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.
DHSS Updates
► CDC Revised Immunization Recommendations (Jan 5 press release) (fact sheet) (CDC revised schedule).
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Missouri school and child care/preschool immunization requirements have NOT changed.
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Missouri school immunization requirements are established by Missouri regulations, and those regulations remain unchanged at this time.
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The CDC/ACIP provides recommendations, but they do not set or require school or child care/preschool immunization mandates.
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For school-age children, schools should continue to follow Missouri's immunization requirements.
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Requirements for Missouri child care and preschool children.
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The changes will not affect VFC eligibility at this time.
► Alpha-Gal Syndrome: DHSS has created a new webpage on Alpha-Gal (link) NEW!
► Cannabis Update: DHSS publishes annual report from the Chief Equity Officer detailing cannabis microbusiness activity in 2025. (link)
► Overdose Discussion: DHSS Overdose Data to Action in States (OD2A-S) team will host a free virtual panel discussion for LPHAs on February 4 from 1:30 - 3:00 pm.
Upcoming Due Dates
► Feb 13: CHIP H.S.I. Net expenditure report for Quarter Ending 12-25 (October 1, 2025, to December 31, 2025)
► Feb 27: MCH mid-year progress report due to District Nurse Consultant (DNC)
► Mar 31: MCH FFY2026 contract work plan amendments due to DNC
► Cannabis: Unregulated psychoactive cannabis product enforcement (FAQ) (Report a Retailer form)
► FPHS Costing Gap Analysis opens for FY25 in January. Training available 1:00 - 2:00 pm on Jan 12 - 15, Jan 26 - 29, Feb 9 - 11, Mar 16 - 18. See calendar for details.
► Hep C Testing: Free Hepatitis C testing through the State Public Health Lab (10/20/2025 letter) (instructions)
► Radon text kits available free to the public and videos on how to use the test kit (also in Spanish). (link)
► Sexual Assault Response: SAFEvT, Sexual Assault Forensic Exams via Telehealth Network (sites map)
► Smoke-free Housing: Missouri Smoke-free Housing Directory
► Wastewater Surveillance: Program Update
Vaccines
► 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
► Show Me Vax, Missouri Immunization Registry
National News
► 1/21/2026: Fewer people are dying from heart disease, but it is still the leading cause of death in the U.S., according to a new report from the American Heart Association. (link)
► 1/21/2026: In an interview with US Today, RFK Jr says he believes his spasmodic dysphonia could be due to taking flu shots. (link)
► 1/21/2026: More than 35 Tennessee residents have recently been sickened by a rare histoplasmosis fungal infection. (link)
► 1/21/2026: Researchers at McGill University have identified several unexpected chemical contaminants in human milk, finding traces of pesticides, antimicrobials and additives used in plastics and personal‑care products. (link)
► 1/20/2026: US exit from the World Health Organization is official on January 22. (link)
Missouri in the News
► 1/21/2026: More than 50 Missourians gathered at the state capital January 20 for the first Alpha-Gal Syndrome Advocacy Day to connect and learn more about a bill which would make the reporting of the condition mandatory. St. Louis Public Radio. (link)
► 1/20/2026: Lawyers for Planned Parenthood and the Missouri attorney general’s office discuss Missouri’s Targeted Regulation of Abortion laws during week two of a trial that will determine whether they should remain in place. (link)
► 1/14/2026: Rabies remains a threat to Missouri pets and wildlife. Missourinet. (link)
► 1/13/2026: The St. Louis Department of Health stops its search for an unknown number of monkeys said to be roaming the city since January 8. Fox 2. (link)
► 1/13/2026: Missouri Supreme Court unanimously upholds a ban on gender transition surgeries, cross-sex hormones and other gender-affirming care for minors. St. Louis Public Radio. (link)
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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Summer 2026 Semester: March 14, 2026
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Fall 2026 Semester: May 16, 2026
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Spring 2027 Semester: October 17, 2026
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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Summer 2026 Semester: March 17, 2026
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Fall 2026 Semester: May 19, 2026
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Spring 2027 Semester: October 20, 2026
Direct questions to Rebecca Damron at MSU.
► 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.
► Intro to MO HNS, DHSS
► Learning Connection, CDC
► Roots of Health Inequity, NACCHO
► Public Health Communications Collaborative Academy
► Community Water Fluoridation video training series NEW!
► Grants Management and Compliance Training (eligible for incentive funds) NEW!
► Sexual Assault Forensic Exams, training courses NEW!
► VFC 411 training sessions in 2026 NEW!
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.

