MO / county FIPS 29049 / county research

Clinton County, Missouri: environmental and disease records

Cancer mortality in Clinton County is 180 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Brain & nervous system deaths at 2.8 times the U.S. rate and Lung & bronchus deaths at 1.4 times the U.S. rate. Federal databases place 87 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (36), Air permit holder (minor source) (15), Gas station (mapped facility) (13). 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: 39.5977, -94.4042.

How this county ranks in Missouri

View on the heat map Scan an address in this county

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 Clinton County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Brain & nervous system	Deaths	12.4	4.4	2.82xSignificant	7.2 to 20.3	2020-2024
Lung & bronchus	New cases	84	51.8	1.62xSignificant	70 to 100.3	2019-2023
Lung & bronchus	Deaths	42.1	30.2	1.39xSignificant	32.4 to 54	2020-2024
Thyroid	New cases	16.7	13	1.28x	10.1 to 26.2	2019-2023
All cancer	Deaths	180	143.2	1.26xSignificant	158.8 to 203.6	2020-2024
Liver & bile duct	New cases	10.6	8.7	1.22x	5.9 to 17.9	2019-2023
Bladder	New cases	22.3	18.7	1.19x	15.2 to 31.9	2019-2023
Melanoma of the skin	New cases	27.9	23.8	1.17x	19.3 to 39.2	2019-2023
All cancer	New cases	461.5	453.4	1.02x	426 to 499.4	2019-2023
Non-Hodgkin lymphoma	New cases	17.8	18.5	0.96x	11.8 to 26.1	2019-2023
Leukemia	New cases	13.7	14.5	0.94x	8.1 to 22	2019-2023
Kidney & renal pelvis	New cases	16	17.9	0.89x	10.3 to 24.1	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 Clinton County
Measure	County	U.S. median	Difference	Unit
Premature death	8,619.9	9,842.6	-12%	years of life lost before age 75 per 100,000
Life expectancy	75.5	75.3	+0%	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	70.2	96.9	-28%	deaths per 100,000
Drug overdose deaths	22.2	28.6	-23%	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.

Formaldehyde18.04 per million
Carbon Tetrachloride2.92 per million
Acetaldehyde1.67 per million
Ethylene Oxide0.95 per million

EPA Air Quality Index 2025

Monitored on 247 days: 209 good, 3 unhealthy for sensitive groups or worse. Median AQI 41, peak 122.

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit36
Air permit holder (minor source)15
Gas station (mapped facility)13
Public airport5
Brownfield property5
Wastewater plant (mapped facility)3
Auto repair or body shop (mapped facility)2
Industrial wastewater discharge2
Scrapyard (mapped facility)2
EPA air quality monitor1
Airfield1
Commercial airport1
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.

Plattsburg Pws-Plattsburg - Treatment Plant, Plattsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110006731046 (U.S. EPA ECHO) Agency record
Severity 4.5
Mawc, Trimble Wwtf, Trimble
NPDES wastewater discharge permit.
EPA FRS registry ID 110011100995 (U.S. EPA ECHO) Agency record
Severity 4.5
Smvs Llc, Holt
NPDES wastewater discharge permit.
EPA FRS registry ID 110069574188 (U.S. EPA ECHO) Agency record
Severity 4.3
Shatto Milk Company, Turney
NPDES wastewater discharge permit.
EPA FRS registry ID 110014391149 (U.S. EPA ECHO) Agency record
Severity 4
Cameron Concrete-Cameron, Cameron
NPDES wastewater discharge permit.
EPA FRS registry ID 110009036168 (U.S. EPA ECHO) Agency record
Severity 3.8
E & M Ready Mix And Precast, Gower
NPDES wastewater discharge permit.
EPA FRS registry ID 110059021669 (U.S. EPA ECHO) Agency record
Severity 3.5
Cameron Hospital (Former), Cameron
Brownfield property.
EPA FRS registry ID 110001454168 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Kemper Storage (Cameron), Cameron
Brownfield property.
EPA FRS registry ID 110038765645 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Mainstreet Office Building 2, Clinton
Brownfield property.
EPA FRS registry ID 110071969312 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Mainstreet Office Building, Clinton
Brownfield property.
EPA FRS registry ID 110071969313 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Former Dean'S Photography, Cameron
Brownfield property.
EPA FRS registry ID 110071992997 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Country Hills Estates Wwtp, Cameron
NPDES wastewater discharge permit.
EPA FRS registry ID 110029519689 (U.S. EPA ECHO) Agency record
Severity 3
Lathrop Pws, Lathrop
NPDES wastewater discharge permit.
EPA FRS registry ID 110009870880 (U.S. EPA ECHO) Agency record
Severity 2.5
Mawc, Timber Springs Estates Wwtf, Trimble
NPDES wastewater discharge permit.
EPA FRS registry ID 110006668436 (U.S. EPA ECHO) Agency record
Severity 2.3
Mawc, Stewartsville Wwtf, Plattsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110009696169 (U.S. EPA ECHO) Agency record
Severity 2.3
Mawc, Centennial Acres Wwtf, Trimble
NPDES wastewater discharge permit.
EPA FRS registry ID 110006668187 (U.S. EPA ECHO) Agency record
Severity 2
Mawc Clinton Estates Wwtp, Trimble
NPDES wastewater discharge permit.
EPA FRS registry ID 110020564094 (U.S. EPA ECHO) Agency record
Severity 2
Michels Road & Stone V-235 Batch Plant, Cameron
NPDES wastewater discharge permit.
EPA FRS registry ID 110071960444 (U.S. EPA ECHO) Agency record
Severity 2
Cameron Meml, Cameron
Commercial airport. O.
Record ID EZZ (FAA / U.S. DOT)
Severity 2
Wastewater Plant
Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/1297223503 (OpenStreetMap contributors) Agency record
Severity 2
Wastewater Plant
Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/1550953334 (OpenStreetMap contributors) Agency record
Severity 2
Wastewater Plant
Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/391079006 (OpenStreetMap contributors) Agency record
Severity 2
Lathrop Quarry, Lathrop
NPDES wastewater discharge permit.
EPA FRS registry ID 110064336605 (U.S. EPA ECHO) Agency record
Severity 1.8
Paul Farms, Lathrop
NPDES wastewater discharge permit.
EPA FRS registry ID 110071075268 (U.S. EPA ECHO) Agency record
Severity 1.8
Farmers Elevator & Supply Co., Clinton
NPDES wastewater discharge permit.
EPA FRS registry ID 110000543564 (U.S. EPA ECHO) Agency record
Severity 1.5

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 Clinton 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 Clinton 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.

Scan an address in Clinton County View on the heat map All Missouri counties