Dietary supplement kratom is gaining popularity in the U.S., but is not currently regulated by the FDA. An increasing number of adverse effects are being reported. MOCPHE recommends state and local agencies consider establishing regulatory oversight strategies.
Although Missouri does not have a statewide Tobacco 21 law, state and local legislators have authority to raise the minimum legal sales age for tobacco products in their jurisdiction. Raising the minimum legal sales age is a public health policy approach that will prevent or delay tobacco use by adolescents and young adults.
Definition of Public Health
All Missouri residents should benefit from the same types and quality of local public health services, regardless of where they live. While there may be some local variation, Missouri residents should see local public health agencies assessing community health, monitoring local health issues, preparing for public health emergencies, developing policies and forming partnerships to address priority needs.
Public Health Funding in Missouri
Missouri has seen a steady decrease in federal and state public funding, a trend that is driving poor public health outcomes. The Missouri Center for Public Health Excellence believes Missourians deserve better.
Medicaid Expansion in Missouri
When the US Supreme Court ruled in 2012 that states could choose whether or not to accept the expansion of Medicaid, Missouri rejected it. This decision has had a significant impact on Missouri.
Syringe Services Programs
Syringe services programs are a set of community-based services for people who inject drugs. These evidence-based programs are a vital component of a comprehensive public health response to injection drug use and have the capacity to improve the lives of countless Missourians.
Prescription Drug Monitoring Program (PDMP)
PDMPs improve patient safety and prevent opioid misuse by allowing clinicians to identify patients who are obtaining opioids from multiple providers. The Missouri Center for Public Health Excellence recommends Missouri adopt a statewide PDMP program to reduce prescription opioid misuse, opioid addiction and opioid-related deaths.
Non-Medical Exemptions for School-Required Vaccinations
Vaccinations have historically prevented millions of deaths and have lessened the impact of diseases like polio, measles and hepatitis B. However, vaccination rates have dropped recently, allowing vaccine-preventable diseases to reemerge in Missouri and nationwide. One of the contributing factors is an increase in usage of Missouri's non-medical exemptions for school-required vaccinations. The Missouri Center for Public Health Excellence recommends limiting exemptions for vaccines in children in order to effectively combat vaccine-preventable diseases in Missouri.
Public Health Leadership in Missouri
The adoption of a minimum set of qualifications for public health leaders is essential for the advancement of population health in Missouri. Leaders need a common set of core competencies to guide their efforts to advance preventive health initiatives and ensure best practice programs.