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Clark County, Indiana: environmental and disease records

Cancer mortality in Clark County is 171.1 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Esophagus deaths at 1.8 times the U.S. rate and Lung & bronchus deaths at 1.5 times the U.S. rate. Federal databases place 1,171 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (449), Industrial wastewater discharge (381), Rail grade crossing (150). 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: 38.4378, -85.8005.

How this county ranks in Indiana

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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 Clark County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Esophagus	Deaths	6.8	3.7	1.84xSignificant	5.1 to 9	2020-2024
Lung & bronchus	Deaths	45.9	30.2	1.52xSignificant	41.2 to 51	2020-2024
Kidney & renal pelvis	Deaths	5.1	3.4	1.5xSignificant	3.6 to 7.1	2020-2024
Lung & bronchus	New cases	71.6	51.8	1.38xSignificant	65.7 to 78	2019-2023
Esophagus	New cases	5.8	4.6	1.26x	4.2 to 7.9	2019-2023
Melanoma of the skin	Deaths	2.5	2	1.25x	1.5 to 4	2020-2024
Leukemia	New cases	18	14.5	1.24xSignificant	15 to 21.5	2019-2023
All cancer	Deaths	171.1	143.2	1.19xSignificant	161.8 to 180.8	2020-2024
Pancreas	Deaths	13.2	11.3	1.17x	10.8 to 16.1	2020-2024
Childhood cancer (under 15)	New cases	18.5	16.4	1.13x	11.5 to 28.3	2019-2023
Leukemia	Deaths	6.4	5.7	1.12x	4.7 to 8.5	2020-2024
Kidney & renal pelvis	New cases	19.9	17.9	1.11x	16.7 to 23.5	2019-2023
Brain & nervous system	Deaths	4.8	4.4	1.09x	3.3 to 6.8	2020-2024
Brain & nervous system	New cases	6.7	6.2	1.08x	4.8 to 9	2019-2023
Stomach	Deaths	2.9	2.7	1.07x	1.8 to 4.4	2020-2024
Stomach	New cases	6.8	6.6	1.03x	5.1 to 9	2019-2023
Pancreas	New cases	14.1	13.9	1.01x	11.6 to 17.2	2019-2023
Non-Hodgkin lymphoma	New cases	18.1	18.5	0.98x	15.1 to 21.6	2019-2023
Bladder	Deaths	4	4.1	0.98x	2.7 to 5.7	2020-2024
All cancer	New cases	419.3	453.4	0.92x	404.5 to 434.6	2019-2023
Non-Hodgkin lymphoma	Deaths	4.4	4.8	0.92x	3 to 6.3	2020-2024
Liver & bile duct	New cases	7.8	8.7	0.9x	6 to 10	2019-2023
Liver & bile duct	Deaths	5.1	6.6	0.77x	3.7 to 6.9	2020-2024
Melanoma of the skin	New cases	17	23.8	0.71x	14.1 to 20.4	2019-2023
Bladder	New cases	11.6	18.7	0.62x	9.2 to 14.4	2019-2023
Thyroid	New cases	8	13	0.62x	6 to 10.6	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 Clark County
Measure	County	U.S. median	Difference	Unit
Premature death	11,782.9	9,842.6	+20%	years of life lost before age 75 per 100,000
Life expectancy	73.2	75.3	-3%	years
Child mortality	56.6	59.8	-5%	deaths under age 18 per 100,000
Infant mortality	5.9	6.2	-5%	deaths under age 1 per 1,000 live births
Injury deaths	109.8	96.9	+13%	deaths per 100,000
Drug overdose deaths	52.7	28.6	+84%	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.

Formaldehyde21.43 per million
Carbon Tetrachloride2.94 per million
Acetaldehyde2.26 per million
Naphthalene1.59 per million

EPA Air Quality Index 2025

Monitored on 365 days: 212 good, 3 unhealthy for sensitive groups or worse. Median AQI 46, peak 133.

Regulated facilities, sites and hazards by type

1,171 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.

NPDES wastewater discharge permit449
Industrial wastewater discharge381
Rail grade crossing150
Brownfield property53
Air permit holder (minor source)36
Small hazardous waste generator25
Combined sewer overflow outfall22
Toxic chemical release facility (TRI)15
Hazardous waste transporter11
TRI reporting facility9
Major air pollution source6
Large hazardous waste generator4
EPA air quality monitor3
Public airport2
Large greenhouse gas emitter2
Commercial airport1
Battery storage plant1
Solar 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.

Kitchen Kompact, Jeffersonville
Toxic chemical release facility (TRI). Chemicals: Xylene (mixed isomers), Toluene, Ethylbenzene, Methanol. Reports carcinogens. 528,377 lbs released over 5 years.
TRI facility ID 47131KTCHNPOBOX (U.S. EPA Toxics Release Inventory)
Severity 8.9
Heidelberg Materials Us Cement Llc, Speed
Toxic chemical release facility (TRI). Chemicals: Ammonia, Lead, Lead compounds, Chromium compounds (except for chromite ore mined in the Transvaal Region) and 2 more. Reports carcinogens. 110,933 lbs released over 5 years.
TRI facility ID 47172CPLYCHIGHW (U.S. EPA Toxics Release Inventory)
Severity 8.4
Steel Dynamics Inc., Jeffersonville
Toxic chemical release facility (TRI). Chemicals: 1,2,4-Trimethylbenzene, n-Butyl alcohol, Xylene (mixed isomers), Certain glycol ethers and 4 more. Reports carcinogens. 23,115 lbs released over 5 years.
TRI facility ID 4713WSTLDY5134L (U.S. EPA Toxics Release Inventory)
Severity 7.8
Kitchen Kompact Inc, Jeffersonville
TRI reporting facility. Penalties $10,000.
EPA FRS registry ID 110000401930 (U.S. EPA ECHO) Agency record
Severity 7.6
Tenneco Automotive Operating Co Inc., Jeffersonville
Toxic chemical release facility (TRI). Chemicals: Nickel, Chromium. Reports carcinogens. 2,472 lbs released over 5 years.
TRI facility ID 4713WTNNCN8TREY (U.S. EPA Toxics Release Inventory)
Severity 7.1
Idemitsu Lubricants America Corp, Jeffersonville
Toxic chemical release facility (TRI). Chemicals: Polycyclic aromatic compounds, Zinc compounds. Reports carcinogens. 442 lbs released over 5 years.
TRI facility ID 47130PLLMR71PRT (U.S. EPA Toxics Release Inventory)
Severity 6.5
Clark Floyd Landfill Corp, Borden
Major air pollution source.
EPA FRS registry ID 110057193969 (U.S. EPA ECHO) Agency record
Severity 6.5
Haas Cabinet Co Inc, Speed
Toxic chemical release facility (TRI). Chemicals: n-Butyl alcohol, Certain glycol ethers. 32,646 lbs released over 5 years.
TRI facility ID 47172HSCBN4414B (U.S. EPA Toxics Release Inventory)
Severity 6.5
Heidelberg- Materials Us Cement Llc - Speed, Speed
Major air pollution source. Penalties $81,500.
EPA FRS registry ID 110000592626 (U.S. EPA ECHO) Agency record
Severity 6.3
Cylicron Llc, Jeffersonville
Toxic chemical release facility (TRI). Chemicals: Manganese, Propylene, Lead. Reports carcinogens. 137 lbs released over 5 years.
TRI facility ID 47122DWRDV5171M (U.S. EPA Toxics Release Inventory)
Severity 6.1
Clark Floyd Landfill Corp, Borden
NPDES wastewater discharge permit.
EPA FRS registry ID 110057193969 (U.S. EPA ECHO) Agency record
Severity 6
Jeffersonville Downtown Wwtp, Jeffersonville
Combined sewer overflow outfall. Significant/Category I Noncompliance.
NPDES permit IN0023302: (U.S. EPA NPDES)
Severity 6
Jeffersonville- Bates-Bowyer Ave., Jeffersonville
EPA air quality monitor.
Record ID 180190010 (U.S. EPA AirData)
Severity 5.9
Steel Dynamics Inc, Jeffersonville
TRI reporting facility.
EPA FRS registry ID 110001368984 (U.S. EPA ECHO) Agency record
Severity 5.8
Mittera Group Inc, Charlestown
Toxic chemical release facility (TRI). Chemicals: Certain glycol ethers. 3,999 lbs released over 5 years.
TRI facility ID 47111RRDNN1QUAL (U.S. EPA Toxics Release Inventory)
Severity 5.8
Heidelberg- Materials Us Cement Llc - Speed, Speed
NPDES wastewater discharge permit. Penalties $81,500.
EPA FRS registry ID 110000592626 (U.S. EPA ECHO) Agency record
Severity 5.8
Cook Compression Llc, Jeffersonville
Toxic chemical release facility (TRI). Chemicals: Tetrafluoroethylene, Chromium. Reports carcinogens. 34 lbs released over 5 years.
TRI facility ID 4713WCKCMP254CE (U.S. EPA Toxics Release Inventory)
Severity 5.7
Airgas Specialty Products-Jeffersonville In, Jeffersonville
Toxic chemical release facility (TRI). Chemicals: Ammonia. 2,918 lbs released over 5 years.
TRI facility ID 4713WRGSSP5133M (U.S. EPA Toxics Release Inventory)
Severity 5.7
Voss Clark D/B/A Pgp Corp, Jeffersonville
NPDES wastewater discharge permit. Penalties $6,800.
EPA FRS registry ID 110001129975 (U.S. EPA ECHO) Agency record
Severity 5.5
Clark Floyd Landfill Corp, Borden
Large greenhouse gas emitter.
EPA FRS registry ID 110057193969 (U.S. EPA ECHO) Agency record
Severity 5.5
Airgas Specialty Products, Jeffersonville
TRI reporting facility.
EPA FRS registry ID 110055138774 (U.S. EPA ECHO) Agency record
Severity 5.3
Parker Hvac Filtration, Jeffersonville
Toxic chemical release facility (TRI). Chemicals: Manganese, Diisocyanates. 1,009 lbs released over 5 years.
TRI facility ID 4713WCLRCR1RIVE (U.S. EPA Toxics Release Inventory)
Severity 5.3
Idemitsu Lubricants America Corporation, Jeffersonville
TRI reporting facility.
EPA FRS registry ID 110001368797 (U.S. EPA ECHO) Agency record
Severity 5.1
Voss Clark D/B/A Pgp Corp, Jeffersonville
Air permit holder (minor source). Penalties $6,800.
EPA FRS registry ID 110001129975 (U.S. EPA ECHO) Agency record
Severity 5
Chemtrusion Indiana Incorporated, Jeffersonville
TRI reporting facility. Penalties $500.
EPA FRS registry ID 110001367217 (U.S. EPA ECHO) Agency record
Severity 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 Clark County

Indiana 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 Clark County, and their findings.
Indiana vital statistics office
Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.
Indiana health department, environmental epidemiology
Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.
Indiana 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.
Indiana 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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