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Warren County, Iowa: environmental and disease records

Cancer mortality in Warren County is 139.3 deaths per 100,000 people per year against a U.S. rate of 143.2. The strongest disease signals are Bladder deaths at 1.6 times the U.S. rate. Federal databases place 135 regulated facilities, sites and hazards inside the county, led by Air permit holder (minor source) (32), Gas station (mapped facility) (27), Rail grade crossing (19). EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 30 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: 41.3361, -93.5592.

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 Warren County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Childhood cancer (under 15)New cases29.116.41.77xSignificant16.6 to 47.52019-2023
Melanoma of the skinNew cases39.523.81.66xSignificant32.7 to 47.42019-2023
BladderDeaths6.74.11.63xSignificant4.2 to 10.22020-2024
Kidney & renal pelvisDeaths4.73.41.38x2.7 to 7.62020-2024
LeukemiaNew cases18.414.51.27x14.1 to 23.82019-2023
Kidney & renal pelvisNew cases21.117.91.18x16.2 to 27.22019-2023
BladderNew cases21.418.71.14x16.6 to 27.12019-2023
Brain & nervous systemDeaths54.41.14x2.9 to 8.12020-2024
Non-Hodgkin lymphomaNew cases20.918.51.13x16.1 to 26.92019-2023
All cancerNew cases502.3453.41.11xSignificant477.8 to 527.82019-2023
Non-Hodgkin lymphomaDeaths5.14.81.06x2.9 to 8.42020-2024
All cancerDeaths139.3143.20.97x126.9 to 152.72020-2024
Lung & bronchusDeaths29.230.20.97x23.7 to 35.62020-2024
ThyroidNew cases12.4130.95x8.5 to 17.32019-2023
Lung & bronchusNew cases47.851.80.92x40.7 to 55.82019-2023
Liver & bile ductNew cases7.78.70.89x5 to 11.52019-2023
Brain & nervous systemNew cases5.16.20.82x2.9 to 8.42019-2023
PancreasNew cases10.913.90.78x7.5 to 15.42019-2023
PancreasDeaths8.411.30.74x5.5 to 12.42020-2024

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 Warren County
MeasureCountyU.S. medianDifferenceUnit
Premature death6,397.69,842.6-35%years of life lost before age 75 per 100,000
Life expectancy78.475.3+4%years
Child mortality3859.8-36%deaths under age 18 per 100,000
Infant mortalityn/a6.2n/adeaths under age 1 per 1,000 live births
Injury deaths72.896.9-25%deaths per 100,000
Drug overdose deaths1528.6-48%deaths per 100,000

Air toxics and air quality

EPA AirToxScreen 2020

Lifetime cancer risk from outdoor air toxics: 30 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

  • Formaldehyde16.2 per million
  • Carbon Tetrachloride2.95 per million
  • Acetaldehyde1.49 per million
  • Ethylene Oxide1.33 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

  • Air permit holder (minor source)32
  • Gas station (mapped facility)27
  • Rail grade crossing19
  • NPDES wastewater discharge permit17
  • Industrial wastewater discharge16
  • Public airport6
  • Auto repair or body shop (mapped facility)6
  • Major air pollution source3
  • TRI reporting facility2
  • Toxic chemical release facility (TRI)2
  • Large greenhouse gas emitter1
  • Large hazardous waste generator1
  • Small hazardous waste generator1
  • 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.

  1. Cemen-Tech Inc, Indianola

    TRI reporting facility. Penalties $17,500.

    EPA FRS registry ID 110001361730 (U.S. EPA ECHO) Agency record

    Severity 5.5

  2. Carlisle City Of Stp, Carlisle

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110040010163 (U.S. EPA ECHO) Agency record

    Severity 5

  3. Indianola, Indianola

    Oil-fired power plant.

    Record ID 1150 (U.S. Energy Information Administration)

    Severity 4.1

  4. Cementech, Indianola

    Toxic chemical release facility (TRI). Chemicals: Manganese. 21 lbs released over 5 years.

    TRI facility ID 50125FRHFN1700N (U.S. EPA Toxics Release Inventory)

    Severity 4

  5. Cemen-Tech Inc, Indianola

    Large hazardous waste generator. Penalties $17,500.

    EPA FRS registry ID 110001361730 (U.S. EPA ECHO) Agency record

    Severity 4

  6. Indianola Municipal Utilities, Indianola

    Major air pollution source.

    EPA FRS registry ID 110031416304 (U.S. EPA ECHO) Agency record

    Severity 4

  7. Michael Foods Norwalk, Norwalk

    TRI reporting facility.

    EPA FRS registry ID 110070596324 (U.S. EPA ECHO) Agency record

    Severity 4

  8. New Virginia Wwtp, New Virginia

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110039691125 (U.S. EPA ECHO) Agency record

    Severity 3.8

  9. Indianola Wpc Dept-Wwtp North, Indianola

    Major air pollution source.

    EPA FRS registry ID 110043703622 (U.S. EPA ECHO) Agency record

    Severity 3.8

  10. Indianola Water Resource Recovery Facility, Indianola

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071321110 (U.S. EPA ECHO) Agency record

    Severity 3.8

  11. Natural Gas Pipeline Co Of America - Station 108, Truro

    Major air pollution source.

    EPA FRS registry ID 110001960771 (U.S. EPA ECHO) Agency record

    Severity 3.5

  12. Hartford City Of Stp, Hartford

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009724931 (U.S. EPA ECHO) Agency record

    Severity 3.3

  13. Indianola City Of Stp (North), Indianola

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110000731272 (U.S. EPA ECHO) Agency record

    Severity 3

  14. Michael Foods Norwalk, Norwalk

    Toxic chemical release facility (TRI). Chemicals: Nitric acid, Ammonia.

    TRI facility ID 5021WMCHLF11DEL (U.S. EPA Toxics Release Inventory)

    Severity 3

  15. Saint Marys City Of Stp, Saint Marys

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009725413 (U.S. EPA ECHO) Agency record

    Severity 2.8

  16. Milo City Of Stp, Milo

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110010035461 (U.S. EPA ECHO) Agency record

    Severity 2.8

  17. Lacona City Of Stp, Lacona

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110010036585 (U.S. EPA ECHO) Agency record

    Severity 2.8

  18. Bevington City Of Stp, Bevington

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110036375623 (U.S. EPA ECHO) Agency record

    Severity 2.8

  19. Natural Gas Pipeline Co Of America - Station 108, Truro

    Large greenhouse gas emitter.

    EPA FRS registry ID 110001960771 (U.S. EPA ECHO) Agency record

    Severity 2.5

  20. Wesley Woods Camp & Retreat Ce, Indianola

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006776408 (U.S. EPA ECHO) Agency record

    Severity 2.5

  21. Cemen-Tech Inc, Indianola

    Air permit holder (minor source). Penalties $17,500.

    EPA FRS registry ID 110001361730 (U.S. EPA ECHO) Agency record

    Severity 2

  22. Wilshire Mobile Home Park, Norwalk

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110010030705 (U.S. EPA ECHO) Agency record

    Severity 2

  23. Martensdale City Of Stp, Martensdale

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009723781 (U.S. EPA ECHO) Agency record

    Severity 1.8

  24. Lake Ahquabi State Park, Indianola

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110036256994 (U.S. EPA ECHO) Agency record

    Severity 1.8

  25. Norris Automotive Inc, Indianola

    Small hazardous waste generator.

    EPA FRS registry ID 110005749798 (U.S. EPA ECHO) Agency record

    Severity 1.5

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 Warren 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 Warren 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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