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Appanoose County, Iowa: environmental and disease records

Cancer mortality in Appanoose County is 151.5 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 152 regulated facilities, sites and hazards inside the county, led by Rail grade crossing (76), Air permit holder (minor source) (25), Industrial wastewater discharge (20). 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: 40.7363, -92.868.

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 Appanoose County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Kidney & renal pelvis	New cases	37.1	17.9	2.07xSignificant	25.1 to 53.5	2019-2023
Bladder	New cases	26.6	18.7	1.42x	17.7 to 39.4	2019-2023
Lung & bronchus	New cases	73.6	51.8	1.42xSignificant	57.6 to 93.6	2019-2023
Lung & bronchus	Deaths	41.1	30.2	1.36x	29.7 to 56.6	2020-2024
All cancer	New cases	526.9	453.4	1.16xSignificant	479.4 to 578.4	2019-2023
Melanoma of the skin	New cases	26.4	23.8	1.11x	16.3 to 41.1	2019-2023
Leukemia	New cases	15.8	14.5	1.09x	8.7 to 27.4	2019-2023
All cancer	Deaths	151.5	143.2	1.06x	128.2 to 178.6	2020-2024
Non-Hodgkin lymphoma	New cases	15.5	18.5	0.84x	8.6 to 26.9	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 Appanoose County
Measure	County	U.S. median	Difference	Unit
Premature death	8,750.8	9,842.6	-11%	years of life lost before age 75 per 100,000
Life expectancy	75.4	75.3	+0%	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	92.5	96.9	-5%	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.

Formaldehyde16.05 per million
Carbon Tetrachloride2.94 per million
Acetaldehyde1.49 per million
Benzene0.77 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

Rail grade crossing76
Air permit holder (minor source)25
Industrial wastewater discharge20
NPDES wastewater discharge permit16
TRI reporting facility3
Toxic chemical release facility (TRI)3
Large hazardous waste generator2
Small hazardous waste generator2
Major air pollution source1
Commercial airport1
Brownfield property1
Gas station (mapped facility)1
Heliport1

Highest-severity records

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

Iowa Steel & Wire Co Inc, Centerville
Toxic chemical release facility (TRI). Chemicals: Zinc compounds, Lead And Lead Compounds, Nickel. Reports carcinogens. 5,674 lbs released over 5 years.
TRI facility ID 52544WSTLL1500W (U.S. EPA Toxics Release Inventory)
Severity 7.4
Centerville City Of Stp (East), Centerville
NPDES wastewater discharge permit. Penalties $3,000.
EPA FRS registry ID 110010035728 (U.S. EPA ECHO) Agency record
Severity 7
Iowa Steel & Wire Co Inc, Centerville
TRI reporting facility.
EPA FRS registry ID 110000415239 (U.S. EPA ECHO) Agency record
Severity 5.4
Hill Phoenix Specialty Div, Centerville
Toxic chemical release facility (TRI). Chemicals: Nickel, Chromium, Manganese, Copper. Reports carcinogens.
TRI facility ID 52544BRKRC2245D (U.S. EPA Toxics Release Inventory)
Severity 4.5
Amcor Flexibles North America Inc., Centerville
Large hazardous waste generator. Penalties $25,000.
EPA FRS registry ID 110064140807 (U.S. EPA ECHO) Agency record
Severity 4.3
Hill Phoenix Specialty Division Centerville Ob, Centerville
TRI reporting facility.
EPA FRS registry ID 110028208623 (U.S. EPA ECHO) Agency record
Severity 4
Inhance Technologies, Llc, Centerville
TRI reporting facility.
EPA FRS registry ID 110043621612 (U.S. EPA ECHO) Agency record
Severity 4
Cincinnati City Of Stp, Cincinnati
NPDES wastewater discharge permit.
EPA FRS registry ID 110010029888 (U.S. EPA ECHO) Agency record
Severity 3.8
Bemis Company - Centerville, Centerville
Major air pollution source.
EPA FRS registry ID 110002077270 (U.S. EPA ECHO) Agency record
Severity 3.5
Centerville City Of Stp (West), Centerville
NPDES wastewater discharge permit.
EPA FRS registry ID 110010035719 (U.S. EPA ECHO) Agency record
Severity 3.5
Plano Iowa-Adlm-Fms, Plano
NPDES wastewater discharge permit.
EPA FRS registry ID 110036385658 (U.S. EPA ECHO) Agency record
Severity 3.3
Isu Foundry Site, Centerville
Brownfield property.
EPA FRS registry ID 110071976815 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Iowa Steel & Wire Co Inc, Centerville
Large hazardous waste generator.
EPA FRS registry ID 110000415239 (U.S. EPA ECHO) Agency record
Severity 3
Moulton City Of Stp, Moulton
NPDES wastewater discharge permit.
EPA FRS registry ID 110039691090 (U.S. EPA ECHO) Agency record
Severity 3
Inhance Technologies, Centerville
Toxic chemical release facility (TRI). Chemicals: Hydrogen fluoride, Fluorine.
TRI facility ID 5254WNHNCT299IN (U.S. EPA Toxics Release Inventory)
Severity 3
Parkside Knolls Hoa, Moravia
NPDES wastewater discharge permit.
EPA FRS registry ID 110070696536 (U.S. EPA ECHO) Agency record
Severity 2.8
Centerville City Of Stp (East), Centerville
Industrial wastewater discharge. Violation Identified.
NPDES permit IA0027472: (U.S. EPA NPDES)
Severity 2.6
Centerville City Of Stp (West), Centerville
Industrial wastewater discharge. Violation Identified.
NPDES permit IA0027464: (U.S. EPA NPDES)
Severity 2.6
City Of Centerville, Centerville
NPDES wastewater discharge permit. Penalties $3,000.
EPA FRS registry ID 110070001349 (U.S. EPA ECHO) Agency record
Severity 2.5
Rathbun Regional Water Association, Centerville
NPDES wastewater discharge permit.
EPA FRS registry ID 110071710999 (U.S. EPA ECHO) Agency record
Severity 2.5
Mystic City Of Stp, Mystic
NPDES wastewater discharge permit.
EPA FRS registry ID 110010029637 (U.S. EPA ECHO) Agency record
Severity 2.3
Unionville City Of Stp, Unionville
NPDES wastewater discharge permit.
EPA FRS registry ID 110010028870 (U.S. EPA ECHO) Agency record
Severity 2
Moravia City Of Stp, Moravia
NPDES wastewater discharge permit.
EPA FRS registry ID 110010033276 (U.S. EPA ECHO) Agency record
Severity 2
Centerville Muni, Centerville
Commercial airport. O.
Record ID TVK (FAA / U.S. DOT)
Severity 2
Exline, City Of, Stp, Exline
NPDES wastewater discharge permit.
EPA FRS registry ID 110010028889 (U.S. EPA ECHO) Agency record
Severity 1.8

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 Appanoose 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 Appanoose 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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