MO / county FIPS 29169 / county research

Pulaski County, Missouri: environmental and disease records

Cancer mortality in Pulaski County is 183.5 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Non-Hodgkin lymphoma deaths at 2.1 times the U.S. rate and Lung & bronchus deaths at 1.5 times the U.S. rate. Federal databases place 218 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (86), Rail grade crossing (35), Gas station (mapped facility) (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: 37.8186, -92.2173.

How this county ranks in Missouri

View on the heat map Scan an address in this county

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 Pulaski County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Non-Hodgkin lymphoma	Deaths	9.9	4.8	2.06xSignificant	6 to 15.4	2020-2024
Esophagus	New cases	7.9	4.6	1.72x	4.4 to 12.8	2019-2023
Lung & bronchus	New cases	85.1	51.8	1.64xSignificant	72.8 to 98.7	2019-2023
Liver & bile duct	New cases	13.2	8.7	1.52x	8.7 to 19.2	2019-2023
Liver & bile duct	Deaths	10	6.6	1.52x	6.1 to 15.4	2020-2024
Lung & bronchus	Deaths	44.9	30.2	1.49xSignificant	36.1 to 55.1	2020-2024
All cancer	Deaths	183.5	143.2	1.28xSignificant	165 to 203.5	2020-2024
All cancer	New cases	509.9	453.4	1.12xSignificant	479.2 to 542	2019-2023
Pancreas	Deaths	11.6	11.3	1.03x	7.4 to 17.4	2020-2024
Melanoma of the skin	New cases	24.2	23.8	1.02x	17.8 to 31.9	2019-2023
Non-Hodgkin lymphoma	New cases	18.8	18.5	1.02x	13.2 to 25.8	2019-2023
Leukemia	New cases	13.7	14.5	0.94x	9 to 19.9	2019-2023
Kidney & renal pelvis	New cases	16.3	17.9	0.91x	11.5 to 22.5	2019-2023
Bladder	New cases	16.3	18.7	0.87x	11.1 to 23	2019-2023
Pancreas	New cases	11.6	13.9	0.83x	7.3 to 17.5	2019-2023
Thyroid	New cases	10.3	13	0.79x	6.5 to 15.5	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 Pulaski County
Measure	County	U.S. median	Difference	Unit
Premature death	10,132.8	9,842.6	+3%	years of life lost before age 75 per 100,000
Life expectancy	73.7	75.3	-2%	years
Child mortality	48.8	59.8	-18%	deaths under age 18 per 100,000
Infant mortality	4.7	6.2	-24%	deaths under age 1 per 1,000 live births
Injury deaths	96.9	96.9	0%	deaths per 100,000
Drug overdose deaths	55.5	28.6	+94%	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.

Formaldehyde18.82 per million
Carbon Tetrachloride2.9 per million
Acetaldehyde1.89 per million
Naphthalene0.95 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit86
Rail grade crossing35
Gas station (mapped facility)25
Industrial wastewater discharge24
Air permit holder (minor source)20
Small hazardous waste generator7
Brownfield property3
Wastewater plant (mapped facility)3
Auto repair or body shop (mapped facility)2
Heliport2
TRI reporting facility2
Toxic chemical release facility (TRI)2
Major air pollution source1
Public airport1
Commercial airport1
Dry cleaner (mapped facility)1
Large hazardous waste generator1
Solar power plant1
Scrapyard (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.

Us Army National Guard Fort Leonard Wood Ranges, Fort Leonard Wood
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 21,052 lbs released over 5 years.
TRI facility ID 6547WFRTLN169CE (U.S. EPA Toxics Release Inventory)
Severity 7.8
Us Army Maneuver Support Center Imld-Pw-E, Fort Leonard Wood
Toxic chemical release facility (TRI). Chemicals: Copper, Lead And Lead Compounds. 1,059,662 lbs released over 5 years.
TRI facility ID 65473STCNGATZTD (U.S. EPA Toxics Release Inventory)
Severity 7.6
Us Army Maneuver Support Center, Fort Leonard Wood
TRI reporting facility.
EPA FRS registry ID 110000614997 (U.S. EPA ECHO) Agency record
Severity 6.6
St Robert Pws, St Robert
NPDES wastewater discharge permit.
EPA FRS registry ID 110009010729 (U.S. EPA ECHO) Agency record
Severity 5.8
Mo Army National Guard Training Flw, Fort Leonard Wood
TRI reporting facility.
EPA FRS registry ID 110024256188 (U.S. EPA ECHO) Agency record
Severity 5.7
Dixon Wwtp, Dixon
NPDES wastewater discharge permit. Penalties $22,200.
EPA FRS registry ID 110009873949 (U.S. EPA ECHO) Agency record
Severity 5.5
Waynesville-St Robert Rgnl Forney Fld, Fort Leonard Wood
Commercial airport. O.
Record ID TBN (FAA / U.S. DOT)
Severity 5
Waynesville Pws, Waynesville
NPDES wastewater discharge permit.
EPA FRS registry ID 110000737178 (U.S. EPA ECHO) Agency record
Severity 4.5
Pulaski Co. Sd # 1, Weeks Hollow Wwtf, Waynesville
NPDES wastewater discharge permit.
EPA FRS registry ID 110006727337 (U.S. EPA ECHO) Agency record
Severity 4.5
Oasis Truck Plaza, Richland
NPDES wastewater discharge permit.
EPA FRS registry ID 110009871889 (U.S. EPA ECHO) Agency record
Severity 4.5
Shalom Mountain Wwtp, Waynesville
NPDES wastewater discharge permit.
EPA FRS registry ID 110022843253 (U.S. EPA ECHO) Agency record
Severity 4.5
Crocker Pws-Well # 2 - Branch, Crocker
NPDES wastewater discharge permit.
EPA FRS registry ID 110006824945 (U.S. EPA ECHO) Agency record
Severity 4.3
Ditrapani'S Italian Bistro, Dixon
NPDES wastewater discharge permit.
EPA FRS registry ID 110070617262 (U.S. EPA ECHO) Agency record
Severity 4.3
Us Army Maneuver Support Center, Fort Leonard Wood
Major air pollution source.
EPA FRS registry ID 110000614997 (U.S. EPA ECHO) Agency record
Severity 3.8
Pcsd No. 1 Northern Heights Estates Wwtp, Waynesville
NPDES wastewater discharge permit.
EPA FRS registry ID 110030762967 (U.S. EPA ECHO) Agency record
Severity 3.8
Laquey Subdivision Wwtp, Laquey
NPDES wastewater discharge permit.
EPA FRS registry ID 110042721007 (U.S. EPA ECHO) Agency record
Severity 3.8
Awms Fort Leonard Wood Wwtp, Fort Leonard Wood
NPDES wastewater discharge permit.
EPA FRS registry ID 110006885264 (U.S. EPA ECHO) Agency record
Severity 3.5
Us Army Maneuver Support Center, Fort Leonard Wood
Large hazardous waste generator.
EPA FRS registry ID 110000614997 (U.S. EPA ECHO) Agency record
Severity 3.3
Us Army Maneuver Support Center, Fort Leonard Wood
NPDES wastewater discharge permit.
EPA FRS registry ID 110000614997 (U.S. EPA ECHO) Agency record
Severity 3.3
Haveli 150 Travel Center Llc, Laquey
NPDES wastewater discharge permit.
EPA FRS registry ID 110043476903 (U.S. EPA ECHO) Agency record
Severity 3.3
Tri County Woodcraft, Richland
Brownfield property.
EPA FRS registry ID 110012468169 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
First State Community Bank, Richland
Brownfield property.
EPA FRS registry ID 110071982392 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
H.D. Lee Building (Former), Richland Area Wide Ass, Richland
Brownfield property.
EPA FRS registry ID 110071983074 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Ozark Ready Mix Co Inc - Plant 6, Waynesville
NPDES wastewater discharge permit.
EPA FRS registry ID 110009050043 (U.S. EPA ECHO) Agency record
Severity 3
Waynesville Wwtp, Waynesville
Industrial wastewater discharge. No Violation Identified.
NPDES permit MO0094161: (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.

No correctional facility with an EPA record is located in this county.

Discovery / public records

Records to request for Pulaski 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 Pulaski 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.

Scan an address in Pulaski County View on the heat map All Missouri counties