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Ozark County, Missouri: environmental and disease records

Cancer mortality in Ozark County is 212.8 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 50 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (30), Air permit holder (minor source) (6), Industrial wastewater discharge (5). 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: 36.6658, -92.4421.

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 Ozark County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	56.4	30.2	1.87xSignificant	41.8 to 76.5	2020-2024
Lung & bronchus	New cases	85.1	51.8	1.64xSignificant	65.6 to 110.3	2019-2023
All cancer	Deaths	212.8	143.2	1.49xSignificant	181.2 to 249.7	2020-2024
Pancreas	Deaths	15.5	11.3	1.37x	8.7 to 28.5	2020-2024
All cancer	New cases	485.4	453.4	1.07x	430.2 to 546.8	2019-2023
Non-Hodgkin lymphoma	New cases	19	18.5	1.03x	10.7 to 33.8	2019-2023
Bladder	New cases	17.9	18.7	0.96x	9.9 to 32.5	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 Ozark County
Measure	County	U.S. median	Difference	Unit
Premature death	10,704.8	9,842.6	+9%	years of life lost before age 75 per 100,000
Life expectancy	74.1	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	115.6	96.9	+19%	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.

Formaldehyde19.49 per million
Carbon Tetrachloride2.9 per million
Acetaldehyde2.05 per million
Ethylene Oxide1.32 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit30
Air permit holder (minor source)6
Industrial wastewater discharge5
Public airport3
Gas station (mapped facility)3
Auto repair or body shop (mapped facility)1
Brownfield property1
Wastewater plant (mapped facility)1

Highest-severity records

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

Dora Post And Lumber Co., Dora
Brownfield property.
EPA FRS registry ID 110071967349 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Theodosia Wwtp, Theodosia
NPDES wastewater discharge permit.
EPA FRS registry ID 110012306575 (U.S. EPA ECHO) Agency record
Severity 2.5
Bakersfield Wwtp, Bakersfield
NPDES wastewater discharge permit.
EPA FRS registry ID 110013678500 (U.S. EPA ECHO) Agency record
Severity 2.5
Cloud 9 Ranch Club Inc, Caulfield
NPDES wastewater discharge permit.
EPA FRS registry ID 110040328794 (U.S. EPA ECHO) Agency record
Severity 2.5
Gainesville Wwtf, Gainesville
Industrial wastewater discharge. No Violation Identified.
NPDES permit MO0027570: (U.S. EPA NPDES)
Severity 2.5
Gainesville Wwtf, Gainesville
NPDES wastewater discharge permit.
EPA FRS registry ID 110039801596 (U.S. EPA ECHO) Agency record
Severity 2.3
Dawt Mill Wwtp, Tecumseh
NPDES wastewater discharge permit.
EPA FRS registry ID 110009713177 (U.S. EPA ECHO) Agency record
Severity 2
Thornfield R-1 School District Wwtp, Thornfield
NPDES wastewater discharge permit.
EPA FRS registry ID 110015975747 (U.S. EPA ECHO) Agency record
Severity 2
Wastewater Plant
Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/1226775666 (OpenStreetMap contributors) Agency record
Severity 2
Rainbow Trout Ranch Wwtf, Rockbridge
NPDES wastewater discharge permit.
EPA FRS registry ID 110011112081 (U.S. EPA ECHO) Agency record
Severity 1.8
Collins Sawmill, Theodosia
NPDES wastewater discharge permit.
EPA FRS registry ID 110011083488 (U.S. EPA ECHO) Agency record
Severity 1.5
Lunas Lumber, Dora
NPDES wastewater discharge permit.
EPA FRS registry ID 110011084129 (U.S. EPA ECHO) Agency record
Severity 1.5
Gainesville Quarry, Gainesville
NPDES wastewater discharge permit.
EPA FRS registry ID 110011110216 (U.S. EPA ECHO) Agency record
Severity 1.5
Rainbow Trout Ranch, Rockbridge
NPDES wastewater discharge permit.
EPA FRS registry ID 110016968860 (U.S. EPA ECHO) Agency record
Severity 1.5
Cedarsafe, Gainesville
NPDES wastewater discharge permit.
EPA FRS registry ID 110017981399 (U.S. EPA ECHO) Agency record
Severity 1.5
Wilson Industries Llc, Gainesville
NPDES wastewater discharge permit.
EPA FRS registry ID 110037512322 (U.S. EPA ECHO) Agency record
Severity 1.5
Highway 160 Quarry, Gainesville
NPDES wastewater discharge permit.
EPA FRS registry ID 110056406857 (U.S. EPA ECHO) Agency record
Severity 1.5
River Of Life Farm Llc, Dora
NPDES wastewater discharge permit.
EPA FRS registry ID 110064419142 (U.S. EPA ECHO) Agency record
Severity 1.5
Mlh Excavation Llc, Gainesville
NPDES wastewater discharge permit.
EPA FRS registry ID 110070115927 (U.S. EPA ECHO) Agency record
Severity 1.5
Gabris Landscaping, Ozark
NPDES wastewater discharge permit.
EPA FRS registry ID 110071220097 (U.S. EPA ECHO) Agency record
Severity 1.5
Dollar General #24491 Dora Mo, Dora
NPDES wastewater discharge permit.
EPA FRS registry ID 110071295327 (U.S. EPA ECHO) Agency record
Severity 1.5
Plant 67 Theodosia, Theodosia
NPDES wastewater discharge permit.
EPA FRS registry ID 110071339116 (U.S. EPA ECHO) Agency record
Severity 1.5
Shad Friend Land Disturbance Site, Theodosia
NPDES wastewater discharge permit.
EPA FRS registry ID 110071426678 (U.S. EPA ECHO) Agency record
Severity 1.5
Lakeshore Hills, Theodosia
NPDES wastewater discharge permit.
EPA FRS registry ID 110071427351 (U.S. EPA ECHO) Agency record
Severity 1.5
Nash Borrow, Pontiac
NPDES wastewater discharge permit.
EPA FRS registry ID 110071438025 (U.S. EPA ECHO) Agency record
Severity 1.5

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 Ozark 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 Ozark 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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