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St. Clair County, Missouri: environmental and disease records

Cancer mortality in St. Clair County is 196.9 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. Federal databases place 91 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (31), Rail grade crossing (14), Industrial wastewater discharge (13). 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: 38.0295, -93.7825.

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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 St. Clair County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	New cases	85	51.8	1.64xSignificant	66.3 to 108.8	2019-2023
All cancer	Deaths	196.9	143.2	1.38xSignificant	165.5 to 233.4	2020-2024
Lung & bronchus	Deaths	38.7	30.2	1.28x	26.8 to 55.7	2020-2024
Bladder	New cases	20.7	18.7	1.11x	11.9 to 35.2	2019-2023
All cancer	New cases	468.7	453.4	1.03x	417.3 to 525.5	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 St. Clair County
Measure	County	U.S. median	Difference	Unit
Premature death	10,752.9	9,842.6	+9%	years of life lost before age 75 per 100,000
Life expectancy	75	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	103.3	96.9	+7%	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.

Formaldehyde18.8 per million
Carbon Tetrachloride2.91 per million
Acetaldehyde1.81 per million
Benzene0.75 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit31
Rail grade crossing14
Industrial wastewater discharge13
Brownfield property9
Air permit holder (minor source)8
Gas station (mapped facility)8
Public airport3
Hazardous waste transporter2
Auto repair or body shop (mapped facility)1
Small hazardous waste generator1
Heliport1

Highest-severity records

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

Appleton City Wwtf, Appleton City
NPDES wastewater discharge permit.
EPA FRS registry ID 110009878631 (U.S. EPA ECHO) Agency record
Severity 4
Lowry City Pws, Lowry City
NPDES wastewater discharge permit.
EPA FRS registry ID 110039790474 (U.S. EPA ECHO) Agency record
Severity 4
Osceola Municipal Wwtf, Osceola
NPDES wastewater discharge permit.
EPA FRS registry ID 110018006691 (U.S. EPA ECHO) Agency record
Severity 3.3
Appleton City, Appleton City
Brownfield property.
EPA FRS registry ID 110042525201 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Hinkle Site 1, Lowry City
Brownfield property.
EPA FRS registry ID 110071965873 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Hinkle Site 4, Lowry City
Brownfield property.
EPA FRS registry ID 110071965874 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
American Legion Post 604, Lowry City
Brownfield property.
EPA FRS registry ID 110071966441 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Landmark Restaurant, Lowry City
Brownfield property.
EPA FRS registry ID 110071966466 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Knowles Property, On City
Brownfield property.
EPA FRS registry ID 110071966761 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Collins Property, Appleton City
Brownfield property.
EPA FRS registry ID 110071966762 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Yoss Property, Appleton City
Brownfield property.
EPA FRS registry ID 110071966763 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Old Post Office, Lowry City
Brownfield property.
EPA FRS registry ID 110072005033 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Appleton City Wwtf, Appleton City
Industrial wastewater discharge. Significant/Category I Noncompliance.
NPDES permit MO0021105: (U.S. EPA NPDES)
Severity 3
Osceola Wwtf, Osceola
Industrial wastewater discharge. No Violation Identified.
NPDES permit MO0093548: (U.S. EPA NPDES)
Severity 2.7
Lowry City Wwtf, Lowry City
Industrial wastewater discharge. Violation Identified.
NPDES permit MO0026671: (U.S. EPA NPDES)
Severity 2.5
Collins Wwtf, Collins
NPDES wastewater discharge permit.
EPA FRS registry ID 110009872986 (U.S. EPA ECHO) Agency record
Severity 2.5
United Parcel Service, Appleton City
NPDES wastewater discharge permit. Penalties $5,300,000.
EPA FRS registry ID 110009879319 (U.S. EPA ECHO) Agency record
Severity 2.5
Pilot Travel Center #385 Wwtp, Collins
NPDES wastewater discharge permit.
EPA FRS registry ID 110011111947 (U.S. EPA ECHO) Agency record
Severity 2.5
Bee'S Honey Wagon Lagoon, Osceola
NPDES wastewater discharge permit.
EPA FRS registry ID 110043475897 (U.S. EPA ECHO) Agency record
Severity 2.3
Collins Wwtf, Collins
Industrial wastewater discharge. Significant/Category I Noncompliance.
NPDES permit MO0103756: (U.S. EPA NPDES)
Severity 2.2
Osceola Cheese Co Inc, Osceola
NPDES wastewater discharge permit.
EPA FRS registry ID 110070133635 (U.S. EPA ECHO) Agency record
Severity 2
Krebs Mobile Home Living At Tally Bend, Lowry City
NPDES wastewater discharge permit.
EPA FRS registry ID 110042586458 (U.S. EPA ECHO) Agency record
Severity 1.8
Mfa Oil Bulk Plant Appleton City, Appleton City
NPDES wastewater discharge permit.
EPA FRS registry ID 110054098864 (U.S. EPA ECHO) Agency record
Severity 1.8
Love Ranch Llc, Osceola
NPDES wastewater discharge permit.
EPA FRS registry ID 110071337333 (U.S. EPA ECHO) Agency record
Severity 1.8
Hsg 479 Osceola Quarry, Osceola
NPDES wastewater discharge permit.
EPA FRS registry ID 110009035720 (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 St. Clair 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 St. Clair 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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