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Montgomery County, Missouri: environmental and disease records

Cancer mortality in Montgomery County is 184.1 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 1.9 times the U.S. rate. Federal databases place 194 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (74), Rail grade crossing (40), Air permit holder (minor source) (25). 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: 38.9103, -91.4523.

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 Montgomery County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	56.2	30.2	1.86xSignificant	41.3 to 75.5	2020-2024
Lung & bronchus	New cases	90.7	51.8	1.75xSignificant	71.2 to 114.5	2019-2023
Non-Hodgkin lymphoma	New cases	30.6	18.5	1.65xSignificant	19.1 to 47.1	2019-2023
Kidney & renal pelvis	New cases	27.2	17.9	1.52x	15.8 to 44	2019-2023
All cancer	Deaths	184.1	143.2	1.29xSignificant	155.9 to 216.6	2020-2024
All cancer	New cases	517.5	453.4	1.14xSignificant	466.5 to 573	2019-2023
Bladder	New cases	17.4	18.7	0.93x	9.8 to 29.7	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 Montgomery County
Measure	County	U.S. median	Difference	Unit
Premature death	10,164.7	9,842.6	+3%	years of life lost before age 75 per 100,000
Life expectancy	73.7	75.3	-2%	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	115.3	96.9	+19%	deaths per 100,000
Drug overdose deaths	29.3	28.6	+2%	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.

Formaldehyde18.64 per million
Carbon Tetrachloride2.94 per million
Acetaldehyde1.84 per million
Naphthalene0.8 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit74
Rail grade crossing40
Air permit holder (minor source)25
Industrial wastewater discharge23
Gas station (mapped facility)9
Public airport7
TRI reporting facility4
Toxic chemical release facility (TRI)4
Major air pollution source2
Brownfield property2
Scrapyard (mapped facility)2
Auto repair or body shop (mapped facility)1
Small hazardous waste generator1

Highest-severity records

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

Christy Minerals Llc, High Hill
Toxic chemical release facility (TRI). Chemicals: Hydrochloric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Sulfuric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Lead compounds, Lead. Reports carcinogens. 167,164 lbs released over 5 years.
TRI facility ID 63350MSSRMZZZZZ (U.S. EPA Toxics Release Inventory)
Severity 8.5
Certainteed Jonesburg Roofing Plant, Jonesburg
Toxic chemical release facility (TRI). Chemicals: Copper And Copper Compounds, Zinc compounds, Lead, Chromium and Chromium Compounds(except for chromite ore mined in the Transvaal Region) and 4 more. Reports carcinogens. 179 lbs released over 5 years.
TRI facility ID 6335WCRTNT1CERT (U.S. EPA Toxics Release Inventory)
Severity 6.2
Montgomery City Pws, Montgomery City
NPDES wastewater discharge permit.
EPA FRS registry ID 110009711455 (U.S. EPA ECHO) Agency record
Severity 5.8
Certainteed, Jonesburg
TRI reporting facility.
EPA FRS registry ID 110055628520 (U.S. EPA ECHO) Agency record
Severity 5
Christy Minerals Terrill Clay Pit, High Hill
TRI reporting facility.
EPA FRS registry ID 110017992886 (U.S. EPA ECHO) Agency record
Severity 4.6
Wellsville Pws, Wellsville
NPDES wastewater discharge permit.
EPA FRS registry ID 110006730617 (U.S. EPA ECHO) Agency record
Severity 4.5
Clarity Properties Wwtf, Jonesburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110009867634 (U.S. EPA ECHO) Agency record
Severity 4.5
Bellflower Wwtf, Bellflower
NPDES wastewater discharge permit.
EPA FRS registry ID 110009872995 (U.S. EPA ECHO) Agency record
Severity 4.5
Middletown Pws, Middletown
NPDES wastewater discharge permit.
EPA FRS registry ID 110009876688 (U.S. EPA ECHO) Agency record
Severity 4.5
New Florence Wwtf, New Florence
NPDES wastewater discharge permit.
EPA FRS registry ID 110009878338 (U.S. EPA ECHO) Agency record
Severity 4.5
Lake View Subdivision, Montgomery City
NPDES wastewater discharge permit.
EPA FRS registry ID 110012306520 (U.S. EPA ECHO) Agency record
Severity 4.5
Cherry Patch Facility, Montgomery City
NPDES wastewater discharge permit.
EPA FRS registry ID 110012667435 (U.S. EPA ECHO) Agency record
Severity 4.5
Rhineland Wwtp, Rhineland
NPDES wastewater discharge permit.
EPA FRS registry ID 110042755872 (U.S. EPA ECHO) Agency record
Severity 4.5
High Hill Christian Camp, High Hill
NPDES wastewater discharge permit.
EPA FRS registry ID 110055252319 (U.S. EPA ECHO) Agency record
Severity 4.5
Jonesburg Pws, Jonesburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110009877721 (U.S. EPA ECHO) Agency record
Severity 4.3
Hilty'S Bee Yards, Middletown
NPDES wastewater discharge permit.
EPA FRS registry ID 110071510598 (U.S. EPA ECHO) Agency record
Severity 4.3
Hilty'S Custom Meats - Middletown, Middletown
NPDES wastewater discharge permit.
EPA FRS registry ID 110071525016 (U.S. EPA ECHO) Agency record
Severity 4.3
Land O' Lakes Purina Feed Llc, Montgomery
TRI reporting facility.
EPA FRS registry ID 110000442030 (U.S. EPA ECHO) Agency record
Severity 4
Christy Minerals Terrill Clay Pit, High Hill
Major air pollution source.
EPA FRS registry ID 110017992886 (U.S. EPA ECHO) Agency record
Severity 4
Cargill Nutrena Feeds, Montgomery City
TRI reporting facility.
EPA FRS registry ID 110018000795 (U.S. EPA ECHO) Agency record
Severity 4
Montgomery City Clear Creek Wwtp, Montgomery City
NPDES wastewater discharge permit.
EPA FRS registry ID 110010120911 (U.S. EPA ECHO) Agency record
Severity 3.8
High Hill Wwtf, High Hill
NPDES wastewater discharge permit.
EPA FRS registry ID 110006728577 (U.S. EPA ECHO) Agency record
Severity 3.5
Christy Minerals Terrill Clay Pit, High Hill
NPDES wastewater discharge permit.
EPA FRS registry ID 110017992886 (U.S. EPA ECHO) Agency record
Severity 3.5
Certainteed, Jonesburg
Major air pollution source.
EPA FRS registry ID 110055628520 (U.S. EPA ECHO) Agency record
Severity 3.5
Foley Auction House, Jonesburg
Brownfield property.
EPA FRS registry ID 110071979642 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3

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 Montgomery 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 Montgomery 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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