floating germs in masks representing communicable diseases

Communicable Disease Surveillance

What are Communicable Diseases?

Communicable diseases, also known as infectious diseases or transmissible diseases, are illnesses that result from the infection, presence and growth of pathogenic (capable of causing disease) biologic agents in an individual human or other animal hosts.

Surveillance of these diseases:

Our agency monitors and analyzes data that includes – but is not limited to – demographic, geographic, and disease/condition-specific information. Accurate identification and timely reporting are integral parts of successful disease control which helps enable us to

  • identify contacts who may be infected or other individuals at risk for infection,
  • determine the incidence and prevalence of disease in a specific area of the state,
  • assist physicians and hospitals in evaluating illnesses in their patients and communities, and
  • assist the public in making better decisions regarding their health and lifestyle.

Successful communicable disease surveillance enhances control efforts, such as developing prevention/intervention strategies and policies and responding to events involving potential exposure to communicable disease.  Our goal is to maintain this surveillance system for communicable, zoonotic, and environmentally induced health threats and to disseminate this information rapidly to the citizens of Pike County.

Learn more about Communicable Diseases by clicking here

Now Hiring: Breastfeeding Peer Counselor

Breastfeeding can be one of the most rewarding—and overwhelming—experiences of early motherhood. For many new moms, having someone who truly understands the journey can make all the difference. That’s where a Breastfeeding Peer Counselor comes in.

Breastfeeding peer counselors play a vital role in supporting and encouraging mothers as they navigate feeding their babies. Through shared experiences, compassionate listening, and practical guidance, peer counselors help build confidence, reduce feelings of isolation, and improve breastfeeding success. Sometimes, simply knowing “someone else has been there” is exactly what a mother needs to keep going.

This position is ideal for mothers who have experience breastfeeding and feel called to encourage and support others along the way. As a Breastfeeding Peer Counselor with the Pike County Health Department, you will work closely with our Women, Infants, and Children (WIC) program, connecting with local families through breastfeeding support groups, one-on-one outreach, education, and referrals to additional resources when needed. Your support can help turn uncertainty into confidence and challenges into positive, empowering experiences for new mothers.

Position Details:

  • Openings: Full-Time or Part-Time
  • Benefits: Full-Time position includes agency benefits
  • Flexible work schedule

Qualifications:

  • Must have breastfed an infant for at least six months within the past two years
  • Willing to provide compassionate breastfeeding support through a warm line, available to mothers during evenings and weekends when help is needed most
  • Strong communication, computer, and organizational skills
  • A genuine desire to support, educate, and encourage other mothers

If you are passionate about breastfeeding, enjoy helping others, and want to make a meaningful impact in the lives of local families, we encourage you to apply. This is more than a job—it’s an opportunity to support healthier mothers, healthier infants, and a stronger community.

For more information, please call our office at 573-324-2111 or 👉click here to apply online

PCHD Seeking Bids for Renovation Project & Grounds Maintenance

Pike County Health Department is accepting sealed bids for a renovation project at our facility, and lawn care/grounds maintenance services.


Renovation Project:

The project includes construction of an exterior access door, ADA-compliant sidewalk and entrance improvements, and related interior modifications.

Qualified contractors with current liability and workers’ compensation insurance are invited to submit bids.

Project walk-through: Available by appointment

Bid deadline: April 27, 2026


Lawn Care and Grounds Maintenance

Services include mowing, trimming, edging and debris removal.

Qualified vendors are encouraged to submit proposals.

Bid deadline: April 26, 2026


Submission Method: Sealed bid delivered to the Pike County Health Department Administrative Office

For property details, project scope details, or to schedule a walk-through or visit, please contact:

Carolyn Orf, Administrator
573-324-2111
corf@pikecountyhealth.org

Pike County Health Department reserves the right to accept or reject any or all bids and to waive informalities in the bidding process.

Service Update: “Walk-In Clinic” Renamed to “Public Health Nursing Services” – New Hours by Appointment Only

The Pike County Health Department is making important updates to better serve our community. Due to recent staffing changes—and to ensure our services are clear, consistent, and efficient—we are restructuring some of our programs.
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As part of this improvement, we are retiring the term “Walk-In Clinic” and transitioning to: Public Health Nursing Services
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The former “walk-in” title often led to confusion, with some visitors expecting physician visits or physicals. Our nursing team provides essential public health services, but not doctor-based primary care. This new name better reflects what we offer and helps set clear expectations for those seeking care.
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Appointments Required for ALL Services
To improve efficiency, reduce wait times, and ensure every individual receives the appropriate care, appointments are now required for all services.
We are unfortunately no longer able to accept walk-ins at this time.
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In addition to these updates, our Monthly Mobile Nursing Services are cancelled until further notice.

Beginning March 2, 2026
Public Health Nursing Services will be available:
Monday–Friday, 8:00 AM – 12:00 PM
By appointment only

Services Offered
Our nurses provide a wide range of public health services, including:
  • Immunizations
  • TB Testing
  • STD Testing
  • Pregnancy Testing
  • Health and Wellness Screenings
  • Blood Pressure Screening
  • Blood Sugar Screening
  • Newborn Screening
  • Lead Screening
  • Hemoglobin A1C Screening
  • Health Education
Specialized Services with Doctors’ Orders:
  • Laboratory Services (Labcorp, PCMH, Quest)
  • Medication Organizer Set‑Up/Fill
  • Nail Care
  • Dressing Changes / Wound Care
  • Injectable Medication Administration
  • IV Care (PICC, Port‑a‑Cath)
  • INR Check
  • Suture / Staple Removal
Please ask your healthcare provider to fax your orders before scheduling your visit.
Having orders on file in advance helps us ensure timely and efficient care.

Scheduling & Provider Orders

To make an appointment, please call or login to our patient portal:

📞 573‑324‑2111

PCHD Patient Portal

📠 Fax: 573‑324‑3057 

Empowering Pike County Through Free Health Education Presentations

It’s a new year, and a great time to work towards a healthier you, and we can help! At Pike County Health Department, we believe that knowledge is the foundation of a healthier community. That’s why we offer FREE health education presentations designed to inform, inspire, and empower individuals of all ages. Whether you’re a school, workplace, or community organization, our team is ready to bring valuable health information directly to you.

Why Schedule a Health Education Presentation?
Preventing disease and promoting wellness starts with education. Our presentations help:

  • Prevent illness and injury
  • Improve overall health
  • Enhance quality of life for individuals and families

When your group understands the “why” behind healthy habits, it’s easier to make positive changes that last.

Flexible Options for Your Convenience

Host your event in our spacious Community Conference Room
Or let our staff travel to your location by appointment
All programs are completely free of charge for our community.

Topics We Cover
Our health education programs are tailored to your audience and can include:

  • Chronic Disease Management
  • Emergency Preparedness
  • Food Safety
  • Injury & Violence Prevention
  • Pregnancy & Childcare
  • Oral Health & Hand Hygiene
  • Substance Abuse Prevention
  • Physical Activity & Obesity Prevention
  • Workplace Bloodborne Pathogens
  • Nutrition, Heart Health & Diabetes
  • Worksite Wellness

Ready to Make a Difference?
Scheduling is easy! Contact us today to book your free health education presentation and help us build a healthier Pike County—one conversation at a time.

📞 Call us at 573-324-2111
📧 Email us here

Missouri health officials urge flu prevention amid seasonal uptick

For Immediate Release:
Dec. 31, 2025Media Contact:
Lisa Cox
Missouri Department of Health and Senior Services

Missouri health officials urge flu prevention amid seasonal uptick

JEFFERSON CITY, MO — The Missouri Department of Health and Senior Services (DHSS) reports a significant increase in influenza activity across the state as the 2025–2026 flu season progresses. As shown on the Missouri Influenza Surveillance Dashboard, DHSS has recorded 9,255 laboratory-confirmed influenza cases and 558 flu-related hospitalizations statewide. 

Flu activity in Missouri typically begins in October and peaks during the winter months. This season, emergency department visits for influenza-like illness and positive lab tests have climbed above baseline levels in the first week of December, prompting health officials to remind residents of the importance of preventive measures. 

“Flu is more than just a seasonal inconvenience—it can lead to serious health outcomes, especially in vulnerable populations,” said Dr. George Turabelidze, state epidemiologist. “Influenza vaccination and simple preventive steps are key to keeping Missouri families healthy this winter.” 

The best defense against influenza is annual vaccination. DHSS recommends that everyone aged six months and older receive a flu shot as soon as possible. Vaccination reduces the risk of severe illness, hospitalization, and complications, especially for high-risk groups such as seniors, young children and individuals with chronic health conditions. 

Additional steps to protect yourself and others include: 

  • Practice good hygiene: Wash hands frequently with soap and water or use alcohol-based hand sanitizer. 
  • Cover coughs and sneezes: Use a tissue or your elbow, not your hands. 
  • Avoid close contact with sick individuals: If you are ill, stay home for at least 24 hours after your fever subsides. 
  • Limit face-touching: Avoid touching your eyes, nose, and mouth to reduce self-inoculation and the spread of germs. 
  • Clean surfaces: To reduce influenza risk, consistently clean and disinfect frequently touched surfaces which could be contaminated with flu viruses. 

Weekly updates on flu activity, including county-level data and trends, are available on the Missouri Influenza Dashboard. 

For more information on flu prevention and where to get vaccinated, visit health.mo.gov. 

Rhonda receives House Resolution at retirement ceremony

Ryan Bibb, left, of Bibb-Veach Funeral Homes and Crematory, presents Rhonda Stumbaugh with a House resolution during her retirement reception. Photo by Stan Schwartz

Rhonda Stumbaugh recently retired from the Pike County Health Department Home Health and Hospice after 33 years of service.

During her retirement ceremony at the PCHD headquarters, Stumbaugh was presented with a Missouri House Resolution congratulating her on her long service to the Pike County Community. Ryan Bibb of Bibb-Veach Funeral Homes and Crematory, presented her with the resolution on behalf of Rep. Chad Perkins, R-40, speaker pro-tem for the Missouri House of Representatives.

Rhonda’s husband, Kevin, recently announced his retirement from the Northeast Community Action Corp., after 42 years of service.

Rhonda began with PCHD in 1992 as an RN, and served in numerous roles throughout her career, including, field staff nurse case manager, home health coordinator, interim administrator, public health coordinator, director of nursing, and administrator for the health department.

It stated, “her leadership has guided the agency through significant milestones, including transition into a new facility in 2011 and the continued growth and stability of the organization following her acceptance of the administrator position in 2017.”

Members of the House commended Rhonda for her exemplary service and leadership and extended their appreciation for her service.

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Here are some photos we have from Rhonda’s retirement celebration; we are so lucky to have had such a dedicated individual on our team for so many years! Best of luck on your retirement Rhonda, we will miss you! – PCHD Staff

 

Pike County News highlights Pike County Hospice Program

December 6, 2025 / Pike County News / By Stan Schwartz

It’s a conversation that needs to happen

“Quality over quantity is kind of our general term here,” said Tracy Brookshier, marketing manager for the Pike County Health Department Home Health and Hospice. She said she knows that for some it’s a difficult topic to broach, but it needs to be done.

“We want people to be comfortable with it. We want people to ask questions. It’s not always a bad thing. I think the end of life deserves as much beauty and dignity as it can get. And I really believe that wholeheartedly,” Millinder added.

Brookshier asked Kelsey Millinder to speak on this topic during last week’s Bowling Green Chamber of Commerce meeting.

PCHD is non-profit through its foundation, and the foundation is made up of volunteers who are from the community.

“That foundation helps us go above and beyond what our staff already does,” she said. “Things as small as getting a case of soda, because so-and-so likes Sundrop.”

Because PCHD is a small, local agency it can help the people in the community, she noted. The board is behind their hospice program 100%, she added.

“We have several different disciplines that make up the care we provide,” Millinder said. “We have nurses and aides, of course, that come to home visits or facility visits, wherever the need is. We have a chaplain—Cole Bransteter is our chaplain of hospice. He’s full-time at Church of the Nazarene. Danny, she is our social worker, and then we have volunteers. We’re always looking for volunteers.

“If you know anyone who would like to come onto your campus, especially, you know, that they have a place in their heart for hospice and in-flight care. And it’s as simple as going and sitting for 15 minutes. Some of the nursing home residents really enjoy just having somebody just stop and visit, check in on them, bring their Sundrop, and bring their chips, that kind of thing. You get to kind of be the nonsense visitor. Everybody else is there for business, and you just get to come visit and shoot the breeze and get to know them.”

“And there’s no dedicated amount of time that you have to do,” Brookshier added. “You can sign up to be a hospice volunteer and do two hours a year or something if you really wanted to. It’s kind of based around you and then what the family needs.”

Pike County Hospice is one of only four county-based hospice programs in the state of Missouri. It’s governed by people of the county, elected individuals.

Bowling Green Mayor Jim Arico thanked Bookshier and Millinder for the hospice service they provide.

“You all took care of my dad in the last stages of his life. It was really a blessing to us. You rescued us from the 24-hour situations that we had at the end. It was a day-by-day situation, and it was just really a blessing to us to overcome the horrifying, more than horrifying, residency,” he said.

“Unfortunately, most of us have needed it, professionally and personally,” Brookshier added.

They offer (end-of-life planning) workshops and information packets on what hospice is, who qualifies, etc. that can be picked up at our office at any time free of charge.

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Kelsey Millinder, RN BSN was recently promoted to Home Health & Hospice Director. Previously, Carolyn Orf, RN was in this position until her promotion into Agency Administrator after Rhonda Stumbaugh’s retirement.

Retirement Party for Rhonda Stumbaugh; Dec. 17th

After dedicating 33 years to our communities through her service here at PCHD.

Wednesday, December 17th, 2025, from 2pm-4pm in our Community Conference Room.

We will be providing light refreshments and space for the public to come and visit and help us wish her a blissful retirement!

Card Showers Welcome to send to:

PCHD attn: Rhonda Stumbaugh, 1 Healthcare Place, Bowling Green, MO 63334

WIC Announces Updated Income Guidelines & Contract Continuance

Pike County Health Department WIC Announces Updated Income Guidelines & Contract Continuance

Bowling Green, MO – Pike County Health Department announces a contract continuance to provide WIC services for federal fiscal year 2026 has been signed with the Missouri Department of Health and Senior Services and the release of updated income guidelines.

Based on 185% of the federal poverty guidelines issued by the U.S. Department of Health and Human Services (HHS). HHS releases annual adjustments to the poverty guidelines before June each year.

The Special Supplemental Nutrition Program for Women, Infants and Children (WIC) provides nutrition services to pregnant women, new mothers, infants and children up to their 5th birthday. The primary services provided are healthy, supplemental food; nutrition risk assessment, education and counseling; breastfeeding promotion and support and screening and referrals to health care and other services.

To be eligible for WIC, applicants must reside in Missouri, meet income guidelines and be at nutritional risk. Participants of the Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance (TA) and most MO HealthNet programs are automatically income-eligible for WIC benefits.

The income guidelines below reflect gross (pre-tax) income. A pregnant woman may count as two family members. To view the complete list broken out by family size, visit WIC.Mo.Gov.

Family sizeAnnualMonthlyTwice monthlyBi-weeklyWeekly
1$28,953$2,413$1,207$1,114$557
2$39,128$3,261$1,631$1,505$753
3$49,303$4,109$2,055$1,897$949
4$59,478$4,957$2,479$2,288$1,144

WIC is administered in Pike County by Pike County Health Dept. Persons interested in applying or who need more information should contact Pike County Health Dept at 573-324-2111. WIC clinics are offered monthly at the following location(s):

  • Pike County Health Department, 1 Healthcare Place, Bowling Green, MO: 9:00 am – 4:30 pm on Tuesdays & Thursdays
  • First Baptist Church, 608 S. Carolina St. Louisiana, MO: 9:00 am – 4:30 pm on the 2nd & 4th Tuesday

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In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating based on race, color, national origin, religion, sex, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity.

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the state or local agency that administers the program or contact USDA through the Telecommunications Relay Service at 711 (voice and TTY). Additionally, program information may be made available in languages other than English.

To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at https://www.usda.gov/about-usda/general-information/staff-offices/office-assistant-secretary-civil-rights/how-file-program-discrimination-complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992.

Submit your completed form or letter to USDA by:

(1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Mail Stop 9410, Washington, D.C. 20250-9410;

(2) fax: (202) 690-7442; or

(3) email: program.intake@usda.gov.

This institution is an equal opportunity provider.

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