PO Box 1378 3105 Palmyra Rd. Hannibal, MO


Marion County Health Department is committed to the Core Public Health functions of assessing status of Marion County residents, policy development to meet Marion County residents needs, and assurance that the public health needs of Marion County are met.

For further information about Public Health Services please call 573-221-1166. Click a link below to for more information on a service listed.

Alliances for Substance Abuse Prevention

Mission Statement:  The Alliance of Substance Abuse Prevention seeks to reduce substance abuse in Marion County by increasing awareness of drug use and its consequences, developing policies, and setting priorities to ensure a drug-free environment for individuals, families and communities.

Community Coalition covering Marion County meets the last Thursday of each month
Target audience is adolescents ages 10 – 19
For more information call Marion County Health Department, 573-221-1166.

Childhood Environmental Lead Screening

Blood testing is available to children ages 6 months to 6 years. For more information please call 573-221-1166.

Communicable Diseases

Communicable disease surveillance and case investigations are conducted according to the Missouri Department of Health and Senior Services guidelines. For a detailed listing of reportable diseases see the link below.  For more information on a disease or reporting a disease, please call 573-221-1166.

Reportable Deseases (PDF)

Emergency Preparedness

Emergency preparedness information for a natural disaster that can occur, such as a winter storm, tornado, flood or earthquake can be obtained by contacting us. For more information please call 573-221-1166.

Environmental Health

The Environmental Public Health program is responsible for the following:

  • Inspection of food service facilities, daycare centers and lodging establishments.
  • Training food service workers and managers on safe handling of food and the Marion County Food Code.
  • Work with realtors, home owners, and sewer system installers regarding the permitting and installation of new and existing sewer systems in Marion County.  Contact the health department for current fees and also to fill out a permit application and schedule an on-site evaluation.
  • Educating people about lead hazards, mold, rabies, and radon.
  • Evaluation of private water supplies and waste water treatment systems.
  • Investigations and/or consultations are provided for lead poisoned children , indoor air and mold, rabies, water testing, and other environmental issues.

For more information please click here or call 573-221-1166.

First Aid / CPR

Classes available upon request. Please call 573-221-1166 if interested in First Aid and/or CPR.

Health Education Classes

Health Education Programs are available upon request for businesses, community groups, employee wellness plans, schools, churches, and other organizations in Marion County.  Programs can be tailored to meet the goals of the requester. To schedule a program, call 573-221-1166.

Maternal and Child Health

Maternal Child Health Programs help improve the health of infants, children, and women in Marion County. The main goal of this program is: Reduce the suicide death rate among youth 10-19 years from 7.8% per 100,000 (CY 2019 Vital Statistics) by 2026 and focus on increasing resources to children and adolescents in regards to mental health/mental wellness.

The Marion County Health Department will promote creating supportive environments that promote healthy and empowered individuals, families and communities.

The other focuses of this program are: Reducing obesity among children, adolescents and women, as well as preventing and reducing smoking among adolescents and women. For more information please call 573-221-1166.

This project is/was funded in part by the Missouri Department of Health and
Senior Services Maternal Child Health Services Program,
Contract #DH220051107, and is/was supported by the Health Resources Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant #04MC40144, Maternal and Child Health Services for $12,299,305, of which $0 is from non-governmental sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

Office Visits

Office visits are offered free of charge for monitoring blood pressure and other services under a physician guidance or order. For more information please call 573-221-1166.

Pregnancy Test

Pregnancy testing is available at a small fee for everyone. For more information please call 573-221-1166.

School Health

Consultation is provided upon request to public, private and parochial schools for children’s healthcare issues or concerns. Public Health works closely with school nurses and officials. Annual health screenings can be scheduled and provided upon request from schools. These screenings include: vision, hearing, and scoliosis. For more information, call 573-221-1166.

Sexually Transmitted Infections

Marion County Health Department’s Public Health Nurses are available for confidential consultation on sexually transmitted infections (formerly known as Sexually Transmitted Diseases, or STDs), urine testing, as well as blood testing for HIV and Syphilis.  Health information is available. Public Health collaborates with physicians and the Missouri Department of Health and Senior Services to ensure proper treatment to prevent the spread of sexually transmitted infections. For more information or to make an appointment call 573-221-1166.

See link below for more information:

Tuberculosis Program

Tuberculosis skin testing is provided on Monday, Tuesday and Wednesday and is provided at a fee of $20.00 due at the time of service, unless you are a contact of a diagnosed case of tuberculosis. Medication for treatment of tuberculosis is provided with a physician order in cooperation with the Missouri Department of Health & Senior Services. For more information please call 573-221-1166.

Vaccination / Immunizations

The Marion County Health Department educates on the importance of preventing disease through vaccination. Vaccinations are available for all ages.  Private insurance, Medicare, Medicaid can be billed. VFC and 317 programs are available for those who qualify with minimal administration fee. Marion County Health Department follows the ACIP and the CDC guidelines for the vaccination of children. See link below.  Please remember to bring your child’s most current immunization record to the appointment. For more information or to make an appointment, please call 573-221-1166.

For more information, click here:


Vital Records

Certified copies of birth certificates for anyone born in the State of Missouri after 1920 and certified copies of death certificates for anyone whose death occurred in the State of Missouri after 1980 can be issued by the Marion County Health Department. The cost of a certified birth certificate is $15.00 per copy.  Certified death certificates are $14.00 for the first copy and $11.00 for each additional copy ordered at the same time. Proper picture identification is required. If requesting by mail, a notarized birth or death certificate application must be submitted, along with a certified check or money order for the proper amount, made out to MCHD.  Also required is a self-addressed stamped envelope. For more information please call 573-221-1166.


Please mail applications to:

Marion County Health Department
P.O. Box 1378
Hannibal, Mo 63401

(Women, Infants & Children)

The WIC program works to improve the health of women, infants and children up to five years of age. It offers nutrition education and assistance to purchase nutritious foods. In addition, WIC offers health screenings, breastfeeding promotion and support, referrals to health care providers or social service agencies and assess risk the participant may have. See below to see if your families meet income guidelines.

WIC services are provided at the Marion County Health Department. Please call for an appointment.  Must bring your ID to WIC appointments. Please call to avoid any inconvenience. Please note the date and times of clinics on the Calendar tab.

May 01, 2022
Missouri WIC Income Guidelines
Guidelines reflect gross (pre-tax) income
Reglas de Ingresos del Programa de WIC en Missouri
Family Size
Tamaño de la familia
Twice -Monthly
Dos veces al
Cada dos semanas
1 $25,142 $2,096 $1,048 $967 $484
2 $33,874 $2,823 $1,412 $1,303 $652
3 $42,606 $3,551 $1,776 $1,639 $820
4 $51,338 $4,279 $2,140 $1,975 $988
5 $60,070 $5,006 $2,503 $2,311 $1,156
6 $68,802 $5,734 $2,867 $2,647 $1,324
7 $77,534 $6,462 $3,231 $2,983 $1,492
8 $86,266 $7,189 $3,595 $3,318 $1,659
9 $94,998 $7,917 $3,959 $3,654 $1,827
10 $103,730 $8,645 $4,323 $3,990 $1,995
11 $112,462 $9,372 $4,686 $4,326 $2,163
12 $121,194 $10,100 $5,050 $4,662 $2,331
13 $129,926 $10,828 $5,414 $4,998 $2,499
14 $138,658 $11,555 $5,778 $5,333 $2,667
15 $147,390 $12,283 $6,142 $5,669 $2,835
16 $156,122 $13,011 $6,506 $6,005 $3,003
Each additional family member
Cada miembro adicional de la familia
+$8,732 +$728 +$364 +$336 +$168

Pregnant women may be counted as two family members. Income guidelines are based on 185% poverty level.

Cuentan a las mujeres embarazadas como dos miembros de la familia. Las reglas del ingreso se basan el 185% del nivel de pobreza. Esta institucion es un proveedor de igualdad de oportunidades! WIC 909 (05/20)

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and instritutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of comunication for program information (e.g. Braille,large print, audiotape, American Sign Language, etc.) should contact the Agency (State or local) where they applied for benefits.  Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Compliant Form, (AD-3027) found online at:  http://www.ascr.usda.gov/compliant_filing_cust.html, information requested in the form.  To requiest a copy of the complaint form, call (866)632-9992.  Submit your completed form or letter to USDA by:

  1.  Mail:  US Department of Agriculture
    Office of the Assistant Secretary for Civil Rights
    1400 Independence Avenue, SW
    Washington, DC 20250-9410
  2. Fax: (202)690-7442; or
  3. Email: program.intake@usda.gov.