As COVID-19 cases and hospitalizations rise sharply in Missouri, local health departments are abandoning efforts to stop the spread of the pandemic disease, saying their hands have been tied by the state’s attorney general and a recent court ruling.

One local agency, the Laclede County Health Department, northeast of Springfield, announced that it has ceased all COVID-19-related work, including case investigations, contact tracing, quarantine orders, and public announcements of current cases and deaths.