| # | County | Median AQI |
|---|---|---|
| 1 | St. Louis County | 54 |
| 2 | Jackson County | 46 |
| 3 | Greene County | 45 |
| 4 | Buchanan County | 44 |
| 5 | St. Charles County | 44 |
| 6 | Andrew County | 42 |
| 7 | Cass County | 42 |
| 8 | Lincoln County | 42 |
| 9 | Perry County | 42 |
| 10 | Clay County | 41 |
| 11 | Clinton County | 41 |
| 12 | Jasper County | 41 |
| 13 | Callaway County | 40 |
| 14 | Cedar County | 40 |
| 15 | Jefferson County | 40 |
| 16 | Boone County | 39 |
| 17 | Monroe County | 35 |
| 18 | Stoddard County | 29 |
| 19 | Taney County | 26 |
Source: EPA Air Quality Index annual summary (2024). All counties with data are ranked. Estimates carry margins of error.
Citing this page: GIS Map, “Counties with the Worst Air Quality in Missouri”, https://gismap.land/rankings/missouri/worst-air-quality-counties. Figures from EPA Air Quality Index annual summary (2024).
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