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Johnson County, Missouri: environmental and disease records

Cancer mortality in Johnson County is 174.2 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 1.4 times the U.S. rate. Federal databases place 334 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (144), Rail grade crossing (43), Industrial wastewater discharge (35). One correctional facility operates in the county. 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: 38.7481, -93.8133.

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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 Johnson County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Non-Hodgkin lymphoma	Deaths	7.9	4.8	1.65x	4.8 to 12.3	2020-2024
Leukemia	Deaths	8.2	5.7	1.44x	5 to 12.6	2020-2024
Lung & bronchus	Deaths	42	30.2	1.39xSignificant	34.6 to 50.6	2020-2024
Brain & nervous system	New cases	8.6	6.2	1.39x	5.5 to 12.9	2019-2023
Liver & bile duct	Deaths	8.9	6.6	1.35x	5.7 to 13.2	2020-2024
Lung & bronchus	New cases	68.9	51.8	1.33xSignificant	59.3 to 79.6	2019-2023
Pancreas	Deaths	14.2	11.3	1.26x	10.1 to 19.5	2020-2024
All cancer	Deaths	174.2	143.2	1.22xSignificant	158.6 to 191	2020-2024
Kidney & renal pelvis	New cases	21.6	17.9	1.21x	16.2 to 28.2	2019-2023
Leukemia	New cases	16.7	14.5	1.15x	12 to 22.6	2019-2023
Pancreas	New cases	15.9	13.9	1.14x	11.5 to 21.3	2019-2023
Non-Hodgkin lymphoma	New cases	20.7	18.5	1.12x	15.4 to 27.2	2019-2023
Liver & bile duct	New cases	9.7	8.7	1.11x	6.3 to 14.3	2019-2023
All cancer	New cases	474	453.4	1.05x	447.8 to 501.4	2019-2023
Bladder	New cases	18	18.7	0.96x	13.2 to 24.1	2019-2023
Stomach	New cases	6.2	6.6	0.94x	3.5 to 10.1	2019-2023
Melanoma of the skin	New cases	20.9	23.8	0.88x	15.6 to 27.5	2019-2023
Thyroid	New cases	10.5	13	0.81x	6.8 to 15.6	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 Johnson County
Measure	County	U.S. median	Difference	Unit
Premature death	8,477.9	9,842.6	-14%	years of life lost before age 75 per 100,000
Life expectancy	75.5	75.3	+0%	years
Child mortality	45.5	59.8	-24%	deaths under age 18 per 100,000
Infant mortality	4.1	6.2	-34%	deaths under age 1 per 1,000 live births
Injury deaths	66.6	96.9	-31%	deaths per 100,000
Drug overdose deaths	11.7	28.6	-59%	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.

Formaldehyde18.32 per million
Carbon Tetrachloride2.92 per million
Acetaldehyde1.79 per million
Benzene0.87 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit144
Rail grade crossing43
Industrial wastewater discharge35
Air permit holder (minor source)33
Gas station (mapped facility)24
Small hazardous waste generator9
Brownfield property8
Auto repair or body shop (mapped facility)6
TRI reporting facility6
Toxic chemical release facility (TRI)6
Public airport4
Large hazardous waste generator3
Major air pollution source2
Commercial airport2
Large greenhouse gas emitter2
Hazardous waste transporter2
Heliport2
Correctional facility (prison or jail)1
Landfill (mapped facility)1
Gas power plant1

Highest-severity records

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

Master Marble Inc., Holden
Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 17,814 lbs released over 5 years.
TRI facility ID 64040MSTRM1292S (U.S. EPA Toxics Release Inventory)
Severity 7.8
Enersys Energy Products Inc Warrensburg, Warrensburg
TRI reporting facility. Penalties $430,500.
EPA FRS registry ID 110000442931 (U.S. EPA ECHO) Agency record
Severity 7.3
Enersys Energy Products Inc ( Formerly Hawker Energy), Warrensburg
Toxic chemical release facility (TRI). Chemicals: Methyl methacrylate, Nonylphenol, Lead And Lead Compounds. 123,819 lbs released over 5 years.
TRI facility ID 64093GTSNR617NO (U.S. EPA Toxics Release Inventory)
Severity 6.9
Us Dod Usaf Whiteman Afb, Whiteman Air Force Base
Toxic chemical release facility (TRI). Chemicals: Naphthalene, Toluene, Ethylbenzene. Reports carcinogens. 809 lbs released over 5 years.
TRI facility ID 6530WSDDSF59CES (U.S. EPA Toxics Release Inventory)
Severity 6.7
Whiteman Air Force Base, Whiteman Afb
TRI reporting facility.
EPA FRS registry ID 110017985073 (U.S. EPA ECHO) Agency record
Severity 6.7
Stahl Specialty Co, Kingsville
Toxic chemical release facility (TRI). Chemicals: Copper, Manganese, Lead, Chromium. Reports carcinogens. 243 lbs released over 5 years.
TRI facility ID 64061STHLSHIGHW (U.S. EPA Toxics Release Inventory)
Severity 6.3
Stahl Specialty Co, Warrensburg
Toxic chemical release facility (TRI). Chemicals: Copper, Manganese, Lead, Chromium. Reports carcinogens. 238 lbs released over 5 years.
TRI facility ID 64093STHLSHIGHW (U.S. EPA Toxics Release Inventory)
Severity 6.3
Master Marble Incorporated, Holden
TRI reporting facility.
EPA FRS registry ID 110017983244 (U.S. EPA ECHO) Agency record
Severity 5.5
Associated Electric Cooperative Inc-Holden Power Plant, Holden
Toxic chemical release facility (TRI). Chemicals: Naphthalene. Reports carcinogens. 12 lbs released over 5 years.
TRI facility ID 6404WSSCTD1SWST (U.S. EPA Toxics Release Inventory)
Severity 5.4
Republic Foods Facility, Lone Jack
NPDES wastewater discharge permit. Penalties $46,733.
EPA FRS registry ID 110070104713 (U.S. EPA ECHO) Agency record
Severity 5.3
Holden Power Plant, Holden
TRI reporting facility.
EPA FRS registry ID 110015869826 (U.S. EPA ECHO) Agency record
Severity 4.8
Enersys Energy Products Inc Warrensburg, Warrensburg
Large hazardous waste generator. Penalties $430,500.
EPA FRS registry ID 110000442931 (U.S. EPA ECHO) Agency record
Severity 4.8
Stahl Specialty Company - Kingsville, Kingsville
TRI reporting facility.
EPA FRS registry ID 110014411289 (U.S. EPA ECHO) Agency record
Severity 4.7
Stahl Specialty Co-Warrensburg Plant, Warrensburg
TRI reporting facility.
EPA FRS registry ID 110000442968 (U.S. EPA ECHO) Agency record
Severity 4.6
Skyhaven Motel And Convenience Storewwtf, Warrensburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110006667464 (U.S. EPA ECHO) Agency record
Severity 4.5
Camp Palestine, Chilhowee
NPDES wastewater discharge permit.
EPA FRS registry ID 110006726365 (U.S. EPA ECHO) Agency record
Severity 4.5
Leeton Wastewater Treatment Facility, Leeton
NPDES wastewater discharge permit.
EPA FRS registry ID 110009869927 (U.S. EPA ECHO) Agency record
Severity 4.5
Elm Quick Mart, Kingsville
NPDES wastewater discharge permit.
EPA FRS registry ID 110011074586 (U.S. EPA ECHO) Agency record
Severity 4.5
Whiteman Air Force Base, Whiteman Afb
Large hazardous waste generator.
EPA FRS registry ID 110017985073 (U.S. EPA ECHO) Agency record
Severity 4.5
Whiteman Air Force Base, Whiteman Afb
NPDES wastewater discharge permit.
EPA FRS registry ID 110017985073 (U.S. EPA ECHO) Agency record
Severity 4.5
Lakewood Mobile Home Park Wwtf, Knob Noster
NPDES wastewater discharge permit.
EPA FRS registry ID 110064335198 (U.S. EPA ECHO) Agency record
Severity 4.5
Knob Noster Cenex, Knob Noster
NPDES wastewater discharge permit.
EPA FRS registry ID 110055634096 (U.S. EPA ECHO) Agency record
Severity 4.3
Parkwood Estates Wwtp, Holden
NPDES wastewater discharge permit.
EPA FRS registry ID 110024574833 (U.S. EPA ECHO) Agency record
Severity 4
Four Seasons North Mhp Wwtf, Warrensburg
NPDES wastewater discharge permit. Penalties $5,000.
EPA FRS registry ID 110006726720 (U.S. EPA ECHO) Agency record
Severity 3.8
Holden Power Plant, Holden
Major air pollution source.
EPA FRS registry ID 110015869826 (U.S. EPA ECHO) Agency record
Severity 3.8

Correctional facilities

Prisons, jails and corrections operations with an EPA facility record, and the drinking water and wastewater compliance attached to them.

Johnson Co Jail And Sheriff Dept Wwtp, Centerview
EPA FRS registry ID
110010121091
Wastewater permit
Yes, 4 quarters in noncompliance
EPA detailed facility report

Discovery / public records

Records to request for Johnson 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 Johnson 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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