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Adair County, Missouri: environmental and disease records

Cancer mortality in Adair County is 173.1 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Lung & bronchus deaths at 1.4 times the U.S. rate. Federal databases place 139 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (50), Air permit holder (minor source) (24), Industrial wastewater discharge (16). EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 20 in a million, driven mainly by formaldehyde.

Rates are age-adjusted per 100,000 people. A cancer signal is marked significant when the lower bound of its 95 percent confidence interval is above the U.S. rate. Facility counts use active federal records located inside the county boundary. Approximate county center: 40.1888, -92.6009.

How this county ranks in Missouri

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Cancer deaths and new cases versus the United States

Source: NCI and CDC State Cancer Profiles, both sexes, all ages. Sorted by the ratio of the county rate to the U.S. rate.

Cancer rates for Adair County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	42	30.2	1.39xSignificant	32.1 to 54.3	2020-2024
Kidney & renal pelvis	New cases	23.2	17.9	1.3x	15.8 to 33.2	2019-2023
All cancer	Deaths	173.1	143.2	1.21xSignificant	152.2 to 196.4	2020-2024
Lung & bronchus	New cases	61.9	51.8	1.19x	49.7 to 76.5	2019-2023
Pancreas	New cases	16.1	13.9	1.16x	10 to 24.8	2019-2023
Non-Hodgkin lymphoma	New cases	19.8	18.5	1.07x	12.5 to 29.9	2019-2023
Pancreas	Deaths	11.9	11.3	1.05x	6.9 to 19.4	2020-2024
All cancer	New cases	462.2	453.4	1.02x	425.9 to 501.1	2019-2023
Melanoma of the skin	New cases	18.4	23.8	0.77x	11.5 to 28	2019-2023
Bladder	New cases	11.5	18.7	0.61x	6.6 to 18.9	2019-2023

Mortality measures versus the U.S. county median

Source: County Health Rankings, built from CDC National Vital Statistics System death records. The comparison value is the median of all U.S. counties.

Mortality measures for Adair County
Measure	County	U.S. median	Difference	Unit
Premature death	8,934	9,842.6	-9%	years of life lost before age 75 per 100,000
Life expectancy	75.9	75.3	+1%	years
Child mortality	64.8	59.8	+8%	deaths under age 18 per 100,000
Infant mortality	n/a	6.2	n/a	deaths under age 1 per 1,000 live births
Injury deaths	56.9	96.9	-41%	deaths per 100,000
Drug overdose deaths	n/a	28.6	n/a	deaths per 100,000

Air toxics and air quality

EPA AirToxScreen 2020

Lifetime cancer risk from outdoor air toxics: 20 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

Formaldehyde17.4 per million
Carbon Tetrachloride2.94 per million
Acetaldehyde1.62 per million
Benzene0.86 per million

EPA Air Quality Index

No EPA air quality monitor reports daily AQI for this county.

Regulated facilities, sites and hazards by type

139 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.

NPDES wastewater discharge permit50
Air permit holder (minor source)24
Industrial wastewater discharge16
Auto repair or body shop (mapped facility)14
Gas station (mapped facility)14
Rail grade crossing6
Small hazardous waste generator5
Brownfield property2
Large hazardous waste generator2
Toxic chemical release facility (TRI)2
Commercial airport1
Heliport1
TRI reporting facility1
Wastewater plant (mapped facility)1

Highest-severity records

The 25 records with the highest Envyrofax severity in the county, with the agency identifier to cite in a records request.

The Kraft Heinz Co, Kirksville
Toxic chemical release facility (TRI). Chemicals: Certain glycol ethers, Ammonia, Nitrate compounds (water dissociable; reportable only when in aqueous solution), Sodium nitrite and 1 more. 10,906 lbs released over 5 years.
TRI facility ID 63501DRFDS2504N (U.S. EPA Toxics Release Inventory)
Severity 6.1
Kirksville Wwtp, Kirksville
NPDES wastewater discharge permit.
EPA FRS registry ID 110039820593 (U.S. EPA ECHO) Agency record
Severity 6
Kirksville Rgnl, Kirksville
Commercial airport. O.
Record ID IRK (FAA / U.S. DOT)
Severity 5
Greentop Wwtf, Kirksville
NPDES wastewater discharge permit.
EPA FRS registry ID 110009111987 (U.S. EPA ECHO) Agency record
Severity 4.5
Brashear Pws, Brashear
NPDES wastewater discharge permit.
EPA FRS registry ID 110018000465 (U.S. EPA ECHO) Agency record
Severity 4.3
Kraft Foods Global, Kirksville
TRI reporting facility.
EPA FRS registry ID 110000567967 (U.S. EPA ECHO) Agency record
Severity 4
Countryside Butcher, La Plata
NPDES wastewater discharge permit.
EPA FRS registry ID 110070885337 (U.S. EPA ECHO) Agency record
Severity 4
Novinger Wwtp, Novinger
NPDES wastewater discharge permit.
EPA FRS registry ID 110039806056 (U.S. EPA ECHO) Agency record
Severity 3.5
Morrow Recycling, Kirksville
Brownfield property.
EPA FRS registry ID 110071967489 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Kirksville Industrial Park, Kirksville
Brownfield property.
EPA FRS registry ID 110071977404 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Kraft Foods Global, Kirksville
Large hazardous waste generator.
EPA FRS registry ID 110000567967 (U.S. EPA ECHO) Agency record
Severity 3
Gatehouse Media Dba Kirksville Daily Express, Kirksville
Large hazardous waste generator.
EPA FRS registry ID 110001462104 (U.S. EPA ECHO) Agency record
Severity 3
Kirksville Wwtp, Kirksville
Industrial wastewater discharge. Violation Identified.
NPDES permit MO0049506: (U.S. EPA NPDES)
Severity 3
Warren County Concrete - Kirksville North, Kirksville
Toxic chemical release facility (TRI). Chemicals: Nitrate compounds (water dissociable; reportable only when in aqueous solution), Manganese compounds.
TRI facility ID 6350WWRRNC42WNR (U.S. EPA Toxics Release Inventory)
Severity 3
Kirksville Ready Mix North, Kirksville
NPDES wastewater discharge permit.
EPA FRS registry ID 110001461454 (U.S. EPA ECHO) Agency record
Severity 2.8
Novinger Wwtf, Novinger
Industrial wastewater discharge. Violation Identified.
NPDES permit MO0056987: (U.S. EPA NPDES)
Severity 2.3
Kirksville Ready Mix North, Kirksville
Air permit holder (minor source).
EPA FRS registry ID 110001461454 (U.S. EPA ECHO) Agency record
Severity 2.3
Burk Subdivision Wwtf, Kirksville
NPDES wastewater discharge permit.
EPA FRS registry ID 110009872058 (U.S. EPA ECHO) Agency record
Severity 2.3
Truman State University-Kirksville, Kirksville
Small hazardous waste generator.
EPA FRS registry ID 110043745846 (U.S. EPA ECHO) Agency record
Severity 2
Truman State University-Kirksville, Kirksville
NPDES wastewater discharge permit.
EPA FRS registry ID 110043745846 (U.S. EPA ECHO) Agency record
Severity 2
Wastewater Plant
Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/1208177534 (OpenStreetMap contributors) Agency record
Severity 2
Millard Wwtf, Millard
NPDES wastewater discharge permit.
EPA FRS registry ID 110009112619 (U.S. EPA ECHO) Agency record
Severity 1.8
W. L. Miller Co Novinger Sand Plant, Novinger
NPDES wastewater discharge permit.
EPA FRS registry ID 110010359691 (U.S. EPA ECHO) Agency record
Severity 1.8
Kirksville Water Treatment Plant, Kirksville
NPDES wastewater discharge permit.
EPA FRS registry ID 110011108531 (U.S. EPA ECHO) Agency record
Severity 1.8
Supreme Body Shop, Kirksville
Small hazardous waste generator.
EPA FRS registry ID 110024256213 (U.S. EPA ECHO) Agency record
Severity 1.8

Correctional facilities

Prisons, jails and corrections operations with an EPA facility record, and the drinking water and wastewater compliance attached to them.

No correctional facility with an EPA record is located in this county.

Discovery / public records

Records to request for Adair County

Missouri state cancer registry
Cancer incidence counts by census tract or ZIP code, by cancer type and year (de-identified). Any cancer cluster inquiries or investigations in Adair County, and their findings.
Missouri vital statistics office
Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.
Missouri health department, environmental epidemiology
Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.
Missouri environmental agency and the U.S. EPA regional office
Compliance history, inspection reports, notices of violation, penalties and enforcement actions for each facility above, cited by EPA FRS registry ID.
Missouri drinking water program
Violation notices, sampling results and sanitary surveys for the public water systems serving the county, including any system serving a correctional facility.
Department of corrections or county sheriff
Water testing, grievances and environmental health inspections for the correctional facilities listed above.

Each Envyrofax address report includes a printable records request worksheet with the custodian and the exact request wording per finding.

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