COVID-19 HOTLINE: 877-435-8411  - Available 7 days a week from 7am-9pm

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Last Updated: October 19, 2020 @ 2:51 p.m. 



COVID-19 Dashboard Terminology Key:


Current Active Cases: How many cases are currently infected with COVID-19. (Includes both PCR & RA cases).

PCR Confirmed Positives: How many cases have received a positive result from a PCR Lab Confirmed Test.

Rapid Antigen Positives: How many cases have received a positive result from a Rapid Antigen Test.

Recovered: How many of the positive cases have recovered. (Includes both PCR & RA cases).

Deaths: How many COVID-19 related deaths our county has currently endured.

Currently Hospitalized: How many of the active cases are currently hospitalized.

Negative Tests: How many negative PCR & RA tests have received a negative result.


Keep up with our blog posts on the latest COVID-19 updates and more >>>

(8/21/2020) Read Press Release regarding new dashboard >>>


Case counts are anticipated to be updated every weekday between 2:00 p.m. & 3:00 p.m.  Negative test reporting will be updated as we receive them and will reflect the cumulative total of Pike County Residents who have tested negative for the Coronavirus (COVID-19).

These PCR Confirmed Positives show the current reporting from Pike County Health Department Home Health & Hospice; they may differ slightly from state counts depending on the time the reports where released.

COVID-19 HOTLINE: 877-435-8411  - Available 7 days a week from 7am-9pm


Together we will get through this and slow the spread of COVID-19.
We will be keeping the community updated on our case count via our E-NEWS, website and social media outlets.

The safest thing you can do to keep yourself and your family safe is to stay at home and only leave for essentials. When out for essential needs ensure you are following safe social/physical distancing (stay 6ft away from others) and all other preventative measures like covering coughs and sneezes and washing your hands thoroughly and often.

If you think you may be sick with COVID-19 please CALL your healthcare provider BEFORE you go! They will give you instructions on how to proceed.

As your public health department we receive daily and weekly communicable disease reports from local hospitals, clinics and schools which allows us to take measures to prevent outbreaks and protect the public. In the event of a disease outbreak or natural disaster we assist other local emergency response teams in the coordination of medical care such as mass dispensing medications, vaccines and other nursing services. We also educate the community how to prepare themselves in the event of such emergencies. Our agency will continue to keep our community updated on the COVID-19 and what you can do to keep your family safe.

As we continue to receive information regarding the COVID-19 you can use the links below to get more information and resources:


The White House

Missouri Governor Parson

Missouri One For All

Missouri Dept. of Health & Senior Services

Pike County Health Department Facebook page

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COVID-19 HOTLINE: 877-435-8411  - Available 7 days a week from 7am-9pm

DHSS and the CDC are responding to an outbreak of respiratory disease caused by a novel (new) coronavirus that was first detected in many locations internationally, including in the United States. The virus has been named “SARS-CoV-2” and the disease it causes has been named “coronavirus disease 2019” (abbreviated “COVID-19”).


What is COVID-19?

A novel coronavirus is a new coronavirus that has not been previously identified. The virus causing coronavirus disease 2019 (COVID-19), is not the same as the coronaviruses that commonly circulate among humans and cause mild illness, like the common cold.

A diagnosis with coronavirus 229E, NL63, OC43, or HKU1 is not the same as a COVID-19 diagnosis. Patients with COVID-19 will be evaluated and cared for differently than patients with common coronavirus diagnosis.


Watch for symptoms

People with COVID-19 have had a wide range of symptoms reported – ranging from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms may have COVID-19:

  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea

This list does not include all possible symptoms. CDC will continue to update this list as we learn more about COVID-19.

Know How it Spreads
  • There is currently no vaccine to prevent coronavirus disease 2019 (COVID-19).
  • The best way to prevent illness is to avoid being exposed to this virus.
  • The virus is thought to spread mainly from person-to-person.
    • Between people who are in close contact with one another (within about 6 feet).
    • Through respiratory droplets produced when an infected person coughs or sneezes.
  • These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.


Take steps to protect yourself

Clean your hands often

  • Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.
  • If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.

Avoid close contact



Take steps to protect others

Stay home if you’re sick

Cover coughs and sneezes

  • Cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow.
  • Throw used tissues in the trash.
  • Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not readily available, clean your hands with a hand sanitizer that contains at least 60% alcohol.

Wear a cloth face mask when in a public setting

Cover your mouth and nose with a cloth face cover when around others

  • You could spread COVID-19 to others even if you do not feel sick.
  • Everyone should wear a cloth face cover when they have to go out in public, for example to the grocery store or to pick up other necessities.
    • Cloth face coverings should not be placed on young children under age 2, anyone who has trouble breathing, or is unconscious, incapacitated or otherwise unable to remove the mask without assistance.
  • The cloth face cover is meant to protect other people in case you are infected.
  • Do NOT use a facemask meant for a healthcare worker.
  • Continue to keep about 6 feet between yourself and others. The cloth face cover is not a substitute for social distancing.

Learn more on how to prepare from the CDC Website here >>>

COVID-19 HOTLINE: 877-435-8411  - Available 7 days a week from 7am-9pm

Where can I go to get tested?

If you think you may have been exposed your first step should be to call your healthcare provider, they will give you instructions on how to proceed and help you locate a testing site near you.  You can also locate a list of alternate testing sites from the Missouri Dept. of Health & Senior Services website here >>>

Testing at Pike County Memorial Hospital: Please continue to call ahead to notify the PCMH team of possible Covid-19 symptoms prior to coming to an appointment or walk-in clinic to help ensure the safety of their team. You can access testing using the information below.

Louisiana Medical Clinic: 573-754-4584 - Appointment Necessary 
Bowling Green Medical Clinic: 573-324-5300 - Appointment Necessary 
Bowling Green Urgent Care Clinic: 573-324-5562 - No Appointment Necessary but will need to be seen by physician
Vandalia Medical Clinic: 573-594-2111 - Appointment Necessary 


What is the differences between PCR, Rapid Antigen & Antibody Tests?

We have developed an info graphic that helps explain these differences and when they are helpful. View it here >>>  COVID-19 Testing Explained

When will the anti-body testing be available in our area?

Antibody testing is available with doctors orders at our office. Learn more from our blog post here >>>


When should I wear a mask?

At this time it is recommended that all non-healthcare persons wear cloth face masks and they should be worn in when social distancing (6ft apart) is difficult to maintain.


What happens if I am diagnosed with COVID-19?


If you are diagnosed with COVID-19, an employee with our agency might call you to check-in on your health, discuss who you’ve been in contact with and ask you to stay at home to self-isolate.

  • Per HIPPA guidelines, unless you give permission your name will not be revealed to those you came in contact with, even if they ask.
  • The health department will ask you to stay at home and self-isolate.
    • Self-isolation means staying at home in a specific room away from other people and pets, and using a separate bathroom, if possible.
    • Self-isolation is critical to protecting those who you live with as well as your community.
    • Self-isolation helps slow the spread of COVID-19 and can help keep your friends and neighbors healthy.
    • If you need support or assistance while self-isolating, then our agency may be able to provide assistance.
  • Seek medical care if symptoms become severe. Severe symptoms include trouble breathing, persistent pain or pressure in the chest, confusion, inability to wake or stay awake, or bluish lips or face.


I think or know I had COVID-19, and I had symptoms. When can I be around others?

You can be around others after:

  • 10 days since symptoms first appeared and
  • 24 hours with no fever without the use of fever-reducing medications and
  • COVID-19 symptoms have improved (for example, cough, shortness of breath)

Most people do not require testing to decide when they can be around others; however, if your healthcare provider recommends testing, they will let you know when you can resume being around others based on your test results.

Note that these recommendations do not apply to persons with severe COVID-19 or with severely weakened immune systems (immunocompromised).

Read more CDC guidance on this topic >>>



The decision to discontinue home isolation for persons with confirmed or suspected COVID-19 are made depending on individual circumstances. Options include a symptom-based (i.e., time-since-illness-onset and time-since-recovery strategy) or a test-based strategy. Once the criteria of either strategy has been met the case is then considered to be recovered.

1). Symptom-based strategy

Persons with COVID-19 who have symptoms and were directed to care for themselves at home may discontinue isolation under the following conditions:

  • At least 3 days (72 hours) have passed since recovery defined as resolution of fever without the use of fever-reducing medications and improvement in respiratory symptoms (e.g., cough, shortness of breath); and,
  • At least 10 days have passed since symptoms first appeared.

2). Test-based strategy Previous recommendations for a test-based strategy remain applicable; however, a test-based strategy is contingent on the availability of ample testing supplies and laboratory capacity as well as convenient access to testing.


What is the difference between COVID-19 and Influenza (Flu)?

Influenza (Flu) and COVID-19 are both contagious respiratory illnesses, but they are caused by different viruses. COVID-19 is caused by infection with a new coronavirus (called SARS-CoV-2) and flu is caused by infection with influenza viruses. Because some of the symptoms of flu and COVID-19 are similar, it may be hard to tell the difference between them based on symptoms alone, and testing may be needed to help confirm a diagnosis. Flu and COVID-19 share many characteristics, but there are some key differences between the two.

While more is learned every day, there is still a lot that is unknown about COVID-19 and the virus that causes it. This table compares COVID-19 and flu, given the best available information to date.

Continue reading from CDC website >>>


What is the difference between quarantine and isolation?

  • Quarantine is used to keep someone who might have been exposed to COVID-19 away from others. Someone in self-quarantine stays separated from others, and they limit movement outside of their home or current place. A person may have been exposed to the virus without knowing it (for example, when traveling or out in the community), or they could have the virus without feeling symptoms. Quarantine helps limit further spread of COVID-19.
  • Isolation is used to separate sick people from healthy people. People who are in isolation should stay home. In the home, anyone sick should separate themselves from others by staying in a specific “sick” bedroom or space and using a different bathroom (if possible).


Why doesn't the case count number drop when a recovery is reported?

In order to properly report case counts that have affected our community, we report the cumulative total number of COVID-19 cases in Pike County, Missouri. Although most cases will recover from their illness, it will not change the cumulative total. Example: If a total of 5 cases are reported and 2 recover, the total case count will remain at 5. Local and state case counts may differ slightly. Patients must first be verified and notified. We have also started reporting the "Current Active" case count so that the number of current case count is easier to follow.


What are the guidelines regarding who should quarantine and when?

No special considerations, including home quarantine, are recommended for people exposed to asymptomatic people with potential exposures to COVID-19 (such as in a household), i.e. “contacts of contacts”. These people are not considered exposed to COVID-19. More detailed information can be found on our blog post here >>>


How does the virus spread?

The virus is thought to spread mainly from person-to-person; between people who are in close contact* with one another through respiratory droplets produced when an infected person coughs or sneezes. These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs. Recent cases are being investigated to find how the patient contracted the virus in order to stop the spread.


How is a person deemed a "Close Contact" of a positive case?

A close contact is someone who was within 6 feet of an infected person for at least 10 minutes starting from 48 hours before illness onset until the time the patient is isolated. They should stay home, maintain social distancing, and self-monitor until 14 days from the last date of exposure.


Is there a vaccine for COVID-19?

There is currently no vaccine. Although other treatments are being tested, nothing has been approved.


How are cases deemed in recovery, and can they contact it again after having it already??

We follow CDC guidelines as far as deeming those who are "Recovered" which can be found right here >>>. There are Non-Test Based Strategies and Test-Based Strategies and the factors depicting which method is used is done on a case-by-case basis. As far as if someone can get it twice, research shows it to be unlikely.


Why is limited information being given regarding positive COVID-19 cases in the county?

As a healthcare provider with sensitive patient and case information we must comply with HIPPA regulations at all times. This means we can not give out any potentially identifying information which is considerably important when living in small rural communities such as ours. Even giving zip codes or towns could be identifying in rural communities such as ours as some have populations as low as 15, so we exercise extreme caution when it comes to the information we share.  Any close contacts of the cases are contacted individually and all cases are under constant investigation. In the event that a case was in public places in close contact with multiple unknown individuals is when it may become pertinent to give itineraries of what public places the case had recently been.


Where can I go to get the most up to date information regarding the current COVID-19 situation in the United States?

You can visit the CDC website and follow their "COVIDView" - A Weekly Surveillance Summary of U.S. COVID-19 Activity. Click here to view >>>



Read more FAQ's from the CDC >>>

COVID-19 HOTLINE: 877-435-8411  - Available 7 days a week from 7am-9pm


COVID-19 HOTLINE: 877-435-8411  - Available 7 days a week from 7am-9pm

As we continue to receive information regarding the COVID-19 you can use the links below to get more information and credible resources:


If you think you may have been exposed to COVID-19 it is extremely important that you call your healthcare provider BEFORE going or call the COVID Hotline at 877-435-8411. They will review with you your symptoms and give you guidance on how to proceed. According to the CDC, most people with COVID-19 have mild illness and are able to recover at home without medical care. Do not leave your home, except to get medical care if you have trouble breathing, or have any other emergency warning signs, or if you think it is an emergency.

There are limited testing sites in Pike County and only those screened by a physician and approved will receive testing.

Pike County Health Department is unable to do evaluations or testing at this time.




COVID-19 HOTLINE: 877-435-8411  - Available 7 days a week from 7am-9pm

COVID-19 Questions, Concerns and Violation Reporting Contact Form

Thank you for contacting us.  We are doing our best to answer all questions in a timely manner. By reporting violations and voicing concerns, you play a critical role in helping us make sure everyone is doing their part to prevent the spread of COVID-19. Please provide as much detailed information as you can. We will investigate the information you have submitted, but will not be able to keep everyone informed of all actions taken to enforce the order. Replies, if necessary will be given during our normal business hours.

You may also use the COVID-19 HOTLINE: 877-435-8411  - Available 7 days a week from 7am-9pm


Please fill out the form below

We always new that we lived in an amazing community, but during this pandemic that fact truly shines! We want to give a big THANK YOU to everyone who has donated PPE, meals, sweet treats and more to our agency during this time!

  • Holycon Face Shields - PPE
  • Pike Lincoln Technical Center - PPE
  • US Bank - Meals
  • Ann Layne Boutique - Sweet Treats
  • Anonymous - Coffee and Cookies
  • Guyetta Sumowski - Meals
  • Jan Hume - Cloth Face Masks
  • Mila Ayers & Susan Masulit - Cloth Face Masks
  • Lorryn Bolte - Cloth Face Masks
  • Jeff Guay - Sanitizing Supplies
  • Jan Krehbiel - Cloth Face Masks
  • Peggy Bibb - Cloth Face Masks
  • Thelma Shy and her lovely grand daughters - Cloth Face Masks
  • Starla Carroll - Cloth Face Masks
  • Linda Luebrecht - Mary Kay Hand Care Products
  • Lucky Star Buffet - Face Masks
  • Janie Woods & Melinda Brooks - Cloth Face Masks
  • Laura Ince - Cloth Face Masks
  • Patricia Teson - Cloth Face Masks
  • Bill Unsell - Meals
  • The Home Care & Hospice Foundation Board: Meals
  • Rosie Lewis - Cloth Face Masks
  • Mark Twain Association of Realtors: Meals
  • Kent & Billy Jo Betts - Cupcake Treats
  • Dorothy Brown - Home Made Breads
  • Art Flynn - Take Home Dinners
  • Midwest Construction Cleaning - Breakfast