MO / county FIPS 29173 / county research

Ralls County, Missouri: environmental and disease records

Cancer mortality in Ralls County is 179.6 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 1.4 times the U.S. rate. Federal databases place 155 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (52), Industrial wastewater discharge (26), Rail grade crossing (24). 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: 39.5025, -91.5406.

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 Ralls County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	43.4	30.2	1.44xSignificant	30.6 to 60.9	2020-2024
All cancer	Deaths	179.6	143.2	1.25xSignificant	151.1 to 212.8	2020-2024
Non-Hodgkin lymphoma	New cases	19.6	18.5	1.06x	10.7 to 34.1	2019-2023
All cancer	New cases	344.2	453.4	0.76x	301.9 to 391.4	2019-2023
Lung & bronchus	New cases	38.5	51.8	0.74x	26.4 to 55.5	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 Ralls County
Measure	County	U.S. median	Difference	Unit
Premature death	10,268.6	9,842.6	+4%	years of life lost before age 75 per 100,000
Life expectancy	75.5	75.3	+0%	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	108.5	96.9	+12%	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.

Formaldehyde18.22 per million
Carbon Tetrachloride2.95 per million
Acetaldehyde1.77 per million
Benzene0.76 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit52
Industrial wastewater discharge26
Rail grade crossing24
Air permit holder (minor source)20
Gas station (mapped facility)9
Small hazardous waste generator4
TRI reporting facility4
Toxic chemical release facility (TRI)4
Public airport2
Large hazardous waste generator2
Major air pollution source1
Auto repair or body shop (mapped facility)1
Brownfield property1
Large greenhouse gas emitter1
Hazardous waste transporter1
Oil-fired power plant1
Pumped storage plant1
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.

Continental Cement Company, Llc, Hannibal
TRI reporting facility. Penalties $151,064.
EPA FRS registry ID 110000595981 (U.S. EPA ECHO) Agency record
Severity 10
Continental Cement Company, Llc, Hannibal
Major air pollution source. Penalties $151,064.
EPA FRS registry ID 110000595981 (U.S. EPA ECHO) Agency record
Severity 7.5
Continental Cement Company, Llc, Hannibal
Large hazardous waste generator. Penalties $151,064.
EPA FRS registry ID 110000595981 (U.S. EPA ECHO) Agency record
Severity 7
Continental Cement Company, Llc, Hannibal
NPDES wastewater discharge permit. Penalties $151,064.
EPA FRS registry ID 110000595981 (U.S. EPA ECHO) Agency record
Severity 7
Continental Cement Company, Llc, Hannibal
Large greenhouse gas emitter. Penalties $151,064.
EPA FRS registry ID 110000595981 (U.S. EPA ECHO) Agency record
Severity 6.5
Ennis-Flint, Hannibal
Toxic chemical release facility (TRI). Chemicals: Methanol. 12,883 lbs released over 5 years.
TRI facility ID 63467TRFFCHIGHW (U.S. EPA Toxics Release Inventory)
Severity 6.2
Ennis Flint, Hannibal
TRI reporting facility.
EPA FRS registry ID 110000596007 (U.S. EPA ECHO) Agency record
Severity 5.7
Center Wwtf, Center
NPDES wastewater discharge permit.
EPA FRS registry ID 110009872094 (U.S. EPA ECHO) Agency record
Severity 4.5
Norwoods Subdivision Wwtf, Hannibal
NPDES wastewater discharge permit.
EPA FRS registry ID 110018011239 (U.S. EPA ECHO) Agency record
Severity 4.5
Mark Twain Landing Resort, Monroe City
NPDES wastewater discharge permit.
EPA FRS registry ID 110042484264 (U.S. EPA ECHO) Agency record
Severity 4.5
Harbortown Rv Park, Monroe City
NPDES wastewater discharge permit.
EPA FRS registry ID 110070620935 (U.S. EPA ECHO) Agency record
Severity 4.5
Watlow Electric Manufacturing Co, Hannibal
Toxic chemical release facility (TRI). Chemicals: Nickel, Chromium. Reports carcinogens.
TRI facility ID 63401WTLWN6INDU (U.S. EPA Toxics Release Inventory)
Severity 4.5
Aspeq Heating Group - Monroe City, Monroe City
Toxic chemical release facility (TRI). Chemicals: Nickel, Chromium, Diisocyanates, Copper. Reports carcinogens.
TRI facility ID 6345WCCTHR25IND (U.S. EPA Toxics Release Inventory)
Severity 4.5
Hilltop Mobile Home Park Wwtf, Hannibal
NPDES wastewater discharge permit.
EPA FRS registry ID 110006667552 (U.S. EPA ECHO) Agency record
Severity 4.3
Enduro Industries Llc, Hannibal
Toxic chemical release facility (TRI). Chemicals: Chromium compounds (except for chromite ore mined in the Transvaal Region), Lead compounds, Manganese compounds. 29 lbs released over 5 years.
TRI facility ID 63401NDRND2001O (U.S. EPA Toxics Release Inventory)
Severity 4.1
Hannibal - Oakwood Substation, Hannibal
Oil-fired power plant.
Record ID 63097 (U.S. Energy Information Administration)
Severity 4
Enduro Industries Llc, Hannibal
TRI reporting facility.
EPA FRS registry ID 110000442245 (U.S. EPA ECHO) Agency record
Severity 4
Aspeq Holdings, Monroe City
TRI reporting facility.
EPA FRS registry ID 110003981148 (U.S. EPA ECHO) Agency record
Severity 4
New London Pws, New London
NPDES wastewater discharge permit.
EPA FRS registry ID 110009874984 (U.S. EPA ECHO) Agency record
Severity 4
Vandalia Wwtf, Vandalia
NPDES wastewater discharge permit.
EPA FRS registry ID 110009878383 (U.S. EPA ECHO) Agency record
Severity 3.3
Sweetwater Distillery, Monroe City
NPDES wastewater discharge permit.
EPA FRS registry ID 110070709932 (U.S. EPA ECHO) Agency record
Severity 3.3
Monroe City/Ralls County Industrial, Monroe City
Brownfield property.
EPA FRS registry ID 110071980635 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Enduro Industries Llc, Hannibal
Large hazardous waste generator.
EPA FRS registry ID 110000442245 (U.S. EPA ECHO) Agency record
Severity 3
Maple Creek Subdivision Wwtf, Monroe City
NPDES wastewater discharge permit.
EPA FRS registry ID 110013343854 (U.S. EPA ECHO) Agency record
Severity 3
Vandalia Wwtf, Vandalia
Industrial wastewater discharge. Violation Identified.
NPDES permit MO0026361: (U.S. EPA NPDES)
Severity 2.9

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 Ralls 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 Ralls 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 Ralls County View on the heat map All Missouri counties