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Twiggs County, Georgia: environmental and disease records

Cancer mortality in Twiggs County is 183.4 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. Federal databases place 609 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (524), Rail grade crossing (43), Industrial wastewater discharge (18). EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 30 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: 32.6746, -83.443.

How this county ranks in Georgia

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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 Twiggs County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	New cases	71.8	51.8	1.39xSignificant	53 to 96.8	2019-2023
All cancer	Deaths	183.4	143.2	1.28xSignificant	149.6 to 223.9	2020-2024
All cancer	New cases	540.8	453.4	1.19xSignificant	479.6 to 608.5	2019-2023
Lung & bronchus	Deaths	32.9	30.2	1.09x	20.7 to 51.8	2020-2024

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 Twiggs County
Measure	County	U.S. median	Difference	Unit
Premature death	15,046.3	9,842.6	+53%	years of life lost before age 75 per 100,000
Life expectancy	70.3	75.3	-7%	years
Child mortality	n/a	59.8	n/a	deaths under age 18 per 100,000
Infant mortality	n/a	6.2	n/a	deaths under age 1 per 1,000 live births
Injury deaths	115.2	96.9	+19%	deaths per 100,000
Drug overdose deaths	n/a	28.6	n/a	deaths per 100,000

Air toxics and air quality

EPA AirToxScreen 2020

Lifetime cancer risk from outdoor air toxics: 30 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

Formaldehyde24.53 per million
Carbon Tetrachloride2.9 per million
Acetaldehyde2.39 per million
Pahpom0.74 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit524
Rail grade crossing43
Industrial wastewater discharge18
Gas station (mapped facility)7
Air permit holder (minor source)4
Major air pollution source3
Public airport2
Large greenhouse gas emitter2
Solar power plant2
Auto repair or body shop (mapped facility)1
Landfill (mapped facility)1
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.

Imerys Dry Branch Operation, Dry Branch
Major air pollution source. Penalties $14,126.
EPA FRS registry ID 110002439111 (U.S. EPA ECHO) Agency record
Severity 5.5
Imerys Dry Branch Operation, Dry Branch
NPDES wastewater discharge permit. Penalties $14,126.
EPA FRS registry ID 110002439111 (U.S. EPA ECHO) Agency record
Severity 5
Advanced Disposal Services-Wolf Creek Landfill, Dry Branch
Major air pollution source.
EPA FRS registry ID 110043686133 (U.S. EPA ECHO) Agency record
Severity 4.5
Jeffersonville, City Of (Jeffersonville Wpcp), Jeffersonville
NPDES wastewater discharge permit.
EPA FRS registry ID 110064639976 (U.S. EPA ECHO) Agency record
Severity 4.3
Advanced Disposal Services-Wolf Creek Landfill, Dry Branch
NPDES wastewater discharge permit.
EPA FRS registry ID 110043686133 (U.S. EPA ECHO) Agency record
Severity 4
Kamin Llc-Macon, Macon
Major air pollution source.
EPA FRS registry ID 110045521912 (U.S. EPA ECHO) Agency record
Severity 3.8
Advanced Disposal Services-Wolf Creek Landfill, Dry Branch
Large greenhouse gas emitter.
EPA FRS registry ID 110043686133 (U.S. EPA ECHO) Agency record
Severity 3.5
Kamin Llc-Macon, Macon
NPDES wastewater discharge permit.
EPA FRS registry ID 110045521912 (U.S. EPA ECHO) Agency record
Severity 3.3
Macon Plant Operations, Huber
NPDES wastewater discharge permit.
EPA FRS registry ID 110045521921 (U.S. EPA ECHO) Agency record
Severity 3.3
Kamin - Macon Facility, Macon
Industrial wastewater discharge. No Violation Identified.
NPDES permit GA0002551: (U.S. EPA NPDES)
Severity 3
Kamin Llc-Macon, Macon
Large greenhouse gas emitter.
EPA FRS registry ID 110045521912 (U.S. EPA ECHO) Agency record
Severity 2.8
1496 West, Jeffersonville
NPDES wastewater discharge permit. Penalties $60,000.
EPA FRS registry ID 110072103112 (U.S. EPA ECHO) Agency record
Severity 2.8
Ads Renewable Energy-Wolf Creek Llc, Dry Branch
Biomass power plant.
Record ID 60184 (U.S. Energy Information Administration)
Severity 2.5
Landfill
Landfill (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/732794436 (OpenStreetMap contributors) Agency record
Severity 2
Wastewater Plant
Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/960182563 (OpenStreetMap contributors) Agency record
Severity 2
The Woodlands ? Lot 51, Unknown
NPDES wastewater discharge permit.
EPA FRS registry ID 110011325100 (U.S. EPA ECHO) Agency record
Severity 1.5
Forest Hill, Unknown
NPDES wastewater discharge permit.
EPA FRS registry ID 110011325155 (U.S. EPA ECHO) Agency record
Severity 1.5
Whitehall Meadows Â Lot 41, Unknown
NPDES wastewater discharge permit.
EPA FRS registry ID 110011325958 (U.S. EPA ECHO) Agency record
Severity 1.5
Quail Internation, Unknown
NPDES wastewater discharge permit.
EPA FRS registry ID 110011326537 (U.S. EPA ECHO) Agency record
Severity 1.5
State Of Ga Sludge, Unknown
NPDES wastewater discharge permit.
EPA FRS registry ID 110020161359 (U.S. EPA ECHO) Agency record
Severity 1.5
Planters Row In Bulloch_Co, Unknown
NPDES wastewater discharge permit.
EPA FRS registry ID 110025313480 (U.S. EPA ECHO) Agency record
Severity 1.5
Lincolm Pinch Phase Ii, Unknown
NPDES wastewater discharge permit.
EPA FRS registry ID 110063663815 (U.S. EPA ECHO) Agency record
Severity 1.5
Highland Falls, Phase Ii- Lot 156, Unknown
NPDES wastewater discharge permit.
EPA FRS registry ID 110070005654 (U.S. EPA ECHO) Agency record
Severity 1.5
Wolf Creek Borrow Areas No. 1& 2, Dry Branch
NPDES wastewater discharge permit.
EPA FRS registry ID 110070005742 (U.S. EPA ECHO) Agency record
Severity 1.5
Berkeley Hills Estate, Unknown
NPDES wastewater discharge permit.
EPA FRS registry ID 110070005785 (U.S. EPA ECHO) Agency record
Severity 1.5

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 Twiggs County

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