Chronic Disease Management

PLEASE NOTE: The Department of Public Health has returned to its 1650 Boone's Lick Road office and is now open for limited appointments and public services..

For assistance with Division of Health Services programs and clinics and to schedule appointments, please call 636-949-7400.

Please be aware that building restrictions are in place. Upon entrance to any County building, employees and the public are encouraged to wear cloth facial protection, and everyone is required to have a health screening, including temperature check, before entering. Those with a fever or who have other COVID-19 symptoms will not be permitted to enter the building.

This website will be updated daily, when necessary, to reflect any changes in facility or department services. The public is encouraged to continue accessing County Government services by phone, email and online when available. Thank you.

We hope that you will remain healthy and safe, and we thank you for your cooperation and understanding.

Affecting millions of Missouri residents and costing millions in medical expenses each year, chronic diseases — like cancer, diabetes, heart disease, and more — can lead to serious health problems. However, routine screenings and lifestyle changes can help prevent and control these diseases through early diagnosis and managed treatment.

New services through our Disease Management program will assist you and your medical provider in taking control of your well-being. To make an appointment for these services, please call 636-949-7484.

stethoscope with heart


There are several types of cancers and estimates declare that approximately 2 in 5 Missourians will have cancer during their lifetime. The World Health Organization states that 30 to 50 percent of cancers are preventable. What you eat, your lifestyle and your environment are all factors that affect cancer risks.


Resulting from insufficient production of insulin in the body, millions of Americans suffer from some type of diabetes and millions more remain undiagnosed. While diabetes is a serious disease and is costly, it is manageable. Living with diabetes requires constant tracking, careful meal planning and proper medication. Regular testing will help you keep track of your blood sugar levels.

Heart Disease and Hypertension

Problems with the heart and circulatory system annually rank among the leading causes of death for Americans. Working closely with a medical provider and making healthy lifestyle choices will help to prevent these related complications. Regular testing of your circulatory system and management of height/weight comparison will help you keep track of risks for heart disease and high blood pressure complications.

Liver Function and Hepatitis

The largest organ in the body, the liver performs hundreds of functions to keep the body healthy. Exposure to chronic disease, viruses, drugs and other risk factors can damage liver function and cause short- and long-term health issues. The various types of hepatitis disease (Hepatitis A, Hepatitis B, Hepatitis C and others) are a leading cause for liver damage.


Being overweight contributes directly to the development of heart disease and other physical, mental and economic issues throughout one’s life. Proper nutrition, adequate physical exercise and routine management play a vital role in maintaining proper weight. A Body Mass Index analysis can help screen risk for obesity, when joined with other assessment procedures.


The prostate gland is a part of the male reproductive system. According to the Centers for Disease Control and Prevention, prostate cancer is the most common form of non-skin cancer found in American males. Risk factors for the development of prostate cancer include age, family history and race.


Every minute of the day, someone in the United States suffers from a stroke, which is when the brain does not receive an adequate supply of blood. Stroke significantly alters the way a person thinks, speaks, sees and moves, but quick application of specific medical procedures can limit damage caused by a stroke. Regular testing of your circulatory system and management of height/weight comparison will help you keep track of risk for stroke.

Tuberculosis (TB)

Caused by the spread of the tuberculosis bacterium from one person to another through the air, TB usually affects the lungs, but the bacterium can be found elsewhere in the body (including the brain and spine). Presence of the disease can be detected through routine testing and treated through direct medical attention.