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.
Communicable Disease
Current Issues
Chagas
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Chagas, CDC
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"Kissing bug" disease has been found in Missouri (in 2017), St Louis Public Radio 9/12/2025
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Distribution of "Kissing Bugs" in Missouri and Illinois, 2023 study
Cyclosporiasis
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CDC HAN 531 Domestically Acquired Cyclosporiasis Cases in Multiple U.S. States, 2026. Issued 7/14/2026
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An investigational notice was released by CDC on 7/15: Cyclosporiasis Outbreak with Unknown Source. If an outbreak source(s) is confirmed, CDC will send out an outbreak notice with that information.
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Public facing webpage: https://www.cdc.gov/cyclosporiasis/outbreaks/07-26/
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CDC will be updating the following website on a weekly basis: Surveillance of Cyclosporiasis, CDC
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Please note, these numbers are laboratory confirmed cases only which CDC has received from our state partners and do not include suspect cases that state, tribal, local, and/or territorial jurisdictions may be reporting.
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CDC is also aware of more than 5,100 additional reports that require further analysis to confirm they meet the surveillance case definition.
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Additional information/resources on Cyclosporiasis can be found on CDC’s webpage: Cyclosporiasis
Ebola
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LPHA Guidance for Ebola Assessment and Monitoring, DHSS (5/28/2026)
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Ebola Key Messages, CDC (internal use only; not for publication) updated 6/13/2026
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Ebola Homepage, 6/10/2026
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Early Recognition is Critical for Ebola Infection Control, updated 6/12/2026
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Signs and Symptoms of Ebola Disease, updated 6/8/2026
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Information for Travelers Returning from Ebola-Affected Areas, updated 6/12/2026
Hantavirus
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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.
H5N1 Avian Flu
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LPHA Interim Guidance for HPAI Monitoring (10/24/2025)
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Interim Guidance for Persons Exposed to Animals Infected with Highly Pathogenic Avian Influenza (HPAI)
Measles
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Measles in Missouri FAQ, DHSS
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Updated MMWR summarizing clinical and epidemiologic data on reported cases of measles in the US from January through April 2025 (4/24/2025)
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Daily situation briefings on measles, H5N1, TB, etc., hosted by AMA
Nitazenes
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Naloxone: order by mail, find local distribution site on map, UMSEL
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Substance Use Prevention Guide for Schools: Emerging Drug Threat: Nitazenes, DHSS
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Substance Use Prevention Guide for LPHAs: Emerging Drug Threat: Nitazenes, DHSS
West Nile Virus
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West Nile Virus, CDC
Communicable Disease Investigation Reference Manual (CDIRM)
Key:
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New = recently added manual section
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Reviewed = section content is current
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Revised = section content: may include reporting guidelines, forms, and intervention recommendations
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Updated = web links, agency names, and phone numbers
1.0 Introduction (revised 8/13)
2.0 Map: Districts for Statewide Disease Investigation / Terrorism Response / TB Control (updated 7/19)
3.0 Communicable Disease Surveillance (updated 12/14)
4.0 Diseases or Conditions
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Anaplasmosis (updated 10/24)
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Animal Bites / Injuries (7/03)
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Anthrax (revised 2/11)
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Arboviral Disease, Neuroinvasive and Non-Neuroinvasive (revised 4/15)
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California Serogroup Viruses, including La Crosse Virus
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Chikungunya Virus
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Eatern Equine Encephalitis Virus
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Powassan Virus
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St. Louis Encephalitis Virus
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Venezuelan Equine Encephalitis Virus
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West Nile Virus
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Western Equine Encephalitis
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Babesiosis (revised 7/25)
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Botulism (revised 2/13)
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Brucellosis (revised 10/13)
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Campylobacteriosis (updated 10/23)
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Cholera (updated 4/12)
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Coccidioidomycosis (revised 1/12)
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Creutzfeldt-Jakob Disease (revised 5/16)
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Cryptosporidiosis (revised 8/11)
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Cyclosporiasis (revised 10/11)
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Dengue (revised 7/25)
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Diphtheria (updated 3/12)
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Escherichia coli O157:H7/Other Hemorrhagic E. coli (revised 6/11)
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Ehrlichiosis (updated 10/24)
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Giardiasis (revised 2/14)
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Haemophilus influenzae, Invasive (revised 1/15)
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Hansen's Disease (Leprosy) (revised 4/12)
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Hantavirus Infections (revised 6/15)
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Hemolytic Uremic Syndrome (HUS), post-diarrheal (updated 6/24)
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Hemorrhagic Fevers (Viral) (updated 11/15)
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Arenaviridae: South American Hemorrhagic Viral Fevers (New World Arenaviruses)
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Arenaviridae: Lassa Fever (Old World Arenavirus)
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Bunyaviridae: Crimean-Congo Hemorrhagic Fever
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Filoviridae: Ebola Hemorrhagic Fever
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Filoviridae: Marburg Hemorrhagic Fever
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Hepatitis A (updated 6/23)
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Influenza (updated 6/17)
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Latent Tuberculosis Infection (revised 3/14)
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Legionellosis (revised 2/24)
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Leptospirosis (updated 11/15)
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Listeriosis (updated 1/14)
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Lyme Disease (revised 6/25)
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Malaria (revised 3/14)
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Measles (updated 3/25)
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Meningococcal Disease (updated 7/23)
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Methicillin–resistant Staphylococcus aureus (MRSA) (5/11)
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Mumps (revised 8/13)
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Nontuberculous Mycobacterium (NTM) / MOTT (revised 1/15)
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Outbreak Investigation (updated 6/24)
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Paragonimiasis (2/11)
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Pertussis (updated 8/23)
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Plague (revised 9/12)
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Polio (updated 5/12)
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Psittacosis (revised 1/16)
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Q fever (revised 5/15)
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Rabies, animal (revised 1/14)
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Rabies, human (revised 1/14)
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Ricin (updated 2/13)
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Rocky Mountain Spotted Fever/Spotted Fever Rickettsioses (updated 10/24)
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Rubella (revised 11/13)
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Salmonellosis, Nontyphoidal (NTS) (revised 6/17)
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Shiga toxin-producing E. coli (STEC) and Shiga toxin positive, unknown organism (revised 6/11)
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Shigellosis (updated 9/23)
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Streptococcus pneumoniae, Invasive Pneumococcal Disease (IPD) (new 6/17)
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Streptococcal Toxic Shock Syndrome (revised 2/16)
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T-2 Mycotoxicosis (revised 5/16)
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Tetanus (revised 11/13)
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Toxic Shock Syndrome, Non-Streptococcal ( revised 5/16)
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Trichinellosis (revised 4/15)
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Tuberculosis Disease (revised 3/12)
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Tularemia (revised 7/25)
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Typhoid & Paratyphoid Fever (revised 7/15)
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Vaccinia, Adverse Reactions (revised 4/05)
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Vancomycin-Intermediate Staphylococcus aureus (VISA) and Vancomycin-Resistant Staphylococcus aureus (VRSA) (5/11)
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Varicella (Chickenpox) (revised 5/11)
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Vibriosis (non-cholera Vibrio species infections) (11/12)
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Yellow Fever (revised 7/25)
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Yersiniosis (revised 3/12)
► Reportable Diseases and Conditions
► Prevention and Control of Communicable Diseases for Schools and Child Care Facilities (manual), DHSS NEW!
► Mosquito-borne Disease Story Map
Reports
► Communicable Disease Report, (weekly) DHSS
► Rabies Report (monthly), DHSS
► Tuberculosis Reports, DHSS
► NNDSS Case Definitions, CDC
► Disease Outbreaks in Childcare, May webinar recording, BEHS
► ECC 24-01 Completed Inspection Report Submission, Environmental Childcare Program
► COVID-19 Antigen Test Kit Application Portal and Test Ordering
► TB Information Management System (data)
► eDOT Training (Missouri Tuberculosis Elimination Program, SureAdhere™)
TB Case Management Manual
► Chapter 1: Introduction / Roles and Responsibilities
► Chapter 2: Diagnostic Procedure: Testing for LTBI
► Chapter 3: Diagnostic Procedure: Mycobacteriology
► Chapter 4: Case Management: Disease
► Chapter 5: Case Management: Infection
► Chapter 6: Diagnostic Services Program
► Chapter 7: Court Force Handbook
► Chapter 8: Missouri Tuberculosis (TB) Protocol and Guidance for Higher Education Institutions
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.
