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Warren County, Missouri: environmental and disease records

Cancer mortality in Warren County is 168.5 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 1.5 times the U.S. rate. Federal databases place 300 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (192), Industrial wastewater discharge (30), Air permit holder (minor source) (22). 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: 38.7673, -91.1897.

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 Warren County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	44.9	30.2	1.49xSignificant	37 to 54.3	2020-2024
Lung & bronchus	New cases	75.8	51.8	1.46xSignificant	65.3 to 87.8	2019-2023
Kidney & renal pelvis	New cases	24.7	17.9	1.38xSignificant	18.3 to 32.6	2019-2023
Liver & bile duct	Deaths	8.4	6.6	1.27x	5.1 to 13.2	2020-2024
Bladder	New cases	22.8	18.7	1.22x	17.1 to 30	2019-2023
All cancer	Deaths	168.5	143.2	1.18xSignificant	152.3 to 186.1	2020-2024
Liver & bile duct	New cases	9.7	8.7	1.11x	6 to 15	2019-2023
Leukemia	Deaths	6.1	5.7	1.07x	3.4 to 10.2	2020-2024
Leukemia	New cases	15.4	14.5	1.06x	10.7 to 21.5	2019-2023
All cancer	New cases	466.6	453.4	1.03x	438.6 to 496.1	2019-2023
Melanoma of the skin	New cases	21.6	23.8	0.91x	15.7 to 29.1	2019-2023
Non-Hodgkin lymphoma	New cases	15.7	18.5	0.85x	10.9 to 22.1	2019-2023
Pancreas	Deaths	9.4	11.3	0.83x	6 to 14.2	2020-2024
Pancreas	New cases	10.9	13.9	0.78x	7.1 to 16.2	2019-2023
Thyroid	New cases	9.4	13	0.72x	5.4 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 Warren County
Measure	County	U.S. median	Difference	Unit
Premature death	9,824.9	9,842.6	-0%	years of life lost before age 75 per 100,000
Life expectancy	75.6	75.3	+0%	years
Child mortality	78.3	59.8	+31%	deaths under age 18 per 100,000
Infant mortality	7.8	6.2	+25%	deaths under age 1 per 1,000 live births
Injury deaths	114	96.9	+18%	deaths per 100,000
Drug overdose deaths	41.7	28.6	+46%	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.

Formaldehyde20.21 per million
Carbon Tetrachloride2.93 per million
Acetaldehyde2.02 per million
Naphthalene1.32 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit192
Industrial wastewater discharge30
Air permit holder (minor source)22
Rail grade crossing21
Gas station (mapped facility)11
Auto repair or body shop (mapped facility)6
Public airport4
Small hazardous waste generator3
TRI reporting facility3
Toxic chemical release facility (TRI)3
Major air pollution source1
Commercial airport1
Large hazardous waste generator1
Hazardous waste transporter1
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.

Saf-Holland Inc, Warrenton
Toxic chemical release facility (TRI). Chemicals: Certain glycol ethers, Manganese, Nickel, Lead and 1 more. Reports carcinogens. 121,586 lbs released over 5 years.
TRI facility ID 63383THBNKMAINA (U.S. EPA Toxics Release Inventory)
Severity 8.4
Saf-Holland Inc, Warrenton
TRI reporting facility.
EPA FRS registry ID 110017993448 (U.S. EPA ECHO) Agency record
Severity 6.1
Universal Galvanizing Inc, Wright City
Toxic chemical release facility (TRI). Chemicals: Zinc compounds. 8,299 lbs released over 5 years.
TRI facility ID 6339WNVRSL51SFI (U.S. EPA Toxics Release Inventory)
Severity 6
Universal Galvanizing Inc., Wright City
TRI reporting facility.
EPA FRS registry ID 110040106293 (U.S. EPA ECHO) Agency record
Severity 5.5
Pwsd #2, Wright City South Wwtf, Wright City
NPDES wastewater discharge permit.
EPA FRS registry ID 110071786038 (U.S. EPA ECHO) Agency record
Severity 4.8
Warrenton Pws, Warrenton
NPDES wastewater discharge permit.
EPA FRS registry ID 110000737150 (U.S. EPA ECHO) Agency record
Severity 4.5
Gateway Refrigerated Warehouses, Warrenton
NPDES wastewater discharge permit.
EPA FRS registry ID 110009869767 (U.S. EPA ECHO) Agency record
Severity 4.5
Dogwood Lake Campground, Warrenton
NPDES wastewater discharge permit.
EPA FRS registry ID 110009875956 (U.S. EPA ECHO) Agency record
Severity 4.5
Marthasville Wwtf, Marthasville
NPDES wastewater discharge permit.
EPA FRS registry ID 110010578589 (U.S. EPA ECHO) Agency record
Severity 4.5
Sccpwsd#2 Providence Estates Wwtp, Foristell
NPDES wastewater discharge permit.
EPA FRS registry ID 110038110193 (U.S. EPA ECHO) Agency record
Severity 4.5
Sccpwsd 2 Hickory Trails Wwtp, Wright City
NPDES wastewater discharge permit.
EPA FRS registry ID 110039405836 (U.S. EPA ECHO) Agency record
Severity 4.5
Wright City South Wwtf, Wright City
NPDES wastewater discharge permit.
EPA FRS registry ID 110064254998 (U.S. EPA ECHO) Agency record
Severity 4.5
Cedar Grove Village Subd, Warrenton
NPDES wastewater discharge permit.
EPA FRS registry ID 110006667678 (U.S. EPA ECHO) Agency record
Severity 4.3
Sccpwsd#2, Dakota Boys Ranch Wwtp, Dutzow
NPDES wastewater discharge permit.
EPA FRS registry ID 110009871120 (U.S. EPA ECHO) Agency record
Severity 4.3
Pleasant Oak Mhp, Wright City
NPDES wastewater discharge permit.
EPA FRS registry ID 110009871273 (U.S. EPA ECHO) Agency record
Severity 4.3
Sccpwsd#2, Dutzow Wwtf, Dutzow
NPDES wastewater discharge permit.
EPA FRS registry ID 110063875383 (U.S. EPA ECHO) Agency record
Severity 4.3
Anchor House Of Warren County Wwtf, Warrenton
NPDES wastewater discharge permit.
EPA FRS registry ID 110064334885 (U.S. EPA ECHO) Agency record
Severity 4.3
Country Horizon Mhp Wwtp, Wright City
NPDES wastewater discharge permit. Penalties $1,600.
EPA FRS registry ID 110009870782 (U.S. EPA ECHO) Agency record
Severity 4
Warco Inc., Marthasville
TRI reporting facility.
EPA FRS registry ID 110064172880 (U.S. EPA ECHO) Agency record
Severity 4
Cascades Plastics, Inc., Warrenton
Major air pollution source.
EPA FRS registry ID 110006528917 (U.S. EPA ECHO) Agency record
Severity 3.8
Stewart Mhp Wwtf, Wright City
NPDES wastewater discharge permit.
EPA FRS registry ID 110006725491 (U.S. EPA ECHO) Agency record
Severity 3.8
North Oak Wwtp, Wright City
NPDES wastewater discharge permit.
EPA FRS registry ID 110064100547 (U.S. EPA ECHO) Agency record
Severity 3.5
Lake Sherwood Estates Subdivision Wwtp, Lake Sherwood
NPDES wastewater discharge permit.
EPA FRS registry ID 110064269991 (U.S. EPA ECHO) Agency record
Severity 3.5
Flying J No. 674 Wwtp, Warrenton
NPDES wastewater discharge permit. Penalties $121,469.
EPA FRS registry ID 110003987721 (U.S. EPA ECHO) Agency record
Severity 3.3
Cascades Plastics, Inc., Warrenton
NPDES wastewater discharge permit.
EPA FRS registry ID 110006528917 (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.

No correctional facility with an EPA record is located in this county.

Discovery / public records

Records to request for Warren 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 Warren 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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