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St. Francois County, Missouri: environmental and disease records

Cancer mortality in St. Francois County is 199.5 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Lung & bronchus deaths at 2.4 times the U.S. rate. Federal databases place 313 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (117), Rail grade crossing (63), Air permit holder (minor source) (37). 2 correctional facilities operate in the county, at least one with health-based drinking water violations on record. 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: 37.8582, -90.5376.

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 St. Francois County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	71.2	30.2	2.36xSignificant	63.6 to 79.6	2020-2024
Lung & bronchus	New cases	98.6	51.8	1.9xSignificant	89.5 to 108.3	2019-2023
Kidney & renal pelvis	Deaths	5.4	3.4	1.59x	3.4 to 8.2	2020-2024
All cancer	Deaths	199.5	143.2	1.39xSignificant	186.3 to 213.5	2020-2024
Liver & bile duct	New cases	11.9	8.7	1.37xSignificant	8.9 to 15.7	2019-2023
Brain & nervous system	New cases	8.4	6.2	1.35x	5.7 to 12	2019-2023
Brain & nervous system	Deaths	5.5	4.4	1.25x	3.5 to 8.4	2020-2024
Esophagus	New cases	5.7	4.6	1.24x	3.6 to 8.6	2019-2023
Kidney & renal pelvis	New cases	21.6	17.9	1.21x	17.3 to 26.8	2019-2023
Pancreas	New cases	16.5	13.9	1.19x	13 to 20.9	2019-2023
Leukemia	New cases	17.2	14.5	1.19x	13.2 to 22	2019-2023
Pancreas	Deaths	13.3	11.3	1.18x	10.1 to 17.3	2020-2024
Liver & bile duct	Deaths	7.7	6.6	1.17x	5.3 to 10.8	2020-2024
All cancer	New cases	524.8	453.4	1.16xSignificant	502.9 to 547.5	2019-2023
Bladder	Deaths	4.7	4.1	1.15x	2.8 to 7.3	2020-2024
Leukemia	Deaths	6.3	5.7	1.11x	4.1 to 9.4	2020-2024
Bladder	New cases	19.3	18.7	1.03x	15.3 to 24.2	2019-2023
Esophagus	Deaths	3.7	3.7	1x	2.2 to 6.1	2020-2024
Thyroid	New cases	12.4	13	0.95x	9.1 to 16.6	2019-2023
Non-Hodgkin lymphoma	Deaths	4.4	4.8	0.92x	2.6 to 6.9	2020-2024
Non-Hodgkin lymphoma	New cases	15.8	18.5	0.85x	12.2 to 20.2	2019-2023
Melanoma of the skin	New cases	18.8	23.8	0.79x	14.7 to 23.7	2019-2023
Stomach	New cases	4.9	6.6	0.74x	3 to 7.7	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. Francois County
Measure	County	U.S. median	Difference	Unit
Premature death	12,667	9,842.6	+29%	years of life lost before age 75 per 100,000
Life expectancy	71.9	75.3	-5%	years
Child mortality	63	59.8	+5%	deaths under age 18 per 100,000
Infant mortality	6.8	6.2	+10%	deaths under age 1 per 1,000 live births
Injury deaths	116.5	96.9	+20%	deaths per 100,000
Drug overdose deaths	56.2	28.6	+97%	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.

Formaldehyde19.21 per million
Carbon Tetrachloride2.91 per million
Acetaldehyde1.85 per million
Benzene0.9 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 permit117
Rail grade crossing63
Air permit holder (minor source)37
Industrial wastewater discharge36
Gas station (mapped facility)13
Small hazardous waste generator12
Brownfield property8
Public airport5
Oil-fired power plant3
Toxic chemical release facility (TRI)3
Major air pollution source2
Correctional facility (prison or jail)2
Large greenhouse gas emitter2
Heliport2
TRI reporting facility2
Commercial airport1
Large hazardous waste generator1
Hazardous waste transporter1
Solar power plant1
Superfund (NPL) site1
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.

Big River Mine Tailings/St. Joe Minerals Corp., Desloge
Superfund (NPL) site. Hazard Ranking System score 84.9. NPL Site.
EPA site ID MOD981126899 (U.S. EPA Superfund (SEMS/NPL)) Agency record
Severity 10
Lead Belt Materials Co Inc, Park Hills
Toxic chemical release facility (TRI). Chemicals: Polycyclic aromatic compounds. Reports carcinogens. 59 lbs released over 5 years.
TRI facility ID 63601LDBLT6MILL (U.S. EPA Toxics Release Inventory)
Severity 5.9
Mississippi Lime Co Llc Dba Mlc, Bonne Terre
Toxic chemical release facility (TRI). Chemicals: Lead And Lead Compounds. 3,973 lbs released over 5 years.
TRI facility ID 6362WVLLYM66LDB (U.S. EPA Toxics Release Inventory)
Severity 5.8
Srg Global Farmington, Farmington
Toxic chemical release facility (TRI). Chemicals: Nickel And Nickel Compounds, Copper And Copper Compounds, Chromium compounds (except for chromite ore mined in the Transvaal Region), Lead and 2 more. Reports carcinogens. 24 lbs released over 5 years.
TRI facility ID 63640HFFYB2055P (U.S. EPA Toxics Release Inventory)
Severity 5.6
Farmington East Wwtp, Farmington
NPDES wastewater discharge permit.
EPA FRS registry ID 110009710964 (U.S. EPA ECHO) Agency record
Severity 5.5
Farmington Correctional Center-Farmington, Farmington
Correctional facility (prison or jail).
EPA FRS registry ID 110001450670 (U.S. EPA ECHO + SDWIS) Agency record
Severity 5.5
Mississippi Lime Company - Bonne Terre, Bonne Terre
TRI reporting facility.
EPA FRS registry ID 110041122237 (U.S. EPA ECHO) Agency record
Severity 5.3
Farmington Pws, Farmington
NPDES wastewater discharge permit.
EPA FRS registry ID 110000737141 (U.S. EPA ECHO) Agency record
Severity 5.3
Lead Belt Materials Co Inc Park Hills, Park Hills
TRI reporting facility.
EPA FRS registry ID 110012608044 (U.S. EPA ECHO) Agency record
Severity 4.5
Iron Mountain Lake Lead, Bismarck
NPDES wastewater discharge permit.
EPA FRS registry ID 110006725044 (U.S. EPA ECHO) Agency record
Severity 4.5
Leadwood Pws-Treatment Plant - 1137 Main St, Leadwood
NPDES wastewater discharge permit.
EPA FRS registry ID 110006728292 (U.S. EPA ECHO) Agency record
Severity 4.5
Cedar Rock Mhp Wwtf, Farmington
NPDES wastewater discharge permit.
EPA FRS registry ID 110009696016 (U.S. EPA ECHO) Agency record
Severity 4.5
Cinco De Mayo Campground Wwtp, Farmington
NPDES wastewater discharge permit.
EPA FRS registry ID 110006668597 (U.S. EPA ECHO) Agency record
Severity 4.3
Overall Road Station, Farmington
Oil-fired power plant.
Record ID 56600 (U.S. Energy Information Administration)
Severity 4
Elm Street Substation Generators, Farmington
Oil-fired power plant.
Record ID 56597 (U.S. Energy Information Administration)
Severity 4
Walton Street Substation, Farmington
Oil-fired power plant.
Record ID 56598 (U.S. Energy Information Administration)
Severity 4
Farmington Assisted Living Center, Llc, Farmington
NPDES wastewater discharge permit.
EPA FRS registry ID 110006730314 (U.S. EPA ECHO) Agency record
Severity 4
Mississippi Lime Company Bonne Terre, Bonne Terre
Major air pollution source.
EPA FRS registry ID 110017993607 (U.S. EPA ECHO) Agency record
Severity 4
Park Hills Mineral Belt Wwtp, Bonne Terre
NPDES wastewater discharge permit. Penalties $1,400.
EPA FRS registry ID 110039819612 (U.S. EPA ECHO) Agency record
Severity 4
Terre Dulac North Three Cell Lagoon, Bonne Terre
NPDES wastewater discharge permit.
EPA FRS registry ID 110042802054 (U.S. EPA ECHO) Agency record
Severity 4
Hunter'S Ridge Subd Wwtp, Farmington
NPDES wastewater discharge permit.
EPA FRS registry ID 110070028429 (U.S. EPA ECHO) Agency record
Severity 4
D And S Resources Wwtp, Doe Run
NPDES wastewater discharge permit.
EPA FRS registry ID 110071148302 (U.S. EPA ECHO) Agency record
Severity 4
Farmington Light And Power, Farmington
Major air pollution source.
EPA FRS registry ID 110006664939 (U.S. EPA ECHO) Agency record
Severity 3.5
Mississippi Lime Company Bonne Terre, Bonne Terre
NPDES wastewater discharge permit.
EPA FRS registry ID 110017993607 (U.S. EPA ECHO) Agency record
Severity 3.5
Terre Dulac Oxidation Ditch Wwtp, Bonne Terre
NPDES wastewater discharge permit.
EPA FRS registry ID 110064335848 (U.S. EPA ECHO) Agency record
Severity 3.3

Correctional facilities

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

Farmington Correctional Center-Farmington, Farmington
EPA FRS registry ID
110001450670
Water system
MO4069041
Health-based violations
74 all time, 3 in 5 years
All violations
132
Contaminants cited
Coliform (TCR), Combined Radium (-226 and -228), Gross Alpha, Excl. Radon and U, TTHM
Wastewater permit
None on record
EPA detailed facility report
Bonne Terre Prison
EPA FRS registry ID
110017628398
Water system
MO4061410
Health-based violations
2 all time, 0 in 5 years
All violations
16
Contaminants cited
Combined Radium (-226 and -228), Gross Alpha, Excl. Radon and U
Wastewater permit
None on record
EPA detailed facility report

Discovery / public records

Records to request for St. Francois 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. Francois 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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