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


Tuesday, October 19
8:00-5:00 pm TB Test Clinic By Appointment Only
8:00-5:00 pm WIC Clinic By Appointment Only
Wednesday, October 20
8:00-5:00 pm WIC Clinic By Appointment Only
Thursday, October 21
8:00-5:00 pm Adult Immunization Clinic By Appointment Only
8:00-3:00 pm STI Testing Clinic By Appointment Only
Friday, October 22
8:00-5:00 pm COVID Immunization Clinic By Appointment Only
Monday, October 25
8:00-5:00 pm WIC Clinic By Appointment Only

                                                               ADMINISTRATOR POSITION


Marion County Health Department is seeking a qualified individual for the position of Administrator. Must be a registered nurse with at least a BSN. Must be licensed in MO and in good standing. Full time salaried with benefits, including health insurance and retirement. Must have 3 – 5 years public health experience. Must have knowledge of budgets, government contracts, grant writing, personnel management, and the ability to work and communicate with community partners.  Please submit your resume to Jean McBride, Administrator by Tuesday, October 26, 2021. 3105 Rt W Hannibal, Mo 63401. All resumes will be reviewed by the Board of Trustees and eligible candidates will be contacted. EOE



Marion County Health Department is accepting applications for a full-time billing clerk. Monday thru Friday 8am – 5pm. Must be proficient in computer skills, able to perform a variety of clerical tasks, navigate billing gateways and systems.  Prior experience required.

Must have high school diploma. Full time benefits. Send resume to Marion County Health Department, 3105 Rt W, Hannibal, Mo.  Contact Jean McBride, Administrator at 573-221-1166  EOE 



Updated Guidance from the CDC


We are offering COVID-19 vaccine clinics every Friday. 

Please call 573-221-1166 for an appointment.


NEW MO VIP Drawing


Marion County COVID-19 update for 10/18/21:

New:  5

Active: 16

Released: 5157

Deaths:  97

Total Cases:  5270

Re-infected:  54

Current Hospitalizations:  1

Breakthrough infections starting 6/1/2021:  226

POSITIVITY RATE 10/6/21 – 10/14/21:  2.19%

**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.


CDC COVID Vaccine Data Tracker

As of October 14, 2021 for Marion County per Missouri’s COVID-vaccine dashboard:

COVID-19 Doses Administered:  22,036

COVID-19 Vaccine Regimen Initiated:  11,241

COVID-19 Vaccine Regimen Completed:  10,414

Percent of Population Initiating Vaccination:  39.4%

Percent of Population Completing Vaccination:  36.5%


General COVID Vaccine Information


Administrator Update — October 14, 2021

Marion County Health Department will be involved in re-construction for the next several weeks.  We are updating the front entrance and lobby area. There will be no admittance at the two front doors.  The EAST side door will be the entry and exit for persons receiving services at the health department.  The doors will remain locked. Please call 573-221-1166 to gain entrance or service. Please continue to make appointments, as necessary.  We are continuing to require masks properly worn inside the building.

Please avoid construction area for safety. We apologize for any inconvenience this project may cause. Our staff will continue to provide needed services. Thank you for your support and assistance in this endeavor.


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