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Crawford County, Missouri: environmental and disease records

Cancer mortality in Crawford County is 196.8 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 2 times the U.S. rate. Federal databases place 241 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (91), Rail grade crossing (47), Air permit holder (minor source) (37). 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: 37.9535, -91.3106.

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 Crawford County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	60.4	30.2	2xSignificant	49.5 to 73.4	2020-2024
Lung & bronchus	New cases	88.4	51.8	1.71xSignificant	74.9 to 103.9	2019-2023
All cancer	Deaths	196.8	143.2	1.37xSignificant	175.6 to 220.2	2020-2024
Thyroid	New cases	17.4	13	1.34x	10.5 to 27.1	2019-2023
Kidney & renal pelvis	New cases	23.7	17.9	1.32x	16.3 to 33.6	2019-2023
Pancreas	New cases	16.9	13.9	1.22x	11.5 to 24.5	2019-2023
Liver & bile duct	New cases	9.5	8.7	1.09x	5.3 to 16.1	2019-2023
Leukemia	New cases	15.5	14.5	1.07x	10 to 23.4	2019-2023
Pancreas	Deaths	12	11.3	1.06x	7.5 to 18.8	2020-2024
All cancer	New cases	476.9	453.4	1.05x	442.6 to 513.4	2019-2023
Bladder	New cases	16.6	18.7	0.89x	11 to 24.6	2019-2023
Non-Hodgkin lymphoma	New cases	15.5	18.5	0.84x	9.9 to 23.5	2019-2023
Melanoma of the skin	New cases	18.5	23.8	0.78x	12.1 to 27.4	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 Crawford County
Measure	County	U.S. median	Difference	Unit
Premature death	15,077.2	9,842.6	+53%	years of life lost before age 75 per 100,000
Life expectancy	70.8	75.3	-6%	years
Child mortality	74.8	59.8	+25%	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	129	96.9	+33%	deaths per 100,000
Drug overdose deaths	50.6	28.6	+77%	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.

Formaldehyde18.69 per million
Carbon Tetrachloride2.91 per million
Chromium Vi Hexavalent2.39 per million
Acetaldehyde1.86 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit91
Rail grade crossing47
Air permit holder (minor source)37
Industrial wastewater discharge18
Gas station (mapped facility)9
Toxic chemical release facility (TRI)7
Brownfield property6
Small hazardous waste generator6
TRI reporting facility5
Auto repair or body shop (mapped facility)3
Large hazardous waste generator3
Major air pollution source2
Heliport2
Scrapyard (mapped facility)2
Commercial airport1
Large greenhouse gas emitter1
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.

Mar-Bal Inc., Cuba
Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 16,513 lbs released over 5 years.
TRI facility ID 65453MRBLN101CO (U.S. EPA Toxics Release Inventory)
Severity 7.7
Cuba Pws-Well #5 American Way Dr Treatment, Cuba
NPDES wastewater discharge permit.
EPA FRS registry ID 110009711632 (U.S. EPA ECHO) Agency record
Severity 5.8
Mar-Bal Incorporated, Cuba
TRI reporting facility.
EPA FRS registry ID 110000444528 (U.S. EPA ECHO) Agency record
Severity 5.6
Wieland Thermal Solutions, Cuba
Toxic chemical release facility (TRI). Chemicals: Copper, Nickel, Lead. Reports carcinogens. 22 lbs released over 5 years.
TRI facility ID 65453LNFNW102PR (U.S. EPA Toxics Release Inventory)
Severity 5.5
B.W.Freeman Inc., Cuba
Toxic chemical release facility (TRI). Chemicals: Ethylene glycol, Diisocyanates. 1,065 lbs released over 5 years.
TRI facility ID 65453BWFRM714SF (U.S. EPA Toxics Release Inventory)
Severity 5.3
Ozark Mountain Technologies, Llc., Cuba
TRI reporting facility.
EPA FRS registry ID 110011104722 (U.S. EPA ECHO) Agency record
Severity 5.2
Ozark Mountain Technologies Llc Dba Lmi Aerospace, Cuba
Toxic chemical release facility (TRI). Chemicals: Nitric acid, Chromium and Chromium Compounds(except for chromite ore mined in the Transvaal Region), Chromium compounds (except for chromite ore mined in the Transvaal Region). 790 lbs released over 5 years.
TRI facility ID 65453BRKPR16MID (U.S. EPA Toxics Release Inventory)
Severity 5.2
Prairie Valley Landfill Cuba, Cuba
Major air pollution source. Penalties $3,000.
EPA FRS registry ID 110006725008 (U.S. EPA ECHO) Agency record
Severity 4.5
Westover Farms, Steelville
NPDES wastewater discharge permit.
EPA FRS registry ID 110006736933 (U.S. EPA ECHO) Agency record
Severity 4.5
Leasburg Wwtf, Leasburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110009711981 (U.S. EPA ECHO) Agency record
Severity 4.5
Riley Spence Properties No. 3 Wwtf, Cuba
NPDES wastewater discharge permit.
EPA FRS registry ID 110009873510 (U.S. EPA ECHO) Agency record
Severity 4.5
Meramec Valley Campground Wwtp, Cuba
NPDES wastewater discharge permit.
EPA FRS registry ID 110029519849 (U.S. EPA ECHO) Agency record
Severity 4.5
Aspeq Heating Group - Cuba, Cuba
Toxic chemical release facility (TRI). Chemicals: Nickel, Lead, Chromium. Reports carcinogens.
TRI facility ID 6545WNDCCB2CMME (U.S. EPA Toxics Release Inventory)
Severity 4.5
Arneson Timber Co Inc., Steelville
Toxic chemical release facility (TRI). Chemicals: Dioxin and dioxin-like compounds. Reports carcinogens.
TRI facility ID 65565RNSNT552IN (U.S. EPA Toxics Release Inventory)
Severity 4.5
Wieland Rolled Products Na, Cuba
TRI reporting facility.
EPA FRS registry ID 110058200343 (U.S. EPA ECHO) Agency record
Severity 4.4
Prairie Valley Landfill Cuba, Cuba
NPDES wastewater discharge permit. Penalties $3,000.
EPA FRS registry ID 110006725008 (U.S. EPA ECHO) Agency record
Severity 4
Aspeq Heating Group, Cuba
TRI reporting facility.
EPA FRS registry ID 110037603046 (U.S. EPA ECHO) Agency record
Severity 4
The Oaks Wwtf, Leasburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110070620546 (U.S. EPA ECHO) Agency record
Severity 4
Meramec Group - West Sullivan, Sullivan
TRI reporting facility.
EPA FRS registry ID 110071043104 (U.S. EPA ECHO) Agency record
Severity 4
Bourbon Pws, Bourbon
NPDES wastewater discharge permit.
EPA FRS registry ID 110006824936 (U.S. EPA ECHO) Agency record
Severity 3.8
Four Acres Estates Llc Wwtf, Cuba
NPDES wastewater discharge permit.
EPA FRS registry ID 110009871558 (U.S. EPA ECHO) Agency record
Severity 3.8
Ozark Mountain Technologies, Llc., Cuba
Large hazardous waste generator.
EPA FRS registry ID 110011104722 (U.S. EPA ECHO) Agency record
Severity 3.8
Prairie Valley Landfill Cuba, Cuba
Large greenhouse gas emitter. Penalties $3,000.
EPA FRS registry ID 110006725008 (U.S. EPA ECHO) Agency record
Severity 3.5
Meramec Group - West Sullivan, Sullivan
Major air pollution source.
EPA FRS registry ID 110071043104 (U.S. EPA ECHO) Agency record
Severity 3.5
Steelville Pws, Steelville
NPDES wastewater discharge permit.
EPA FRS registry ID 110009874341 (U.S. EPA ECHO) Agency record
Severity 3.3

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 Crawford 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 Crawford 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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