PO Box 1378 3105 Route W Hannibal, MO


The Marion County Health Department is responsible for protecting and promoting the health of Marion County residents, assessing health status and needs, developing policies and priorities, and assuring the communities that public health needs are met.

At Marion County Health Department, we offer a number of services to our visitors. To find out more about what we have available please click the button below.

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On-Site Wastewater - Soil Scientists download
On-Site Wastewater - Certification of Installation download
On-Site Wastewater - Permit Application download
On-Site Wastewater - Permit Application 2 download
On-Site Wastewater - Procedure download
Marion County Lodging Ordinance download
Lodging Establishment Permit Application download
Lodging Establishment Permit Fee Structure download
Temporary Food Stand Permit Application download
Temporary Food Pamphlet download
Temporary Food Policy download
Farmers Market Permit Application download
Farmers Market Requirements download
Jams and Jelly Requirements download
Class One Maintenance Agreement download
Food Establishment Permit Application download


Monday, January 24
8:00-5:00 pm WIC Clinic By Appointment Only
Tuesday, January 25
8:00-5:00 pm TB Test Clinic By Appointment Only
8:00-5:00 pm WIC Clinic By Appointment Only
Wednesday, January 26
8:00-5:00 pm WIC Clinic By Appointment Only
Thursday, January 27
8:00-3:00 pm STI Testing Clinic By Appointment Only
8:30-4:30 pm Flu and Immunization Clinic By Appointment Only
Friday, January 28
8:30-4:30 pm Flu and COVID Immunization Clinic By Appointment Only

Administrator Update 1-20-22

I will be retiring from the Marion County Health Department after 17 years of service. My last day will be January 28th. I have enjoyed working with Marion County residents, community partners, surrounding communities and other government agencies. I started as health educator in Feb 2005 and became Administrator in 2009. The health department’s goal has been to provide education, promote, and protect Marion County residents. The past two years have been a challenge for everyone, but I am confident we will get through this pandemic together stronger and healthier. Please continue to give your support to the health department and the new administration.

Jean McBride



Administrative COVID Update 1-11-22


Marion County continues to experience an increase in the number of positive COVID 19 cases. We now have Omicron and Delta variants in our county. The health department continues to contact those with positive results. We are recommending CDC guidelines which include the 5 days stay at home period. We are asking positive persons to contact those they live with or have been in   close contact with to watch for symptoms and get tested asap if any develop. We are asking everyone who is sick, seek medical advice and or get tested. Please stay home if you are sick. We are recommending properly wearing masks when going to places there are crowds, especially indoors. If you have questions, please contact us at 573-221-1166.  We are experiencing a large volume of calls, please be patient. We will return your call as soon as possible.

 Each one of us can help fight this virus by practicing COVID precautions, getting vaccinated, if eligible and using common sense.   Let’s work to keep our loved ones, friends, and community as safe as possible. We are all in this together!

Jean McBride


Flu Vaccine clinics will be held every Thursday and Friday 8:30am – 4:00pm.

We also offer Covid-19 vaccine clinics every Friday.

Please call 573-221-1166 for details and to schedule an appointment.

Must wear a mask.



Marion County COVID-19 update as of 1/21/22:

New:  181

Active: 549

Released: 6675

Deaths:  108

Total Cases:  7332

Re-infected:  170

Current Hospitalizations:  4

Breakthrough infections starting 6/1/2021:  712

POSITIVITY RATE 1/10/22 – 1/17/22:  27.38%

**Occasionally total case numbers and total recovered/released numbers are adjusted to correct reporting and/or count errors.

For more information, visit the DHSS website  or the CDC website

Missouri COVID-19 hotline:  877-435-8411.

Updated Guidance from the CDC

CDC COVID Vaccine Data Tracker

General COVID Vaccine Information




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