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Fayette County, Kentucky: environmental and disease records

Cancer mortality in Fayette County is 144.4 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 1,028 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (395), Industrial wastewater discharge (290), Gas station (mapped facility) (105). 3 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: 38.0273, -84.4714.

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 Fayette County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Lung & bronchusNew cases65.451.81.26xSignificant61.6 to 69.42019-2023
Melanoma of the skinNew cases29.223.81.23xSignificant26.7 to 322019-2023
Non-Hodgkin lymphomaDeaths5.54.81.15x4.4 to 6.82020-2024
Liver & bile ductNew cases9.98.71.14x8.5 to 11.42019-2023
Melanoma of the skinDeaths2.221.1x1.5 to 32020-2024
BladderNew cases20.518.71.1x18.4 to 22.82019-2023
All cancerNew cases496453.41.09xSignificant485.4 to 506.82019-2023
Non-Hodgkin lymphomaNew cases20.218.51.09x18.1 to 22.52019-2023
Lung & bronchusDeaths32.330.21.07x29.7 to 35.12020-2024
LeukemiaNew cases15.414.51.06x13.6 to 17.52019-2023
StomachNew cases6.96.61.05x5.7 to 8.22019-2023
Kidney & renal pelvisNew cases18.317.91.02x16.2 to 20.42019-2023
Brain & nervous systemNew cases6.36.21.02x5.2 to 7.72019-2023
All cancerDeaths144.4143.21.01x138.8 to 150.22020-2024
ThyroidNew cases12.8130.98x11 to 14.62019-2023
LeukemiaDeaths5.65.70.98x4.5 to 6.92020-2024
BladderDeaths44.10.98x3.1 to 5.12020-2024
StomachDeaths2.62.70.96x1.9 to 3.52020-2024
Liver & bile ductDeaths6.36.60.95x5.2 to 7.62020-2024
EsophagusNew cases4.34.60.93x3.4 to 5.42019-2023
PancreasNew cases12.913.90.93x11.2 to 14.72019-2023
PancreasDeaths10.111.30.89x8.6 to 11.72020-2024
EsophagusDeaths3.23.70.86x2.4 to 4.22020-2024
Brain & nervous systemDeaths3.74.40.84x2.8 to 4.72020-2024
Kidney & renal pelvisDeaths2.83.40.82x2 to 3.72020-2024
Childhood cancer (under 15)New cases1316.40.79x9.2 to 182019-2023

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 Fayette County
MeasureCountyU.S. medianDifferenceUnit
Premature death9,020.99,842.6-8%years of life lost before age 75 per 100,000
Life expectancy76.775.3+2%years
Child mortality57.659.8-4%deaths under age 18 per 100,000
Infant mortality5.16.2-17%deaths under age 1 per 1,000 live births
Injury deaths94.796.9-2%deaths per 100,000
Drug overdose deaths5028.6+75%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.

  • Formaldehyde19.3 per million
  • Carbon Tetrachloride2.91 per million
  • Acetaldehyde2.1 per million
  • Naphthalene1.45 per million

EPA Air Quality Index 2025

Monitored on 364 days: 273 good, 0 unhealthy for sensitive groups or worse. Median AQI 40, peak 100.

Regulated facilities, sites and hazards by type

1,028 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.

  • NPDES wastewater discharge permit395
  • Industrial wastewater discharge290
  • Gas station (mapped facility)105
  • Rail grade crossing59
  • Small hazardous waste generator43
  • Auto repair or body shop (mapped facility)29
  • Air permit holder (minor source)23
  • Brownfield property18
  • Large hazardous waste generator12
  • Heliport12
  • Toxic chemical release facility (TRI)11
  • TRI reporting facility9
  • Hazardous waste transporter6
  • Major air pollution source3
  • Correctional facility (prison or jail)3
  • Public airport2
  • Dry cleaner (mapped facility)2
  • Scrapyard (mapped facility)2
  • EPA air quality monitor1
  • Commercial airport1
  • Landfill (mapped facility)1
  • Gas 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. Schneider Electric Usa Inc, Lexington

    Toxic chemical release facility (TRI). Chemicals: Certain glycol ethers, Nitric acid, Manganese, Copper And Copper Compounds and 4 more. Reports carcinogens. 153,054 lbs released over 5 years.

    TRI facility ID 40511SQRDC1601M (U.S. EPA Toxics Release Inventory)

    Severity 8.5

  2. Federal Medical Center Lexington, Lexington

    Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 11,264 lbs released over 5 years.

    TRI facility ID 40511FMCLX3301L (U.S. EPA Toxics Release Inventory)

    Severity 7.6

  3. Mplx Terminals Llc - Lexington Ky Terminal, Lexington

    Toxic chemical release facility (TRI). Chemicals: n-Hexane, Toluene, Benzene, Xylene (mixed isomers) and 4 more. Reports carcinogens. 10,981 lbs released over 5 years.

    TRI facility ID 40504LXNGT1770O (U.S. EPA Toxics Release Inventory)

    Severity 7.6

  4. Central Kentucky Processing Inc, Lexington

    Toxic chemical release facility (TRI). Chemicals: Zinc compounds, Nitric acid, Nitrate compounds (water dissociable; reportable only when in aqueous solution). 15,333 lbs released over 5 years.

    TRI facility ID 40509CNTRL2580P (U.S. EPA Toxics Release Inventory)

    Severity 6.2

  5. Webasto Roof Systems Inc, Lexington

    TRI reporting facility.

    EPA FRS registry ID 110044304561 (U.S. EPA ECHO) Agency record

    Severity 6.1

  6. Link-Belt Cranes L.P. Lllp A Delaware Ltd Liability L, Lexington

    Toxic chemical release facility (TRI). Chemicals: Manganese, Nickel, Chromium, Lead. Reports carcinogens. 80 lbs released over 5 years.

    TRI facility ID 40509LNKBL3001T (U.S. EPA Toxics Release Inventory)

    Severity 6

  7. Prestress Services Industries Llc-Lexington Branch, Lexington

    Toxic chemical release facility (TRI). Chemicals: Chromium, Nickel, Cobalt, Manganese and 4 more. Reports carcinogens. 65 lbs released over 5 years.

    TRI facility ID 4055WPRSTR551BR (U.S. EPA Toxics Release Inventory)

    Severity 5.9

  8. Webasto Roof Systems Inc, Lexington

    Toxic chemical release facility (TRI). Chemicals: Ethylene glycol, Diisocyanates. 2,850 lbs released over 5 years.

    TRI facility ID 40513WBSTR2INNV (U.S. EPA Toxics Release Inventory)

    Severity 5.7

  9. Central Ky Processing, Lexington

    TRI reporting facility.

    EPA FRS registry ID 110000379340 (U.S. EPA ECHO) Agency record

    Severity 5.6

  10. Marathon Petroleum Co Lexington Ky Terminal, Lexington

    TRI reporting facility.

    EPA FRS registry ID 110013836974 (U.S. EPA ECHO) Agency record

    Severity 5.6

  11. U.S. Bureau Of Prisons, Lexington

    TRI reporting facility.

    EPA FRS registry ID 110001146643 (U.S. EPA ECHO) Agency record

    Severity 5.6

  12. Maple Grove Mhp, Lexington

    NPDES wastewater discharge permit. Penalties $5,000.

    EPA FRS registry ID 110006750177 (U.S. EPA ECHO) Agency record

    Severity 5

  13. Vapor Stockroom Llc, Lexington

    Large hazardous waste generator. Penalties $12,500.

    EPA FRS registry ID 110071453132 (U.S. EPA ECHO) Agency record

    Severity 5

  14. Blue Grass, Lexington

    Commercial airport. O.

    Record ID LEX (FAA / U.S. DOT)

    Severity 5

  15. Link-Belt Cranes Lp Lllp, Lexington

    TRI reporting facility.

    EPA FRS registry ID 110001370506 (U.S. EPA ECHO) Agency record

    Severity 4.8

  16. Safety-Kleen Systems Lexington (Lek), Lexington

    Toxic chemical release facility (TRI). Chemicals: Ethylene glycol, Benzo[g,h,i]perylene, Lead, Polycyclic aromatic compounds. Reports carcinogens. 1 lbs released over 5 years.

    TRI facility ID 40509SFTYK550BL (U.S. EPA Toxics Release Inventory)

    Severity 4.7

  17. LEXINGTON PRIMARY, Lexington-Fayette (corporate name for Lexington)

    EPA air quality monitor.

    Record ID 210670012 (U.S. EPA AirData)

    Severity 4.7

  18. Prestress Services Of Lexington, Lexington

    TRI reporting facility.

    EPA FRS registry ID 110058926701 (U.S. EPA ECHO) Agency record

    Severity 4.6

  19. Trane Technologies, Lexington

    Toxic chemical release facility (TRI). Chemicals: Lead, Chromium, Manganese, Diisocyanates. Reports carcinogens.

    TRI facility ID 40511THTRN1500M (U.S. EPA Toxics Release Inventory)

    Severity 4.6

  20. Safety-Kleen Lexington, Lexington

    Large hazardous waste generator. Penalties $35,000.

    EPA FRS registry ID 110072195947 (U.S. EPA ECHO) Agency record

    Severity 4.5

  21. Safety-Kleen Lexington, Lexington

    NPDES wastewater discharge permit. Penalties $35,000.

    EPA FRS registry ID 110072195947 (U.S. EPA ECHO) Agency record

    Severity 4.5

  22. United Parcel Service - Lexingtn, Lexington

    Large hazardous waste generator. Penalties $5,300,000.

    EPA FRS registry ID 110003233064 (U.S. EPA ECHO) Agency record

    Severity 4.3

  23. Preparation Plant & Refuse, Lexington

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110010867810 (U.S. EPA ECHO) Agency record

    Severity 4.3

  24. Surface Mines No. 1 And Mine No. 2, Lexington

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110040045493 (U.S. EPA ECHO) Agency record

    Severity 4.3

  25. Buffalo No. 2 Gas Mine, Lexington

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110069608776 (U.S. EPA ECHO) Agency record

    Severity 4.3

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 Fayette 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 Fayette 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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