Communicable Disease
Current Issues
H5N1 Avian Flu
► LPHA Interim Guidance for HPAI Monitoring (10/24/2025) NEW!
► Interim Guidance for Persons Exposed to Animals Infected with Highly Pathogenic Avian Influenza (HPAI) NEW!
► Instructions for the collection and submission of Avian Influenza A (H5N1) or Avian Influenza A (H7N9) specimens for testing at the Missouri State Public Health Laboratory (3/2025) NEW!
West Nile Virus
► Missouri health officials urge vigilance as West Nile Virus activity increases in 2025 (press release), 10/8/2025
► Case reports (10/4/2025)
► WNV data and statistical reports, DHSS
► Using insect repellant to prevent mosquito bites, DHSS
► West Nile Virus, CDC
Chagas
► Chagas, CDC
► "Kissing bug" disease has been found in Missouri (in 2017), St Louis Public Radio 9/12/2025
► Distribution of "Kissing Bugs" in Missouri and Illinois, 2023 study
Measles
► Measles in Missouri FAQ, DHSS
► Measles talking points, DHSS (updated 7/3/2025)
► Missouri county-specific 2-page facts sheets with MMR vaccination rates for kindergarteners (updated 4/10/2025)
► SAMPLE press release, First Measles Case
► SAMPLE press release, Confirmed Measles Case
► KFF issues trust poll findings related to public perception of measles risk, MMR vaccination, and vitamin A. (4/23/2025)
► Updated MMWR summarizing clinical and epidemiologic data on reported cases of measles in the US from January through April 2025 (4/24/2025)
► Daily situation briefings on measles, H5N1, TB, etc., hosted by AMA
► Measles Cases and Outbreaks, CDC
► Be Ready for Measles communication toolkit, CDC
► Reportable Diseases and Conditions
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
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)
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.
