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Audrain County, Missouri: environmental and disease records

Cancer mortality in Audrain County is 168.6 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 1.6 times the U.S. rate. Federal databases place 319 regulated facilities, sites and hazards inside the county, led by Rail grade crossing (102), NPDES wastewater discharge permit (77), Industrial wastewater discharge (53). 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: 39.2032, -91.7624.

How this county ranks in Missouri

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 Audrain County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Lung & bronchusDeaths48.930.21.62xSignificant38.9 to 60.92020-2024
Lung & bronchusNew cases68.151.81.31xSignificant56.3 to 81.92019-2023
Non-Hodgkin lymphomaNew cases21.918.51.18x15 to 31.12019-2023
All cancerDeaths168.6143.21.18xSignificant149.3 to 1902020-2024
Kidney & renal pelvisNew cases20.517.91.15x14 to 29.22019-2023
BladderNew cases20.818.71.11x14.5 to 29.32019-2023
All cancerNew cases443.2453.40.98x410.4 to 4782019-2023
ThyroidNew cases12.3130.95x6.9 to 20.32019-2023
Melanoma of the skinNew cases22.123.80.93x14.8 to 31.92019-2023
PancreasNew cases10.713.90.77x6.2 to 17.42019-2023

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 Audrain County
MeasureCountyU.S. medianDifferenceUnit
Premature death10,222.69,842.6+4%years of life lost before age 75 per 100,000
Life expectancy73.975.3-2%years
Child mortality68.559.8+15%deaths under age 18 per 100,000
Infant mortality10.26.2+65%deaths under age 1 per 1,000 live births
Injury deaths75.196.9-23%deaths per 100,000
Drug overdose deaths17.528.6-39%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.

  • Formaldehyde17.86 per million
  • Carbon Tetrachloride2.94 per million
  • Acetaldehyde1.78 per million
  • Benzene0.84 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

  • Rail grade crossing102
  • NPDES wastewater discharge permit77
  • Industrial wastewater discharge53
  • Air permit holder (minor source)25
  • Gas station (mapped facility)13
  • Small hazardous waste generator8
  • Major air pollution source7
  • Toxic chemical release facility (TRI)7
  • Auto repair or body shop (mapped facility)6
  • Brownfield property5
  • TRI reporting facility5
  • Large greenhouse gas emitter3
  • Large hazardous waste generator2
  • Gas power plant2
  • Commercial airport1
  • Heliport1
  • Oil-fired power plant1
  • 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.

  1. Cerro Flow Products Llc, Mexico

    Toxic chemical release facility (TRI). Chemicals: Copper compounds, Copper And Copper Compounds, Lead. Reports carcinogens. 27,821 lbs released over 5 years.

    TRI facility ID 65265CRRCP1500I (U.S. EPA Toxics Release Inventory)

    Severity 7.9
  2. Poet Biorefining - Laddonia Llc, Laddonia

    Toxic chemical release facility (TRI). Chemicals: n-Hexane, Acetaldehyde, Formic acid, Methanol and 4 more. Reports carcinogens. 25,651 lbs released over 5 years.

    TRI facility ID 63352PTBRF89NPI (U.S. EPA Toxics Release Inventory)

    Severity 7.9
  3. Adm Soybean Processing Plant, Mexico

    Toxic chemical release facility (TRI). Chemicals: n-Hexane, Methanol. 1,465,335 lbs released over 5 years.

    TRI facility ID 65265DMSYB400EH (U.S. EPA Toxics Release Inventory)

    Severity 7.7
  4. Missouri Ethanol, Llc, Laddonia

    TRI reporting facility.

    EPA FRS registry ID 110070672528 (U.S. EPA ECHO) Agency record

    Severity 7.6
  5. Teva Pharmaceuticals Usa, Mexico

    Toxic chemical release facility (TRI). Chemicals: Dichloromethane, Ammonia, Triethylamine, N,N-Dimethylformamide and 2 more. Reports carcinogens. 3,450 lbs released over 5 years.

    TRI facility ID 65265BCRFT5000C (U.S. EPA Toxics Release Inventory)

    Severity 7.2
  6. Archer Daniels Midland Co/Mid-America Biofuels Llc, Mexico

    TRI reporting facility.

    EPA FRS registry ID 110017981656 (U.S. EPA ECHO) Agency record

    Severity 6.8
  7. Spartan Light Metal Products Llc, Mexico

    Toxic chemical release facility (TRI). Chemicals: Copper, Nickel, Manganese, Lead. Reports carcinogens. 168 lbs released over 5 years.

    TRI facility ID 6526WSPRTN251LA (U.S. EPA Toxics Release Inventory)

    Severity 6.2
  8. Arch Enterprises Inc, Mexico

    Large hazardous waste generator.

    EPA FRS registry ID 110070277386 (U.S. EPA ECHO) Agency record

    Severity 6
  9. Arch Enterprises Inc, Mexico

    Large hazardous waste generator.

    EPA FRS registry ID 110070331483 (U.S. EPA ECHO) Agency record

    Severity 6
  10. Cerro Copper Casting, Mexico

    TRI reporting facility.

    EPA FRS registry ID 110011085084 (U.S. EPA ECHO) Agency record

    Severity 5.7
  11. Missouri Ethanol, Llc, Laddonia

    Major air pollution source.

    EPA FRS registry ID 110070672528 (U.S. EPA ECHO) Agency record

    Severity 5.3
  12. Harbisonwalker International Inc.- Vandalia Mo Plant, Vandalia

    Toxic chemical release facility (TRI). Chemicals: Chromium compounds (except for chromite ore mined in the Transvaal Region), Chromium and Chromium Compounds(except for chromite ore mined in the Transvaal Region). 380 lbs released over 5 years.

    TRI facility ID 63382HRBSNBOOKE (U.S. EPA Toxics Release Inventory)

    Severity 5
  13. Harbison Walker Refractories Company Vandalia Plant, Vandalia

    Major air pollution source.

    EPA FRS registry ID 110017980489 (U.S. EPA ECHO) Agency record

    Severity 4.8
  14. Missouri Ethanol, Llc, Laddonia

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070672528 (U.S. EPA ECHO) Agency record

    Severity 4.8
  15. Spartan Light Metal Products, L.L.C., Mexico

    TRI reporting facility.

    EPA FRS registry ID 110042785518 (U.S. EPA ECHO) Agency record

    Severity 4.7
  16. Continental Products Llc, Mexico

    Major air pollution source.

    EPA FRS registry ID 110003964728 (U.S. EPA ECHO) Agency record

    Severity 4.5
  17. Westgate Mhp, Mexico

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006666429 (U.S. EPA ECHO) Agency record

    Severity 4.5
  18. Lakeside Estates Wwtf, Mexico

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009712659 (U.S. EPA ECHO) Agency record

    Severity 4.5
  19. Teva Pharmaceuticals Usa Inc, Mexico

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110017987384 (U.S. EPA ECHO) Agency record

    Severity 4.5
  20. Harbison Walker Refractories Company Vandalia Plant, Vandalia

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110017980489 (U.S. EPA ECHO) Agency record

    Severity 4.3
  21. Missouri Ethanol, Llc, Laddonia

    Large greenhouse gas emitter.

    EPA FRS registry ID 110070672528 (U.S. EPA ECHO) Agency record

    Severity 4.3
  22. Mexico, Mexico

    Oil-fired power plant.

    Record ID 6650 (U.S. Energy Information Administration)

    Severity 4.1
  23. True Manufacturing Company-Mexico, Mexico

    TRI reporting facility.

    EPA FRS registry ID 110000444323 (U.S. EPA ECHO) Agency record

    Severity 4
  24. Teva Pharmaceuticals Usa Inc, Mexico

    Air permit holder (minor source).

    EPA FRS registry ID 110017987384 (U.S. EPA ECHO) Agency record

    Severity 4
  25. Rahma Halal, Mexico

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071405142 (U.S. EPA ECHO) Agency record

    Severity 4

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 Audrain 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 Audrain 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.