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Worth County, Missouri: environmental and disease records

Cancer mortality in Worth County is 175.3 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 22 regulated facilities, sites and hazards inside the county, led by Brownfield property (7), NPDES wastewater discharge permit (6), Air permit holder (minor source) (5). EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 20 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: 40.4778, -94.4318.

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 Worth County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
All cancer	New cases	589.6	453.4	1.3xSignificant	456.1 to 752.6	2019-2023
All cancer	Deaths	175.3	143.2	1.22x	111.6 to 267.4	2020-2024

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 Worth County
Measure	County	U.S. median	Difference	Unit
Premature death	10,673.3	9,842.6	+8%	years of life lost before age 75 per 100,000
Life expectancy	75.1	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	110.6	96.9	+14%	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: 20 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

Formaldehyde16.13 per million
Carbon Tetrachloride2.92 per million
Acetaldehyde1.45 per million
Benzene0.64 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

Brownfield property7
NPDES wastewater discharge permit6
Air permit holder (minor source)5
Industrial wastewater discharge3
Gas station (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.

Allendale Wwtp, Allendale
NPDES wastewater discharge permit.
EPA FRS registry ID 110024468413 (U.S. EPA ECHO) Agency record
Severity 4.5
Grant City West Sanitary Lagoon, Grant City
NPDES wastewater discharge permit.
EPA FRS registry ID 110064335740 (U.S. EPA ECHO) Agency record
Severity 4.5
Sheridan Pws, Sheridan
NPDES wastewater discharge permit.
EPA FRS registry ID 110009888158 (U.S. EPA ECHO) Agency record
Severity 4.3
Mo-Kan Regional Council-Grant City: 307 S. Front Street, Grant City
Brownfield property.
EPA FRS registry ID 110071977320 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Mo-Kan Regional Council-Grant City: 309 S. Front St., Grant
Brownfield property.
EPA FRS registry ID 110071977321 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Mo-Kan Regional Council-Grant City: 131 S. Front St, Grant
Brownfield property.
EPA FRS registry ID 110071977322 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Mo-Kan Regional Council-Grant City: 311 S. Front St, Grant
Brownfield property.
EPA FRS registry ID 110071977323 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Masonic Lodge - Grant City, Grant City
Brownfield property.
EPA FRS registry ID 110071986677 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Dogman'S, Grant City
Brownfield property.
EPA FRS registry ID 110071987473 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Sheridan Rii School, Sheridan
Brownfield property.
EPA FRS registry ID 110072111298 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Grant City West Sanitary Lagoon, Grant City
Industrial wastewater discharge. Significant/Category I Noncompliance.
NPDES permit MO0027600: (U.S. EPA NPDES)
Severity 2.7
Mfa Bulk Plant Sheridan, Sheridan
NPDES wastewater discharge permit.
EPA FRS registry ID 110009035392 (U.S. EPA ECHO) Agency record
Severity 2
Mfa Agri Service Sheridan, Sheridan
NPDES wastewater discharge permit.
EPA FRS registry ID 110011081694 (U.S. EPA ECHO) Agency record
Severity 1.5
Sur-Gro Sheridan Llc, Sheridan
NPDES wastewater discharge permit.
EPA FRS registry ID 110011082693 (U.S. EPA ECHO) Agency record
Severity 1.5
Mfa Agri Services - Grant City, Grant City
Air permit holder (minor source).
EPA FRS registry ID 110007104347 (U.S. EPA ECHO) Agency record
Severity 1
Mfa Agri Service Sheridan, Sheridan
Air permit holder (minor source).
EPA FRS registry ID 110011081694 (U.S. EPA ECHO) Agency record
Severity 1
Sur-Gro Sheridan Llc, Sheridan
Air permit holder (minor source).
EPA FRS registry ID 110011082693 (U.S. EPA ECHO) Agency record
Severity 1
S & A Construction - Allendale Quarry, Denver
Air permit holder (minor source).
EPA FRS registry ID 110017980247 (U.S. EPA ECHO) Agency record
Severity 1
Martin Marietta - Allendale, Grant City, Mo
Air permit holder (minor source).
EPA FRS registry ID 110061062530 (U.S. EPA ECHO) Agency record
Severity 1
Casey's General Store
Gas station (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/1257587018 (OpenStreetMap contributors) Agency record
Severity 1
Grant City West Sanitary Lagoon, Grant City
Industrial wastewater discharge. Significant/Category I Noncompliance.
NPDES permit MO0027600:001 (U.S. EPA NPDES)
Severity 1
Grant City West Sanitary Lagoon, Grant City
Industrial wastewater discharge. Significant/Category I Noncompliance.
NPDES permit MO0027600:INF (U.S. EPA NPDES)
Severity 1

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 Worth 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 Worth 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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