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.

learn more


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 Permit Application download
Temporary Food Pamphlet download
Temporary Food Policy download
Farmers Market Permit Application download
Farmers Market Food Policy download
Jams and Jelly Requirements download
Class One Maintenance Agreement download
Food Establishment Permit Application download


Thursday, August 18
8:15-3:00 pm Pregnancy Tests By Appointment Only
8:15-3:00 pm STI and Pregnancy Testing Clinics By Appointment Only
8:30-4:00 pm Flu and Immunization Clinic By Appointment Only
6:15-6:30 pm Tax Levy Hearing Hearing to be held at the Marion County Health Department, 3105 Route W, Hannibal, MO 63401.
6:30-9:00 pm Board of Trustees Meeting Meeting to be held at the Marion County Health Department, 3105 Route W, Hannibal, MO 63401.
Friday, August 19
8:30-4:00 pm Flu and COVID Immunization Clinic By Appointment Only
Thursday, August 25
8:15-3:00 pm Pregnancy Tests By Appointment Only
8:15-3:00 pm STI and Pregnancy Testing Clinics By Appointment Only
8:30-4:00 pm Flu and Immunization Clinic By Appointment Only
Friday, August 26
8:30-4:00 pm Flu and COVID Immunization Clinic By Appointment Only
Thursday, September 1
8:15-3:00 pm Pregnancy Tests By Appointment Only





You can order your FREE COVID test kit by visiting https://www.covid.gov/tests

Testing is still an important component for COVID-19 prevention. If you test positive, contact your local public health department for guidance.



Missouri health officials and pediatricians ask parents to use caution as nationwide infant formula shortages continue

For Immediate Release:

May 10, 2022


Media Contact:

Lisa Cox, Missouri Department of Health and Senior Services


JEFFERSON CITY, MO – As the nationwide infant formula shortage continues to affect parents and caregivers, state health officials and pediatricians urge Missourians to know the dos and don’ts of infant formula use and refrain from hoarding supply. The formula shortage, which began as a result of the COVID-19 pandemic supply chain challenges, continues today and is exacerbated by the recalls that occurred in February 2022.

“The combined shortage and product recall have created anxiety among infant parents and caregivers,” said Paula Nickelson, Acting Director, Missouri Department of Health and Senior Services (DHSS). “What often happens in these situations is that parents find alternative methods for feeding, and for infants, this could be dangerous and should be done in consultation with the child’s health care provider. We understand that manufacturers are doing everything they can to increase availability of formulas, and they are working closely with the FDA to ensure these products return to shelves to meet the current demand.”

Missourians are urged to follow these tips and consult their pediatrician with questions or concerns specific to their baby’s formula needs.

“Many different brands of infant formulas are FDA-regulated and are safe to use for most babies. Call your pediatrician or primary care provider if you have any questions,” said Dr. Maya Moody, President-Elect, Missouri Chapter, American Academy of Pediatrics. “Always mix the formula as instructed on the can or bottle, and never add extra water to dilute the formula.”

Missouri WIC (Women, Infants, and Children) is administered by DHSS, and the program’s participants are some of those who have been greatly impacted by the formula shortage and recalls. Missouri WIC offers the following list of do’s and don’ts for all parents and caregivers.


·                 Do feed your baby over 6 months old more baby food and less formula. A great resource, Food to Grow On: Birth to 12 months, provides a guide to the nutritional intake needed by babies during their first year of life.

·                 Do wean your babies over 12 months old off formula. After their first birthday, babies no longer need formula to meet their nutritional needs. Caregivers can wean the baby using water, milk and food.

·                 Do consider relactation. It is possible, with some effort, for women to relactate even if they did not breastfeed when their baby was born or were not able to for long. Contact a local IBCLC to help if you want to try to relactate.

·                 Do search for formula at multiple stores in your area. Check the customer service desk at the store to see if they are keeping any there. Call a store before making the trip to check their supply or ask when the next supply truck arrives.

·                 Do tell friends and family the brand and type of formula you use and ask them to pick it up for you if they see it in a store while shopping.

·                 Do call your pediatrician if you run low and ask for guidance. They will be able to give you guidance on a safe formula switch or may even have samples to help you for a few days.


·                 Don’t hoard formula. Only keep a monthly supply, at the most, to give other caregivers the opportunity to find formula. Hoarding is making the shortage worse!

·                 Don’t make homemade formula. Without proper regulation, homemade infant formula may lack proper ingredients that are vital to infant growth and can cause life-threatening foodborne illnesses when consumed. There are many social media conversations about how homemade formula was used a long time ago and babies were just fine. They weren’t just fine. Babies died before commercial formula was widely available. The infant mortality rates were higher and babies were malnourished. Don’t make homemade formula.

·                 Don’t dilute (water down) your baby’s formula to make it last longer. Your baby needs the full formula for proper nutrition and growth.

·                 Don’t follow online advice except from trusted, expert sources. Your baby’s health and nutrition is too important to risk!

·                 Don’t give cow’s milk or other milk substitutes to a baby under 1 year of age. Before your child is 12 months old, cow’s or goat’s milk may put him or her at risk for intestinal bleeding. It also has too many proteins and minerals for your baby’s kidneys to handle and does not have the right amount of nutrients for your baby.

The FDA shares additional infant formula safety tips here.

Marion County COVID-19 Weekly Update


8/6/22 – 8/12/22:

New:  103

Total Deaths:  129

Known Hospitalizations: 0

For more information, visit the DHSS website  or the CDC website

Updated Guidance from the CDC

CDC COVID Vaccine Data Tracker

General COVID Vaccine Information


  • This field is for validation purposes and should be left unchanged.