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Avoid Direct Contact with Ticks

  • Avoid wooded and brushy areas with high grass and leaf litter.

  • Walk in the center of trails.

Repel Ticks with DEET or Permethrin

  • Use repellents that contain 20 to 30% DEET (N, N-diethyl-m-toluamide) on exposed skin and clothing for protection that lasts up to several hours. Always follow product instructions. Parents should apply this product to their children, avoiding hands, eyes, and mouth.

  • Use products that contain permethrin on clothing. Treat clothing and gear, such as boots, pants, socks and tents with products containing 0.5% permethrin. It remains protective through several washings. Pre-treated clothing is available and may be protective longer.

  • Other repellents registered by the Environmental Protection Agency (EPA).

Find and Remove Ticks from Your Body

  • Bathe or shower as soon as possible after coming indoors (preferably within two hours) to wash off and more easily find ticks that are crawling on you.

  • Conduct a full-body tick check using a hand-held or full-length mirror to view all parts of your body upon return from tick-infested areas. Parents should check their children for ticks under the arms, in and around the ears, inside the belly button, behind the knees, between the legs, around the waist, and especially in their hair.

  • Examine gear and pets. Ticks can ride into the home on clothing and pets, then attach to a person later, so carefully examine pets, coats, and day packs.

  • Tumble clothes in a dryer on high heat for an hour to kill remaining ticks. (Some research suggests that shorter drying times may also be effective, particularly if the clothing is not wet.)





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Don't leave a child  alone in a car -- EVER!!
*Always check the back seats of your vehicle before walking away.
*Establish reminders that help ensure you remove children from the vehicle. For example: leave your bag, lunch or cell phone in the back seat with the child’s car seat.
* Call 9-1-1 if you see a child alone in a car, and emergency personnel will instruct you what to do next.
* If a child goes missing, open the doors and trunks to every vehicle in the area. One-third of all of the deaths occur when a child accesses a parked car unnoticed.






The St. Louis County Prescription Drug Monitoring Program (PDMP) monitors the prescribing and dispensing of schedule II-IV controlled substances to assist in the identification and prevention-prescription drug misuse and abuse.

The program has been live in Howard County since January 2018. The ordinance and the user's agreement with St. Louis Public Health are in place. If you need more information, please contact the St. Louis County PDMP,,  or call 314-615-0522.

Hepatitis A Outbreak in Missouri

 (Statistics obtained from CDC)

From September 15, 2017 to August 13, 2019, there have been 406 hepatitis A outbreak-associated cases in 34 Missouri counties. The disease appears to be spreading through direct person-to-person contact mostly among people who use illicit injection or non-injection drugs and their close contacts.

Local public health agencies across Missouri are working to vaccinate at-risk populations to help stop the outbreak. These populations include people who:

  • Use recreational drugs,

  • Are experiencing homelessness,

  • Are men who have sex with men,

  • Are in treatment or counseling for substance abuse,

  • Are receiving drug substitution treatment and/or participate in drug court,

  • Work or have been detained in jail or a detention center, or

  • Have close contact with the above group(s) or a confirmed hepatitis A case.

Hepatitis A is a viral infection of the liver that can cause loss of appetite, nausea, tiredness, fever, stomach pain, brown-colored urine, and light-colored stools. Yellowing of the skin or eyes might also occur. People can become ill up to 7 weeks after being exposed to the virus. If you think you have symptoms of hepatitis A, you should contact your healthcare provider.

If you are a member of one of these at-risk groups and have not been vaccinated against hepatitis A, you can reach out to your local public health agency with questions or to request the vaccine.





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