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
► PAMR (Pregnancy-Associated Mortality Review) Report NEW!
A Multi-Year Look at Maternal Mortality, 2019 - 2023 was released publicly today. (report)
Supportive Resources:
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Missouri has one of the highest maternal mortality rates in the nation. By addressing five critical areas, Ask Me 5 equips both providers and patients to have meaningful conversations that can save lives. https://mopqc.org/ask-me-5/
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The mission of Healthy Moms, Healthy Babies is to end preventable maternal and infant health risks by connecting women to quality healthcare and supportive resources that will provide healthy, successful pregnancy and post-partum experiences for both mom and baby. Tips for women before, during and after pregnancy: https://healthymomsbabies.mo.gov/
► Missouri Budget NEW!
Governor Kehoe signed the FY27 state budget on July 1. See the 7/9 Communication Bulletin for an update from the Director's office regarding DHSS budget adjustments.
► Ebola Update NEW!
► CORE Contract Smartsheet Invoicing
Please submit FY2027 CORE invoices after July 7 using the new Smartsheet Invoicing tool. The link is also available on the CLPHS page and the Contracts page for your convenience.
► DHSS Website
DHSS offers LPHAs the opportunity to preview the new DHSS website. The site will not go live until July 14, but your feedback is invited. Please visit the test site using the following log in information:
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User - DHSS
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Password - newHome2026
► BEHS Virtual Training Academy
BEHS will host the first of four training academies July 28 - 30. Content will include program overviews, environmental fundamentals, and emergency response guidelines. See the Hub Calendar for details.
Upcoming Due Dates
► Jul 15: Deadline to submit PHEP FY26 year end report and final invoice to preparedness@health.mo.gov.
► Oct 1: Deadline to complete PHAB Readiness Assessment (at no cost)
► World Cup Secure Online Portal, DHSS (Do not share this link externally)
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Email Holly Withrow for access to the Daily Situation Board
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Daily Situation Report (SitRep) - updated each afternoon; available on the Secure Online Portal
► World Cup Health Advisory, May 1, 2026
►Safety for Soccer Fans, CDC
►FIFA World Cup™ Public Health Toolkit, MARC
► World Cup: Missouri's Public Health Gameplan (webpage), DHSS
► DHSS Urges Caution During High Heat and Humidity as World Cup Events Begin, 6/11/2026 (press release)
Mandated Reporting of Abuse or Neglect
Weekly Communication Bulletins
ASAP (add users or change access for existing users)
► Alpha-Gal Syndrome, DHSS
► Cannabis: Unregulated psychoactive cannabis product enforcement (FAQ) (Report a Retailer form)
► Chemical Water Testing revised test request forms:
► 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 NEW!
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Addressing Cancer Concerns (video)
Childhood Lead Poisoning Prevention
► Missouri Lead Risk Assessment Tool
► Lead Poisoning Prevention landing page
Naloxone
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Standing Order Renewed, press release, 6/3/2026
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Standing Order (updated 6/3/2026)
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
► 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:
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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.
BEHS will provide additional updates to LPHAs via GovDelivery in the coming months as changes are made to comply with the law.
National News
► 7/9/2026: A new study published in the peer-reviewed journal Frontiers in Psychology in June, reports parents and caregivers’ attachment to screens (phones/tablets) can exacerbate anxiety and insecurity in children and teens. (link)
► 7/9/2026: Lupin Pharmaceuticals voluntarily recalls more than 2.5 million bottles of Prednisolone Acetate Ophthalmic Suspension eye drops due to potential contamination. (link)
► 7/7/2026: Nearly one in four adults test positive for antibodies associated with Alpha Gal in states with high rates of the syndrome, including Missouri. (link)
► 7/7/2026: An increasing number of adults report taking GLP-1 drugs to lose weight (11%, up from 3% in 2024). (link)
► 7/7/2026: A fourth infant now has botulism linked to the Nara Organics Whole Milk Organic powdered formula outbreak. (link)
Missouri in the News
► 7/8/2026: A Missouri couple advocates for more dementia care resources in rural Missouri. St Louis Public Radio (link)
► 7/8/2026: Missouri will stop providing hormone replacement therapy to transgender people incarcerated in state prisons under a new budget provision signed into law by Governor Kehoe. Kansas City Star (link)
► 7/7/2026: A mid-Missouri nurse speaks out about the emotional toll of violence toward nurses at work. KOMU (link)
Learning Management System, Missouri Rural Health Association
► Human Trafficking Training
The Missouri Attorney General’s Office offers free training:
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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:
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August 7, 2026 (Friday) – Jefferson City
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August 14, 2026 (Friday) – Moberly
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August 21, 2026 (Friday) – Kennett
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August 31, 2026 (Monday) – Chesterfield
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September 11, 2026 (Friday) – Rolla
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September 17, 2026 (Thursday) – Joplin
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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
► 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
► 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
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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Fall 2026 Semester: May 16, 2026
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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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Fall 2026 Semester: May 19, 2026
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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.