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Miller County, Missouri: environmental and disease records

Cancer mortality in Miller County is 186.9 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 196 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (118), Air permit holder (minor source) (32), Industrial wastewater discharge (25). One correctional facility operates in the county, at least one with health-based drinking water violations on record. 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: 38.2233, -92.4463.

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 Miller County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	52	30.2	1.72xSignificant	42.2 to 63.8	2020-2024
Lung & bronchus	New cases	73.6	51.8	1.42xSignificant	61.6 to 87.6	2019-2023
All cancer	Deaths	186.9	143.2	1.31xSignificant	167.2 to 208.5	2020-2024
Pancreas	Deaths	14.1	11.3	1.25x	9.2 to 21.1	2020-2024
Bladder	New cases	22.3	18.7	1.19x	15.7 to 31.1	2019-2023
Kidney & renal pelvis	New cases	21.1	17.9	1.18x	14.2 to 30.3	2019-2023
All cancer	New cases	465.6	453.4	1.03x	432.5 to 500.6	2019-2023
Melanoma of the skin	New cases	23.7	23.8	1x	16.7 to 32.9	2019-2023
Liver & bile duct	New cases	8.6	8.7	0.99x	4.9 to 14.5	2019-2023
Non-Hodgkin lymphoma	New cases	17.5	18.5	0.95x	11.7 to 25.5	2019-2023
Leukemia	New cases	13.1	14.5	0.9x	8 to 20.5	2019-2023
Pancreas	New cases	12.4	13.9	0.89x	7.7 to 19.3	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 Miller County
Measure	County	U.S. median	Difference	Unit
Premature death	9,750.2	9,842.6	-1%	years of life lost before age 75 per 100,000
Life expectancy	74.9	75.3	-1%	years
Child mortality	38.3	59.8	-36%	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	84.2	96.9	-13%	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.

Formaldehyde19.1 per million
Carbon Tetrachloride2.92 per million
Acetaldehyde1.91 per million
Naphthalene0.89 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit118
Air permit holder (minor source)32
Industrial wastewater discharge25
Small hazardous waste generator7
Gas station (mapped facility)5
Brownfield property3
Public airport1
Commercial airport1
Auto repair or body shop (mapped facility)1
Correctional facility (prison or jail)1
Hazardous waste transporter1
Hydroelectric 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.

Eldon Wwtp, Eldon
NPDES wastewater discharge permit.
EPA FRS registry ID 110000733877 (U.S. EPA ECHO) Agency record
Severity 6
Lake Of The Ozarks Regional Wwtp 1, Lake Ozark
NPDES wastewater discharge permit.
EPA FRS registry ID 110064268304 (U.S. EPA ECHO) Agency record
Severity 4.8
St. Elizabeth Wwtf, St Elizabeth
NPDES wastewater discharge permit.
EPA FRS registry ID 110040330834 (U.S. EPA ECHO) Agency record
Severity 4.5
Pickering Ridge Farms, Tuscumbia
NPDES wastewater discharge permit.
EPA FRS registry ID 110006737576 (U.S. EPA ECHO) Agency record
Severity 4.3
Doolittle Mhp, Eldon
NPDES wastewater discharge permit.
EPA FRS registry ID 110017984065 (U.S. EPA ECHO) Agency record
Severity 4.3
Eldon Model Airport, Eldon
NPDES wastewater discharge permit.
EPA FRS registry ID 110064298512 (U.S. EPA ECHO) Agency record
Severity 4.3
Iguana Group Dock Salvage, Lake Ozark
NPDES wastewater discharge permit.
EPA FRS registry ID 110070204335 (U.S. EPA ECHO) Agency record
Severity 4.3
Park Place On The Lake Condominiums Wwtp, Kaiser
NPDES wastewater discharge permit.
EPA FRS registry ID 110006725990 (U.S. EPA ECHO) Agency record
Severity 4
Palace Lane Estates Wwtf, Osage Beach
NPDES wastewater discharge permit.
EPA FRS registry ID 110071069823 (U.S. EPA ECHO) Agency record
Severity 4
Miller County R-Iii Tuscumbia Wwtf, Tuscumbia
NPDES wastewater discharge permit.
EPA FRS registry ID 110006666777 (U.S. EPA ECHO) Agency record
Severity 3.5
Miller Co Care And Rehabilitation Wwtf, Tuscumbia
NPDES wastewater discharge permit.
EPA FRS registry ID 110012964293 (U.S. EPA ECHO) Agency record
Severity 3.5
Cdc W-20, Eldon
NPDES wastewater discharge permit.
EPA FRS registry ID 110040330843 (U.S. EPA ECHO) Agency record
Severity 3.5
Doyle Road Apartments Wwtf, Eldon
NPDES wastewater discharge permit.
EPA FRS registry ID 110064302801 (U.S. EPA ECHO) Agency record
Severity 3.3
Eagle Mobile Home Park Wwtp, Eldon
NPDES wastewater discharge permit.
EPA FRS registry ID 110071402789 (U.S. EPA ECHO) Agency record
Severity 3.3
Whispering Streams Subdivision, Osage Beach
NPDES wastewater discharge permit.
EPA FRS registry ID 110071825482 (U.S. EPA ECHO) Agency record
Severity 3.3
Live Oak Apartments Wwtf, Kaiser
NPDES wastewater discharge permit.
EPA FRS registry ID 110071825904 (U.S. EPA ECHO) Agency record
Severity 3.3
Carousel Building, Eldon
Brownfield property.
EPA FRS registry ID 110043242354 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Old Saw Shop, Iberia
Brownfield property.
EPA FRS registry ID 110071976352 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Friendship Hall, Iberia
Brownfield property.
EPA FRS registry ID 110071978420 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Oak Hill Forest Wwtf, Eldon
NPDES wastewater discharge permit.
EPA FRS registry ID 110020839967 (U.S. EPA ECHO) Agency record
Severity 3
Our Lady Of Snows, Eugene
NPDES wastewater discharge permit.
EPA FRS registry ID 110064269214 (U.S. EPA ECHO) Agency record
Severity 3
Martin Murray, Iberia
NPDES wastewater discharge permit.
EPA FRS registry ID 110070116986 (U.S. EPA ECHO) Agency record
Severity 3
Miller County R-Iii Tuscumbia Wwtf, Tuscumbia
Industrial wastewater discharge. Significant/Category I Noncompliance.
NPDES permit MO0083879: (U.S. EPA NPDES)
Severity 3
Brookview Apts Of Osage Beach Wwtp, Kaiser
Industrial wastewater discharge. No Violation Identified.
NPDES permit MO0103896: (U.S. EPA NPDES)
Severity 3
Summer Haven Condominiums Wwtp, Lake Ozark
Industrial wastewater discharge. No Violation Identified.
NPDES permit MO0105325: (U.S. EPA NPDES)
Severity 3

Correctional facilities

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

Miller County Jail
EPA FRS registry ID
110050614572
Water system
MO3162350
Health-based violations
1 all time, 0 in 5 years
All violations
6
Contaminants cited
Coliform (TCR)
Wastewater permit
None on record
EPA detailed facility report

Discovery / public records

Records to request for Miller 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 Miller 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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