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, September 28
8:00-5:00 pm TB Test Clinic By Appointment Only
8:00-5:00 pm WIC Clinic By Appointment Only
Wednesday, September 29
8:00-5:00 pm WIC Clinic By Appointment Only
6:30-6:30 pm Board of Trustees Meeting
Thursday, September 30
8:00-5:00 pm Adult Immunization Clinic By Appointment Only
8:00-3:00 pm STI Testing Clinic By Appointment Only
Friday, October 1
8:00-5:00 pm COVID Immunization Clinic By Appointment Only
Tuesday, October 5
8:00-5:00 pm TB Test Clinic By Appointment Only

Marion County Health Department

Has 2 full time job openings

Public Health RN (must be licensed in Mo and in good standing)

Billing Clerk (requires billing experience)

Contact Jean McBride 573-221-1166 for job details and responsibilities




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 9/27/21:

New:  18

Active: 65

Released: 5032

Deaths:  93

Total Cases:  5190

Re-infected:  52

Current Hospitalizations:  4

Breakthrough infections starting 6/1/2021:  200

POSITIVITY RATE 9/15/21 – 9/22/21:  7.38%

**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.


CDC COVID Vaccine Data Tracker

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

COVID-19 Doses Administered:  21,193

COVID-19 Vaccine Regimen Initiated:  11,282

COVID-19 Vaccine Regimen Completed:  10,345

Percent of Population Initiating Vaccination:  39.5%

Percent of Population Completing Vaccination:  36.3%


General COVID Vaccine Information


Administrator Update — September 8, 2021

Marion County Health Department will be involved in re-construction for the next 6 – 8 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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