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Mississippi County, Missouri: environmental and disease records

Cancer mortality in Mississippi County is 194.6 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 2 times the U.S. rate. Federal databases place 69 regulated facilities, sites and hazards inside the county, led by Industrial wastewater discharge (29), Air permit holder (minor source) (13), NPDES wastewater discharge permit (12). 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: 36.8247, -89.331.

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 Mississippi County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	59.9	30.2	1.98xSignificant	44.7 to 79.1	2020-2024
Lung & bronchus	New cases	98.6	51.8	1.9xSignificant	79 to 122.1	2019-2023
All cancer	Deaths	194.6	143.2	1.36xSignificant	165.3 to 228	2020-2024
Kidney & renal pelvis	New cases	24.2	17.9	1.35x	14.1 to 39.1	2019-2023
Bladder	New cases	24.6	18.7	1.32x	15.4 to 38.1	2019-2023
All cancer	New cases	524.6	453.4	1.16xSignificant	475.8 to 577.6	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 Mississippi County
Measure	County	U.S. median	Difference	Unit
Premature death	14,665.2	9,842.6	+49%	years of life lost before age 75 per 100,000
Life expectancy	70	75.3	-7%	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	127.7	96.9	+32%	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.

Formaldehyde21.46 per million
Carbon Tetrachloride2.96 per million
Acetaldehyde2.09 per million
Benzene0.77 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

Industrial wastewater discharge29
Air permit holder (minor source)13
NPDES wastewater discharge permit12
Gas station (mapped facility)9
Small hazardous waste generator2
Commercial airport1
Brownfield property1
Correctional facility (prison or jail)1
Hazardous waste transporter1

Highest-severity records

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

Charleston Wwtf, Charleston
NPDES wastewater discharge permit.
EPA FRS registry ID 110014340016 (U.S. EPA ECHO) Agency record
Severity 5
Wyatt Pws, Wyatt
NPDES wastewater discharge permit.
EPA FRS registry ID 110009875643 (U.S. EPA ECHO) Agency record
Severity 4.5
East Prairie Wwtf, East Prairie
NPDES wastewater discharge permit.
EPA FRS registry ID 110009878392 (U.S. EPA ECHO) Agency record
Severity 4.5
Anniston Pws-Anniston - Treatment Plant, Anniston
NPDES wastewater discharge permit.
EPA FRS registry ID 110013051954 (U.S. EPA ECHO) Agency record
Severity 4.5
Bertrand Wwtf, Bertrand
NPDES wastewater discharge permit.
EPA FRS registry ID 110042547170 (U.S. EPA ECHO) Agency record
Severity 4.3
A.L. Webb School, East Prairie
Brownfield property.
EPA FRS registry ID 110071977419 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
East Prairie Wwtf, East Prairie
Industrial wastewater discharge. Violation Identified.
NPDES permit MO0021750: (U.S. EPA NPDES)
Severity 2.9
Bertrand Wwtf, Bertrand
Industrial wastewater discharge. Significant/Category I Noncompliance.
NPDES permit MO0100111: (U.S. EPA NPDES)
Severity 2.6
Wyatt Wwtf, Wyatt
Industrial wastewater discharge. Violation Identified.
NPDES permit MO0088536: (U.S. EPA NPDES)
Severity 2.3
Green Acres Mhp Wwtf, Charleston
NPDES wastewater discharge permit.
EPA FRS registry ID 110006729497 (U.S. EPA ECHO) Agency record
Severity 2.3
Mfa Oil Bulk Plant East Prairie, East Prairie
NPDES wastewater discharge permit.
EPA FRS registry ID 110006651382 (U.S. EPA ECHO) Agency record
Severity 2
Mississippi County, Charleston
Commercial airport. O.
Record ID CHQ (FAA / U.S. DOT)
Severity 2
Mfa Bulk Plant - Charleston, Charleston
NPDES wastewater discharge permit.
EPA FRS registry ID 110063909007 (U.S. EPA ECHO) Agency record
Severity 1.8
Hutcheson Plumbing, East Prairie
NPDES wastewater discharge permit.
EPA FRS registry ID 110016758187 (U.S. EPA ECHO) Agency record
Severity 1.5
Custom Fuel Services Llc, Charleston
Small hazardous waste generator.
EPA FRS registry ID 110018871853 (U.S. EPA ECHO) Agency record
Severity 1.5
Bootheel Tractor Parts, East Prairie
NPDES wastewater discharge permit.
EPA FRS registry ID 110069414057 (U.S. EPA ECHO) Agency record
Severity 1.5
City Of Charleston, Charleston
NPDES wastewater discharge permit.
EPA FRS registry ID 110069999543 (U.S. EPA ECHO) Agency record
Severity 1.5
National Maintenance & Repair Of Kentucky, Charleston
Small hazardous waste generator.
EPA FRS registry ID 110070208192 (U.S. EPA ECHO) Agency record
Severity 1.5
Saint Francis East Prairie Clinic, East Prairie
NPDES wastewater discharge permit.
EPA FRS registry ID 110071726996 (U.S. EPA ECHO) Agency record
Severity 1.5
Missouri Dept Of Corrections-Southeast Correctional Center, Charleston
Correctional facility (prison or jail).
EPA FRS registry ID 110021146552 (U.S. EPA ECHO + SDWIS) Agency record
Severity 1
Missouri Utilities Company - Charleston, Charleston
Air permit holder (minor source).
EPA FRS registry ID 110001463899 (U.S. EPA ECHO) Agency record
Severity 1
Cargill Inc - Buffalo Island B, Charleston
Air permit holder (minor source).
EPA FRS registry ID 110007100555 (U.S. EPA ECHO) Agency record
Severity 1
Mcdonalds Grocery Store, East Prairie
Air permit holder (minor source).
EPA FRS registry ID 110007105676 (U.S. EPA ECHO) Agency record
Severity 1
Parrs Heating & Cooling, East Prairie
Air permit holder (minor source).
EPA FRS registry ID 110007107567 (U.S. EPA ECHO) Agency record
Severity 1
Cargill Inc - Diehlstadt, Diehlstadt
Air permit holder (minor source).
EPA FRS registry ID 110007374858 (U.S. EPA ECHO) Agency record
Severity 1

Correctional facilities

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

Missouri Dept Of Corrections-Southeast Correctional Center, Charleston
EPA FRS registry ID
110021146552
Wastewater permit
None on record
EPA detailed facility report

Discovery / public records

Records to request for Mississippi 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 Mississippi 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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