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Hickory County, Missouri: environmental and disease records

Cancer mortality in Hickory County is 202.2 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 1.5 times the U.S. rate. Federal databases place 68 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (37), Industrial wastewater discharge (11), Gas station (mapped facility) (8). 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: 37.942, -93.2908.

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 Hickory County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Pancreas	Deaths	18.8	11.3	1.66x	10.7 to 33.6	2020-2024
Lung & bronchus	Deaths	45.7	30.2	1.51xSignificant	30.5 to 67.7	2020-2024
Non-Hodgkin lymphoma	New cases	26.4	18.5	1.43x	14.1 to 46.6	2019-2023
Lung & bronchus	New cases	73.5	51.8	1.42xSignificant	55.3 to 98.1	2019-2023
All cancer	Deaths	202.2	143.2	1.41xSignificant	168.2 to 242.5	2020-2024
Kidney & renal pelvis	New cases	24.9	17.9	1.39x	13.4 to 44.2	2019-2023
Pancreas	New cases	15.5	13.9	1.12x	8.8 to 29.4	2019-2023
All cancer	New cases	454.4	453.4	1x	401.8 to 513.4	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 Hickory County
Measure	County	U.S. median	Difference	Unit
Premature death	13,208.2	9,842.6	+34%	years of life lost before age 75 per 100,000
Life expectancy	73.1	75.3	-3%	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	141.7	96.9	+46%	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.

Formaldehyde18.86 per million
Carbon Tetrachloride2.9 per million
Acetaldehyde1.84 per million
Pahpom0.81 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit37
Industrial wastewater discharge11
Gas station (mapped facility)8
Air permit holder (minor source)6
Brownfield property3
Public airport2
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.

Weaubleau Wwtf, Weaubleau
NPDES wastewater discharge permit.
EPA FRS registry ID 110006666517 (U.S. EPA ECHO) Agency record
Severity 4.5
Preston Wwtf, Preston
NPDES wastewater discharge permit.
EPA FRS registry ID 110039779969 (U.S. EPA ECHO) Agency record
Severity 4.5
Clove N Hoof, Preston
NPDES wastewater discharge permit.
EPA FRS registry ID 110071149465 (U.S. EPA ECHO) Agency record
Severity 3.8
Nemo Bridge Resort, Pittsburg
Brownfield property.
EPA FRS registry ID 110040326563 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Cleveland Property, Wheatland
Brownfield property.
EPA FRS registry ID 110071966442 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Marten'S Lakemart, Hermitage
Brownfield property.
EPA FRS registry ID 110071969520 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Usace, Damsite Pua West Wwtf, Hermitage
NPDES wastewater discharge permit.
EPA FRS registry ID 110017986606 (U.S. EPA ECHO) Agency record
Severity 3
Cross Timbers Wwtf, Cross Timbers
NPDES wastewater discharge permit.
EPA FRS registry ID 110040326849 (U.S. EPA ECHO) Agency record
Severity 3
Fugate Mhp Wwtp, Pittsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110063910987 (U.S. EPA ECHO) Agency record
Severity 3
Uscoe Nemo Park Wwtp, Pittsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110070743147 (U.S. EPA ECHO) Agency record
Severity 3
Nemo Bridge Resort, Pittsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110040326563 (U.S. EPA ECHO) Agency record
Severity 2.8
Clearlight Inn Wwtf, Hermitage
NPDES wastewater discharge permit.
EPA FRS registry ID 110040332020 (U.S. EPA ECHO) Agency record
Severity 2.5
Hermitage Wwtp, Hermitage
Industrial wastewater discharge. No Violation Identified.
NPDES permit MO0031666: (U.S. EPA NPDES)
Severity 2.4
Beem Site - Wheatland Wwtf, Wheatland
NPDES wastewater discharge permit.
EPA FRS registry ID 110071880603 (U.S. EPA ECHO) Agency record
Severity 2.3
Sunshine Rd Year Round Rv Park Llc, Hermitage
NPDES wastewater discharge permit.
EPA FRS registry ID 110071671797 (U.S. EPA ECHO) Agency record
Severity 2
Preston Wwtf, Preston
Industrial wastewater discharge. Violation Identified.
NPDES permit MO0101636: (U.S. EPA NPDES)
Severity 1.9
Hermitage Wwtp, Hermitage
NPDES wastewater discharge permit.
EPA FRS registry ID 110006731073 (U.S. EPA ECHO) Agency record
Severity 1.8
Mfa Oil Bulk Plant Weaubleau, Weaubleau
NPDES wastewater discharge permit.
EPA FRS registry ID 110017617060 (U.S. EPA ECHO) Agency record
Severity 1.8
Whiteside Hidden Acres Wwtp, Pittsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110070030424 (U.S. EPA ECHO) Agency record
Severity 1.8
Red Bud Subdivision Wwtf, Wheatland
NPDES wastewater discharge permit.
EPA FRS registry ID 110070155118 (U.S. EPA ECHO) Agency record
Severity 1.8
Gravity Manufacturing, Pittsburg
NPDES wastewater discharge permit.
EPA FRS registry ID xf84fb7d6200a58989ffb6c90445eb86d (U.S. EPA ECHO) Agency record
Severity 1.8
Wheatland Wwtf, Wheatland
NPDES wastewater discharge permit.
EPA FRS registry ID 110009874001 (U.S. EPA ECHO) Agency record
Severity 1.5
M-T Timber Company, Cross Timbers
NPDES wastewater discharge permit.
EPA FRS registry ID 110011084245 (U.S. EPA ECHO) Agency record
Severity 1.5
Conco Co Pittsburg Quarry, Pittsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110011111304 (U.S. EPA ECHO) Agency record
Severity 1.5
Goodys Resort, Flemington
NPDES wastewater discharge permit.
EPA FRS registry ID 110023143016 (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 Hickory 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 Hickory 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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