiasis fact sheet and image courtesy of Jasper County Health Department  NEW!

Over the last 10 days, DHSS has seen a significant increase in potential cases. DHSS and LPHAs are actively investigating hundreds of reports of illnesses potentially associated with this outbreak. The Missouri Rapid Response Team (MRRT) has been fully activated to respond to the rapidly growing case count in Missouri.

  • Special Outbreak Update (7/24 call) Summary:  

    • As of 7/23/2026, Missouri has 732 cases, including those that haven't been fully investigated. Missouri's numbers will not match CDC reported numbers for Missouri due to investigation and reporting criteria and processing delays.

    • Missouri is using the CDC case definition for this specific outbreak related to Taco Bell.

    • DHSS has 52 Taco Bell clusters (two or more people with history of eating at Taco Bell and becoming sick) and is unsure if Missouri will be added to the Taco Bell cluster with CDC's July 24 update.

    • DHSS reports that both WalMart and Taco Bell have pulled all implicated product and replaced it.

    • Action Item: Please submit your recall effectiveness checks or send an email if you have no affected vendors. Be sure to indicate which recall you are referring to. Focus your efforts on products only in the recall.

    • DHSS will not collect food samples from ill persons for testing or sampling.

    • No other food items other than the shredded iceberg lettuce have been implicated at this time. 

    • Bill Marler has a good post on why federal, state, and local case counts differ.

    • CDC has guidance on how to respond to fecal accidents in swimming pools. (link)

    • The call was not recorded.

  • Data Dashboard

  • Media Briefing 7/20/2026 (recording)

See the Communications page for CDC links and resources.

DHSS Website  

The new DHSS website went live on July 21. LPHAs are encouraged to explore the new website and provide feedback. LPHAs may also want to their own websites, social media feeds, and print materials for links to the DHSS website that may need to be updated. Learn more

Naloxone Standing Order  

Because of the update to the DHSS website, a link referenced in the Naloxone Standing Order had to be updated this week. No other content changes were made.

PHEP Fall Preparedness Conference  

DHSS is currently awaiting the release of HPP funding. They expect it any day, but in the event it does not come through as anticipated, they may need to make some changes the Fall Preparedness Conference, scheduled for Sept 1 – 2. DHSS expect to have more information within the next few weeks and will share a firm update as soon as they receive information. 

Mathematical Modeling Training  

John Fieno of DHSS will be offering four virtual training sessions on Microsoft Teams beginning August 6 at noon. Subsequent sessions will be held August 14, 21 and 28 at noon. Each session will run 75 minutes, and sessions will be recorded. Learn about the key elements of a mathematical model, SUR models, Monte Carlo studies, sensitivity tests, and more. Email John Fieno to register for the series.

Upcoming ​​​​Due Dates

Aug 12: CHIP HSI Net Expeniture Report due for Quarter Ending 06-26 (April 1, 2026, to June 30, 2026)

► Oct 1: Deadline to complete PHAB Readiness Assessment (at no cost)

Calendar
Hot Topics

Alpha-Gal Syndrome, DHSS
► Cannabis:  Unregulated psychoactive cannabis product enforcement (FAQ)  (Report a Retailer form)
► Chemical Water Testing revised test request forms:  

Communicable Disease Data Dashboard, DHSS

Cooling Centers Map, DHSS

► Hantavirus: Missouri health care providers should contact their LPHA or DHSS Bureau of Communicable Disease Control and Prevention at 573-751-6113 or 800-392-0272 (24/7) to report a patient suspected of having hantavirus pulmonary syndrome (HPS) caused by Andes virus or for questions regarding this CDC Health Advisory.

► Hep C Testing:  Free Hepatitis C testing through the State Public Health Lab (10/20/2025 letter) (instructions)  
Kratom webpage, 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 

Childhood Lead Poisoning Prevention 

Missouri Lead Risk Assessment Tool

2025 High Risk Lead Map

Lead Poisoning Prevention landing page

Naloxone

► Standing Order Renewed, press release, 6/3/2026  

Standing Order (updated 6/3/2026)  

Naloxone Pick Up Locations in Missouri

 

Sexual Violence
► Sexual Assault Response: SAFEvT, Sexual Assault Forensic Exams via Telehealth Network (sites map)
► Sexual Violence Prevention and Response: Missouri Resource Map. Submit resources in your area to be added to the map.  

 

Tobacco
► Smoke-free Housing:  Missouri Smoke-free Housing Directory  

► Missouri Tobacco Free Workplace Toolkit, from DHSS

 

Vaccines
School Vaccination Requirements and Resources, DHSS  NEW!

► Vaccine Guidance from DHSS and the State Board of Nursing regarding the updated vaccination schedule. (link
► COVID-19 vaccine available for VFC providers to order via ShowMeVax. (details)  
► Docket® vaccination portal (smartphone app and web platform)
► Shared Clinical Decision-Making Guidance (link)
► Show Me Vax, Missouri Immunization Registry (link)
► CDC Revised Immunization Recommendations 

► 2026 Childhood Immunization Schedule, American Academy of Pediatrics (link)

Wastewater
► Wastewater Surveillance: Program Update

► Wastewater: Find a Professional Tool  

► SB 914 was signed into law and updates state sewage regulations. It takes effect Aug 28, 2026. Changes include:

  • Elimination of percolation tests from the rules, replacing them with soil morphology evaluations.

  • Removal of the $90 permit fee cap, enabling the DHSS to set more current, cost-based permit fees.

BEHS will provide additional updates to LPHAs via GovDelivery in the coming months as changes are made to comply with the law.  

Quick Links

​​​​​National News

 7/27/2026: SAMHSA releases the results of the 2025 National Survey on Drug Use and Health showing encouraging downward trends in youth substance use and mental health issues. (link)

 7/27/2026: A CBS and YouGov poll of 2,1093 adults nationwide, conducted July 22 - 24 shows 40% are buying or eating less produce as a result of the cyclorsporiasis outbreak. (link)

 7/27/2026: The first volunteer has been vaccinated in a phase 1 trial of an investigational vaccine that targets the Bundibugyo virus. (link)

► 7/27/2026: Midwest Poultry Services recalls 1.6 million cartons of eggs after nearly 100 cases of Salmonella linked to the eggs are reported across 17 states. (link)

 7/27/2026: The 9th Circuit Court in California rules a previous vaccination should not bar an employee's religious vaccine exemption request. (link)

 7/27/2026: New research shows kids who own cellphones have poorer reading comprehension scores than those who don't own phones. (link)

​​​​​​Missouri in the News

7/28/2026: Missouri hospitals have cut job vacancies since the pandemic, but staff turnover is climbing, pushing systems to rethink roles, grow rural pipelines and expand use of AI. Southeast Missourian (link)

7/27/2026: Abortion returns to southwest Missouri after more than two decades without access. Missouri Independent (link)  

7/27/2026: DHSS reports nearly 600 cases of cyclosporiasis in Missouri residents, nearly double the number of cases logged by July 19. St. Louis Public Radio (link)

News
Training

Learning Management System, Missouri Rural Health Association  

► Animal Bite & Rabies Investigations

Training video from DHSS 

► Human Trafficking Training

The Missouri Attorney General’s Office offers free training: 

  • July 28 – 30, Interdiction, Operations, and Illicit Massage Businesses (flyer)

Training video for non-forensic medical staff and LPHAs

► Water Fluoridation Training

DHSS’ Office of Dental Health (ODH) offers free, in‑person Introduction to Water Fluoridation Trainings. Each session includes a water plant tour following the training. Water and wastewater operators, LPHA staff, and dental professionals are encouraged to participate. DNR will provide 4 hours of continuing education credits for Drinking Water Treatment and Distribution certifications. ODH will provide 4 hours of continuing education for dental professionals. Classes will be held from 7:30 am to 12:00 pm.

Register for upcoming training:

  • August 7, 2026 (Friday) – Jefferson City

  • August 14, 2026 (Friday) – Moberly

  • August 21, 2026 (Friday) – Kennett

  • August 31, 2026 (Monday) – Chesterfield

  • September 11, 2026 (Friday) – Rolla

  • September 17, 2026 (Thursday) – Joplin

  • September 18, 2026 (Friday) – Kansas City

Ongoing or Archived Training

Subrecipient Training (slide deck), M Mahaney, DHSS OA, 5/14/2023  

► FDA Training and Continuing Education

► TRAIN, CDC

► CIFOR (foodborne disease investigation and control), APHL

  *Note: Requires an APHL account.

► (HIPAA) Health Insurance Portability & Accountability Act, DHSS (link)  

Intro to MO HNS, DHSS 

Learning Connection, CDC

► SEMA Training Opportunities

Roots of Health Inequity, NACCHO  

Public Health Communications Collaborative Academy

► Community Water Fluoridation video training series 

► Grants Management and Compliance Training (eligible for incentive funds)  

► Sexual Assault Forensic Exams, training courses  

Sexual Harassment Annual Training, DHSS (link)  

► VFC 411 training sessions in 2026  

Vital Records Training Guide, DHSS

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:

  • Fall 2026 Semester: May 16, 2026

  • Spring 2027 Semester: October 17, 2026

  • 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:

  • Fall 2026 Semester: May 19, 2026

  • Spring 2027 Semester: October 20, 2026

  • Summer 2027 Semester: March 17, 2027

Direct questions to Rebecca Damron at MSU.

Pathways Internships
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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.

© 2024 by Ozarks Public Health Institute in partnership with Missouri Department of Health and Senior Services.

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