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Caldwell County, Missouri: environmental and disease records

Cancer mortality in Caldwell County is 188.6 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 119 regulated facilities, sites and hazards inside the county, led by Rail grade crossing (42), NPDES wastewater discharge permit (30), Industrial wastewater discharge (18). 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: 39.6505, -93.9823.

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 Caldwell County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	47.4	30.2	1.57xSignificant	31.9 to 68.8	2020-2024
Kidney & renal pelvis	New cases	25	17.9	1.4x	14 to 42.2	2019-2023
All cancer	Deaths	188.6	143.2	1.32xSignificant	155.5 to 227.3	2020-2024
Lung & bronchus	New cases	64.1	51.8	1.24x	45.8 to 88.3	2019-2023
Bladder	New cases	23.1	18.7	1.24x	13.2 to 39.1	2019-2023
All cancer	New cases	492.3	453.4	1.09x	436.8 to 553.6	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 Caldwell County
Measure	County	U.S. median	Difference	Unit
Premature death	9,711.8	9,842.6	-1%	years of life lost before age 75 per 100,000
Life expectancy	74.8	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	126.6	96.9	+31%	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.

Formaldehyde17.55 per million
Carbon Tetrachloride2.93 per million
Acetaldehyde1.65 per million
Benzene0.79 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

Rail grade crossing42
NPDES wastewater discharge permit30
Industrial wastewater discharge18
Gas station (mapped facility)10
Air permit holder (minor source)9
Auto repair or body shop (mapped facility)5
Public airport2
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.

Hideaway Lakes Wwtf, Polo
NPDES wastewater discharge permit.
EPA FRS registry ID 110070387085 (U.S. EPA ECHO) Agency record
Severity 4.5
Cmc Steel Fabricators Inc, Polo
Toxic chemical release facility (TRI). Chemicals: Nickel compounds. Reports carcinogens.
TRI facility ID 6467WCMCST679SE (U.S. EPA Toxics Release Inventory)
Severity 4.5
Hamilton Ne Wwtf, Hamilton
NPDES wastewater discharge permit.
EPA FRS registry ID 110010432558 (U.S. EPA ECHO) Agency record
Severity 4.3
Braymer Wwtf, Braymer
NPDES wastewater discharge permit.
EPA FRS registry ID 110016659454 (U.S. EPA ECHO) Agency record
Severity 4.3
Hamilton Se Wwtf, Hamilton
NPDES wastewater discharge permit.
EPA FRS registry ID 110009878427 (U.S. EPA ECHO) Agency record
Severity 4
Cowgill Wwtp, Cowgill
NPDES wastewater discharge permit.
EPA FRS registry ID 110039779610 (U.S. EPA ECHO) Agency record
Severity 4
Cmc Steel Fabricators, Inc, Polo
TRI reporting facility.
EPA FRS registry ID 110070234144 (U.S. EPA ECHO) Agency record
Severity 4
Hamilton Sw Municipal Wwtf, Hamilton
NPDES wastewater discharge permit.
EPA FRS registry ID 110009878418 (U.S. EPA ECHO) Agency record
Severity 3.8
Polo Pws, Polo
NPDES wastewater discharge permit.
EPA FRS registry ID 110006824927 (U.S. EPA ECHO) Agency record
Severity 3.5
Kidder Wwtf, Kidder
NPDES wastewater discharge permit.
EPA FRS registry ID 110009713195 (U.S. EPA ECHO) Agency record
Severity 3.5
City Of Braymer Wtf, Braymer
NPDES wastewater discharge permit.
EPA FRS registry ID 110064264834 (U.S. EPA ECHO) Agency record
Severity 3.5
Breckenridge Wwtf, Breckenridge
NPDES wastewater discharge permit.
EPA FRS registry ID 110009695963 (U.S. EPA ECHO) Agency record
Severity 3.3
Kingston Wwtp, Kingston
NPDES wastewater discharge permit.
EPA FRS registry ID 110039779629 (U.S. EPA ECHO) Agency record
Severity 3.3
Polo Hotel Building, Polo
Brownfield property.
EPA FRS registry ID 110071974497 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Hamilton Ne Wwtf, Hamilton
Industrial wastewater discharge. Violation Identified.
NPDES permit MO0022080: (U.S. EPA NPDES)
Severity 2.8
Caldwell County Pwsd #1, Cowgill
NPDES wastewater discharge permit.
EPA FRS registry ID 110009036186 (U.S. EPA ECHO) Agency record
Severity 2.8
Braymer Wwtf, Braymer
Industrial wastewater discharge. Violation Identified.
NPDES permit MO0028061: (U.S. EPA NPDES)
Severity 2.6
Hamilton Se Wwtf, Hamilton
Industrial wastewater discharge. No Violation Identified.
NPDES permit MO0022071: (U.S. EPA NPDES)
Severity 2.6
Breckenridge Wwtf, Breckenridge
Industrial wastewater discharge. Violation Identified.
NPDES permit MO0093891: (U.S. EPA NPDES)
Severity 2.5
Penny'S Concrete, Inc., Hamilton Mo
NPDES wastewater discharge permit.
EPA FRS registry ID 110001460525 (U.S. EPA ECHO) Agency record
Severity 2.5
Polo Wwtp, Polo
Industrial wastewater discharge. Violation Identified.
NPDES permit MO0041238: (U.S. EPA NPDES)
Severity 2.4
Hamilton Sw Municipal Wwtf, Hamilton
Industrial wastewater discharge. No Violation Identified.
NPDES permit MO0022063: (U.S. EPA NPDES)
Severity 2.3
Trager Limestone, L.L.C., Hamilton
NPDES wastewater discharge permit.
EPA FRS registry ID 110009011309 (U.S. EPA ECHO) Agency record
Severity 2.3
Breckenridge Pws, Breckenridge
NPDES wastewater discharge permit.
EPA FRS registry ID 110011108247 (U.S. EPA ECHO) Agency record
Severity 2.3
Penny'S Concrete, Inc., Hamilton Mo
Air permit holder (minor source).
EPA FRS registry ID 110001460525 (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 Caldwell 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 Caldwell 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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