Wednesday, June 03, 2020

Marion County Strategy - Individual responsibility 5/27/2020 Memo and flyer.

Information regarding the Coronavirus (COVID-19) from the Marion County Health Department.

County offices are open with some restrictions.  Public access is limited to the South entrance.  Health/travel screening questions will be required prior to admittance.  Wearing a mask is highly encouraged during any face to face meeting, along with proper social distancing.  Driver's License services will not be offered at this time.  The Department on Aging and the Planning & Zoning Office are open by appointment only.  In person attendance at the County Commission meetings will not be allowed at this time. 
Thank you for your patience and cooperation as we work to safely transition back to full public access over time.  The safety of our citizens and employees is of paramount importance.  County staff is available to answer your questions by phone or email.  Please don't hesitate to contact us. 

Treasurer:  620.382.2180
Vehicle Dept:
County Clerk:  620.382.2185
Register of Deeds:  620.382.2151
County Attorney:  620.382.2243
District Court:  620.382.2104
Appraiser:  620.382.3715
Mapping:  620.382.3778
Road & Bridge:  620.382.3761

PUBLIC ATTENDANCE OF COUNTY COMMISSION MEETINGS BY TELECOMMUNICATION ONLY.  In-person attendance at the County Commission meetings is not allowed at this time due to mass gathering restrictions.  We encourage attendance by telecommunication which also allows public interaction.
To join the County Commission meetings from your computer, tablet or smartphone, go to or by phone dial 1-866-899-4679.  The access code is 639-484-901#.

Please contact individual County offices directly for any questions or assistance.

Viral Hemmorhagic Fever

Etiologic Agents:

  • Arenaviradae (lassa, junin, machupo, guanarito, and sabia), filoviradae (marburg and ebola), Bunyaviradae (congo-crimean hemmorhagic fever virus and hantaviruses) and Flaviradae (yellow fever and dengue) can all cause Viral Hemmorhagic Fever (VHF)


  • Highly infectious after aerosolization
  • Infectious dose can be as low as 1-10 organisms
  • Risk of person-to-person transmission depends on virus


  • Incubation period is 4 - 21 days, depending on virus
  • Clinical presentation would vary by viral agent; however, dominant clinical features of all are a consequence of microvascular damage and changes in vascular permeability. fever, myalgia, and prostration may evolve to shock, generalized mucous membrane hemmorhage, and neurologic, hematopoietic, or pulmonary involvement

Laboratory Diagnosis:

  • Viral isolation should be handled in a biosafety level 3 or 4 facility and may take 3 - 10 days
  • Elisa or reverse transcriptase PCR available for most V.H.F. viruses

Patient Isolation:

  • Isolation room with Contact Precautions


  • Ribavirin (30 mg/kg iv x 1, then 15 mg/kg iv q 6 h x 4 days, y.5 mg/kg iv q 8 x 6 days) may be helpful for congo-crimean hemmorhagic fever or arenaviruses


  • Licensed vaccine available only for yellow fever