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Counties with the highest cancer incidence rates in Missouri

Among 115 Missouri counties with published values, the counties with the highest cancer incidence rates are Carter County, MO (629.5, 1.39 times the U.S. rate of 453.4), Worth County, MO (589.6, 1.3 times the U.S. rate of 453.4) and Ripley County, MO (565.6, 1.25 times the U.S. rate of 453.4). Values are per 100,000, age-adjusted. 42 of the 115 are significantly above the U.S. rate.

Source: NCI and CDC State Cancer Profiles, both sexes, all ages. These are county-level figures, age-adjusted as published by the source, compared with the U.S. rate. A high rate does not prove an environmental cause: age, smoking, income, access to care, screening and chance all move county rates, and small counties swing widely. Significant means the lower bound of the county’s 95 percent confidence interval is above the U.S. rate.

All Missouri counties, highest first

All cancer cancer new cases, per 100,000, age-adjusted.

Counties with the highest cancer incidence rates in Missouri
RankCountyStateValueU.S. rateTimes referenceSignificant
1Carter CountyMO629.5453.41.39xSignificant
2Worth CountyMO589.6453.41.3xSignificant
3Ripley CountyMO565.6453.41.25xSignificant
4Madison CountyMO553453.41.22xSignificant
5Wayne CountyMO552.3453.41.22xSignificant
6Marion CountyMO551453.41.22xSignificant
7Franklin CountyMO546453.41.2xSignificant
8Bollinger CountyMO542.4453.41.2xSignificant
9Dunklin CountyMO541453.41.19xSignificant
10Randolph CountyMO540.3453.41.19xSignificant
11Jasper CountyMO539.9453.41.19xSignificant
12Gentry CountyMO539.6453.41.19xSignificant
13Iron CountyMO538.3453.41.19xSignificant
14Pike CountyMO535.6453.41.18xSignificant
15Buchanan CountyMO531453.41.17xSignificant
16Monroe CountyMO528.3453.41.17xSignificant
17Shelby CountyMO525.6453.41.16xSignificant
18Cooper CountyMO525.2453.41.16xSignificant
19St. Francois CountyMO524.8453.41.16xSignificant
20Lewis CountyMO524.7453.41.16xSignificant
21Mississippi CountyMO524.6453.41.16xSignificant
22Reynolds CountyMO524.6453.41.16xSignificant
23Henry CountyMO523.7453.41.16xSignificant
24Scott CountyMO522.2453.41.15xSignificant
25Linn CountyMO519.9453.41.15xSignificant
26Montgomery CountyMO517.5453.41.14xSignificant
27Stoddard CountyMO515.4453.41.14xSignificant
28Morgan CountyMO513.3453.41.13xSignificant
29Pulaski CountyMO509.9453.41.12xSignificant
30Oregon CountyMO509.3453.41.12xNo
31Dent CountyMO508.9453.41.12xSignificant
32Washington CountyMO505.6453.41.12xSignificant
33Chariton CountyMO505.5453.41.11xNo
34Holt CountyMO503.2453.41.11xNo
35Taney CountyMO500.5453.41.1xSignificant
36Clark CountyMO500453.41.1xNo
37Livingston CountyMO497.1453.41.1xNo
38Bates CountyMO496.5453.41.1xSignificant
39Jefferson CountyMO495.9453.41.09xSignificant
40Grundy CountyMO494.7453.41.09xNo
41Howard CountyMO493.9453.41.09xNo
42Knox CountyMO493.6453.41.09xNo
43Caldwell CountyMO492.3453.41.09xNo
44Lincoln CountyMO489.5453.41.08xSignificant
45Osage CountyMO489.5453.41.08xNo
46Polk CountyMO489453.41.08xSignificant
47Greene CountyMO486.7453.41.07xSignificant
48Boone CountyMO485.5453.41.07xSignificant
49Ozark CountyMO485.4453.41.07xNo
50Carroll CountyMO483.9453.41.07xNo
51Butler CountyMO482.1453.41.06xSignificant
52St. Louis CountyMO482.1453.41.06xSignificant
53Callaway CountyMO480.7453.41.06xSignificant
54Barton CountyMO480.2453.41.06xNo
55Lafayette CountyMO478.5453.41.06xNo
56Saline CountyMO478.5453.41.06xNo
57Atchison CountyMO477453.41.05xNo
58Crawford CountyMO476.9453.41.05xNo
59Benton CountyMO476.7453.41.05xNo
60Phelps CountyMO476.3453.41.05xNo
61Johnson CountyMO474453.41.05xNo
62New Madrid CountyMO474453.41.05xNo
63Cedar CountyMO472.4453.41.04xNo
64Macon CountyMO472.1453.41.04xNo
65Clay CountyMO471.4453.41.04xSignificant
66Moniteau CountyMO471.4453.41.04xNo
67Pettis CountyMO470.9453.41.04xNo
68Putnam CountyMO470.3453.41.04xNo
69Dallas CountyMO469453.41.03xNo
70St. Clair CountyMO468.7453.41.03xNo
71Cole CountyMO467.9453.41.03xNo
72Warren CountyMO466.6453.41.03xNo
73Camden CountyMO466.3453.41.03xNo
74Miller CountyMO465.6453.41.03xNo
75Cape Girardeau CountyMO464.8453.41.03xNo
76Ste. Genevieve CountyMO462.9453.41.02xNo
77Adair CountyMO462.2453.41.02xNo
78Howell CountyMO461.9453.41.02xNo
79Clinton CountyMO461.5453.41.02xNo
80Cass CountyMO460.8453.41.02xNo
81Daviess CountyMO460.5453.41.02xNo
82Shannon CountyMO457.2453.41.01xNo
83St. Charles CountyMO456.9453.41.01xNo
84Jackson CountyMO456.5453.41.01xNo
85Gasconade CountyMO456453.41.01xNo
86Nodaway CountyMO455.5453.41xNo
87Laclede CountyMO455.4453.41xNo
88Stone CountyMO455.4453.41xNo
89Hickory CountyMO454.4453.41xNo
90Perry CountyMO454.1453.41xNo
91Pemiscot CountyMO454453.41xNo
92McDonald CountyMO450.7453.40.99xNo
93Mercer CountyMO448.6453.40.99xNo
94Harrison CountyMO448.5453.40.99xNo
95Audrain CountyMO443.2453.40.98xNo
96Christian CountyMO442.9453.40.98xNo
97Webster CountyMO439.6453.40.97xNo
98Lawrence CountyMO439.5453.40.97xNo
99Barry CountyMO437453.40.96xNo
100Wright CountyMO432.8453.40.95xNo
101Douglas CountyMO430.4453.40.95xNo
102Ray CountyMO429.1453.40.95xNo
103St. Louis cityMO423.6453.40.93xNo
104Texas CountyMO422.2453.40.93xNo
105Andrew CountyMO419.9453.40.93xNo
106Vernon CountyMO400.6453.40.88xNo
107Maries CountyMO396.4453.40.87xNo
108Dade CountyMO394.8453.40.87xNo
109Platte CountyMO390.3453.40.86xNo
110Sullivan CountyMO387.9453.40.86xNo
111DeKalb CountyMO387.8453.40.86xNo
112Newton CountyMO383.5453.40.85xNo
113Ralls CountyMO344.2453.40.76xNo
114Schuyler CountyMO335.4453.40.74xNo
115Scotland CountyMO318.8453.40.7xNo

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