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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​

► Fall Regional LPHA Meetings

  • October 14, Adair County: A.T. Still University Dental School, 2nd Floor Auditorium, 500 W. Jefferson St, Kirksville, MO 63501

  • October 15, Platte County: Platte County Health Department, 7925 NW 110th St, Kansas City, MO 64153

  • October 20, Webster County: Marshfield City Annex Building, 915 S Marshall St., Marshfield, MO 65706      

  • October 21, Madison County: Madison County Health Department, 105 Armory St, Fredericktown, MO 63645

  • November 4, Cole County: DHSS, 930 Wildwood, Maple/Birch Conference Room, Jefferson City, MO 6510

Register by COB Monday, October 5. If you register but are then unable to attend, please contact Mary Blevins at mary.blevins@health.mo.gov or (573) 751-2889.

► CHIP HSI

The CHIP H.S.I. Net expenditure report for Quarter Ending 09-26 (July 1, 2026, to September 30, 2026) is due by November 12th. Updated spreadsheets have been added to the Contracts page on the Hub. Click on the QE 09-26 tab at the bottom of the sheet to insert your expenditures. Forms should be signed and submitted to CLPHSCHIPHSIReports@health.mo.gov.

  • Texas County Health Department shared a worksheet they use to help track expenditures during the CHIP HSI Collaborative meeting. You are welcome to use it as a template to track your own expenses. You can find it on the Hub in a new Forum called CHIP HSI Tips. 

► Vaccination Promotional Flyer

This flyer from the DHSS Bureau of Cancer and Chronic Disease Control promotes flu shots, shingles vaccination, and pneumonia vaccine as a way to reduce the risk of Alzheimer’s. The QR code links to a pre-recorded presentation that reviews the 10 Healthy Habits. Feel free to share widely. (flyer)

Upcoming ​​​​​Due Dates

► Oct 5: Deadline to register for Fall Regional Meetings

► Oct 16: Summer Food Service Program and At-Risk Afterschool Program participation agreement DA-38 for reimbursement, End of Year Summary, inspection reports, and other applicable documentation is due to BEHS.SummerFood@health.mo.gov by COB

► Nov 12: Deadline to submit CHIP H.S.I. Net expenditure report for Quarter Ending 09-26 (July 1, 2026, to September 30, 2026)

Calendar
Hot Topics

► 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

► General FAQ

► Adult Use FAQ

► Complaint Forms

​

Childhood Lead Poisoning Prevention 

► Missouri Lead Risk Assessment Tool

► 2025 High Risk Lead Map

► Lead Poisoning Prevention landing page

​​

Emergency Planning  NEW!

Resources from the Fall 2026 Planner’s Summit:

  • An Overview of ASPR: Administration for Strategic Preparedness and Response, Patrick Lindner, Regional Emergency Coordinator, ASPR Region 7 (ppt)

  • 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)

  • 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:

  • 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.

​​

Quick Links

​​​​​​National News

► 10/1/2026: Refugees and legal immigrants lose health coverage through Medicaid and CHIP Oct 1 as cuts from the One Big Beautiful Bill take effect. (link)

► 10/1/2026: The vaccines.gov website intended to help people find locations to get a flu shot by entering their zip code is not actually working. (link)

► 9/30/2026: Pennsylvania reports a fifth measles-related death in the state as the number of confirmed cases nears 1,000. (link)

► 9/30/2026: Mumps spreads through a college athletics team in San Diego, CA, with 14 confirmed and one probable case. (link)

► 9/30/2026: The Iowa state health department is set to shift its public health system into a regional model, moving 99 LPHAs into seven public health districts and giving a lead regional entity oversight of distributing state funds to the rest of the LPHAs. (link)

► 9/30/2026: HHS, CDC, and NIH announce $3 million in new funding will go to two of the CDC’s Centers of Excellence in Vector-Borne Diseases for research initiatives to combat tick-borne diseases, including Lyme disease and alpha-gal syndrome. (link)

► 9/29/2026: FDA reports that Sierra Nevada Cheese Company of Willows, California, is voluntarily recalling all Graziers Raw Milk Cheese currently in the market due to potential contamination with E. coli.  (link)

​​​​​​Missouri in the News

► 9/30/2026: Gender affirming surgeries are not taking place in Missouri schools, despite claims in recent political ads on Amemdment 3. KY3 (link)  

► 9/30/2026: Missouri’s Capitol dome goes pink in recognition of Breast Cancer Awareness Month in October. KJLU (link)  

News
Training

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)

► Public Health Communications Collaborative Academy

► Roots of Health Inequity, NACCHO  

► SEMA Training Opportunities

► Sexual Assault Forensic Exams, training courses  

► Sexual Harassment Annual Training, DHSS  

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

► TRAIN, CDC

► VFC 411 training sessions in 2026 (downloaded document) 

► 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:

  • 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:

  • 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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