There are nearly 650,000 kids in metropolitan St. Louis. St. Louis city ranks dead last among the state’s 115 counties in the composite ranking of economic well-being, health, safety and education. 64% of students in East St. Louis graduate. In Madison County, Illinois, one in 5 children lives in poverty. 4,817 cases of child abuse are reported in St. Louis County. 1,561 students receive mental health aid in St. Charles County. 33% of households in Missouri are led by a single parent. 41% of children in St. Louis live below the poverty line. Cases of child abuse and neglect increased 27% from 2006 to 2014 in Madison County. in the state of Missouri, The number of children enrolled in Medicaid increased from 33.3% to 36.8% between 2008 and 2013. the number of substantiated cases of abuse and neglect in missouri increased from 29.9% in 2009 to 40.8% in 2013. During 2007-2009, the infant mortality rate in St. Clair County was 8.1 per 1,000 live births, compared with 6.9 compared to the rest of the state of Illinois.