Renewal of a Determination That A Public Health Emergency Exists

Due to the ​continued consequences of the severe storms and tornadoes that affected the State of Missouri this past May, on this date and after consultation with public health officials as necessary, I, Kathleen Sebelius, Secretary of the U.S. Department of Health and Human Services, pursuant to the authority vested in me under section 319 of the Public Health Service Act, do hereby renew my May 23, 2011 determination, which I previously renewed on August 19, 2011, that a public health emergency exists and has existed since May 22, 2011 in the State of Missouri as a consequence of severe storms and tornadoes. This current renewal is retroactive to November 17, 2011.

November 18, 2011 _____________________________ Date

/s/ _____________________________ Kathleen Sebelius