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Fremont County, Iowa: environmental and disease records

Cancer mortality in Fremont County is 169.1 deaths per 100,000 people per year against a U.S. rate of 143.2. The strongest disease signals are Lung & bronchus deaths at 2.1 times the U.S. rate. Federal databases place 84 regulated facilities, sites and hazards inside the county, led by Rail grade crossing (29), Air permit holder (minor source) (11), Industrial wastewater discharge (10). 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: 40.7392, -95.6365.

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 Fremont County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	62.1	30.2	2.06xSignificant	42.4 to 89.6	2020-2024
Lung & bronchus	New cases	84.9	51.8	1.64xSignificant	61.8 to 115.6	2019-2023
All cancer	Deaths	169.1	143.2	1.18x	134.5 to 211.3	2020-2024
All cancer	New cases	478.5	453.4	1.06x	415.4 to 549.3	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 Fremont County
Measure	County	U.S. median	Difference	Unit
Premature death	9,006.6	9,842.6	-8%	years of life lost before age 75 per 100,000
Life expectancy	76.3	75.3	+1%	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	77.1	96.9	-20%	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.

Formaldehyde15.84 per million
Carbon Tetrachloride2.92 per million
Acetaldehyde1.38 per million
Benzene0.67 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

Rail grade crossing29
Air permit holder (minor source)11
Industrial wastewater discharge10
NPDES wastewater discharge permit10
Gas station (mapped facility)8
TRI reporting facility3
Toxic chemical release facility (TRI)3
Public airport2
Auto repair or body shop (mapped facility)2
Small hazardous waste generator2
Major air pollution source1
Commercial airport1
Large greenhouse gas emitter1
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.

Green Plains Shenandoah Llc, Shenandoah
Toxic chemical release facility (TRI). Chemicals: Acetaldehyde, Methanol, Acrolein, Formaldehyde and 4 more. Reports carcinogens. 135,026 lbs released over 5 years.
TRI facility ID 51601GRNPL4124A (U.S. EPA Toxics Release Inventory)
Severity 8.4
Manildra Milling Co, Hamburg
TRI reporting facility.
EPA FRS registry ID 110010507406 (U.S. EPA ECHO) Agency record
Severity 7.2
Manildra Milling Co, Hamburg
Toxic chemical release facility (TRI). Chemicals: Nitrate compounds (water dissociable; reportable only when in aqueous solution). 167,298 lbs released over 5 years.
TRI facility ID 51640MNLDR100GE (U.S. EPA Toxics Release Inventory)
Severity 7
Chs Shenandoah Feed, Shenandoah
Toxic chemical release facility (TRI). Chemicals: Zinc compounds, Manganese compounds, Copper compounds, Cobalt compounds and 1 more. Reports carcinogens. 217 lbs released over 5 years.
TRI facility ID 5160WCHSSH1857N (U.S. EPA Toxics Release Inventory)
Severity 6.3
Great Plains Renewable Energy, Inc, Shenandoah
TRI reporting facility.
EPA FRS registry ID 110027236694 (U.S. EPA ECHO) Agency record
Severity 6.1
Chs Shenandoah Feed, Shenandoah
TRI reporting facility.
EPA FRS registry ID 110069292278 (U.S. EPA ECHO) Agency record
Severity 4.7
Shenandoah City Of Stp, Shenandoah
NPDES wastewater discharge permit.
EPA FRS registry ID 110036162096 (U.S. EPA ECHO) Agency record
Severity 4.3
Great Plains Renewable Energy, Inc, Shenandoah
Major air pollution source.
EPA FRS registry ID 110027236694 (U.S. EPA ECHO) Agency record
Severity 3.5
Great Plains Renewable Energy, Inc, Shenandoah
NPDES wastewater discharge permit.
EPA FRS registry ID 110027236694 (U.S. EPA ECHO) Agency record
Severity 3
Farragut City Of Stp, Farragut
NPDES wastewater discharge permit.
EPA FRS registry ID 110010036264 (U.S. EPA ECHO) Agency record
Severity 2.5
Manildra Milling Co, Hamburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110010507406 (U.S. EPA ECHO) Agency record
Severity 2.5
Great Plains Renewable Energy, Inc, Shenandoah
Large greenhouse gas emitter.
EPA FRS registry ID 110027236694 (U.S. EPA ECHO) Agency record
Severity 2.5
Manildra Milling Co, Hamburg
Air permit holder (minor source).
EPA FRS registry ID 110010507406 (U.S. EPA ECHO) Agency record
Severity 2
Shenandoah Muni, Shenandoah
Commercial airport. O.
Record ID SDA (FAA / U.S. DOT)
Severity 2
Sidney Wwtp, Sidney
NPDES wastewater discharge permit.
EPA FRS registry ID 110039698119 (U.S. EPA ECHO) Agency record
Severity 1.8
Pella Corporation, Shenandoah
Small hazardous waste generator.
EPA FRS registry ID 110006163891 (U.S. EPA ECHO) Agency record
Severity 1.5
Hamburg City Of Stp, Hamburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110010033132 (U.S. EPA ECHO) Agency record
Severity 1.5
Riverton Wwtp, Riverton
NPDES wastewater discharge permit.
EPA FRS registry ID 110036360014 (U.S. EPA ECHO) Agency record
Severity 1.5
Randolph Wwtp, Randolph
NPDES wastewater discharge permit.
EPA FRS registry ID 110039697897 (U.S. EPA ECHO) Agency record
Severity 1.5
Tabor Wwtp, Tabor
NPDES wastewater discharge permit.
EPA FRS registry ID 110039698306 (U.S. EPA ECHO) Agency record
Severity 1.5
Shenandoah Sewage Treatment Plant, Shenandoah
Small hazardous waste generator.
EPA FRS registry ID 110043864306 (U.S. EPA ECHO) Agency record
Severity 1.5
Thurman, City Of Water Works, Thurman
NPDES wastewater discharge permit.
EPA FRS registry ID 110069448404 (U.S. EPA ECHO) Agency record
Severity 1.5
Main St, Hamburg
Rail grade crossing.
Record ID 072939S (Federal Railroad Administration)
Severity 1.3
Washington St, Hamburg
Rail grade crossing.
Record ID 072940L (Federal Railroad Administration)
Severity 1.3
Waubonsie Ave, Thurman
Rail grade crossing.
Record ID 074359H (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 Fremont 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 Fremont 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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