Oversees the administration of public health services for the residents of Ralls County, Missouri. Services include birth and death certificates, lead testing, public facility health inspection, restaurant/food sanitation, child care provider training, activities of daily living assessment, blood pressure screening, cholesterol/triglycerides tests, diabetes screening, HIV testing, hypoglycemia screening, sexually transmitted disease screening, HIV prevention counseling, CPR instruction, general first aid instruction, general health edcation programs, medical equipment/supplies, pregnancy testing, community clinic, therapeutic exercise, home nursing, long term home health care, childhood/adolescent/adult immunizations, flu vaccines, medicaid, WIC, personal care septic system permits disaster response services, information and referral and occupational, speech and physical therapy and therapeutic exercise.