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Elliott County, Kentucky: environmental and disease records

Cancer mortality in Elliott County is 177.2 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 2.2 times the U.S. rate. Federal databases place 111 regulated facilities, sites and hazards inside the county, led by Industrial wastewater discharge (93), NPDES wastewater discharge permit (13), Correctional facility (prison or jail) (2). 2 correctional facilities operate in the county. 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: 38.1314, -83.0627.

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 Elliott County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Lung & bronchusDeaths65.530.22.17xSignificant46.2 to 91.92020-2024
Lung & bronchusNew cases79.251.81.53xSignificant57.4 to 1082019-2023
All cancerDeaths177.2143.21.24xSignificant144.3 to 216.82020-2024
All cancerNew cases437.8453.40.97x381.5 to 501.22019-2023

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 Elliott County
MeasureCountyU.S. medianDifferenceUnit
Premature death10,154.79,842.6+3%years of life lost before age 75 per 100,000
Life expectancy76.375.3+1%years
Child mortalityn/a59.8n/adeaths under age 18 per 100,000
Infant mortalityn/a6.2n/adeaths under age 1 per 1,000 live births
Injury deaths102.596.9+6%deaths per 100,000
Drug overdose deathsn/a28.6n/adeaths 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.

  • Formaldehyde18.18 per million
  • Carbon Tetrachloride2.9 per million
  • Acetaldehyde1.9 per million
  • Benzene0.89 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

  • Industrial wastewater discharge93
  • NPDES wastewater discharge permit13
  • Correctional facility (prison or jail)2
  • Gas station (mapped facility)2
  • Small hazardous waste generator1

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. Briar Mountain Surface Mine, Sandy Hook

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110069591310 (U.S. EPA ECHO) Agency record

    Severity 4.3

  2. Sandy Hook Stp, Sandy Hook

    NPDES wastewater discharge permit. Penalties $2,500.

    EPA FRS registry ID 110009937836 (U.S. EPA ECHO) Agency record

    Severity 4

  3. Ktc Elliott County Maintenance Garage, Sandy Hook

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009959820 (U.S. EPA ECHO) Agency record

    Severity 2.8

  4. Sandy Hook Stp, Sandy Hook

    Industrial wastewater discharge. Significant/Category I Noncompliance.

    NPDES permit KY0052264: (U.S. EPA NPDES)

    Severity 2.7

  5. D & J Coal Co Llc [832-0068], Sandy Hook

    NPDES wastewater discharge permit. Penalties $155,000.

    EPA FRS registry ID 110044890758 (U.S. EPA ECHO) Agency record

    Severity 2.5

  6. Sandy Hook Wtp, Sandy Hook

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110064625400 (U.S. EPA ECHO) Agency record

    Severity 2.5

  7. Redbud Mining Llc [832-0065], Sandy Hook

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110072110044 (U.S. EPA ECHO) Agency record

    Severity 2.3

  8. Sandy Hook Wtp, Sandy Hook

    Industrial wastewater discharge. No Violation Identified.

    NPDES permit KY0109681: (U.S. EPA NPDES)

    Severity 2.2

  9. Southbound Coal Llc [832-0069], Isonville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110030769103 (U.S. EPA ECHO) Agency record

    Severity 1.8

  10. Howard Stone Llc, Isonville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110045074619 (U.S. EPA ECHO) Agency record

    Severity 1.8

  11. Kentucky Correctional Industries, Sandy Hook

    Small hazardous waste generator.

    EPA FRS registry ID 110039524716 (U.S. EPA ECHO) Agency record

    Severity 1.5

  12. Johnny Boggs Residence, Sandy Hook

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071238874 (U.S. EPA ECHO) Agency record

    Severity 1.5

  13. Contract 12 - Water Treatment Plant Improvements, Sandy Hook

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071323449 (U.S. EPA ECHO) Agency record

    Severity 1.5

  14. Little Sandy Correctional Expansion, Sandy Hook

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071348818 (U.S. EPA ECHO) Agency record

    Severity 1.5

  15. Ky 7 At Elliott County Schools; Cid 25-1025; Item No. 9-228.30, Sandy Hook

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110072130548 (U.S. EPA ECHO) Agency record

    Severity 1.5

  16. Ky 32 Widening; Item No. 9-8802, Isonville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110072222692 (U.S. EPA ECHO) Agency record

    Severity 1.5

  17. Kentucky Correctional Industries, Sandy Hook

    Correctional facility (prison or jail).

    EPA FRS registry ID 110039524716 (U.S. EPA ECHO + SDWIS) Agency record

    Severity 1

  18. Little Sandy Correctional Expansion, Sandy Hook

    Correctional facility (prison or jail).

    EPA FRS registry ID 110071348818 (U.S. EPA ECHO + SDWIS) Agency record

    Severity 1

  19. Fuel Station

    Gas station (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID node/6438464143 (OpenStreetMap contributors) Agency record

    Severity 1

  20. Fuel Station

    Gas station (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID node/9811149449 (OpenStreetMap contributors) Agency record

    Severity 1

  21. Sandy Hook Stp, Sandy Hook

    Industrial wastewater discharge. Significant/Category I Noncompliance.

    NPDES permit KY0052264:001 (U.S. EPA NPDES)

    Severity 1

  22. Sandy Hook Wtp, Sandy Hook

    Industrial wastewater discharge. No Violation Identified.

    NPDES permit KY0109681:001 (U.S. EPA NPDES)

    Severity 1

  23. Johnny Boggs Residence, Sandy Hook

    Industrial wastewater discharge. No Violation Identified.

    NPDES permit KYG403037: (U.S. EPA NPDES)

    Severity 1

  24. Rattlesnake Ridge Wtp, Grayson

    Industrial wastewater discharge. No Violation Identified.

    NPDES permit KYG640149:001 (U.S. EPA NPDES)

    Severity 1

  25. Howard Stone Llc, Isonville

    Industrial wastewater discharge. No Violation Identified.

    NPDES permit KYG840371:001 (U.S. EPA NPDES)

    Severity 1

Correctional facilities

Prisons, jails and corrections operations with an EPA facility record, and the drinking water and wastewater compliance attached to them.

Discovery / public records

Records to request for Elliott 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 Elliott 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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