Any Missouri County, Bond County, City of Alton, City of Edwardsville, Clinton County, East Side Health District, Effingham County, Fayette County, Granite City, Jackson County, Jefferson County, Jersey County, Macon County, Macoupin County, Madison County, Marion County, Monroe County, Montgomery County, Perry County, Randolph County, Red Bud, State of Illinois Dept of Public Health, Sangamon County, St. Clair County, Washington County, Williamson County