Middletown, MO: 2 Health Violations — 81/100 (2026)
1 ZIP code · 3 water systems · Updated 2026-06-03
For households in Middletown, MO water data shows a consistently above-average safety picture.
How Middletown Compares
Data: EPA SDWIS Last verified: 2026-06-03
Middletown Water: The Quick Version
- Your city's water systems recorded 6 violations in the past 5 years.
- Average lead level: 0.0008 mg/L.
- Homes built before 1986: 56% — older plumbing may contain lead solder.
- Estimated remediation: $1,200 per household.
- CDC health risk index: 15.35 — above typical levels.
Water Systems Serving Middletown
Across Middletown, MO, residential water comes from 3 primary utilities rather than a single consolidated provider. Each system operates independently — managing its own distribution infrastructure, rate schedules, and EPA compliance filings. Federal records track 3 water systems in the area, with these top providers accounting for the majority of residential connections.
Overview
We track water quality and home safety data for 1 ZIP code in Middletown, Missouri (population ~1,384), covering 3 community water systems serving approximately 14,434 people region-wide.
1 of 1 ZIP code (100%) have recorded EPA violations. 2 health-based violations documented.
Home Safety Score
Average Home Safety Score for Middletown: B (81/100)
The score combines three factors:
| Factor | What It Measures |
|---|---|
| Water Quality | EPA violations and compliance history |
| Lead Levels | 90th percentile lead concentration vs EPA action level |
| Radon Risk | EPA radon zone classification |
Water Sources
Middletown water systems draw from: Groundwater.
Lead & Copper
- Average lead level (90th percentile): 0.0008 mg/L (EPA action level: 0.015 mg/L)
- 0 ZIP codes exceed the EPA lead action level
Radon Risk
Dominant radon zone: Zone 2 (Moderate Risk)
The EPA recommends testing homes in Zone 1 and Zone 2 areas for radon.
Top Contaminants
| Contaminant | Category | Violations | ZIPs Affected |
|---|---|---|---|
| Contaminant 0700 | Other | 4 | 1 |
| Stage 2 DBP Rule | Treatment Technique | 2 | 1 |
| Surface Water Treatment Rule | Treatment Technique | 2 | 1 |
| Lead and Copper Rule | Treatment Technique | 2 | 1 |
| Chlorine residual | Disinfectant | 2 | 1 |
Areas with Most Violations
| ZIP Code | Safety Score | Violations | Health-Based | System |
|---|---|---|---|---|
| 63359 | B | 6 | 2 | Pike County Pwsd 1 |
All ZIP Codes in Middletown
- 63359 [B] — 6 violations ⚠
Data Sources
- Water quality: EPA Safe Drinking Water Information System (SDWIS)
- Lead/copper: EPA Lead and Copper Rule sampling data
- Radon: EPA Map of Radon Zones
Updated daily.
CDC Health Data for Middletown
Source: CDC PLACES (County-level estimates). Water contamination can correlate with respiratory and chronic health conditions.
Compared to National Average
Vertical line = national average. ■ Above national · ■ Below national
Key Contaminants Detected in Middletown
Based on EPA violation records. Check your ZIP code report for system-specific contaminant data.
How Old Is Middletown's Housing Stock?
With 56% of homes built before 1986, lead solder in plumbing is a potential concern. The EPA banned lead solder in 1986, but many older homes retain original plumbing.
Source: U.S. Census Bureau American Community Survey (ACS).
Housing Age Profile
Pre-1986 plumbing is not a rare legacy case in Middletown — it's the dominant profile. The median build year of 1970 indicates a housing stock where lead-soldered copper joints are a common structural feature of residences across the city.
Over half of homes in Middletown were built before 1986, when lead solder was banned. Older plumbing may leach lead into drinking water, especially with corrosive water chemistry.
Source: U.S. Census Bureau ACS B25034.
Middletown: Remediation Cost in Perspective
At current valuations, Middletown sits in the low remediation-share tier — the equity impact of fixing documented issues is proportionally minor.
Remediation costs in Middletown are relatively low compared to home values. The $450–$2,200 estimated range is a small fraction of median property value. Home values are 2% below the Missouri average.
Protecting Children from Lead in Middletown
Why children are most at risk: The CDC states there is no safe level of lead exposure for children. Children under 6 absorb lead more readily than adults, and even low levels can cause developmental delays, learning difficulties, and behavioral problems.
Older interior plumbing shapes the local picture: 56% of Middletown homes predate the federal solder ban, and aggregate sampling either approaches or crosses the action benchmark. That mix makes a single-home draw a standard pre-purchase or pre-occupancy step.
Sources: EPA Lead and Copper Rule, U.S. Census Bureau ACS, CDC childhood lead poisoning prevention guidelines.
Deep Dive Reports
Detailed analysis for Middletown, MO