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Perry County, Missouri: environmental and disease records

Cancer mortality in Perry County is 167.6 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Leukemia deaths at 2 times the U.S. rate and Lung & bronchus deaths at 1.4 times the U.S. rate. Federal databases place 159 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (76), Rail grade crossing (25), Air permit holder (minor source) (22). 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: 37.7342, -89.8309.

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 Perry County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Leukemia	Deaths	11.5	5.7	2.02xSignificant	6.5 to 19.2	2020-2024
Thyroid	New cases	19.6	13	1.51x	11.7 to 30.9	2019-2023
Kidney & renal pelvis	New cases	26.5	17.9	1.48x	17.9 to 38	2019-2023
Lung & bronchus	Deaths	41.3	30.2	1.37xSignificant	31.1 to 54	2020-2024
Lung & bronchus	New cases	68.4	51.8	1.32xSignificant	55 to 84.4	2019-2023
All cancer	Deaths	167.6	143.2	1.17xSignificant	146.3 to 191.5	2020-2024
Pancreas	Deaths	12.4	11.3	1.1x	7.4 to 20	2020-2024
Leukemia	New cases	15.9	14.5	1.1x	9.6 to 25.1	2019-2023
All cancer	New cases	454.1	453.4	1x	417.6 to 493.2	2019-2023
Pancreas	New cases	13.5	13.9	0.97x	7.8 to 22.2	2019-2023
Bladder	New cases	17	18.7	0.91x	10.7 to 26.1	2019-2023
Non-Hodgkin lymphoma	New cases	16.5	18.5	0.89x	10.2 to 25.5	2019-2023
Melanoma of the skin	New cases	19.1	23.8	0.8x	12 to 29.2	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 Perry County
Measure	County	U.S. median	Difference	Unit
Premature death	8,591.9	9,842.6	-13%	years of life lost before age 75 per 100,000
Life expectancy	76.4	75.3	+2%	years
Child mortality	68.6	59.8	+15%	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	76.6	96.9	-21%	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.

Formaldehyde20.18 per million
Carbon Tetrachloride2.95 per million
Acetaldehyde2.01 per million
Ethylene Oxide1.74 per million

EPA Air Quality Index 2025

Monitored on 255 days: 216 good, 1 unhealthy for sensitive groups or worse. Median AQI 41, peak 105.

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit76
Rail grade crossing25
Air permit holder (minor source)22
Industrial wastewater discharge11
Gas station (mapped facility)6
Large hazardous waste generator4
Major air pollution source3
Auto repair or body shop (mapped facility)2
TRI reporting facility2
Toxic chemical release facility (TRI)2
EPA air quality monitor1
Commercial airport1
Brownfield property1
Large greenhouse gas emitter1
Small 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.

Tg Missouri Corporation, Perryville
TRI reporting facility. Penalties $3,000.
EPA FRS registry ID 110000442502 (U.S. EPA ECHO) Agency record
Severity 7.8
Tg Missouri, Perryville
Toxic chemical release facility (TRI). Chemicals: Copper, Nitric acid, Nickel, Ethylene glycol and 4 more. Reports carcinogens. 10,026 lbs released over 5 years.
TRI facility ID 63775TGSCR2200P (U.S. EPA Toxics Release Inventory)
Severity 7.6
H & G Marine Service Inc, Perryville
Toxic chemical release facility (TRI). Chemicals: Toluene, Diisocyanates. 27,670 lbs released over 5 years.
TRI facility ID 63775HGMRNOUTER (U.S. EPA Toxics Release Inventory)
Severity 6.4
H And G Marine Service Inc, Perryville
TRI reporting facility.
EPA FRS registry ID 110000442496 (U.S. EPA ECHO) Agency record
Severity 5.9
Tg Missouri Corporation, Perryville
Major air pollution source. Penalties $3,000.
EPA FRS registry ID 110000442502 (U.S. EPA ECHO) Agency record
Severity 5.8
Tg Missouri Corporation, Perryville
Large hazardous waste generator. Penalties $3,000.
EPA FRS registry ID 110000442502 (U.S. EPA ECHO) Agency record
Severity 5.3
Tg Missouri Corporation, Perryville
NPDES wastewater discharge permit. Penalties $3,000.
EPA FRS registry ID 110000442502 (U.S. EPA ECHO) Agency record
Severity 5.3
Tg Missouri Corporation, Perryville
Large greenhouse gas emitter. Penalties $3,000.
EPA FRS registry ID 110000442502 (U.S. EPA ECHO) Agency record
Severity 4.8
Tnt Plastics Inc Perryville, Perryville
Major air pollution source.
EPA FRS registry ID 110001470444 (U.S. EPA ECHO) Agency record
Severity 4.8
Tnt Plastics Inc Perryville, Perryville
Large hazardous waste generator.
EPA FRS registry ID 110001470444 (U.S. EPA ECHO) Agency record
Severity 4.3
Tnt Plastics Inc Perryville, Perryville
NPDES wastewater discharge permit.
EPA FRS registry ID 110001470444 (U.S. EPA ECHO) Agency record
Severity 4.3
Atlas Eps Perryville, Perryville
Major air pollution source.
EPA FRS registry ID 110001457281 (U.S. EPA ECHO) Agency record
Severity 3.8
Perryville Se Wwtp, Perryville
NPDES wastewater discharge permit.
EPA FRS registry ID 110039806369 (U.S. EPA ECHO) Agency record
Severity 3.5
Atlas Eps Perryville, Perryville
NPDES wastewater discharge permit.
EPA FRS registry ID 110001457281 (U.S. EPA ECHO) Agency record
Severity 3.3
Arch Packaging Technologies, Ste Genevieve
Large hazardous waste generator.
EPA FRS registry ID 110070862023 (U.S. EPA ECHO) Agency record
Severity 3.3
Co-Op Service Center, Perryville
Brownfield property.
EPA FRS registry ID 110071979638 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Aviation, Llc, Perryville
Large hazardous waste generator.
EPA FRS registry ID 110017996114 (U.S. EPA ECHO) Agency record
Severity 3
Altenburg And Frohna Wwtp, Altenburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110029516968 (U.S. EPA ECHO) Agency record
Severity 3
Bfc Composting Co, Perryville
NPDES wastewater discharge permit.
EPA FRS registry ID 110040143519 (U.S. EPA ECHO) Agency record
Severity 3
Perryville Se Wwtp, Perryville
Industrial wastewater discharge. No Violation Identified.
NPDES permit MO0051144: (U.S. EPA NPDES)
Severity 3
Sk And M Water And Sewer Company Wwtp, Perryville
NPDES wastewater discharge permit.
EPA FRS registry ID 110009873976 (U.S. EPA ECHO) Agency record
Severity 2.8
Perryville Regional Airport Wwtp, Perryville
Industrial wastewater discharge. No Violation Identified.
NPDES permit MO0098957: (U.S. EPA NPDES)
Severity 2
Sk And M Water And Sewer Company Wwtp, Perryville
Industrial wastewater discharge. Significant/Category I Noncompliance.
NPDES permit MO0098680: (U.S. EPA NPDES)
Severity 2
Confluence Rivers - Port Perry Wwtf, Perryville
NPDES wastewater discharge permit.
EPA FRS registry ID 110006667945 (U.S. EPA ECHO) Agency record
Severity 2
Select Materials Midwest, Llc, Perryville
NPDES wastewater discharge permit.
EPA FRS registry ID 110009048020 (U.S. EPA ECHO) Agency record
Severity 2

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 Perry 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 Perry 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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