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Dunklin County, Missouri: environmental and disease records

Cancer mortality in Dunklin County is 222.7 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 2.3 times the U.S. rate and Liver & bile duct deaths at 1.8 times the U.S. rate. Federal databases place 210 regulated facilities, sites and hazards inside the county, led by Rail grade crossing (75), NPDES wastewater discharge permit (47), Air permit holder (minor source) (28). 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: 36.3158, -90.0166.

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 Dunklin County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	70.9	30.2	2.35xSignificant	59.1 to 84.5	2020-2024
Lung & bronchus	New cases	112.3	51.8	2.17xSignificant	97.5 to 128.8	2019-2023
Liver & bile duct	Deaths	12.2	6.6	1.85xSignificant	7.9 to 18.5	2020-2024
All cancer	Deaths	222.7	143.2	1.56xSignificant	201.1 to 246.1	2020-2024
Pancreas	Deaths	16.5	11.3	1.46x	11.1 to 23.8	2020-2024
Kidney & renal pelvis	New cases	24.9	17.9	1.39x	17.4 to 34.5	2019-2023
Stomach	New cases	9	6.6	1.36x	5.2 to 14.7	2019-2023
Liver & bile duct	New cases	11.3	8.7	1.3x	7.2 to 17.4	2019-2023
Non-Hodgkin lymphoma	New cases	22.2	18.5	1.2x	15.3 to 31	2019-2023
All cancer	New cases	541	453.4	1.19xSignificant	506.6 to 577.3	2019-2023
Pancreas	New cases	15.8	13.9	1.14x	10.5 to 23.1	2019-2023
Thyroid	New cases	14.5	13	1.12x	8.6 to 22.8	2019-2023
Leukemia	New cases	14.2	14.5	0.98x	8.9 to 21.5	2019-2023
Bladder	New cases	17.2	18.7	0.92x	11.9 to 24.4	2019-2023
Melanoma of the skin	New cases	17.2	23.8	0.72x	11.2 to 25.4	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 Dunklin County
Measure	County	U.S. median	Difference	Unit
Premature death	16,343.1	9,842.6	+66%	years of life lost before age 75 per 100,000
Life expectancy	68.9	75.3	-8%	years
Child mortality	50.4	59.8	-16%	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	109.4	96.9	+13%	deaths per 100,000
Drug overdose deaths	17.9	28.6	-38%	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.

Formaldehyde21.56 per million
Carbon Tetrachloride2.95 per million
Acetaldehyde2.07 per million
Benzene0.74 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

Rail grade crossing75
NPDES wastewater discharge permit47
Air permit holder (minor source)28
Industrial wastewater discharge24
Gas station (mapped facility)9
Brownfield property6
Small hazardous waste generator5
Major air pollution source4
Public airport2
Commercial airport2
Gas power plant2
Auto repair or body shop (mapped facility)1
Heliport1
Oil-fired power plant1
Superfund (NPL) site1
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.

Bee Cee Manufacturing Co., Malden
Superfund (NPL) site. Hazard Ranking System score 28.6. NPL Site.
EPA site ID MOD980860522 (U.S. EPA Superfund (SEMS/NPL)) Agency record
Severity 10
American Railcar Industries, Kennett
Toxic chemical release facility (TRI). Chemicals: Manganese, Chromium, Nickel, Copper. Reports carcinogens. 1,502 lbs released over 5 years.
TRI facility ID 63857MRCNR1901I (U.S. EPA Toxics Release Inventory)
Severity 6.9
Holcomb Wwtf, Holcomb
NPDES wastewater discharge permit. Penalties $1,000.
EPA FRS registry ID 110009878445 (U.S. EPA ECHO) Agency record
Severity 5.5
American Railcar Industries, Kennett
TRI reporting facility.
EPA FRS registry ID 110000442600 (U.S. EPA ECHO) Agency record
Severity 5.1
Aeci St. Francis Power Plant, Campbell
Major air pollution source.
EPA FRS registry ID 110017976403 (U.S. EPA ECHO) Agency record
Severity 5
Senath Pws-Well #3 Witch Hat Well Treatment (1996), Senath
NPDES wastewater discharge permit.
EPA FRS registry ID 110009877222 (U.S. EPA ECHO) Agency record
Severity 4.5
Aeci St. Francis Power Plant, Campbell
NPDES wastewater discharge permit.
EPA FRS registry ID 110017976403 (U.S. EPA ECHO) Agency record
Severity 4.5
Arbyrd Wwtf, Arbyrd
NPDES wastewater discharge permit.
EPA FRS registry ID 110064255210 (U.S. EPA ECHO) Agency record
Severity 4.5
Malden, Malden
Oil-fired power plant.
Record ID 2142 (U.S. Energy Information Administration)
Severity 4
Clarkton Pws, Clarkton
NPDES wastewater discharge permit.
EPA FRS registry ID 110006730662 (U.S. EPA ECHO) Agency record
Severity 4
Campbell Wwtf, Campbell
NPDES wastewater discharge permit.
EPA FRS registry ID 110017979767 (U.S. EPA ECHO) Agency record
Severity 4
Malden Municipal Power And Light S Beckwith, Malden
Major air pollution source.
EPA FRS registry ID 110003984653 (U.S. EPA ECHO) Agency record
Severity 3.8
Cardwell Wwtp, Cardwell
NPDES wastewater discharge permit.
EPA FRS registry ID 110009876722 (U.S. EPA ECHO) Agency record
Severity 3.8
Osceola Products - Kennett Div, Kennett
Major air pollution source.
EPA FRS registry ID 110018009956 (U.S. EPA ECHO) Agency record
Severity 3.5
Kennett Generating Plant, Kennett
Major air pollution source.
EPA FRS registry ID 110028026801 (U.S. EPA ECHO) Agency record
Severity 3.5
St Francis Energy Facility, Campbell
Gas power plant.
Record ID 7604 (U.S. Energy Information Administration)
Severity 3.5
Malden Concrete Products, Malden
NPDES wastewater discharge permit.
EPA FRS registry ID 110017993331 (U.S. EPA ECHO) Agency record
Severity 3.3
Kennett Wwtf, Kennett
NPDES wastewater discharge permit.
EPA FRS registry ID 110039779451 (U.S. EPA ECHO) Agency record
Severity 3.3
Kennett, Kennett
Gas power plant.
Record ID 2139 (U.S. Energy Information Administration)
Severity 3
Malden Industrial Park Railspur, Malden Air Base, Malden
Brownfield property.
EPA FRS registry ID 110040823320 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Malden Industrial Park Subdivision, Malden
Brownfield property.
EPA FRS registry ID 110046370075 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Steve`S Auto Sales, Malden
Brownfield property.
EPA FRS registry ID 110046370253 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Prance Amoco #1 (Former), Kennett
Brownfield property.
EPA FRS registry ID 110071976119 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Arbyrd Police Station, Arbyrd
Brownfield property.
EPA FRS registry ID 110071976776 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Community Center, Malden
Brownfield property.
EPA FRS registry ID 110071983566 (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 Dunklin 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 Dunklin 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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