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Monona County, Iowa: environmental and disease records

Cancer mortality in Monona County is 162.2 deaths per 100,000 people per year against a U.S. rate of 143.2. The strongest disease signals are Lung & bronchus deaths at 1.6 times the U.S. rate. Federal databases place 85 regulated facilities, sites and hazards inside the county, led by Rail grade crossing (38), Air permit holder (minor source) (17), Gas station (mapped facility) (11). 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: 42.0391, -95.9519.

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 Monona County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Non-Hodgkin lymphoma	New cases	30.4	18.5	1.64x	17.5 to 49.9	2019-2023
Lung & bronchus	Deaths	49.3	30.2	1.63xSignificant	34.9 to 69.1	2020-2024
Kidney & renal pelvis	New cases	28.2	17.9	1.58x	15.9 to 47.3	2019-2023
Bladder	New cases	28	18.7	1.5x	15.8 to 46.7	2019-2023
Lung & bronchus	New cases	74.5	51.8	1.44xSignificant	55.7 to 98.9	2019-2023
Melanoma of the skin	New cases	29.8	23.8	1.25x	15.7 to 51.3	2019-2023
All cancer	New cases	543.8	453.4	1.2xSignificant	486 to 607.3	2019-2023
All cancer	Deaths	162.2	143.2	1.13x	134.5 to 195.2	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 Monona County
Measure	County	U.S. median	Difference	Unit
Premature death	8,366.9	9,842.6	-15%	years of life lost before age 75 per 100,000
Life expectancy	75	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	100.1	96.9	+3%	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.

Formaldehyde14.85 per million
Carbon Tetrachloride2.93 per million
Acetaldehyde1.25 per million
Benzene0.69 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.

Rail grade crossing38
Air permit holder (minor source)17
Gas station (mapped facility)11
Industrial wastewater discharge7
NPDES wastewater discharge permit7
Public airport1
Commercial airport1
Small hazardous waste generator1
Heliport1
Scrapyard (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.

Ute City Of Stp, Ute
NPDES wastewater discharge permit.
EPA FRS registry ID 110039691401 (U.S. EPA ECHO) Agency record
Severity 4.5
Onawa City Of Stp, Onawa
NPDES wastewater discharge permit.
EPA FRS registry ID 110009723996 (U.S. EPA ECHO) Agency record
Severity 3.8
Mapleton City Of Stp, Mapleton
NPDES wastewater discharge permit.
EPA FRS registry ID 110010036460 (U.S. EPA ECHO) Agency record
Severity 2.5
Moorhead City Of Stp, Moorhead
NPDES wastewater discharge permit.
EPA FRS registry ID 110009724432 (U.S. EPA ECHO) Agency record
Severity 2.3
James G Whiting Meml Fld, Mapleton
Commercial airport. O.
Record ID MEY (FAA / U.S. DOT)
Severity 2
Whiting City Of Stp, Whiting
NPDES wastewater discharge permit.
EPA FRS registry ID 110009723709 (U.S. EPA ECHO) Agency record
Severity 1.5
Blencoe City Of Stp, Blencoe
NPDES wastewater discharge permit.
EPA FRS registry ID 110010033695 (U.S. EPA ECHO) Agency record
Severity 1.5
Vetter Equipment, Onawa
Small hazardous waste generator.
EPA FRS registry ID 110014375103 (U.S. EPA ECHO) Agency record
Severity 1.5
Soldier City Of Stp, Soldier
NPDES wastewater discharge permit.
EPA FRS registry ID 110043868810 (U.S. EPA ECHO) Agency record
Severity 1.5
340th Street, Little Sioux
Rail grade crossing.
Record ID 191232P (Federal Railroad Administration)
Severity 1.3
325th Street, Blencoe
Rail grade crossing.
Record ID 191233W (Federal Railroad Administration)
Severity 1.3
310th Street, Blencoe
Rail grade crossing.
Record ID 191234D (Federal Railroad Administration)
Severity 1.3
300th Street, Blencoe
Rail grade crossing.
Record ID 191235K (Federal Railroad Administration)
Severity 1.3
Main Street, Blencoe
Rail grade crossing.
Record ID 191236S (Federal Railroad Administration)
Severity 1.3
290th Street, Blencoe
Rail grade crossing.
Record ID 191237Y (Federal Railroad Administration)
Severity 1.3
280th Street, Blencoe
Rail grade crossing.
Record ID 191238F (Federal Railroad Administration)
Severity 1.3
270th Street, Blencoe
Rail grade crossing.
Record ID 191239M (Federal Railroad Administration)
Severity 1.3
Private, Blencoe
Rail grade crossing.
Record ID 191241N (Federal Railroad Administration)
Severity 1.3
Hickory Avenue, Blencoe
Rail grade crossing.
Record ID 191242V (Federal Railroad Administration)
Severity 1.3
248th Street, Onawa
Rail grade crossing.
Record ID 191243C (Federal Railroad Administration)
Severity 1.3
240th Street, Onawa
Rail grade crossing.
Record ID 191245R (Federal Railroad Administration)
Severity 1.3
Granite Street, Onawa
Rail grade crossing.
Record ID 191246X (Federal Railroad Administration)
Severity 1.3
Diamond Street, Onawa
Rail grade crossing.
Record ID 191247E (Federal Railroad Administration)
Severity 1.3
Iowa Ave, Onawa
Rail grade crossing.
Record ID 191248L (Federal Railroad Administration)
Severity 1.3
Pearl Street, Onawa
Rail grade crossing.
Record ID 191249T (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 Monona 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 Monona 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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