LPHA INFO HUB

DHSS Updates​

► 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!

DHSS continues to investigate laboratory reports of Cyclosporiasis and expects to be formally added to the list of states affected by the national outbreak soon. As many of you know, each laboratory report of Cyclosporiasis is reviewed before they are added to the case count – this takes time and effort to investigate. It takes additional time to provide that data to the CDC so they can determine whether enough of our cases are tied epidemiologically to the current suspected cause of lettuce from Taylor Farms. DHSS is working with CDC on the ability to provide a bulk upload of case data so that Missouri cases can be incorporated in the national data more efficiently. CDC is also evaluating national data to determine if additional sources should be recalled.

Missouri's public-facing dashboard of communicable disease data shows 593 active Cyclosporiasis cases as of July 26, 2026. This data is updated every Sunday, and another significant increase is expected this week as cases are investigated and confirmed.

DHSS is encouraged by successful recall effectiveness checks of Taylor Farms lettuce and thank all LPHAs for their hard work to accomplish those. The recall effectiveness checks found no recalled product in grocery stores or restaurants. DHSS is continuing to group cases into outbreak clusters for potential investigation as we review interview data.

The Missouri Rapid Response Team (MRRT) within the DHSS Office of Emergency Coordination continues to be activated as the reported Cyclospora outbreak continues.

Here’s a picture of the differing data sets: 

1) DHSS – All Cyclosporiasis cases reported by Missouri

• Lab confirmed & probable cases.

• Individuals are symptomatic.

• These cases have been investigated and include cases that involve foreign travel, which are not included in CDC data.

• These cases also include domestically-acquired cases, which are included in CDC data.

• Missouri’s 2026 total is 593.

• Data Dashboard

2) CDC – All domestically-acquired Cyclosporiasis cases; 45 states reporting domestically-acquired cases. (link)

3) CDC – All domestically-acquired Cyclosporiasis cases related to outbreak

• CDC Link

• FDA Link

• 9 states reporting domestically-acquired cases tied to the outbreak.

• Missouri is not officially linked at this time, but we expect to be after CDC reviews submitted data.

• Cyclosporiasis cases confirmed by laboratory testing that also have epidemiological links to the national outbreak (consumed Taylor Farms lettuce for example).

See the Communications page for additional resources.

​► DHSS Website  

Please provide feedback on the new DHSS website using the feedback survey link at the top of each page.

► 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.