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Randolph County, Missouri: environmental and disease records

Cancer mortality in Randolph County is 201.6 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 1.7 times the U.S. rate. Federal databases place 285 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (82), Rail grade crossing (68), Industrial wastewater discharge (58). 2 correctional facilities operate in the county. 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: 39.4255, -92.5053.

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 Randolph County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	New cases	91.7	51.8	1.77xSignificant	77.5 to 108	2019-2023
Lung & bronchus	Deaths	50	30.2	1.66xSignificant	39.7 to 62.4	2020-2024
Kidney & renal pelvis	New cases	27.6	17.9	1.54xSignificant	19.8 to 37.8	2019-2023
Liver & bile duct	New cases	13.4	8.7	1.54x	8.2 to 20.8	2019-2023
Bladder	New cases	26.8	18.7	1.43xSignificant	19.3 to 36.4	2019-2023
All cancer	Deaths	201.6	143.2	1.41xSignificant	179.8 to 225.5	2020-2024
Pancreas	Deaths	15.1	11.3	1.34x	9.6 to 22.8	2020-2024
Pancreas	New cases	16.6	13.9	1.19x	10.8 to 24.5	2019-2023
All cancer	New cases	540.3	453.4	1.19xSignificant	503.6 to 579.1	2019-2023
Non-Hodgkin lymphoma	New cases	20.2	18.5	1.09x	13.5 to 29.2	2019-2023
Melanoma of the skin	New cases	22.1	23.8	0.93x	15 to 31.5	2019-2023
Leukemia	New cases	13.2	14.5	0.91x	7.8 to 21	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 Randolph County
Measure	County	U.S. median	Difference	Unit
Premature death	10,097.2	9,842.6	+3%	years of life lost before age 75 per 100,000
Life expectancy	73.7	75.3	-2%	years
Child mortality	55.2	59.8	-8%	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	75.4	96.9	-22%	deaths per 100,000
Drug overdose deaths	17.6	28.6	-38%	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 Tetrachloride2.93 per million
Acetaldehyde1.76 per million
Benzene0.84 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit82
Rail grade crossing68
Industrial wastewater discharge58
Air permit holder (minor source)39
Small hazardous waste generator5
Heliport4
Toxic chemical release facility (TRI)4
Auto repair or body shop (mapped facility)3
Brownfield property3
Gas station (mapped facility)3
TRI reporting facility3
Major air pollution source2
Correctional facility (prison or jail)2
Large hazardous waste generator2
Hazardous waste transporter2
Commercial airport1
Large greenhouse gas emitter1
Coal power plant1
Oil-fired power 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.

Thomas Hill Energy Center, Clifton Hill
Toxic chemical release facility (TRI). Chemicals: Barium compounds (except for barium sulfate (CAS No. 7727-43-7)), Barium And Barium Compounds, Hydrogen fluoride, Ammonia and 4 more. Reports carcinogens. 4,941,986 lbs released over 5 years.
TRI facility ID 65244THMSHRTE1B (U.S. EPA Toxics Release Inventory)
Severity 9.6
Thomas Hill Energy Center - Power Div, Clifton Hill
TRI reporting facility.
EPA FRS registry ID 110000444243 (U.S. EPA ECHO) Agency record
Severity 8.3
Thomas Hill, Clifton Hill
Coal power plant.
Record ID 2168 (U.S. Energy Information Administration)
Severity 7.1
Wilson Trailer Co, Moberly
Toxic chemical release facility (TRI). Chemicals: Manganese, Copper, Chromium, Lead. Reports carcinogens. 147 lbs released over 5 years.
TRI facility ID 65270WLSNT1600H (U.S. EPA Toxics Release Inventory)
Severity 6.2
Swift Prepared Foods - Moberly, Moberly
Toxic chemical release facility (TRI). Chemicals: Ammonia. 5,625 lbs released over 5 years.
TRI facility ID 6527WSWFTP1MCKE (U.S. EPA Toxics Release Inventory)
Severity 5.9
Thomas Hill Energy Center - Power Div, Clifton Hill
Major air pollution source.
EPA FRS registry ID 110000444243 (U.S. EPA ECHO) Agency record
Severity 5
Moberly Wwtp, Moberly
NPDES wastewater discharge permit.
EPA FRS registry ID 110039820931 (U.S. EPA ECHO) Agency record
Severity 4.8
Wilson Trailer Sales Inc, Moberly
TRI reporting facility.
EPA FRS registry ID 110017994508 (U.S. EPA ECHO) Agency record
Severity 4.6
Moberly Correctional Center Wwtf, Moberly
Correctional facility (prison or jail).
EPA FRS registry ID 110009711124 (U.S. EPA ECHO + SDWIS) Agency record
Severity 4.5
Thomas Hill Energy Center - Power Div, Clifton Hill
NPDES wastewater discharge permit.
EPA FRS registry ID 110000444243 (U.S. EPA ECHO) Agency record
Severity 4.5
Fox Hollow Wastewater Treatment Facility, Moberly
NPDES wastewater discharge permit.
EPA FRS registry ID 110064268359 (U.S. EPA ECHO) Agency record
Severity 4.5
Qualico Precision Products Llc, Moberly
Toxic chemical release facility (TRI). Chemicals: Lead, Copper. Reports carcinogens.
TRI facility ID 6527WRSCHL1251C (U.S. EPA Toxics Release Inventory)
Severity 4.5
Huntsville Northeast Wwtf, Huntsville
NPDES wastewater discharge permit.
EPA FRS registry ID 110009877703 (U.S. EPA ECHO) Agency record
Severity 4.3
Moberly, Moberly
Oil-fired power plant.
Record ID 6651 (U.S. Energy Information Administration)
Severity 4.1
Thomas Hill Energy Center - Power Div, Clifton Hill
Large greenhouse gas emitter.
EPA FRS registry ID 110000444243 (U.S. EPA ECHO) Agency record
Severity 4
Jacksonville Wwtf, Jacksonville
NPDES wastewater discharge permit.
EPA FRS registry ID 110009711847 (U.S. EPA ECHO) Agency record
Severity 4
Huntsville Northwest Wwtf, Huntsville
NPDES wastewater discharge permit.
EPA FRS registry ID 110009877696 (U.S. EPA ECHO) Agency record
Severity 4
Qualico Precision Products Llc, Moberly
TRI reporting facility.
EPA FRS registry ID 110042762347 (U.S. EPA ECHO) Agency record
Severity 4
Orton Lane Wwtf, Moberly
NPDES wastewater discharge permit.
EPA FRS registry ID 110006725062 (U.S. EPA ECHO) Agency record
Severity 3.8
Moberly Correctional Center Wwtf, Moberly
NPDES wastewater discharge permit.
EPA FRS registry ID 110009711124 (U.S. EPA ECHO) Agency record
Severity 3.8
Moberly Mo Llc Wwtf, Moberly
NPDES wastewater discharge permit.
EPA FRS registry ID 110009877311 (U.S. EPA ECHO) Agency record
Severity 3.8
Moberly Cleaners, Moberly
Air permit holder (minor source).
EPA FRS registry ID 110003988150 (U.S. EPA ECHO) Agency record
Severity 3.5
Amerenue - Moberly Combustion Turbine, Moberly
Major air pollution source.
EPA FRS registry ID 110017986456 (U.S. EPA ECHO) Agency record
Severity 3.5
Cairo Wwtf, Cairo
NPDES wastewater discharge permit.
EPA FRS registry ID 110042519897 (U.S. EPA ECHO) Agency record
Severity 3.5
Shoreline Waste Facility, Cairo
NPDES wastewater discharge permit.
EPA FRS registry ID 110071825809 (U.S. EPA ECHO) Agency record
Severity 3.5

Correctional facilities

Prisons, jails and corrections operations with an EPA facility record, and the drinking water and wastewater compliance attached to them.

Moberly Correctional Center Wwtf, Moberly
EPA FRS registry ID
110009711124
Wastewater permit
Yes, significant noncompliance, 9 quarters in noncompliance
EPA detailed facility report
Moberly Correctional Center, Moberly
EPA FRS registry ID
110018002711
Wastewater permit
None on record
EPA detailed facility report

Discovery / public records

Records to request for Randolph 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 Randolph 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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