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Holt County, Missouri: environmental and disease records

Cancer mortality in Holt County is 143 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 120 regulated facilities, sites and hazards inside the county, led by Rail grade crossing (50), NPDES wastewater discharge permit (25), Industrial wastewater discharge (20). EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 20 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: 40.0633, -95.2326.

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 Holt County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	42.8	30.2	1.42x	25.2 to 72.5	2020-2024
Lung & bronchus	New cases	65.2	51.8	1.26x	40.8 to 102.2	2019-2023
All cancer	New cases	503.2	453.4	1.11x	424.8 to 593.7	2019-2023
All cancer	Deaths	143	143.2	1x	108.2 to 188.9	2020-2024

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 Holt County
Measure	County	U.S. median	Difference	Unit
Premature death	5,112	9,842.6	-48%	years of life lost before age 75 per 100,000
Life expectancy	78.2	75.3	+4%	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	55.7	96.9	-43%	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: 20 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

Formaldehyde17.02 per million
Carbon Tetrachloride2.92 per million
Acetaldehyde1.55 per million
Benzene0.7 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

Rail grade crossing50
NPDES wastewater discharge permit25
Industrial wastewater discharge20
Air permit holder (minor source)9
Gas station (mapped facility)5
Public airport2
TRI reporting facility2
Toxic chemical release facility (TRI)2
Major air pollution source1
EPA air quality monitor1
Brownfield property1
Large greenhouse gas emitter1
Large hazardous waste generator1

Highest-severity records

The 25 records with the highest Envyrofax severity in the county, with the agency identifier to cite in a records request.

Schuylkill Metals Division Of Exide Corp, Forest City
TRI reporting facility. Penalties $24,160.
EPA FRS registry ID 110017984608 (U.S. EPA ECHO) Agency record
Severity 9.2
Forest City Facility Llc, Forest City
Toxic chemical release facility (TRI). Chemicals: Lead And Lead Compounds, Antimony And Antimony Compounds, Antimony compounds, Arsenic And Arsenic Compounds and 4 more. Reports carcinogens. 149,252 lbs released over 5 years.
TRI facility ID 64451SCHYLRRIII (U.S. EPA Toxics Release Inventory)
Severity 8.5
Golden Triangle Energy Llc, Craig
Toxic chemical release facility (TRI). Chemicals: Acetaldehyde, n-Hexane, Methanol, Formaldehyde and 4 more. Reports carcinogens. 72,079 lbs released over 5 years.
TRI facility ID 64437GLDNT15053 (U.S. EPA Toxics Release Inventory)
Severity 8.2
Schuylkill Metals Division Of Exide Corp, Forest City
Major air pollution source. Penalties $24,160.
EPA FRS registry ID 110017984608 (U.S. EPA ECHO) Agency record
Severity 7.5
Schuylkill Metals Division Of Exide Corp, Forest City
Large hazardous waste generator. Penalties $24,160.
EPA FRS registry ID 110017984608 (U.S. EPA ECHO) Agency record
Severity 7
Schuylkill Metals Division Of Exide Corp, Forest City
NPDES wastewater discharge permit. Penalties $24,160.
EPA FRS registry ID 110017984608 (U.S. EPA ECHO) Agency record
Severity 7
Golden Triangle Energy, Craig
TRI reporting facility.
EPA FRS registry ID 110010819070 (U.S. EPA ECHO) Agency record
Severity 6.7
Northwest Ag Services Inc, Mound City
NPDES wastewater discharge permit.
EPA FRS registry ID 110009880450 (U.S. EPA ECHO) Agency record
Severity 4.5
Maczuk - Mound City, Craig
NPDES wastewater discharge permit.
EPA FRS registry ID 110070389235 (U.S. EPA ECHO) Agency record
Severity 4.5
Oregon Wwtf, Oregon
NPDES wastewater discharge permit.
EPA FRS registry ID 110006729601 (U.S. EPA ECHO) Agency record
Severity 4
Mound City Wwtf, Mound City
NPDES wastewater discharge permit.
EPA FRS registry ID 110006730822 (U.S. EPA ECHO) Agency record
Severity 3.5
Craig Wwtf, Craig
NPDES wastewater discharge permit.
EPA FRS registry ID 110009872272 (U.S. EPA ECHO) Agency record
Severity 3.5
Garden Inn Truck Plaza Wwtf, Mound City
NPDES wastewater discharge permit.
EPA FRS registry ID 110015879913 (U.S. EPA ECHO) Agency record
Severity 3.5
Forest City Wwtp, Forest City
NPDES wastewater discharge permit.
EPA FRS registry ID 110039812959 (U.S. EPA ECHO) Agency record
Severity 3.5
Golden Triangle Energy, Craig
Large greenhouse gas emitter.
EPA FRS registry ID 110010819070 (U.S. EPA ECHO) Agency record
Severity 3.3
Maitland Vacant Lots, Maitland
Brownfield property.
EPA FRS registry ID 110071975305 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Mdnr, Big Lake State Park Wwtf, Craig
NPDES wastewater discharge permit.
EPA FRS registry ID 110015808250 (U.S. EPA ECHO) Agency record
Severity 2.8
Oregon Wwtf, Oregon
Industrial wastewater discharge. Violation Identified.
NPDES permit MO0090832: (U.S. EPA NPDES)
Severity 2.5
Mound City Wwtf, Mound City
Industrial wastewater discharge. Violation Identified.
NPDES permit MO0043583: (U.S. EPA NPDES)
Severity 2.4
Maitland Wwtf, Maitland
Industrial wastewater discharge. No Violation Identified.
NPDES permit MO0032174: (U.S. EPA NPDES)
Severity 2.4
Golden Triangle Energy, Craig
NPDES wastewater discharge permit.
EPA FRS registry ID 110010819070 (U.S. EPA ECHO) Agency record
Severity 2.3
Maitland Wwtf, Maitland
NPDES wastewater discharge permit.
EPA FRS registry ID 110039812888 (U.S. EPA ECHO) Agency record
Severity 2
Rosier Farms Distilling Company Llc, Mound City
NPDES wastewater discharge permit.
EPA FRS registry ID 110070946051 (U.S. EPA ECHO) Agency record
Severity 2
Mfa Bulk Plant Mound City, Mound City
NPDES wastewater discharge permit.
EPA FRS registry ID 110006651257 (U.S. EPA ECHO) Agency record
Severity 1.8
Golden Triangle Energy, Craig
Air permit holder (minor source).
EPA FRS registry ID 110010819070 (U.S. EPA ECHO) Agency record
Severity 1.8

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 Holt 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 Holt 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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