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Bollinger County, Missouri: environmental and disease records

Cancer mortality in Bollinger County is 186.6 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 1.7 times the U.S. rate. Federal databases place 39 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (17), Industrial wastewater discharge (8), Air permit holder (minor source) (6). 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: 37.3173, -90.0045.

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 Bollinger County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Bladder	New cases	33.5	18.7	1.79xSignificant	21.8 to 50.3	2019-2023
Lung & bronchus	Deaths	51.9	30.2	1.72xSignificant	37.4 to 71.1	2020-2024
Lung & bronchus	New cases	88.4	51.8	1.71xSignificant	69.6 to 111.8	2019-2023
All cancer	Deaths	186.6	143.2	1.3xSignificant	157.2 to 220.6	2020-2024
All cancer	New cases	542.4	453.4	1.2xSignificant	489.1 to 600.5	2019-2023
Non-Hodgkin lymphoma	New cases	21.4	18.5	1.16x	12.1 to 36	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 Bollinger County
Measure	County	U.S. median	Difference	Unit
Premature death	11,736.8	9,842.6	+19%	years of life lost before age 75 per 100,000
Life expectancy	73.3	75.3	-3%	years
Child mortality	103.5	59.8	+73%	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	87	96.9	-10%	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: 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.

Formaldehyde19.91 per million
Carbon Tetrachloride2.94 per million
Ethylene Oxide2.56 per million
Acetaldehyde1.96 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit17
Industrial wastewater discharge8
Air permit holder (minor source)6
Scrapyard (mapped facility)3
Auto repair or body shop (mapped facility)2
Gas station (mapped facility)2
Heliport1

Highest-severity records

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

Diana'S Boarding Home, Marble Hill
NPDES wastewater discharge permit.
EPA FRS registry ID 110016695450 (U.S. EPA ECHO) Agency record
Severity 4.5
Marble Hill Wwtf, Marble Hill
NPDES wastewater discharge permit.
EPA FRS registry ID 110009871665 (U.S. EPA ECHO) Agency record
Severity 3
Meadow Heights R-Ii School District Wwtf, Patton
NPDES wastewater discharge permit.
EPA FRS registry ID 110011094225 (U.S. EPA ECHO) Agency record
Severity 2.3
The Ranch Wwtf, Marble Hill
NPDES wastewater discharge permit.
EPA FRS registry ID 110018011391 (U.S. EPA ECHO) Agency record
Severity 2.3
Woodland School District Wwtf, Marble Hill
Industrial wastewater discharge. No Violation Identified.
NPDES permit MO0041432: (U.S. EPA NPDES)
Severity 2.2
Woodland R-Iv School, Marble Hill
NPDES wastewater discharge permit.
EPA FRS registry ID 110015719631 (U.S. EPA ECHO) Agency record
Severity 2
Glen Allen Wwtf, Marble Hill
NPDES wastewater discharge permit.
EPA FRS registry ID 110037505394 (U.S. EPA ECHO) Agency record
Severity 2
Marble Hill Ready Mix, Marble Hill
NPDES wastewater discharge permit.
EPA FRS registry ID 110072104631 (U.S. EPA ECHO) Agency record
Severity 2
Indian Creek Materials, Llc - Arab Quarry, Arab
NPDES wastewater discharge permit.
EPA FRS registry ID 110011110975 (U.S. EPA ECHO) Agency record
Severity 1.8
B & B Timber Company Inc - Lutesville, Lutesville
NPDES wastewater discharge permit.
EPA FRS registry ID 110007372342 (U.S. EPA ECHO) Agency record
Severity 1.5
Angelbeck Lumber, Marble Hill
NPDES wastewater discharge permit.
EPA FRS registry ID 110011083558 (U.S. EPA ECHO) Agency record
Severity 1.5
Patton Junction Services Inc, Patton
NPDES wastewater discharge permit.
EPA FRS registry ID 110011107042 (U.S. EPA ECHO) Agency record
Severity 1.5
Castor River Hideaway Campground, Zalma
NPDES wastewater discharge permit.
EPA FRS registry ID 110071076277 (U.S. EPA ECHO) Agency record
Severity 1.5
Castor River Campground, Marquand
NPDES wastewater discharge permit.
EPA FRS registry ID 110071076285 (U.S. EPA ECHO) Agency record
Severity 1.5
Donald And Robin Cato, Advance
NPDES wastewater discharge permit.
EPA FRS registry ID 110071437413 (U.S. EPA ECHO) Agency record
Severity 1.5
Arrowhead Campground, Grassy
NPDES wastewater discharge permit.
EPA FRS registry ID 110071437893 (U.S. EPA ECHO) Agency record
Severity 1.5
Schrekenburg Borrow, Leopold
NPDES wastewater discharge permit.
EPA FRS registry ID 110071958796 (U.S. EPA ECHO) Agency record
Severity 1.5
Marble Hill Ready Mix, Marble Hill
Air permit holder (minor source).
EPA FRS registry ID 110072104631 (U.S. EPA ECHO) Agency record
Severity 1.5
Mcminn Lake Dam, Marble Hill
NPDES wastewater discharge permit.
EPA FRS registry ID 110072143895 (U.S. EPA ECHO) Agency record
Severity 1.5
The Ranch Wwtf, Marble Hill
Industrial wastewater discharge. No Violation Identified.
NPDES permit MO0099953: (U.S. EPA NPDES)
Severity 1.5
Indian Creek Materials, Llc - Arab Quarry, Arab
Air permit holder (minor source).
EPA FRS registry ID 110011110975 (U.S. EPA ECHO) Agency record
Severity 1.3
Conder Brothers Sawmill, Zalma
Air permit holder (minor source).
EPA FRS registry ID 110007104739 (U.S. EPA ECHO) Agency record
Severity 1
B & B Timber Company Inc - Lutesville, Lutesville
Air permit holder (minor source).
EPA FRS registry ID 110007372342 (U.S. EPA ECHO) Agency record
Severity 1
Bollinger County Co-Op, Marble Hill
Air permit holder (minor source).
EPA FRS registry ID 110010342922 (U.S. EPA ECHO) Agency record
Severity 1
Bollinger County Crematory, Marble Hill
Air permit holder (minor source).
EPA FRS registry ID 110072081463 (U.S. EPA ECHO) Agency record
Severity 1

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 Bollinger 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 Bollinger 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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