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Douglas County, Missouri: environmental and disease records

Cancer mortality in Douglas County is 184.6 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 1.4 times the U.S. rate. Federal databases place 47 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (20), Air permit holder (minor source) (8), Brownfield property (4). 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: 36.9289, -92.499.

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 Douglas County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	42.7	30.2	1.41xSignificant	31.3 to 58.1	2020-2024
Kidney & renal pelvis	New cases	23.1	17.9	1.29x	12.9 to 38.7	2019-2023
All cancer	Deaths	184.6	143.2	1.29xSignificant	158.2 to 215	2020-2024
Non-Hodgkin lymphoma	New cases	19.7	18.5	1.06x	11.7 to 32.3	2019-2023
Lung & bronchus	New cases	54.7	51.8	1.06x	41.6 to 71.8	2019-2023
All cancer	New cases	430.4	453.4	0.95x	385.7 to 479.5	2019-2023
Melanoma of the skin	New cases	18.2	23.8	0.76x	9.6 to 31.9	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 Douglas County
Measure	County	U.S. median	Difference	Unit
Premature death	12,385.3	9,842.6	+26%	years of life lost before age 75 per 100,000
Life expectancy	73	75.3	-3%	years
Child mortality	91	59.8	+52%	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	124.2	96.9	+28%	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.

Formaldehyde18.99 per million
Carbon Tetrachloride2.88 per million
Acetaldehyde1.96 per million
Pahpom0.87 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit20
Air permit holder (minor source)8
Brownfield property4
Auto repair or body shop (mapped facility)3
Gas station (mapped facility)3
Industrial wastewater discharge3
Small hazardous waste generator2
Public airport1
Commercial airport1
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.

Crystal Lake Fisheries, Ava
NPDES wastewater discharge permit.
EPA FRS registry ID 110011112072 (U.S. EPA ECHO) Agency record
Severity 4.5
Copeland Scroll Compressors Lp, Ava
Toxic chemical release facility (TRI). Chemicals: Manganese And Manganese Compounds, Lead, Manganese compounds. Reports carcinogens.
TRI facility ID 65608MRSNL1400N (U.S. EPA Toxics Release Inventory)
Severity 4.5
Scroll Compressors Llc, Ava
TRI reporting facility.
EPA FRS registry ID 110000835954 (U.S. EPA ECHO) Agency record
Severity 4.3
Sentinel Wood Treating Site, Ava
Brownfield property.
EPA FRS registry ID 110009293745 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Evan'S Property, Ava
Brownfield property.
EPA FRS registry ID 110015334146 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Action Land & Cattle, Ava
Brownfield property.
EPA FRS registry ID 110015334155 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
1400 Nw 3rd Street, Ava
Brownfield property.
EPA FRS registry ID 110060544503 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Ava Wwtp, Ava
Industrial wastewater discharge. No Violation Identified.
NPDES permit MO0056260: (U.S. EPA NPDES)
Severity 3
Plant 69 Spring Creek Materials, Ava
NPDES wastewater discharge permit.
EPA FRS registry ID 110009888336 (U.S. EPA ECHO) Agency record
Severity 2.5
Willies Body Shop, Ava
Small hazardous waste generator.
EPA FRS registry ID 110045416518 (U.S. EPA ECHO) Agency record
Severity 2.3
Ava Bill Martin Meml, Ava
Commercial airport. O.
Record ID AOV (FAA / U.S. DOT)
Severity 2
Scroll Compressors Llc, Ava
NPDES wastewater discharge permit.
EPA FRS registry ID 110000835954 (U.S. EPA ECHO) Agency record
Severity 1.8
Ava Wwtp, Ava
NPDES wastewater discharge permit.
EPA FRS registry ID 110009711106 (U.S. EPA ECHO) Agency record
Severity 1.8
Circle J Ranch Dba J And R Sand Gravel, Ava
NPDES wastewater discharge permit.
EPA FRS registry ID 110070104706 (U.S. EPA ECHO) Agency record
Severity 1.8
Heath & Son Feed & Supply, Ava
NPDES wastewater discharge permit.
EPA FRS registry ID 110001453677 (U.S. EPA ECHO) Agency record
Severity 1.5
Leo Journagan Construction Co, Ava
NPDES wastewater discharge permit.
EPA FRS registry ID 110007374028 (U.S. EPA ECHO) Agency record
Severity 1.5
Plant 65 Ava, Ava
NPDES wastewater discharge permit.
EPA FRS registry ID 110009709967 (U.S. EPA ECHO) Agency record
Severity 1.5
Brown'S Septic Llc, Drury
NPDES wastewater discharge permit.
EPA FRS registry ID 110012309876 (U.S. EPA ECHO) Agency record
Severity 1.5
Wal-Mart Supercenter #56, Ava
Small hazardous waste generator.
EPA FRS registry ID 110017617202 (U.S. EPA ECHO) Agency record
Severity 1.5
J And L Recycling No 3, Ava
NPDES wastewater discharge permit.
EPA FRS registry ID 110055198450 (U.S. EPA ECHO) Agency record
Severity 1.5
C And R Lumber Llc, Willow Springs
NPDES wastewater discharge permit.
EPA FRS registry ID 110067377190 (U.S. EPA ECHO) Agency record
Severity 1.5
Cactus Canyon Campground Wwtp, Ava
NPDES wastewater discharge permit.
EPA FRS registry ID 110070031833 (U.S. EPA ECHO) Agency record
Severity 1.5
Copeland Scroll Compressors Lp, Ava
NPDES wastewater discharge permit.
EPA FRS registry ID 110070388620 (U.S. EPA ECHO) Agency record
Severity 1.5
Drury Auto Salvage, Drury
NPDES wastewater discharge permit.
EPA FRS registry ID 110071277564 (U.S. EPA ECHO) Agency record
Severity 1.5
Benedictines Of Mary Of The Apostles, Ava
NPDES wastewater discharge permit.
EPA FRS registry ID 110071299656 (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 Douglas 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 Douglas 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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