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Lewis County, Missouri: environmental and disease records

Cancer mortality in Lewis County is 177.1 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 1.7 times the U.S. rate. Federal databases place 111 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (34), Rail grade crossing (28), Brownfield property (16). 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: 40.1036, -91.7274.

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 Lewis County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	52.6	30.2	1.74xSignificant	36.9 to 73.7	2020-2024
Lung & bronchus	New cases	77.3	51.8	1.49xSignificant	58.2 to 101.6	2019-2023
All cancer	Deaths	177.1	143.2	1.24xSignificant	145.4 to 214.3	2020-2024
Melanoma of the skin	New cases	27.6	23.8	1.16x	15.9 to 45.2	2019-2023
All cancer	New cases	524.7	453.4	1.16xSignificant	467.1 to 587.9	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 Lewis County
Measure	County	U.S. median	Difference	Unit
Premature death	9,060.6	9,842.6	-8%	years of life lost before age 75 per 100,000
Life expectancy	75.4	75.3	+0%	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	83.1	96.9	-14%	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.

Formaldehyde17.65 per million
Carbon Tetrachloride2.96 per million
Acetaldehyde1.67 per million
Benzene0.9 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit34
Rail grade crossing28
Brownfield property16
Industrial wastewater discharge14
Air permit holder (minor source)12
Major air pollution source2
Public airport2
Gas station (mapped facility)2
Large greenhouse gas emitter1

Highest-severity records

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

Lagrange Foundry-Lagrange, La Grange
Major air pollution source.
EPA FRS registry ID 110000442272 (U.S. EPA ECHO) Agency record
Severity 5
Republic Services - Backridge Landfill, La Grange
Major air pollution source.
EPA FRS registry ID 110002079535 (U.S. EPA ECHO) Agency record
Severity 3.8
Republic Services - Backridge Landfill, La Grange
NPDES wastewater discharge permit.
EPA FRS registry ID 110002079535 (U.S. EPA ECHO) Agency record
Severity 3.3
Lewistown Wwtf, Lewistown
NPDES wastewater discharge permit.
EPA FRS registry ID 110042738099 (U.S. EPA ECHO) Agency record
Severity 3.3
Canton Custom Cleaners, Canton
Brownfield property.
EPA FRS registry ID 110015903815 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Smitty And Son Mobile Truck Stop, Canton
Brownfield property.
EPA FRS registry ID 110039063633 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Canton-Spurgeon Property, Canton
Brownfield property.
EPA FRS registry ID 110039063651 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Bait And Booze, Canton
Brownfield property.
EPA FRS registry ID 110039063660 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Bailey Property, Canton Redevelopment Project, Canton
Brownfield property.
EPA FRS registry ID 110045010590 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Boeger Property, Canton
Brownfield property.
EPA FRS registry ID 110045010607 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Lewis County Intermodal Transportation And Storage, Canton Redevelopment Project, Canton
Brownfield property.
EPA FRS registry ID 110045010616 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Logsdon Property, Canton
Brownfield property.
EPA FRS registry ID 110045010625 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
River Port, Canton
Brownfield property.
EPA FRS registry ID 110045010634 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Steel Frame And Wood Frame Building, Canton Redevelopment Project, Canton
Brownfield property.
EPA FRS registry ID 110045010643 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Train Depot, Canton Redevelopment Project, Canton
Brownfield property.
EPA FRS registry ID 110045010652 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Tri-State Fertilizer, Canton Redevelopment Project, Canton
Brownfield property.
EPA FRS registry ID 110045010661 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Vacant Lot And Quonset Building, Canton Redevelopment Project, Canton
Brownfield property.
EPA FRS registry ID 110045010670 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Wolf Property, Canton Redevelopment Project, Canton
Brownfield property.
EPA FRS registry ID 110045010689 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Lagrange Foundry, La Grange
Brownfield property.
EPA FRS registry ID 110071970274 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Lagrange School, La Grange
Brownfield property.
EPA FRS registry ID 110071979014 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Canton Wwtf, Canton
Industrial wastewater discharge. Violation Identified.
NPDES permit MO0056278: (U.S. EPA NPDES)
Severity 3
Republic Services - Backridge Landfill, La Grange
Large greenhouse gas emitter.
EPA FRS registry ID 110002079535 (U.S. EPA ECHO) Agency record
Severity 2.8
Labelle Wwtf, La Belle
NPDES wastewater discharge permit.
EPA FRS registry ID 110009873734 (U.S. EPA ECHO) Agency record
Severity 2.8
Ewing Wwtf, Ewing
NPDES wastewater discharge permit.
EPA FRS registry ID 110008993946 (U.S. EPA ECHO) Agency record
Severity 2.5
Ayers Oil Company - Canton Terminal, Canton
NPDES wastewater discharge permit.
EPA FRS registry ID 110032912374 (U.S. EPA ECHO) Agency record
Severity 2.5

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 Lewis 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 Lewis 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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