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Casey County, Kentucky: environmental and disease records

Cancer mortality in Casey County is 192.9 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 2 times the U.S. rate. Federal databases place 75 regulated facilities, sites and hazards inside the county, led by Industrial wastewater discharge (31), NPDES wastewater discharge permit (30), Gas station (mapped facility) (6). 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: 37.3269, -84.9337.

How this county ranks in Kentucky

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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 Casey County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	59.8	30.2	1.98xSignificant	46.7 to 76	2020-2024
Thyroid	New cases	24.2	13	1.86xSignificant	14.2 to 38.3	2019-2023
Lung & bronchus	New cases	82	51.8	1.58xSignificant	66.6 to 100.4	2019-2023
All cancer	Deaths	192.9	143.2	1.35xSignificant	167.7 to 221.3	2020-2024
Pancreas	Deaths	15	11.3	1.33x	8.8 to 24.6	2020-2024
Kidney & renal pelvis	New cases	22.9	17.9	1.28x	14.1 to 35.3	2019-2023
Bladder	New cases	21.6	18.7	1.16x	13.5 to 33.1	2019-2023
All cancer	New cases	516.9	453.4	1.14xSignificant	473.2 to 563.7	2019-2023
Melanoma of the skin	New cases	24.5	23.8	1.03x	15.5 to 37.2	2019-2023
Pancreas	New cases	14	13.9	1.01x	7.9 to 23.5	2019-2023
Non-Hodgkin lymphoma	New cases	17.1	18.5	0.92x	10 to 27.7	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 Casey County
Measure	County	U.S. median	Difference	Unit
Premature death	12,947	9,842.6	+32%	years of life lost before age 75 per 100,000
Life expectancy	72.1	75.3	-4%	years
Child mortality	119.4	59.8	+100%	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	105.1	96.9	+8%	deaths per 100,000
Drug overdose deaths	23	28.6	-20%	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.

Formaldehyde18.24 per million
Carbon Tetrachloride2.9 per million
Acetaldehyde2.04 per million
Benzene0.8 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

Industrial wastewater discharge31
NPDES wastewater discharge permit30
Gas station (mapped facility)6
Air permit holder (minor source)2
Small hazardous waste generator2
Major air pollution source1
Public 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.

Columbia Gulf Trans Co, Liberty
Major air pollution source.
EPA FRS registry ID 110000846461 (U.S. EPA ECHO) Agency record
Severity 3.5
Lincoln Hardwood Lumber Llc, Hustonville
NPDES wastewater discharge permit.
EPA FRS registry ID 110071370563 (U.S. EPA ECHO) Agency record
Severity 3.5
Liberty Stp, Liberty
NPDES wastewater discharge permit. Penalties $4,500.
EPA FRS registry ID 110006752022 (U.S. EPA ECHO) Agency record
Severity 3.3
Steve Martin Sawmill, Liberty [Casey]
NPDES wastewater discharge permit.
EPA FRS registry ID 110070133200 (U.S. EPA ECHO) Agency record
Severity 3
Casey Co State Maintenance Garage, Liberty [Casey]
NPDES wastewater discharge permit.
EPA FRS registry ID 110071541427 (U.S. EPA ECHO) Agency record
Severity 3
Casey Co State Maintenance Garage, Liberty [Casey]
Industrial wastewater discharge. No Violation Identified.
NPDES permit KYR004599: (U.S. EPA NPDES)
Severity 3
Columbia Gulf Trans Co, Liberty
Large greenhouse gas emitter.
EPA FRS registry ID 110000846461 (U.S. EPA ECHO) Agency record
Severity 2.5
Pallets Plus Llc, Liberty [Casey]
Industrial wastewater discharge. No Violation Identified.
NPDES permit KYR004799: (U.S. EPA NPDES)
Severity 2.3
Hinkle Contracting Company Llc - Casey Stone, Bethelridge
Industrial wastewater discharge. No Violation Identified.
NPDES permit KYG840088: (U.S. EPA NPDES)
Severity 1.8
Hinkle Contracting Co Llc - Casey Asphalt Plant, Bethelridge
NPDES wastewater discharge permit.
EPA FRS registry ID 110041080692 (U.S. EPA ECHO) Agency record
Severity 1.8
Columbia Gulf Trans Co, Liberty
Small hazardous waste generator.
EPA FRS registry ID 110000846461 (U.S. EPA ECHO) Agency record
Severity 1.5
Tarter Gate Plant No 1, Dunnville
NPDES wastewater discharge permit.
EPA FRS registry ID 110006015837 (U.S. EPA ECHO) Agency record
Severity 1.5
Ktc Casey County Maintenance Garage, Liberty
NPDES wastewater discharge permit.
EPA FRS registry ID 110006682624 (U.S. EPA ECHO) Agency record
Severity 1.5
Liberty Water Works-Liberty Wtp, Liberty
NPDES wastewater discharge permit.
EPA FRS registry ID 110006682704 (U.S. EPA ECHO) Agency record
Severity 1.5
Wolford & Wethington Inc, Liberty
NPDES wastewater discharge permit.
EPA FRS registry ID 110009957449 (U.S. EPA ECHO) Agency record
Severity 1.5
Casey Co High School, Liberty
NPDES wastewater discharge permit.
EPA FRS registry ID 110021670707 (U.S. EPA ECHO) Agency record
Severity 1.5
Jones Park Elementary, Yosemite
NPDES wastewater discharge permit.
EPA FRS registry ID 110022418043 (U.S. EPA ECHO) Agency record
Severity 1.5
Tarter Industries, Liberty
NPDES wastewater discharge permit.
EPA FRS registry ID 110030993502 (U.S. EPA ECHO) Agency record
Severity 1.5
Pyles Concrete Inc - Casey Plant, Liberty
NPDES wastewater discharge permit.
EPA FRS registry ID 110045434366 (U.S. EPA ECHO) Agency record
Severity 1.5
Tarter Industries, Dunnville
NPDES wastewater discharge permit.
EPA FRS registry ID 110059801825 (U.S. EPA ECHO) Agency record
Severity 1.5
Green River Gate, Middleburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110059801834 (U.S. EPA ECHO) Agency record
Severity 1.5
Tarter Gate Plant No 2, Dunnville
NPDES wastewater discharge permit.
EPA FRS registry ID 110059801843 (U.S. EPA ECHO) Agency record
Severity 1.5
Tarter Tube, Dunnville
Small hazardous waste generator.
EPA FRS registry ID 110070120288 (U.S. EPA ECHO) Agency record
Severity 1.5
Kytc Maintenance Facility Casey County - Liberty, Liberty (Casey)
NPDES wastewater discharge permit.
EPA FRS registry ID 110070941326 (U.S. EPA ECHO) Agency record
Severity 1.5
Liberty Five Star, Liberty (Casey)
NPDES wastewater discharge permit.
EPA FRS registry ID 110071239694 (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 Casey County

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