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Andrew County, Missouri: environmental and disease records

Cancer mortality in Andrew County is 154.2 deaths per 100,000 people per year against a U.S. rate of 143.2. The strongest disease signals are Lung & bronchus deaths at 1.7 times the U.S. rate. Federal databases place 82 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (37), Rail grade crossing (11), Air permit holder (minor source) (9). EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 30 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: 39.9752, -94.802.

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 Andrew County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	50.4	30.2	1.67xSignificant	39.2 to 64.4	2020-2024
Kidney & renal pelvis	New cases	26.7	17.9	1.49x	17.8 to 38.8	2019-2023
Thyroid	New cases	19.2	13	1.48x	10.8 to 31.5	2019-2023
Pancreas	Deaths	15.1	11.3	1.34x	9.4 to 23.7	2020-2024
Melanoma of the skin	New cases	31.2	23.8	1.31x	21.5 to 44.2	2019-2023
Leukemia	New cases	17.1	14.5	1.18x	10.2 to 27.1	2019-2023
Lung & bronchus	New cases	60.7	51.8	1.17x	48.4 to 75.7	2019-2023
All cancer	Deaths	154.2	143.2	1.08x	133.6 to 177.5	2020-2024
Pancreas	New cases	14.4	13.9	1.04x	8.6 to 23.3	2019-2023
Bladder	New cases	17.5	18.7	0.94x	11.2 to 26.7	2019-2023
All cancer	New cases	419.9	453.4	0.93x	383.5 to 459.2	2019-2023
Non-Hodgkin lymphoma	New cases	13.5	18.5	0.73x	8.2 to 21.6	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 Andrew County
Measure	County	U.S. median	Difference	Unit
Premature death	6,537.7	9,842.6	-34%	years of life lost before age 75 per 100,000
Life expectancy	78.5	75.3	+4%	years
Child mortality	n/a	59.8	n/a	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	60.7	96.9	-37%	deaths per 100,000
Drug overdose deaths	20.5	28.6	-28%	deaths per 100,000

Air toxics and air quality

EPA AirToxScreen 2020

Lifetime cancer risk from outdoor air toxics: 30 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

Formaldehyde17.98 per million
Carbon Tetrachloride2.92 per million
Acetaldehyde1.65 per million
Benzene0.87 per million

EPA Air Quality Index 2025

Monitored on 245 days: 213 good, 0 unhealthy for sensitive groups or worse. Median AQI 40, peak 93.

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit37
Rail grade crossing11
Air permit holder (minor source)9
Gas station (mapped facility)8
Industrial wastewater discharge7
Public airport2
Auto repair or body shop (mapped facility)2
Small hazardous waste generator2
EPA air quality monitor1
Brownfield property1
TRI reporting facility1
Toxic chemical release facility (TRI)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.

Savannah City Pool, Savannah
NPDES wastewater discharge permit.
EPA FRS registry ID 110020155712 (U.S. EPA ECHO) Agency record
Severity 4.5
Tuscany Lake/Vista Ridge Wwtp, Savannah
NPDES wastewater discharge permit.
EPA FRS registry ID 110030762985 (U.S. EPA ECHO) Agency record
Severity 4.5
Herzog Savannah Plant, Savannah
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens.
TRI facility ID 6448WHRZGS16298 (U.S. EPA Toxics Release Inventory)
Severity 4.5
Norris Asphalt Paving Co-Breit Quarry Plant, Savannah
TRI reporting facility.
EPA FRS registry ID 110006736595 (U.S. EPA ECHO) Agency record
Severity 4.3
North Andrew R-6 School, Rosendale
NPDES wastewater discharge permit.
EPA FRS registry ID 110009712962 (U.S. EPA ECHO) Agency record
Severity 4.3
Aok Campground Wwtp, St Joseph
NPDES wastewater discharge permit.
EPA FRS registry ID 110070201775 (U.S. EPA ECHO) Agency record
Severity 4
Fillmore Wwtf, Fillmore
NPDES wastewater discharge permit.
EPA FRS registry ID 110018003088 (U.S. EPA ECHO) Agency record
Severity 3.8
Millstone Subdivision Wwtf, St. Joseph
NPDES wastewater discharge permit.
EPA FRS registry ID 110039519526 (U.S. EPA ECHO) Agency record
Severity 3.8
Savannah Wwtf, Savannah
NPDES wastewater discharge permit.
EPA FRS registry ID 110009710740 (U.S. EPA ECHO) Agency record
Severity 3.5
Country Club Phase Ii Ms4, Country Club
NPDES wastewater discharge permit.
EPA FRS registry ID 110030991666 (U.S. EPA ECHO) Agency record
Severity 3.3
Amazonia Wwtf, Amazonia
NPDES wastewater discharge permit.
EPA FRS registry ID 110039816615 (U.S. EPA ECHO) Agency record
Severity 3.3
Fms Metals, Amazonia
Brownfield property.
EPA FRS registry ID 110071973425 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Savannah Wwtf, Savannah
Industrial wastewater discharge. Violation Identified.
NPDES permit MO0026336: (U.S. EPA NPDES)
Severity 3
Walden View Association, Inc. Wwtf, Country Club
NPDES wastewater discharge permit.
EPA FRS registry ID 110006667614 (U.S. EPA ECHO) Agency record
Severity 2.8
Savannah Pws, Savannah
NPDES wastewater discharge permit.
EPA FRS registry ID 110009036266 (U.S. EPA ECHO) Agency record
Severity 2.8
Dawn Valley Subdivision Wwtf, Savannah
NPDES wastewater discharge permit.
EPA FRS registry ID 110040330736 (U.S. EPA ECHO) Agency record
Severity 2.8
Bolckow Wtp, Bolckow
NPDES wastewater discharge permit.
EPA FRS registry ID 110064270774 (U.S. EPA ECHO) Agency record
Severity 2.8
Indian Ridge Subdivision Wwtp, St. Joseph
NPDES wastewater discharge permit.
EPA FRS registry ID 110070601522 (U.S. EPA ECHO) Agency record
Severity 2.8
Dawn Valley Subdivision Wwtf, St. Joseph
NPDES wastewater discharge permit.
EPA FRS registry ID 110071824322 (U.S. EPA ECHO) Agency record
Severity 2.8
Shady Lawn Rest Home Wwtf, Savannah
NPDES wastewater discharge permit.
EPA FRS registry ID 110009876401 (U.S. EPA ECHO) Agency record
Severity 2.3
Lakewood Trails, Helena
NPDES wastewater discharge permit.
EPA FRS registry ID 110055630107 (U.S. EPA ECHO) Agency record
Severity 2.3
Cosby Wwtp, Cosby
NPDES wastewater discharge permit.
EPA FRS registry ID 110040047295 (U.S. EPA ECHO) Agency record
Severity 2
Village Of Country Club Wwtf, St Joseph
NPDES wastewater discharge permit.
EPA FRS registry ID 110040330870 (U.S. EPA ECHO) Agency record
Severity 2
Spring Meadows Subdivision Wwtp, Savannah
NPDES wastewater discharge permit.
EPA FRS registry ID 110040334803 (U.S. EPA ECHO) Agency record
Severity 2
Norris Asphalt Paving Co - Amazonia Quarry (Napco Site 14), Amazonia
NPDES wastewater discharge permit.
EPA FRS registry ID 110006531137 (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 Andrew 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 Andrew 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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