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, March 8
8:00-5:00 pm WIC Clinic By appointment only
Tuesday, March 9
8:00-5:00 pm WIC Clinic By appointment only
Wednesday, March 10
8:00-5:00 pm WIC Clinic By appointment only
Monday, March 15
8:00-5:00 pm WIC Clinic By appointment only
Tuesday, March 16
8:00-5:00 pm WIC Clinic By appointment only

General COVID Vaccine Information


Marion County COVID-19 update of as 3-5-2021:

New:  5

Active: 24

Released:  3482

Deaths:  65

Total Cases:  3571

Reinfected:  9

Current Hospitalizations:  2

POSITIVITY RATE 2/20/21 – 2/26/21:  2.0%

**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.



Administrator Update — March 1, 2021


The Marion County Health Department wants to again extend great appreciation to our community for the success of the “second dose” Mass Vaccination Event that was held on Friday, February 26, 2021 at the Hannibal Inn in Hannibal.  Approximately 2,000 (2nd) doses were administered of the COVID-19 vaccine. This was made possible by the community working together in the planning and delivery of the event.

Partners that worked with the Marion County Health Department staff included the National Guard, SEMA, numerous volunteers consisting of local physicians, nurses and clerks, staff from neighboring local health departments, Hannibal Clinic, Hannibal Police and Fire, Marion County Sheriff, EMS and 911, Ralls County Sheriff, Chamber of Commerce (local businesses/restaurants that provided food and drink), Mo DOT, Missouri Highway Patrol, Hannibal Inn owners, Dura owner, the Railroad, as well as the public.

Again, we wish to THANK EVERYONE who helped us provide vaccinations to our community!  The weather was a little warmer for everyone who worked for hours outside, making things run smoothly.

We have no more Mass Vaccination Events planned at this time. Please continue to visit our website for any updates on vaccination clinics.

Please continue to practice COVID-19 precautions, even after receiving the vaccine.


Jean McBride


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