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Bates County, Missouri: environmental and disease records

Cancer mortality in Bates County is 155 deaths per 100,000 people per year against a U.S. rate of 143.2. The strongest disease signals are Lung & bronchus deaths at 1.4 times the U.S. rate. Federal databases place 190 regulated facilities, sites and hazards inside the county, led by Rail grade crossing (88), NPDES wastewater discharge permit (46), Air permit holder (minor source) (14). 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: 38.2479, -94.3434.

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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 Bates County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	New cases	89	51.8	1.72xSignificant	72.5 to 108.5	2019-2023
Non-Hodgkin lymphoma	New cases	27.8	18.5	1.5x	18.3 to 40.8	2019-2023
Lung & bronchus	Deaths	42	30.2	1.39xSignificant	30.8 to 56.3	2020-2024
Pancreas	Deaths	14.8	11.3	1.31x	8.2 to 24.8	2020-2024
Leukemia	New cases	15.9	14.5	1.1x	8.8 to 26.7	2019-2023
All cancer	New cases	496.5	453.4	1.1xSignificant	453.9 to 542.3	2019-2023
Melanoma of the skin	New cases	25.8	23.8	1.08x	16.7 to 38.6	2019-2023
All cancer	Deaths	155	143.2	1.08x	132.5 to 180.6	2020-2024
Kidney & renal pelvis	New cases	16.7	17.9	0.93x	9.9 to 27.1	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 Bates County
Measure	County	U.S. median	Difference	Unit
Premature death	9,360	9,842.6	-5%	years of life lost before age 75 per 100,000
Life expectancy	74.7	75.3	-1%	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	98.7	96.9	+2%	deaths per 100,000
Drug overdose deaths	28.9	28.6	+1%	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.

Formaldehyde18.67 per million
Carbon Tetrachloride2.92 per million
Acetaldehyde1.8 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

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

Rail grade crossing88
NPDES wastewater discharge permit46
Air permit holder (minor source)14
Industrial wastewater discharge10
Brownfield property7
Gas station (mapped facility)7
Auto repair or body shop (mapped facility)6
Public airport3
Airfield2
Hazardous waste transporter2
Commercial airport1
Small hazardous waste generator1
Heliport1
Oil-fired power plant1
Solar power plant1

Highest-severity records

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

Butler Ww Trmt Plant, Butler
NPDES wastewater discharge permit.
EPA FRS registry ID 110009874467 (U.S. EPA ECHO) Agency record
Severity 5.5
Amsterdam Wwtf, Amsterdam
NPDES wastewater discharge permit.
EPA FRS registry ID 110009866831 (U.S. EPA ECHO) Agency record
Severity 4.5
Hume Wwtf, Hume
NPDES wastewater discharge permit.
EPA FRS registry ID 110009870256 (U.S. EPA ECHO) Agency record
Severity 4.5
Adrian Wwtf, Adrian
NPDES wastewater discharge permit.
EPA FRS registry ID 110009870853 (U.S. EPA ECHO) Agency record
Severity 4.5
Rich Hill Wwtf, Rich Hill
NPDES wastewater discharge permit.
EPA FRS registry ID 110009874886 (U.S. EPA ECHO) Agency record
Severity 4.5
Adrian Wtp, Adrian
NPDES wastewater discharge permit.
EPA FRS registry ID 110042445565 (U.S. EPA ECHO) Agency record
Severity 4.3
Butler Municipal Power Plant, Butler
Oil-fired power plant.
Record ID 2115 (U.S. Energy Information Administration)
Severity 4
Hudson R-9 School District Wwtp, Appleton City
NPDES wastewater discharge permit.
EPA FRS registry ID 110006727998 (U.S. EPA ECHO) Agency record
Severity 4
Bates County Pwsd No 2, Amsterdam
NPDES wastewater discharge permit.
EPA FRS registry ID 110064419080 (U.S. EPA ECHO) Agency record
Severity 4
Hacker Property 2, Rich Hill
Brownfield property.
EPA FRS registry ID 110071964647 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Hilbus Property, Butler
Brownfield property.
EPA FRS registry ID 110071964650 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Lalo, Inc., Rich Hill
Brownfield property.
EPA FRS registry ID 110071966647 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Hank Klumb-Site 4, Butler
Brownfield property.
EPA FRS registry ID 110071969793 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Butler Auto Repair, Butler
Brownfield property.
EPA FRS registry ID 110071971098 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Old Rich Hill, Rich Hill
Brownfield property.
EPA FRS registry ID 110071971595 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Merchantile Site, Rich Hill
Brownfield property.
EPA FRS registry ID 110071973875 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
City Of Butler Water Treatment Plant, Butler
NPDES wastewater discharge permit.
EPA FRS registry ID 110000729542 (U.S. EPA ECHO) Agency record
Severity 3
Adrian Wtp, Adrian
NPDES wastewater discharge permit.
EPA FRS registry ID 110009008037 (U.S. EPA ECHO) Agency record
Severity 3
Rockville Pws-Rockville, Rockville
NPDES wastewater discharge permit.
EPA FRS registry ID 110009696196 (U.S. EPA ECHO) Agency record
Severity 2.8
Butler Wwtp, Butler
Industrial wastewater discharge. Violation Identified.
NPDES permit MO0096229: (U.S. EPA NPDES)
Severity 2.7
Rich Hill Wwtf, Rich Hill
Industrial wastewater discharge. Violation Identified.
NPDES permit MO0092517: (U.S. EPA NPDES)
Severity 2.6
Walnut Creek Mine, Hume
NPDES wastewater discharge permit.
EPA FRS registry ID 110071311177 (U.S. EPA ECHO) Agency record
Severity 2.5
Amoret Waste Water Treatment Lagoon, Amoret
NPDES wastewater discharge permit.
EPA FRS registry ID 110015315586 (U.S. EPA ECHO) Agency record
Severity 2.3
Rockville Wwtp, Rockville
Industrial wastewater discharge. No Violation Identified.
NPDES permit MO0103748: (U.S. EPA NPDES)
Severity 2.1
Drexel Pws, Drexel
NPDES wastewater discharge permit.
EPA FRS registry ID 110006735916 (U.S. EPA ECHO) Agency record
Severity 2

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 Bates 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 Bates 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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