At its Oct. 27, 2026 meeting the Douglas County Board of Commissioners was asked to accept a $4,130,000 agreement with Nebraska DHHS for supplemental foods and related services, a $639,000 federal COPS technology grant for the sheriff, and several public-health and interagency contracts.

Cobb & Douglas Public Health reported recent local measles cases and active contact tracing, urging residents to check vaccination status and use the public‑health hotline for guidance; staff described quarantine, prophylaxis and a planned health‑center expansion.

Cobb & Douglas Public Health briefed commissioners on a planned expansion to add exam and negative‑pressure rooms, a Safe Kids bay and an exercise trail; staff said bids closed Sept. 22 and construction could start early 2027 if funding and vendor selection proceed.

Public-health officials told the Douglas County Board of Health they activated an incident-management team for an Andes hantavirus response (13 cases, three deaths), are monitoring Ebola-returning travelers (11 identified; nine active as of June 16), and are expanding preparedness tools including a warming/cooling-centers dashboard and public infectious‑disease data dashboards.