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Lincoln County, Missouri: environmental and disease records

Cancer mortality in Lincoln County is 180.7 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Kidney & renal pelvis deaths at 2.1 times the U.S. rate and Esophagus deaths at 1.8 times the U.S. rate. Federal databases place 395 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (262), Rail grade crossing (49), Air permit holder (minor source) (36). 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: 39.0498, -90.9875.

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 Lincoln County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Kidney & renal pelvis	Deaths	7.1	3.4	2.09xSignificant	4.5 to 10.7	2020-2024
Esophagus	Deaths	6.7	3.7	1.81xSignificant	4.3 to 10.1	2020-2024
Lung & bronchus	Deaths	51.3	30.2	1.7xSignificant	43.8 to 59.7	2020-2024
Brain & nervous system	Deaths	7.2	4.4	1.64xSignificant	4.7 to 10.8	2020-2024
Lung & bronchus	New cases	82.9	51.8	1.6xSignificant	73.5 to 93.2	2019-2023
Esophagus	New cases	7	4.6	1.52x	4.3 to 10.6	2019-2023
Kidney & renal pelvis	New cases	24	17.9	1.34xSignificant	18.9 to 30	2019-2023
Pancreas	Deaths	14.5	11.3	1.28x	10.8 to 19.1	2020-2024
All cancer	Deaths	180.7	143.2	1.26xSignificant	166.3 to 195.9	2020-2024
Brain & nervous system	New cases	7.7	6.2	1.24x	5 to 11.4	2019-2023
Leukemia	Deaths	6.7	5.7	1.18x	4.1 to 10.4	2020-2024
Stomach	New cases	7.6	6.6	1.15x	4.9 to 11.4	2019-2023
Liver & bile duct	Deaths	7.2	6.6	1.09x	4.6 to 10.6	2020-2024
Pancreas	New cases	15.1	13.9	1.09x	11.2 to 19.9	2019-2023
All cancer	New cases	489.5	453.4	1.08xSignificant	465.8 to 514	2019-2023
Thyroid	New cases	13.2	13	1.02x	9.4 to 18	2019-2023
Bladder	New cases	18.5	18.7	0.99x	14 to 23.9	2019-2023
Leukemia	New cases	14.2	14.5	0.98x	10.3 to 19	2019-2023
Melanoma of the skin	New cases	22.1	23.8	0.93x	17.3 to 27.9	2019-2023
Liver & bile duct	New cases	7.8	8.7	0.9x	5 to 11.5	2019-2023
Non-Hodgkin lymphoma	New cases	16.5	18.5	0.89x	12.5 to 21.5	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 Lincoln County
Measure	County	U.S. median	Difference	Unit
Premature death	9,036.2	9,842.6	-8%	years of life lost before age 75 per 100,000
Life expectancy	75.7	75.3	+1%	years
Child mortality	54.1	59.8	-9%	deaths under age 18 per 100,000
Infant mortality	6.5	6.2	+5%	deaths under age 1 per 1,000 live births
Injury deaths	106.8	96.9	+10%	deaths per 100,000
Drug overdose deaths	36.2	28.6	+27%	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.

Formaldehyde20 per million
Carbon Tetrachloride2.95 per million
Acetaldehyde2.05 per million
Naphthalene1.44 per million

EPA Air Quality Index 2025

Monitored on 247 days: 210 good, 3 unhealthy for sensitive groups or worse. Median AQI 41, peak 122.

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit262
Rail grade crossing49
Air permit holder (minor source)36
Industrial wastewater discharge23
Public airport9
Small hazardous waste generator5
Hazardous waste transporter2
TRI reporting facility2
Toxic chemical release facility (TRI)2
Major air pollution source1
EPA air quality monitor1
Large greenhouse gas emitter1
Large hazardous waste generator1
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.

Toyota Motor Manufacturing Missouri Inc., Troy
Toxic chemical release facility (TRI). Chemicals: Sulfuric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Copper, Lead. Reports carcinogens. 4,923 lbs released over 5 years.
TRI facility ID 63379BDNLM100CH (U.S. EPA Toxics Release Inventory)
Severity 7.3
Most Inc, Troy
Toxic chemical release facility (TRI). Chemicals: Copper compounds, Copper And Copper Compounds, Dioxin and dioxin-like compounds, Lead compounds and 2 more. Reports carcinogens. 220 lbs released over 5 years.
TRI facility ID 63379MSTNC50CHE (U.S. EPA Toxics Release Inventory)
Severity 6.3
Most Inc, Troy
TRI reporting facility.
EPA FRS registry ID 110000566192 (U.S. EPA ECHO) Agency record
Severity 5
Toyota Motor Mfg Missouri Inc, Troy
TRI reporting facility.
EPA FRS registry ID 110011094412 (U.S. EPA ECHO) Agency record
Severity 4.9
Elsberry Pws, Elsberry
NPDES wastewater discharge permit.
EPA FRS registry ID 110006735952 (U.S. EPA ECHO) Agency record
Severity 4.5
Skyway Farms Wwtf, Troy
NPDES wastewater discharge permit.
EPA FRS registry ID 110008993786 (U.S. EPA ECHO) Agency record
Severity 4.5
Lcpwsd No. 1 Green Acres Wwtf, Old Monroe
NPDES wastewater discharge permit.
EPA FRS registry ID 110009111914 (U.S. EPA ECHO) Agency record
Severity 4.5
Old Monroe Sand & Gravel, Old Monroe
NPDES wastewater discharge permit.
EPA FRS registry ID 110009712917 (U.S. EPA ECHO) Agency record
Severity 4.5
Southwest Business Park, Winfield
NPDES wastewater discharge permit.
EPA FRS registry ID 110009868036 (U.S. EPA ECHO) Agency record
Severity 4.5
Silex Wwtf, Silex
NPDES wastewater discharge permit.
EPA FRS registry ID 110009871914 (U.S. EPA ECHO) Agency record
Severity 4.5
Moscow Mills Wwtf, Moscow Mills
NPDES wastewater discharge permit.
EPA FRS registry ID 110009873459 (U.S. EPA ECHO) Agency record
Severity 4.5
Hawk Point Wwtf, Hawk Point
NPDES wastewater discharge permit.
EPA FRS registry ID 110010432488 (U.S. EPA ECHO) Agency record
Severity 4.5
Fountain-N-Lake Wwtf, Moscow Mills
NPDES wastewater discharge permit.
EPA FRS registry ID 110028295636 (U.S. EPA ECHO) Agency record
Severity 4.5
Winfield Wwtf, Winfield
NPDES wastewater discharge permit.
EPA FRS registry ID 110039813609 (U.S. EPA ECHO) Agency record
Severity 4.5
Lcpwsd No. 1 White Fences Subd Wwtp, Elsberry
NPDES wastewater discharge permit.
EPA FRS registry ID 110064268199 (U.S. EPA ECHO) Agency record
Severity 4.5
Lincoln County, Troy
NPDES wastewater discharge permit.
EPA FRS registry ID 110067188714 (U.S. EPA ECHO) Agency record
Severity 4.5
Prairie Meadow Subdivision Wwtf, Troy
NPDES wastewater discharge permit.
EPA FRS registry ID 110006724526 (U.S. EPA ECHO) Agency record
Severity 4.3
Mclain Mhp Wwtf, Elsberry
NPDES wastewater discharge permit.
EPA FRS registry ID 110010121082 (U.S. EPA ECHO) Agency record
Severity 4.3
Houston Mobile Home Scrapyard, Elsberry
NPDES wastewater discharge permit.
EPA FRS registry ID 110044902102 (U.S. EPA ECHO) Agency record
Severity 4.3
Old Monroe Sand & Gravel, Old Monroe
Air permit holder (minor source).
EPA FRS registry ID 110009712917 (U.S. EPA ECHO) Agency record
Severity 4
Brileys Sewer Association Wwtf, Moscow Mills
NPDES wastewater discharge permit.
EPA FRS registry ID 110009713113 (U.S. EPA ECHO) Agency record
Severity 4
Concordance, Winfield Manor, Winfield
NPDES wastewater discharge permit.
EPA FRS registry ID 110009868633 (U.S. EPA ECHO) Agency record
Severity 4
Truxton Wwtf, Truxton
NPDES wastewater discharge permit.
EPA FRS registry ID 110009869222 (U.S. EPA ECHO) Agency record
Severity 4
North Troy Business Park Wwtf, Troy
NPDES wastewater discharge permit.
EPA FRS registry ID 110017697394 (U.S. EPA ECHO) Agency record
Severity 4
Quail Run Mhp Wwtf, Moscow Mills
NPDES wastewater discharge permit.
EPA FRS registry ID 110064297808 (U.S. EPA ECHO) Agency record
Severity 4

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 Lincoln 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 Lincoln 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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