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Fleming County, Kentucky: environmental and disease records

Cancer mortality in Fleming County is 208.9 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 1.6 times the U.S. rate. Federal databases place 104 regulated facilities, sites and hazards inside the county, led by Industrial wastewater discharge (37), NPDES wastewater discharge permit (30), Rail grade crossing (20). 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: 38.3482, -83.6783.

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 Fleming County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	New cases	87.2	51.8	1.68xSignificant	70.2 to 107.4	2019-2023
Lung & bronchus	Deaths	48.1	30.2	1.59xSignificant	35.7 to 63.8	2020-2024
Kidney & renal pelvis	New cases	27.4	17.9	1.53x	17.4 to 41.2	2019-2023
All cancer	Deaths	208.9	143.2	1.46xSignificant	181.1 to 240.1	2020-2024
Bladder	New cases	22.8	18.7	1.22x	14.6 to 34.4	2019-2023
All cancer	New cases	538.4	453.4	1.19xSignificant	492.8 to 587.4	2019-2023
Melanoma of the skin	New cases	22.9	23.8	0.96x	13.4 to 36.5	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 Fleming County
Measure	County	U.S. median	Difference	Unit
Premature death	11,529.3	9,842.6	+17%	years of life lost before age 75 per 100,000
Life expectancy	72.6	75.3	-4%	years
Child mortality	n/a	59.8	n/a	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	90.4	96.9	-7%	deaths per 100,000
Drug overdose deaths	35.5	28.6	+24%	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.

Formaldehyde17.7 per million
Carbon Tetrachloride2.92 per million
Acetaldehyde1.9 per million
Benzene0.88 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

Industrial wastewater discharge37
NPDES wastewater discharge permit30
Rail grade crossing20
Gas station (mapped facility)8
Public airport1
Commercial airport1
Auto repair or body shop (mapped facility)1
Brownfield property1
Heliport1
Superfund (NPL) site1
TRI reporting facility1
Toxic chemical release facility (TRI)1
Wastewater plant (mapped facility)1

Highest-severity records

The 25 records with the highest Envyrofax severity in the county, with the agency identifier to cite in a records request.

Maxey Flats Nuclear Disposal, Hillsboro
Superfund (NPL) site. Hazard Ranking System score 31.7. NPL Site.
EPA site ID KYD980729107 (U.S. EPA Superfund (SEMS/NPL)) Agency record
Severity 10
Flemingsburg Stp, Flemingsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110003251427 (U.S. EPA ECHO) Agency record
Severity 4.3
Ridley Block Operations, Flemingsburg
TRI reporting facility.
EPA FRS registry ID 110043670649 (U.S. EPA ECHO) Agency record
Severity 4
Green Tree Forest Products Inc, Wallingford
NPDES wastewater discharge permit.
EPA FRS registry ID 110063024944 (U.S. EPA ECHO) Agency record
Severity 3.3
Gooding Gulf, Flemingsburg
Brownfield property.
EPA FRS registry ID 110003249770 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Ridley Block Operations, Flemingsburg
Toxic chemical release facility (TRI). Chemicals: Manganese compounds, Zinc compounds, Copper compounds.
TRI facility ID 4104WRDLYB334IN (U.S. EPA Toxics Release Inventory)
Severity 3
Paradise Properties Llc, Flemingsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110009933206 (U.S. EPA ECHO) Agency record
Severity 2.5
Heidelberg Materials Midwest Aggregates Inc - Flemingsburg Quarry, Flemingsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110009959152 (U.S. EPA ECHO) Agency record
Severity 2.5
Hillsboro Elementary School, Hillsboro
NPDES wastewater discharge permit.
EPA FRS registry ID 110032815489 (U.S. EPA ECHO) Agency record
Severity 2.5
Bulk Plant Inc - Flemingsbrg #39, Flemingsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110009938345 (U.S. EPA ECHO) Agency record
Severity 2
Morehead-Rowan County Clyde A Thomas Rgnl, Morehead
Commercial airport. O.
Record ID SYM (FAA / U.S. DOT)
Severity 2
Wastewater Plant
Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/1376740011 (OpenStreetMap contributors) Agency record
Severity 2
Fleming Co State Maintenance Garage #13, Flemingsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110009959839 (U.S. EPA ECHO) Agency record
Severity 1.8
River Valley Mulch, Flemingsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110069995196 (U.S. EPA ECHO) Agency record
Severity 1.8
Fox Valley Recreation Area, Wallingford
NPDES wastewater discharge permit.
EPA FRS registry ID 110009937417 (U.S. EPA ECHO) Agency record
Severity 1.5
Flemingsburg Materials Co, Flemingsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110009954460 (U.S. EPA ECHO) Agency record
Severity 1.5
Wallingford Pallet & Lumber Co, Flemingsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110009955646 (U.S. EPA ECHO) Agency record
Severity 1.5
Brianne Schrott Residence, Hillsboro
NPDES wastewater discharge permit.
EPA FRS registry ID 110009961149 (U.S. EPA ECHO) Agency record
Severity 1.5
Ersil Pitts Ward Elementary School, Wallingford
NPDES wastewater discharge permit.
EPA FRS registry ID 110021565830 (U.S. EPA ECHO) Agency record
Severity 1.5
Toyo Seat (Usa) Corp, Flemingsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110025207648 (U.S. EPA ECHO) Agency record
Severity 1.5
A Raymond Tinnerman Manufacturing Inc, Flemingsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110056355304 (U.S. EPA ECHO) Agency record
Severity 1.5
The Wells Group Llc, Flemingsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110064513085 (U.S. EPA ECHO) Agency record
Severity 1.5
Ridley Inc, Flemingsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110064573965 (U.S. EPA ECHO) Agency record
Severity 1.5
Twin Lake Enterprise, Ewing
NPDES wastewater discharge permit.
EPA FRS registry ID 110070059569 (U.S. EPA ECHO) Agency record
Severity 1.5
Ky 32 Mud Lick Bridge Replacement; Cid# 211016, Item No. 9-1084, Ewing
NPDES wastewater discharge permit.
EPA FRS registry ID 110070600686 (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 Fleming 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 Fleming 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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