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Page County, Iowa: environmental and disease records

Cancer mortality in Page County is 169.4 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Lung & bronchus deaths at 1.7 times the U.S. rate. Federal databases place 105 regulated facilities, sites and hazards inside the county, led by Air permit holder (minor source) (28), Rail grade crossing (26), Toxic chemical release facility (TRI) (9). 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: 40.7372, -95.1569.

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 Page County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Leukemia	New cases	29.3	14.5	2.02xSignificant	19.6 to 42.7	2019-2023
Lung & bronchus	Deaths	51	30.2	1.69xSignificant	39 to 66.2	2020-2024
Lung & bronchus	New cases	83.2	51.8	1.61xSignificant	68 to 101.4	2019-2023
Thyroid	New cases	18.5	13	1.42x	10.6 to 30.3	2019-2023
Bladder	New cases	25	18.7	1.34x	16.7 to 36.7	2019-2023
Non-Hodgkin lymphoma	New cases	23.1	18.5	1.25x	14.6 to 35.3	2019-2023
Melanoma of the skin	New cases	28.7	23.8	1.21x	18.5 to 42.8	2019-2023
Pancreas	Deaths	13.5	11.3	1.19x	7.9 to 22.7	2020-2024
All cancer	New cases	537.2	453.4	1.18xSignificant	494 to 583.7	2019-2023
All cancer	Deaths	169.4	143.2	1.18xSignificant	147.1 to 194.9	2020-2024
Kidney & renal pelvis	New cases	19.4	17.9	1.08x	12.1 to 30.1	2019-2023
Pancreas	New cases	12.8	13.9	0.92x	7.5 to 21.6	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 Page County
Measure	County	U.S. median	Difference	Unit
Premature death	7,340.4	9,842.6	-25%	years of life lost before age 75 per 100,000
Life expectancy	77.6	75.3	+3%	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	104.3	96.9	+8%	deaths per 100,000
Drug overdose deaths	22	28.6	-23%	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.

Formaldehyde15.48 per million
Carbon Tetrachloride2.92 per million
Acetaldehyde1.35 per million
Benzene0.65 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

Air permit holder (minor source)28
Rail grade crossing26
Toxic chemical release facility (TRI)9
NPDES wastewater discharge permit9
Industrial wastewater discharge8
TRI reporting facility7
Gas station (mapped facility)4
Small hazardous waste generator4
Auto repair or body shop (mapped facility)3
Major air pollution source2
Public airport2
Commercial airport1
Heliport1
Oil-fired power plant1

Highest-severity records

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

Central Iowa Ready Mix, Clarinda
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 859 lbs released over 5 years.
TRI facility ID 5163WMRCNC13S12 (U.S. EPA Toxics Release Inventory)
Severity 6.8
Central Iowa Ready Mix Shenandoah, Shenandoah
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 226 lbs released over 5 years.
TRI facility ID 5160WCNTRL1827I (U.S. EPA Toxics Release Inventory)
Severity 6.3
Central Iowa Ready Mix Shenandoah, Shenandoah
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 111 lbs released over 5 years.
TRI facility ID 50213WMRCNINDUS (U.S. EPA Toxics Release Inventory)
Severity 6.1
American Concrete Products Inc, Clarinda
TRI reporting facility.
EPA FRS registry ID 110021035155 (U.S. EPA ECHO) Agency record
Severity 5
Novae Llc - 1st Street, Clarinda
Toxic chemical release facility (TRI). Chemicals: Nickel compounds, Lead compounds. Reports carcinogens.
TRI facility ID 5163WHHTRL222NR (U.S. EPA Toxics Release Inventory)
Severity 4.5
Lisle Corp, Clarinda
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens.
TRI facility ID 5163WLSLCR87EAS (U.S. EPA Toxics Release Inventory)
Severity 4.5
Novae Llc.-Cargo Plant, Clarinda
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens.
TRI facility ID 5163WNVCRP1322E (U.S. EPA Toxics Release Inventory)
Severity 4.5
Clarinda City Of Stp, Clarinda
NPDES wastewater discharge permit.
EPA FRS registry ID 110002039963 (U.S. EPA ECHO) Agency record
Severity 4.3
Shenandoah, Shenandoah
Oil-fired power plant.
Record ID 7850 (U.S. Energy Information Administration)
Severity 4
Lisle Corp, Clarinda
TRI reporting facility.
EPA FRS registry ID 110001326137 (U.S. EPA ECHO) Agency record
Severity 4
Nsk Corporation, Clarinda
TRI reporting facility.
EPA FRS registry ID 110001754735 (U.S. EPA ECHO) Agency record
Severity 4
Essex City Of Stp, Essex
NPDES wastewater discharge permit.
EPA FRS registry ID 110010036120 (U.S. EPA ECHO) Agency record
Severity 4
H&H Trailers - Novae Llc, Clarinda
TRI reporting facility.
EPA FRS registry ID 110012711912 (U.S. EPA ECHO) Agency record
Severity 4
Novae Corp - 1951 Redwood - Clarinda, Clarinda
TRI reporting facility.
EPA FRS registry ID 110040470362 (U.S. EPA ECHO) Agency record
Severity 4
Novae Corp - Aluminum Facility, Clarinda
TRI reporting facility.
EPA FRS registry ID 110070244779 (U.S. EPA ECHO) Agency record
Severity 4
Novae Corp., Clarinda
TRI reporting facility.
EPA FRS registry ID 110070813441 (U.S. EPA ECHO) Agency record
Severity 4
Midamerican Energy Co - Shenandoah Power Station, Shenandoah
Major air pollution source.
EPA FRS registry ID 110018869349 (U.S. EPA ECHO) Agency record
Severity 3.5
Nsk Clarinda, Clarinda
Major air pollution source.
EPA FRS registry ID 110044310395 (U.S. EPA ECHO) Agency record
Severity 3.5
Nsk Corp, Clarinda
Toxic chemical release facility (TRI). Chemicals: Chromium.
TRI facility ID 51632NSKCR1100N (U.S. EPA Toxics Release Inventory)
Severity 3
Novae Llc - Prison Facility, Clarinda
Toxic chemical release facility (TRI). Chemicals: Lead compounds.
TRI facility ID 5163WHHTRL1951R (U.S. EPA Toxics Release Inventory)
Severity 3
Novae Llc - Aluminum Facility, Clarinda
Toxic chemical release facility (TRI). Chemicals: Copper compounds, Lead compounds.
TRI facility ID 5163WNVCRP1518S (U.S. EPA Toxics Release Inventory)
Severity 3
Essex City Of Stp, Essex
Industrial wastewater discharge. Significant/Category I Noncompliance.
NPDES permit IA0026603: (U.S. EPA NPDES)
Severity 2.7
Clarinda City Of Stp, Clarinda
Industrial wastewater discharge. No Violation Identified.
NPDES permit IA0035190: (U.S. EPA NPDES)
Severity 2.6
Schenck Fld, Clarinda
Commercial airport. O.
Record ID ICL (FAA / U.S. DOT)
Severity 2
Braddyville City Of Stp, Braddyville
NPDES wastewater discharge permit.
EPA FRS registry ID 110010032874 (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 Page 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 Page 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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