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Adair County, Iowa: environmental and disease records

Cancer mortality in Adair County is 144.2 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 85 regulated facilities, sites and hazards inside the county, led by Air permit holder (minor source) (14), Rail grade crossing (14), Wind power plant (12). EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 20 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: 41.3308, -94.4707.

How this county ranks in Iowa

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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 Adair County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Leukemia	New cases	30.2	14.5	2.08xSignificant	17.4 to 50.1	2019-2023
Lung & bronchus	Deaths	30.8	30.2	1.02x	18.6 to 49.7	2020-2024
All cancer	Deaths	144.2	143.2	1.01x	115.9 to 178.7	2020-2024
Lung & bronchus	New cases	52	51.8	1x	34.9 to 76	2019-2023
All cancer	New cases	438.1	453.4	0.97x	381.8 to 501.1	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 Adair County
Measure	County	U.S. median	Difference	Unit
Premature death	7,150.6	9,842.6	-27%	years of life lost before age 75 per 100,000
Life expectancy	77	75.3	+2%	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	63.3	96.9	-35%	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: 20 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

Formaldehyde14.69 per million
Carbon Tetrachloride2.91 per million
Acetaldehyde1.23 per million
Benzene0.66 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

Air permit holder (minor source)14
Rail grade crossing14
Wind power plant12
Industrial wastewater discharge11
Gas station (mapped facility)10
NPDES wastewater discharge permit9
Heliport3
Oil-fired power plant3
Toxic chemical release facility (TRI)3
TRI reporting facility2
Commercial airport1
Auto repair or body shop (mapped facility)1
Large hazardous waste generator1
Small hazardous waste generator1

Highest-severity records

The 25 records with the highest Envyrofax severity in the county, with the agency identifier to cite in a records request.

Quad Greenfield Llc, Greenfield
Toxic chemical release facility (TRI). Chemicals: Toluene, Zinc compounds. 12,000 lbs released over 5 years.
TRI facility ID 50849SGWRKHWY25 (U.S. EPA Toxics Release Inventory)
Severity 6.1
Central Iowa Ready Mix Greenfield, Greenfield
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 97 lbs released over 5 years.
TRI facility ID 5084WCNTRL31SWT (U.S. EPA Toxics Release Inventory)
Severity 6
Quad/Greenfield Llc, Greenfield
TRI reporting facility.
EPA FRS registry ID 110011709721 (U.S. EPA ECHO) Agency record
Severity 6
Cardinal Glass, Greenfield
Toxic chemical release facility (TRI). Chemicals: Manganese, Nickel, Chromium. Reports carcinogens. 15 lbs released over 5 years.
TRI facility ID 5084WCRDNL716NE (U.S. EPA Toxics Release Inventory)
Severity 5.4
Cardinal Glass, Greenfield
TRI reporting facility.
EPA FRS registry ID 110070551589 (U.S. EPA ECHO) Agency record
Severity 4.3
North Generation Plant, Greenfield
Oil-fired power plant.
Record ID 7856 (U.S. Energy Information Administration)
Severity 4
Downtown Generation Plant, Greenfield
Oil-fired power plant.
Record ID 64552 (U.S. Energy Information Administration)
Severity 4
Gilliam South, Stuart
Oil-fired power plant.
Record ID 7857 (U.S. Energy Information Administration)
Severity 4
Quad/Greenfield Llc, Greenfield
Large hazardous waste generator.
EPA FRS registry ID 110011709721 (U.S. EPA ECHO) Agency record
Severity 3.5
Greenfield Waste Water Plant, Greenfield
NPDES wastewater discharge permit.
EPA FRS registry ID 110001965464 (U.S. EPA ECHO) Agency record
Severity 3
Adair City Of Stp, Adair
Industrial wastewater discharge. Violation Identified.
NPDES permit IA0035416: (U.S. EPA NPDES)
Severity 2.6
Bridgewater City Of Stp, Bridgewater
NPDES wastewater discharge permit.
EPA FRS registry ID 110009724487 (U.S. EPA ECHO) Agency record
Severity 2.5
Iowa Dot Rest Area #01-I80 Adair, Adair
NPDES wastewater discharge permit.
EPA FRS registry ID 110009725137 (U.S. EPA ECHO) Agency record
Severity 2.5
Fontanelle City Of Stp, Fontanelle
NPDES wastewater discharge permit.
EPA FRS registry ID 110010033962 (U.S. EPA ECHO) Agency record
Severity 2.5
Kading Land Company, Inc., Casey
NPDES wastewater discharge permit. Penalties $3,450.
EPA FRS registry ID 110071665544 (U.S. EPA ECHO) Agency record
Severity 2.5
Fontanelle City Of Stp, Fontanelle
Industrial wastewater discharge. Violation Identified.
NPDES permit IA0041840: (U.S. EPA NPDES)
Severity 2.2
Orient Stp (Sirwa), Orient
NPDES wastewater discharge permit.
EPA FRS registry ID 110043874126 (U.S. EPA ECHO) Agency record
Severity 2
Greenfield Muni, Greenfield
Commercial airport. O.
Record ID GFZ (FAA / U.S. DOT)
Severity 2
Adair Wwtp, Adair
NPDES wastewater discharge permit.
EPA FRS registry ID 110039690554 (U.S. EPA ECHO) Agency record
Severity 1.8
Horizon Equipment, Adair
Small hazardous waste generator.
EPA FRS registry ID 110005731404 (U.S. EPA ECHO) Agency record
Severity 1.5
Quad/Greenfield Llc, Greenfield
Air permit holder (minor source).
EPA FRS registry ID 110011709721 (U.S. EPA ECHO) Agency record
Severity 1.5
Greenfield Municipal Utilities Wtp, Greenfield
NPDES wastewater discharge permit.
EPA FRS registry ID 110069999220 (U.S. EPA ECHO) Agency record
Severity 1.5
City Of Greenfield, Greenfield
NPDES wastewater discharge permit.
EPA FRS registry ID 110069999629 (U.S. EPA ECHO) Agency record
Severity 1.5
Private Road, Adair
Rail grade crossing.
Record ID 603306W (Federal Railroad Administration)
Severity 1.3
Private Road, Adair
Rail grade crossing.
Record ID 603311T (Federal Railroad Administration)
Severity 1.3

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 Adair County

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