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
► Guidance on Transitioning LPHA Email from DHSS NEW!
DHSS has issued a guidance document with details to help LPHAs navigate the transition. An MOU is still in development, but will be shared soon.
► Cannabis NEW!
Missouri publishes the Missouri Cannabis Market Study: Phase 1 Report, with a phase two study on economic impact expected to be published in late 2026. (press release)
► Onsite Wastewater NEW!
DHSS has posted draft onsite wastewater construction permit application rules for public comment. These draft rules were developed in response to changes in state law that became effective on August 28, 2026. The draft materials will remain available for review through November 2, 2026.
The Department is considering filing both emergency and proposed rules. The emergency rule, if filed, could take effect quickly but would only remain in place for six months. The proposed rule, while following a longer promulgation timeline, would become more permanent once finalized.
► Fall Regional LPHA Meetings
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October 20, Webster County: Marshfield City Annex Building, 915 S Marshall St., Marshfield, MO 65706
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October 21, Madison County: Madison County Health Department, 105 Armory St, Fredericktown, MO 63645
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November 4, Cole County: DHSS, 930 Wildwood, Maple/Birch Conference Room, Jefferson City, MO 6510
Presentations will be posted on the CLPHS page after all meetings have concluded.
Upcoming Due Dates
► Nov 12: Deadline to submit CHIP H.S.I. Net expenditure report for Quarter Ending 09-26 (July 1, 2026, to September 30, 2026)
LPHA Directory for public; scroll down to Find Your Local Public Health Agency)
LPHA Directory (for internal LPHA use only) updated 10/5/2026
Mandated Reporting of Abuse or Neglect
Weekly Communication Bulletins
Automated Security Accessing Processing (ASAP)
ASAP Log-In Portal (add users or change access for users)
LPHA ASAP Manual (10/6/2026) NEW!
DHSS and DSS Access Available to LPHAs (10/6/2026) NEW!
Data Requests, from DHSS Health Informatics
► 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
Childhood Lead Poisoning Prevention
► Missouri Lead Risk Assessment Tool
► Lead Poisoning Prevention landing page
Emergency Planning NEW!
Resources from the Fall 2026 Planner’s Summit:
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An Overview of ASPR: Administration for Strategic Preparedness and Response, Patrick Lindner, Regional Emergency Coordinator, ASPR Region 7 (ppt)
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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)
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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:
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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.
National News
► 10/19/2026: Among the hype about experimental peptides, there are more red flags than truths. (link)
► 10/17/2026: Premiums for some Medicare Part D prescription drug plans are expected to increase by $50 a month in 2027. (link)
► 10/16/2026: Nationwide, measles cases top 4,400 with an increase of 8% last week (330 cases). (link)
► 10/14/2026: Suspicious white powder sent to election offices in Ohio, Louisiana, and Oklahoma. (link)
► 10/14/2026: WHO's Strategic Advisory Group of Experts on Immunization says one dose of HPV vaccine is the most efficient immunization strategy for cervical cancer prevention. (link)
► 10/14/2026: The most recent YRBS report highlights binge eating among youth as a public health concern. (link)
► 10/13/2026: The University of Wisconsin Population Health Institute has received new multi-year funding to adapt County Health Rankings & Roadmaps to focus on adding data, evidence and field-building resources for Wisconsin and Minnesota. The funding will also sustain select CHR&R data and evidence resources after RWJF funding ends in December 2026. CCHR (link)
Missouri in the News
► 10/14/2026: The Wright County Health Department shared on social media that it had confirmed three measles cases. KSMU (link)
► 10/14/2026: Missouri launches Show Me Your Age, a digital tool designed to help businesses and regulatory bodies enforce legal age limits for regulated products by simply scanning a driver’s license or entering a date of birth. KMZU (link)
► 10/14/2026: Students in the Southern Boone School District near Columbia will no longer receive free oral health screenings and fluoride varnish as provider Compass health shifts its focus to communities with greater dental health needs. Boone County Journal (link)
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)
► MDROs and Infection Prevention
► Public Health Communications Collaborative Academy
► Roots of Health Inequity, NACCHO
► Sexual Assault Forensic Exams, training courses
► Sexual Harassment Annual Training, DHSS
► Strategic National Stockpile (SNS) Point of Dispensing Train the Trainer, SEMA
► Subrecipient Training (slide deck), M Mahaney, DHSS OA, 5/14/2023
► VFC 411 training sessions in 2026 (downloaded document)
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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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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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.