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Ripley County, Missouri: environmental and disease records

Cancer mortality in Ripley County is 270.4 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 2.2 times the U.S. rate and Pancreas deaths at 1.8 times the U.S. rate. Federal databases place 46 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (22), Industrial wastewater discharge (12), Air permit holder (minor source) (7). 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: 36.6625, -90.8574.

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 Ripley County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Lung & bronchusDeaths66.930.22.22xSignificant50 to 88.62020-2024
Lung & bronchusNew cases107.951.82.08xSignificant86.7 to 133.52019-2023
All cancerDeaths270.4143.21.89xSignificant233.3 to 312.22020-2024
PancreasDeaths20.811.31.84xSignificant11.5 to 35.32020-2024
Non-Hodgkin lymphomaNew cases27.318.51.48x16.5 to 43.22019-2023
All cancerNew cases565.6453.41.25xSignificant511.4 to 624.42019-2023

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 Ripley County
MeasureCountyU.S. medianDifferenceUnit
Premature death17,869.59,842.6+82%years of life lost before age 75 per 100,000
Life expectancy68.475.3-9%years
Child mortality9959.8+66%deaths under age 18 per 100,000
Infant mortalityn/a6.2n/adeaths under age 1 per 1,000 live births
Injury deaths117.496.9+21%deaths per 100,000
Drug overdose deathsn/a28.6n/adeaths 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.

  • Formaldehyde21 per million
  • Carbon Tetrachloride2.94 per million
  • Acetaldehyde2.11 per million
  • Benzene0.71 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit22
  • Industrial wastewater discharge12
  • Air permit holder (minor source)7
  • Public airport2
  • Gas station (mapped facility)1
  • Small hazardous waste generator1
  • Rail grade crossing1

Highest-severity records

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

  1. Robert Simmons Subdivision, Fairdealing

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110022427765 (U.S. EPA ECHO) Agency record

    Severity 3

  2. Naylor Wwtp, Naylor

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009711749 (U.S. EPA ECHO) Agency record

    Severity 2.8

  3. Doniphan Municipal Wwtf, Doniphan

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009877124 (U.S. EPA ECHO) Agency record

    Severity 2.8

  4. Doniphan Municipal Wwtf, Doniphan

    Industrial wastewater discharge. No Violation Identified.

    NPDES permit MO0047350: (U.S. EPA NPDES)

    Severity 2.7

  5. Ripley County R-Iv School Wwtf, Doniphan

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006729969 (U.S. EPA ECHO) Agency record

    Severity 2.5

  6. Eddie'S Gravel, Doniphan

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070079294 (U.S. EPA ECHO) Agency record

    Severity 2.3

  7. Naylor Wwtp, Naylor

    Industrial wastewater discharge. Violation Identified.

    NPDES permit MO0099279: (U.S. EPA NPDES)

    Severity 2.1

  8. Current River Ready Mix Llc, Doniphan

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070544725 (U.S. EPA ECHO) Agency record

    Severity 2

  9. Indian Creek Materials Doniphan, Doniphan

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070551940 (U.S. EPA ECHO) Agency record

    Severity 2

  10. Doniphan Muni, Doniphan

    Public airport. O.

    Record ID X33 (FAA / U.S. DOT)

    Severity 2

  11. Ripley Co R-Iii School District Wwtf, Gatewood

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006730573 (U.S. EPA ECHO) Agency record

    Severity 1.8

  12. Ripley County R-Iv School Wwtf, Doniphan

    Industrial wastewater discharge. Violation Identified.

    NPDES permit MO0085618: (U.S. EPA NPDES)

    Severity 1.7

  13. Ripley Co R-Iii School District Wwtf, Gatewood

    Industrial wastewater discharge. No Violation Identified.

    NPDES permit MO0054941: (U.S. EPA NPDES)

    Severity 1.6

  14. Jsk Lumber Inc, Doniphan

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006665616 (U.S. EPA ECHO) Agency record

    Severity 1.5

  15. Imagen Brands Llc Dba Vitronic, Doniphan

    Small hazardous waste generator.

    EPA FRS registry ID 110010819793 (U.S. EPA ECHO) Agency record

    Severity 1.5

  16. Imagen Brands Llc Dba Vitronic, Doniphan

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110010819793 (U.S. EPA ECHO) Agency record

    Severity 1.5

  17. Taylor'S Semo Septic Service Llc, Doniphan

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110017854543 (U.S. EPA ECHO) Agency record

    Severity 1.5

  18. Jw Woodworks, Fairdealing

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110017890326 (U.S. EPA ECHO) Agency record

    Severity 1.5

  19. Missouri Forge, Inc, Doniphan

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110018011729 (U.S. EPA ECHO) Agency record

    Severity 1.5

  20. Dalton Lumber Company, Inc., Gatewood

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110038334317 (U.S. EPA ECHO) Agency record

    Severity 1.5

  21. Independent Stave Company Doniphan, Doniphan

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110042640032 (U.S. EPA ECHO) Agency record

    Severity 1.5

  22. Imagen Brands Llc Dba Vitronic Promotion, Doniphan

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070670978 (U.S. EPA ECHO) Agency record

    Severity 1.5

  23. Jw Wood Works, Naylor

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070866953 (U.S. EPA ECHO) Agency record

    Severity 1.5

  24. Cane Creek Quarry, Llc - Doniphan, Doniphan

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071223145 (U.S. EPA ECHO) Agency record

    Severity 1.5

  25. Dollar General, Naylor

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071336033 (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 Ripley 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 Ripley 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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