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Christian County, Missouri: environmental and disease records

Cancer mortality in Christian County is 156.1 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 1.2 times the U.S. rate. Federal databases place 365 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (237), Air permit holder (minor source) (29), Industrial wastewater discharge (27). 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: 36.9547, -93.122.

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 Christian County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Esophagus	New cases	6.6	4.6	1.43x	4.6 to 9.1	2019-2023
Non-Hodgkin lymphoma	Deaths	6.7	4.8	1.4x	4.7 to 9.3	2020-2024
Brain & nervous system	Deaths	5.9	4.4	1.34x	4 to 8.4	2020-2024
Esophagus	Deaths	4.8	3.7	1.3x	3.1 to 7	2020-2024
Thyroid	New cases	16.5	13	1.27x	13 to 20.7	2019-2023
Leukemia	Deaths	7.2	5.7	1.26x	5 to 10	2020-2024
Lung & bronchus	Deaths	35.7	30.2	1.18xSignificant	30.9 to 41	2020-2024
Brain & nervous system	New cases	7.3	6.2	1.18x	5 to 10.1	2019-2023
Liver & bile duct	Deaths	7.7	6.6	1.17x	5.6 to 10.5	2020-2024
Non-Hodgkin lymphoma	New cases	20.7	18.5	1.12x	17.1 to 25	2019-2023
Pancreas	Deaths	12.6	11.3	1.12x	9.9 to 15.9	2020-2024
All cancer	Deaths	156.1	143.2	1.09xSignificant	145.8 to 167	2020-2024
Bladder	New cases	20.2	18.7	1.08x	16.6 to 24.4	2019-2023
Kidney & renal pelvis	Deaths	3.5	3.4	1.03x	2.1 to 5.5	2020-2024
Pancreas	New cases	14.3	13.9	1.03x	11.3 to 17.9	2019-2023
All cancer	New cases	442.9	453.4	0.98x	425.1 to 461.3	2019-2023
Lung & bronchus	New cases	50	51.8	0.97x	44.3 to 56.3	2019-2023
Kidney & renal pelvis	New cases	15.5	17.9	0.87x	12.3 to 19.3	2019-2023
Liver & bile duct	New cases	7.5	8.7	0.86x	5.4 to 10.3	2019-2023
Leukemia	New cases	12	14.5	0.83x	9.2 to 15.5	2019-2023
Melanoma of the skin	New cases	19.5	23.8	0.82x	15.8 to 23.8	2019-2023
Bladder	Deaths	3.3	4.1	0.8x	1.9 to 5.3	2020-2024
Stomach	New cases	3.4	6.6	0.52x	2 to 5.4	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 Christian County
Measure	County	U.S. median	Difference	Unit
Premature death	7,781.1	9,842.6	-21%	years of life lost before age 75 per 100,000
Life expectancy	77.2	75.3	+3%	years
Child mortality	54.5	59.8	-9%	deaths under age 18 per 100,000
Infant mortality	5.2	6.2	-16%	deaths under age 1 per 1,000 live births
Injury deaths	73.6	96.9	-24%	deaths per 100,000
Drug overdose deaths	20.7	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.

Formaldehyde20.7 per million
Carbon Tetrachloride2.87 per million
Acetaldehyde2.11 per million
Naphthalene1.3 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit237
Air permit holder (minor source)29
Industrial wastewater discharge27
Gas station (mapped facility)18
Small hazardous waste generator13
Rail grade crossing11
Public airport7
Brownfield property7
Toxic chemical release facility (TRI)6
TRI reporting facility5
Auto repair or body shop (mapped facility)1
Hazardous waste transporter1
Heliport1
Solar 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.

Nixa Wwtf, Nixa
NPDES wastewater discharge permit. Penalties $3,000.
EPA FRS registry ID 110009710937 (U.S. EPA ECHO) Agency record
Severity 6.3
Tracker Ozark, Ozark
Toxic chemical release facility (TRI). Chemicals: Manganese, Chromium, Nickel, Copper. Reports carcinogens. 63 lbs released over 5 years.
TRI facility ID 6572WTRCKR363N2 (U.S. EPA Toxics Release Inventory)
Severity 5.9
City Wide Construction Products Inc., Ozark
Toxic chemical release facility (TRI). Chemicals: Lead, Nitrate compounds (water dissociable; reportable only when in aqueous solution). Reports carcinogens. 13 lbs released over 5 years.
TRI facility ID 6572WCTYWD1817N (U.S. EPA Toxics Release Inventory)
Severity 5.4
Clever Pws, Clever
NPDES wastewater discharge permit. Penalties $12,799.
EPA FRS registry ID 110009873404 (U.S. EPA ECHO) Agency record
Severity 4.8
Christian County Concrete, Nixa
Toxic chemical release facility (TRI). Chemicals: Lead compounds, Lead And Lead Compounds. 141 lbs released over 5 years.
TRI facility ID 65714CNCRT433TR (U.S. EPA Toxics Release Inventory)
Severity 4.7
Christian County Concrete, Nixa
TRI reporting facility.
EPA FRS registry ID 110020056945 (U.S. EPA ECHO) Agency record
Severity 4.6
Tracker Ozark, Ozark
TRI reporting facility.
EPA FRS registry ID 110071433872 (U.S. EPA ECHO) Agency record
Severity 4.6
Highlandville Wwtp, Highlandville
NPDES wastewater discharge permit.
EPA FRS registry ID 110020127165 (U.S. EPA ECHO) Agency record
Severity 4.5
Steele Septic Service, Republic
NPDES wastewater discharge permit.
EPA FRS registry ID 110042662972 (U.S. EPA ECHO) Agency record
Severity 4.5
Fiocchi Of America Inc, Ozark
Toxic chemical release facility (TRI). Chemicals: Antimony And Antimony Compounds, Lead, Antimony compounds. Reports carcinogens.
TRI facility ID 65721FCCHF5030F (U.S. EPA Toxics Release Inventory)
Severity 4.5
City Wide Construction Products, Inc., Ozark
TRI reporting facility.
EPA FRS registry ID 110045712546 (U.S. EPA ECHO) Agency record
Severity 4.3
Concrete Co Of Springfield- Republic, Republic
Toxic chemical release facility (TRI). Chemicals: Lead And Lead Compounds, Lead compounds. 44 lbs released over 5 years.
TRI facility ID 65738CNCRT34USH (U.S. EPA Toxics Release Inventory)
Severity 4.3
Fiocchi Of America, Ozark
TRI reporting facility.
EPA FRS registry ID 110009709832 (U.S. EPA ECHO) Agency record
Severity 4.3
Sparta Wwtf, Sparta
NPDES wastewater discharge permit.
EPA FRS registry ID 110009872735 (U.S. EPA ECHO) Agency record
Severity 4.3
Ozsark Asphalt, Ozark
TRI reporting facility.
EPA FRS registry ID 110071948258 (U.S. EPA ECHO) Agency record
Severity 4
Elk Valley Wwtf, Ozark
NPDES wastewater discharge permit.
EPA FRS registry ID 110027247799 (U.S. EPA ECHO) Agency record
Severity 3.8
Ozark Wwtf, Ozark
NPDES wastewater discharge permit.
EPA FRS registry ID 110042704035 (U.S. EPA ECHO) Agency record
Severity 3.8
Triple P Recycling, Nixa
NPDES wastewater discharge permit.
EPA FRS registry ID 110057194236 (U.S. EPA ECHO) Agency record
Severity 3.8
Raspberry Hill Wwtp, Nixa
NPDES wastewater discharge permit.
EPA FRS registry ID 110064334616 (U.S. EPA ECHO) Agency record
Severity 3.8
Tuscany Hills Subdivision Wwtp, Nixa
NPDES wastewater discharge permit.
EPA FRS registry ID 110031108931 (U.S. EPA ECHO) Agency record
Severity 3.5
Sparta Pws, Sparta
NPDES wastewater discharge permit.
EPA FRS registry ID 110013045016 (U.S. EPA ECHO) Agency record
Severity 3.3
Swan Creek, Garrison
NPDES wastewater discharge permit.
EPA FRS registry ID 110030447684 (U.S. EPA ECHO) Agency record
Severity 3.3
Mobile Home Park, Ozark
Brownfield property.
EPA FRS registry ID 110038753676 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Atwood Property, Ozark
Brownfield property.
EPA FRS registry ID 110038753747 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Former Dry Cleaning Facility, Ozark
Brownfield property.
EPA FRS registry ID 110038754121 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3

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 Christian 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 Christian 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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