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Autauga County, Alabama: environmental and disease records

Cancer mortality in Autauga County is 159.3 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Lung & bronchus deaths at 1.4 times the U.S. rate. Federal databases place 534 regulated facilities, sites and hazards inside the county, led by Industrial wastewater discharge (213), NPDES wastewater discharge permit (179), Rail grade crossing (66). EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 40 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: 32.508, -86.6512.

How this county ranks in Alabama

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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 Autauga County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Esophagus	New cases	8	4.6	1.74xSignificant	5.4 to 11.6	2019-2023
Esophagus	Deaths	5.2	3.7	1.41x	3.2 to 8.2	2020-2024
Lung & bronchus	Deaths	41.3	30.2	1.37xSignificant	35.1 to 48.4	2020-2024
Lung & bronchus	New cases	63.8	51.8	1.23xSignificant	55.9 to 72.5	2019-2023
Pancreas	New cases	16.6	13.9	1.19x	12.7 to 21.5	2019-2023
Pancreas	Deaths	12.9	11.3	1.14x	9.5 to 17.2	2020-2024
Liver & bile duct	Deaths	7.5	6.6	1.14x	5 to 10.9	2020-2024
Brain & nervous system	Deaths	4.9	4.4	1.11x	2.9 to 8	2020-2024
All cancer	Deaths	159.3	143.2	1.11xSignificant	146.6 to 172.8	2020-2024
Kidney & renal pelvis	New cases	19.9	17.9	1.11x	15.5 to 25.3	2019-2023
Brain & nervous system	New cases	6.5	6.2	1.05x	4 to 10	2019-2023
Leukemia	New cases	14.8	14.5	1.02x	10.9 to 19.5	2019-2023
All cancer	New cases	459.8	453.4	1.01x	437.6 to 483	2019-2023
Leukemia	Deaths	5.6	5.7	0.98x	3.4 to 8.7	2020-2024
Non-Hodgkin lymphoma	New cases	16.8	18.5	0.91x	12.7 to 21.8	2019-2023
Melanoma of the skin	New cases	21.2	23.8	0.89x	16.5 to 27	2019-2023
Thyroid	New cases	11.5	13	0.88x	7.9 to 16.1	2019-2023
Stomach	New cases	5.7	6.6	0.86x	3.4 to 8.9	2019-2023
Liver & bile duct	New cases	7.2	8.7	0.83x	4.7 to 10.6	2019-2023
Bladder	New cases	15.3	18.7	0.82x	11.6 to 20	2019-2023

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 Autauga County
Measure	County	U.S. median	Difference	Unit
Premature death	9,938.3	9,842.6	+1%	years of life lost before age 75 per 100,000
Life expectancy	74.8	75.3	-1%	years
Child mortality	61.3	59.8	+2%	deaths under age 18 per 100,000
Infant mortality	7.4	6.2	+19%	deaths under age 1 per 1,000 live births
Injury deaths	66	96.9	-32%	deaths per 100,000
Drug overdose deaths	10.9	28.6	-62%	deaths per 100,000

Air toxics and air quality

EPA AirToxScreen 2020

Lifetime cancer risk from outdoor air toxics: 40 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

Formaldehyde27.2 per million
Carbon Tetrachloride2.91 per million
Acetaldehyde2.8 per million
Benzene0.95 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

Industrial wastewater discharge213
NPDES wastewater discharge permit179
Rail grade crossing66
Gas station (mapped facility)23
Air permit holder (minor source)12
Auto repair or body shop (mapped facility)10
Small hazardous waste generator7
Brownfield property5
Major air pollution source4
Large greenhouse gas emitter4
Gas power plant3
TRI reporting facility2
Toxic chemical release facility (TRI)2
Public airport1
Large hazardous waste generator1
Biomass power plant1
Wastewater plant (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.

International Paper, Prattville
Toxic chemical release facility (TRI). Chemicals: Methanol, Hydrogen sulfide, Hydrochloric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Acetaldehyde and 4 more. Reports carcinogens. 13,755,042 lbs released over 5 years.
TRI facility ID 36067NNCMP100JE (U.S. EPA Toxics Release Inventory)
Severity 10
International Paper-Prattville Mill, Prattville
TRI reporting facility. Penalties $15,000.
EPA FRS registry ID 110011734935 (U.S. EPA ECHO) Agency record
Severity 8
International Paper-Prattville Mill, Prattville
Major air pollution source. Penalties $15,000.
EPA FRS registry ID 110011734935 (U.S. EPA ECHO) Agency record
Severity 4.5
E B Harris Electric Generating Plant, Autaugaville
Gas power plant.
Record ID 7897 (U.S. Energy Information Administration)
Severity 4.3
Al Power Central Alabama Generating Station, Billingsley
Major air pollution source.
EPA FRS registry ID 110007348441 (U.S. EPA ECHO) Agency record
Severity 4.3
International Paper-Prattville Mill, Prattville
NPDES wastewater discharge permit. Penalties $15,000.
EPA FRS registry ID 110011734935 (U.S. EPA ECHO) Agency record
Severity 4
White City Plant, Marbury
NPDES wastewater discharge permit.
EPA FRS registry ID 110020738638 (U.S. EPA ECHO) Agency record
Severity 4
Roberson Pit, Autaugaville
NPDES wastewater discharge permit. Penalties $33,333.
EPA FRS registry ID 110070939689 (U.S. EPA ECHO) Agency record
Severity 4
James Hardie Prattville, Prattville
TRI reporting facility.
EPA FRS registry ID 110071287405 (U.S. EPA ECHO) Agency record
Severity 4
Central Alabama Generating Station, Billingsley
Gas power plant.
Record ID 55440 (U.S. Energy Information Administration)
Severity 3.9
Tenaska Lindsay Hill Generating Station, Billingsley
Gas power plant.
Record ID 55271 (U.S. Energy Information Administration)
Severity 3.8
Al Power Central Alabama Generating Station, Billingsley
NPDES wastewater discharge permit.
EPA FRS registry ID 110007348441 (U.S. EPA ECHO) Agency record
Severity 3.8
Lonestar Plastics, Prattville
Major air pollution source.
EPA FRS registry ID 110003388619 (U.S. EPA ECHO) Agency record
Severity 3.5
E.B. Harris Electric Generating Plant, Prattville
Major air pollution source.
EPA FRS registry ID 110007395942 (U.S. EPA ECHO) Agency record
Severity 3.5
Autauga Creek Wwtp, Prattville
NPDES wastewater discharge permit.
EPA FRS registry ID 110010099179 (U.S. EPA ECHO) Agency record
Severity 3.5
International Paper-Prattville Mill, Prattville
Large greenhouse gas emitter. Penalties $15,000.
EPA FRS registry ID 110011734935 (U.S. EPA ECHO) Agency record
Severity 3.5
Al Power Central Alabama Generating Station, Billingsley
Large greenhouse gas emitter.
EPA FRS registry ID 110007348441 (U.S. EPA ECHO) Agency record
Severity 3.3
Tenaska Lindsay Hill Generating Station, Billingsley
Large hazardous waste generator.
EPA FRS registry ID 110067545268 (U.S. EPA ECHO) Agency record
Severity 3.3
Unlimited Group Wash Plant Pit, Prattville
NPDES wastewater discharge permit. Penalties $33,333.
EPA FRS registry ID 110071512283 (U.S. EPA ECHO) Agency record
Severity 3.3
Unlimited Group Pit #6, Autaugaville
NPDES wastewater discharge permit. Penalties $33,334.
EPA FRS registry ID 110071885873 (U.S. EPA ECHO) Agency record
Severity 3.3
Casey Jones Site, Prattville
Brownfield property.
EPA FRS registry ID 110060782210 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Dean Brothers Properties, Vida
Brownfield property.
EPA FRS registry ID 110060782229 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Dewitt Apparel, Vida
Brownfield property.
EPA FRS registry ID 110060782238 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Eagle Shoe Factory, Vida
Brownfield property.
EPA FRS registry ID 110060782283 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Old Autauga School House, Autaugaville
Brownfield property.
EPA FRS registry ID 110072077855 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3

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 Autauga County

Alabama 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 Autauga County, and their findings.
Alabama vital statistics office
Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.
Alabama health department, environmental epidemiology
Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.
Alabama 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.
Alabama 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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