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


Wednesday, January 27
8:00-5:00 pm WIC Clinic By appointment only
6:30-6:30 pm Board of Trustees Meeting
Monday, February 1
8:00-5:00 pm WIC Clinic By appointment only
Tuesday, February 2
8:00-5:00 pm WIC Clinic By appointment only
Wednesday, February 3
8:00-5:00 pm WIC Clinic By appointment only
Monday, February 8
8:00-5:00 pm WIC Clinic By appointment only

COVID-19 Vaccine Information

The Marion County Health Department does not have COVID 19 vaccine.  We do not expect any vaccine until the end of January or early February.  When we do receive vaccine, we will announce availability and eligibility.  Please follow the link above for updated information from the State of Missouri.


Marion County COVID-19 update of as 1-27-2021:

New:  4

Active: 83

Released:  3290

Deaths:  63

Total Cases:  3436

Reinfected:  9

Current Hospitalizations:  10

POSITIVITY RATE 1/10/21 – 1/16/21:  12.9%


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

**Our numbers represent individual cases; which means that one person may be tested numerous times but only counted one time.  We are utilizing the new CDC guidelines based on symptoms and severity of illness. Persons with positive results are evaluated and may be released from quarantine in 10 – 20 days without further testing, depending on their level of illness. The health department will communicate with those positive cases and give guidance. Exposed persons must self-quarantine 14 days.


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

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


Administrator Update – January 18, 2021


Marion County Health Department continues to wait for COVID-19 vaccine.  We are approved and ready to receive vaccine. That decision will come to us from the State of Missouri. We will announce its arrival.  Currently, we are not taking names for a waiting list. We will take appointments when we have a supply and are ready to administer the vaccine.

Continue to follow our website and community press releases. The State has opened Tier 1B, which currently includes those 65 and older with health issues to be eligible for vaccination. We are working with area partners to provide systems that will accommodate those who qualify and who want to be vaccinated.  Remember the state decides the tier levels and who is eligible.

Please continue to practice COVID-19 precautions. This is a stressful time for everyone, but we can get through this together.

Jean McBride



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