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Scott County, Missouri: environmental and disease records

Cancer mortality in Scott County is 174.5 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Esophagus deaths at 1.9 times the U.S. rate and Lung & bronchus deaths at 1.6 times the U.S. rate. Federal databases place 313 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (111), Rail grade crossing (54), Industrial wastewater discharge (45). 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: 37.0562, -89.5775.

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 Scott County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Esophagus	Deaths	6.9	3.7	1.86xSignificant	4 to 11.2	2020-2024
Kidney & renal pelvis	New cases	31.5	17.9	1.76xSignificant	24.7 to 39.7	2019-2023
Esophagus	New cases	8	4.6	1.74xSignificant	4.9 to 12.6	2019-2023
Lung & bronchus	Deaths	47.4	30.2	1.57xSignificant	39.5 to 56.6	2020-2024
Lung & bronchus	New cases	80.2	51.8	1.55xSignificant	69.7 to 92	2019-2023
Brain & nervous system	Deaths	6.7	4.4	1.52x	3.9 to 10.9	2020-2024
Stomach	New cases	10	6.6	1.52x	6.4 to 15	2019-2023
Brain & nervous system	New cases	8.8	6.2	1.42x	5.3 to 13.9	2019-2023
Bladder	New cases	25.9	18.7	1.39xSignificant	20.1 to 33.1	2019-2023
All cancer	Deaths	174.5	143.2	1.22xSignificant	158.6 to 191.8	2020-2024
All cancer	New cases	522.2	453.4	1.15xSignificant	493.5 to 552.3	2019-2023
Non-Hodgkin lymphoma	New cases	20.1	18.5	1.09x	14.7 to 27	2019-2023
Liver & bile duct	New cases	9.4	8.7	1.08x	6 to 14.3	2019-2023
Pancreas	Deaths	11.5	11.3	1.02x	7.7 to 16.7	2020-2024
Pancreas	New cases	13.9	13.9	1x	9.8 to 19.5	2019-2023
Melanoma of the skin	New cases	19.5	23.8	0.82x	14.1 to 26.3	2019-2023
Thyroid	New cases	10.1	13	0.78x	6 to 15.8	2019-2023
Leukemia	New cases	10	14.5	0.69x	6.4 to 15.2	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 Scott County
Measure	County	U.S. median	Difference	Unit
Premature death	12,349.7	9,842.6	+25%	years of life lost before age 75 per 100,000
Life expectancy	72.6	75.3	-4%	years
Child mortality	65.5	59.8	+10%	deaths under age 18 per 100,000
Infant mortality	6.2	6.2	-0%	deaths under age 1 per 1,000 live births
Injury deaths	86	96.9	-11%	deaths per 100,000
Drug overdose deaths	16.7	28.6	-42%	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.

Formaldehyde21.17 per million
Carbon Tetrachloride2.96 per million
Acetaldehyde2.06 per million
Ethylene Oxide1.64 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit111
Rail grade crossing54
Industrial wastewater discharge45
Air permit holder (minor source)41
Small hazardous waste generator12
Gas station (mapped facility)10
Toxic chemical release facility (TRI)7
Major air pollution source6
TRI reporting facility6
Auto repair or body shop (mapped facility)4
Brownfield property4
Hazardous waste transporter4
Large hazardous waste generator3
Commercial airport2
Large greenhouse gas emitter1
Heliport1
Coal power plant1
Superfund (NPL) site1

Highest-severity records

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

Quality Plating, Sikeston
Superfund (NPL) site. Hazard Ranking System score 40.7. NPL Site.
EPA site ID MOD980860555 (U.S. EPA Superfund (SEMS/NPL)) Agency record
Severity 10
Sikeston Power Station, Sikeston
Toxic chemical release facility (TRI). Chemicals: Hydrogen fluoride, Barium And Barium Compounds, Manganese And Manganese Compounds, Lead And Lead Compounds and 2 more. Reports carcinogens. 535,071 lbs released over 5 years.
TRI facility ID 63801SKSTN1551W (U.S. EPA Toxics Release Inventory)
Severity 8.9
Sikeston Power Station, Sikeston
TRI reporting facility.
EPA FRS registry ID 110000442548 (U.S. EPA ECHO) Agency record
Severity 7
Manac Trailers Usa Inc Oran Plant, Oran
Toxic chemical release facility (TRI). Chemicals: Manganese, Nickel, Copper, Chromium. Reports carcinogens. 499 lbs released over 5 years.
TRI facility ID 63771MNCTR8593H (U.S. EPA Toxics Release Inventory)
Severity 6.6
Sikeston Power Station, Sikeston
Coal power plant.
Record ID 6768 (U.S. Energy Information Administration)
Severity 6.2
Unilever Sikeston, Sikeston
Toxic chemical release facility (TRI). Chemicals: Ammonia, Nitrate compounds (water dissociable; reportable only when in aqueous solution), Nitric acid. 10,121 lbs released over 5 years.
TRI facility ID 63801GDHMR2400R (U.S. EPA Toxics Release Inventory)
Severity 6.1
Construction Trailer Specialists, Inc., Sikeston
Major air pollution source. Penalties $22,500.
EPA FRS registry ID 110003993402 (U.S. EPA ECHO) Agency record
Severity 5.3
Armor Lite Trailer Mfg. Llc Sikeston, Sikeston
Major air pollution source. Penalties $15,000.
EPA FRS registry ID 110055061016 (U.S. EPA ECHO) Agency record
Severity 5.3
Manac Trailers Usa Inc Oran, Oran
TRI reporting facility.
EPA FRS registry ID 110003957415 (U.S. EPA ECHO) Agency record
Severity 5.1
Delta Asphalt, Miner
Toxic chemical release facility (TRI). Chemicals: Polycyclic aromatic compounds, Benzo[g,h,i]perylene. Reports carcinogens. 4 lbs released over 5 years.
TRI facility ID 6380WDLTSP84WDS (U.S. EPA Toxics Release Inventory)
Severity 5
Cape Girardeau Rgnl, Cape Girardeau
Commercial airport. O.
Record ID CGI (FAA / U.S. DOT)
Severity 5
Construction Trailer Specialists, Inc., Sikeston
Large hazardous waste generator. Penalties $22,500.
EPA FRS registry ID 110003993402 (U.S. EPA ECHO) Agency record
Severity 4.8
Armor Lite Trailer Mfg. Llc Sikeston, Sikeston
Large hazardous waste generator. Penalties $15,000.
EPA FRS registry ID 110055061016 (U.S. EPA ECHO) Agency record
Severity 4.8
Pavestone - Cape Girardeau Mo Plant, Scott City
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens.
TRI facility ID 6378WPVSTN272EU (U.S. EPA Toxics Release Inventory)
Severity 4.6
Scott City Pws, Scott City
NPDES wastewater discharge permit.
EPA FRS registry ID 110006667188 (U.S. EPA ECHO) Agency record
Severity 4.5
Benton Wwtp, Benton
NPDES wastewater discharge permit.
EPA FRS registry ID 110009112110 (U.S. EPA ECHO) Agency record
Severity 4.5
Morley Wwtf, Morley
NPDES wastewater discharge permit.
EPA FRS registry ID 110039783222 (U.S. EPA ECHO) Agency record
Severity 4.5
Delta Asphalt, Miner
TRI reporting facility.
EPA FRS registry ID 110071956222 (U.S. EPA ECHO) Agency record
Severity 4.3
Sikeston Power Station, Sikeston
Major air pollution source.
EPA FRS registry ID 110000442548 (U.S. EPA ECHO) Agency record
Severity 4.3
Vanduser Water System, Vanduser
NPDES wastewater discharge permit.
EPA FRS registry ID 110009007920 (U.S. EPA ECHO) Agency record
Severity 4.3
Blodgett Pws, Blodgett
NPDES wastewater discharge permit.
EPA FRS registry ID 110009888149 (U.S. EPA ECHO) Agency record
Severity 4.3
Carlisle Construction Materials Llc, Sikeston
Toxic chemical release facility (TRI). Chemicals: Diisocyanates. 20 lbs released over 5 years.
TRI facility ID 6380WCRLSL11ARM (U.S. EPA Toxics Release Inventory)
Severity 4
Unilever Sikeston North, Sikeston
TRI reporting facility.
EPA FRS registry ID 110000442511 (U.S. EPA ECHO) Agency record
Severity 4
Kelso Wwtf, Kelso
NPDES wastewater discharge permit.
EPA FRS registry ID 110009112502 (U.S. EPA ECHO) Agency record
Severity 4
Alan Wire Co Inc, Sikeston
TRI reporting facility.
EPA FRS registry ID 110070253839 (U.S. EPA ECHO) Agency record
Severity 4

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 Scott 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 Scott 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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