The Health Department will be CLOSED on Monday, January 17, 2022 in observance of Martin Luther King. Jr. Day.  There will be no clinics held and no birth certificate services available. We will reopen on Tuesday, January 18, 2022 at normal business hours.

Howard County now requires masks indoors in all businesses and facilities open to the public, as well as public transportation. All employees and the public are required to wear masks upon entry to all County buildings and throughout common areas, including elevators, stairwells, and/or meetings with other employees or visitors. 

The Health Department has limited, in-person, walk-in services with no appointment required. 

For more information or questions, contact 410-313-6300.

Interpretation services can be provided.

Crisis Services:

CAREAPP - connect to community programs and services

Bureaus & Programs
Access to Care

The Bureau of Access to Health facilitates enrollment into quality healthcare by: processing insurance applications for low income children under age 19 through the Maryland Children’s Health Program (MCHP); assisting clients with applying for health insurance and providing services to help clients navigate the Medicaid system in the Administrative Coordination Care Unit (ACCU);  and scheduling transportation for Medicaid recipients to receive necessary medical treatment with the Medical Assistance Transportation Program.

Behavioral Health

The Bureau of Behavioral Health works on the promotion of mental health, resilience, and wellbeing; the treatment of mental and substance use disorders; and the support of those who experience and/or are in recovery from these conditions, along with their families and communities

Cancer Prevention

Approximately one out of every two American men and one out of every three American women will develop Cancer at some point during their lifetime.

The goals of the Cancer Control Program at the Howard County Health Department are to:
  • Reduce cancer deaths in Howard County and to reduce the differences in cancer outcomes among whites and ethnic minorities.
  • Increase breast and cervical cancer screening among the uninsured, low income women statewide and provide follow-up diagnosis
  • Carry out public and professional education to assure the quality of screening services
  • Provide early detection of Colorectal Cancer by increasing the number of Maryland adults screened and to decrease racial and ethnic health disparities
  • Work with community partners, State agencies, healthcare entities, resource centers and other local health departments to implement proven strategies to protect Maryland residents from tobacco-related death and disease
  • Prevent youth and young adults from ever using tobacco products
  • Provide resources to assist residents who are ready to quit using tobacco
  • Eliminate exposure to harmful toxins found in second-hand smoke
  • Identify and eliminate health disparities among population groups disproportionately affected by tobacco-related death and disease

The COVID-19 page provides information, resources and services related to the coronavirus pandemic.

Emergency Preparedness & Response

The mission of this program is to prepare the County and its healthcare system to respond to natural and man-made public health emergencies including but not limited to: severe weather conditions, bioterrorism and disease outbreaks .

To carry out this mission, Howard County Health Department continually develops and exercises plans in cooperation with other County, State and Federal agencies to reduce the effects of, prepare for, respond to and recover from a public health emergency. Comprehensive emergency response and preparedness plans are developed and federally funded through a partnership with the U.S. Centers for Disease Control and Prevention (CDC) and the Maryland Department of Health's (MDH) Office of Preparedness and Response (OP&R).

Environmental Health

The Bureau of Environmental Health has three programs that address the physical environment. Programs include: Well & Septic, Food Protection and Community Hygiene.

Health Services

Howard County Health Department provides Reproductive Health Services to Howard County women, men and teens, including the LGBTQ community. 

We see uninsured or underinsured clients. Payments for services are based on a sliding fee scale. We accept Medical Assistance Plans and Managed Care Organizations (MCO), Visa, Mastercard, Discover or cash. Commercial insurances are accepted, but HCHD is out-of-network with all commercial insurances. 

Services are confidential.  We always accept new patients!

Immunization & Disease Prevention

This program promotes immunizations for all ages and investigates reportable illnesses including: Foodborne illnesses, Hepatitis, Tuberculosis, Lyme disease, Meningitis and other outbreaks

Local Health Improvement Coalition (LHIC)

The Local Health Improvement Coalition (LHIC) works to improve health outcomes and reduce health disparities in Howard County. Participation is sought from individuals and organizations that seek to ensure access to programs and services that support our vision of equitable health outcomes for all.

Maternal & Child Health

The Maternal and Child Health Program addresses those issues from preconception to teen years and beyond.

Nurse Monitoring Program

The goal of the Nurse Monitoring program is to help county residents to remain safe at home by connecting them with services and supports that can encourage their independence and personal well-being. This often means that individuals can live at home longer without having to consider moving to a nursing home or other facility placement.

Population Health

The Bureau of Population Health's goals are to implement wellness initiatives that reduce health risk factors, improve wellness and safety, and maintain a productive and active Howard County community and work force.

Women, Infants & Children (WIC) Program

WIC is a federally funded program that provides healthy foods and nutrition counseling for pregnant women, new mothers, infants and children under age five.

Other Health Department Services
About Us

The Mission, Vision & Values of the Howard County Health Department

Birth Certificates

Birth certificates for those born in Maryland after 1939 are available from the Health Department administrative Offices.

Job Opportunities

The Howard County Health Department has many public and population health initiatives that promote healthy behaviors, assure that our residents have access to quality health services, that we prevent the spread of disease, protect against environmental hazards and ensure our emergency preparedness readiness.  

In order to accomplish all of this, we rely on a large group of dedicated and talented people.  Some of the types of positions found within the Health Department are: medical personnel, social workers, counselors, nutritionists, environmental health, administrative and clerical staff.


The Health Department has several volunteer opportunities available for those who wish to give their time in the service of others.

Public Information Act Requests

Public Information Act (PIA) requests grant people the right to access to public records. 

Use the links below to access the appropriate request form. Completed forms can be submitted to [email protected].

Public Health Accreditation

Public Health Accreditation is a voluntary national program developed to measure health department performance against an established set of nationally recognized, practice-focused, and evidenced-based standards. Public Health Accreditation is overseen by the Public Health Accreditation Board (PHAB) and jointly supported by the Centers for Disease Control and Prevention (CDC) and the Robert Wood Johnson Foundation.

Health Boards

Members, Meetings & Minutes for the Howard County Board of Health and the Howard County Local Behavioral Health Authority.

Reports & Data

Howard County Health Department continuously monitors and evaluates health-related data to ensure a safe, healthy Howard County community. As part of this analysis, the Health Department produces periodic reports examining significant health factors to the community.

Health Department Request Forms


Community/Population Health

Behavioral/Mental Health

Environmental Health


Find the latest news updates.

Health Department Leadership

Maura J. Rossman, MD
Health Officer
Antigone Vickery, MPH
Deputy Health Officer
Kelly Russo, MD, MPH
Medical Director
Linda Ashburn, MPH
Director, Bureau of Assessment, Planning and Communications
Shelley English, PHR, SHRM-CP
Director, Human Resources
Michele Ingram, MBA, BAcc, CLP, SSGB
Director, Bureau of Administration
Shanika Cooper, MHS-PC
Director, Bureau of Access to Healthcare
Ilise D. Marrazzo, MPH, BSN, RN
Director, Bureau of Health Services & Director of Nursing
Michael J. Davis, LEHS
Director, Bureau of Environmental Health
Roe Rodgers-Bonaccorsy, PhD, LCADC, LCPC, NCC, CRC
Director, Bureau of Behavioral Health
Kelly Kesler, MPH, CHES
Director, Bureau of Population Health
Lisa M. de Hernández, CCPH, MPIO
Director, Communications & Public Information
Lenora Painter, MS, RN
Director, Bureau of Public Health Preparedness and Response

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