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Knott County, Kentucky: environmental and disease records

Cancer mortality in Knott County is 207.8 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 2.3 times the U.S. rate. Federal databases place 706 regulated facilities, sites and hazards inside the county, led by Industrial wastewater discharge (570), NPDES wastewater discharge permit (81), Rail grade crossing (45). 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: 37.3504, -82.9385.

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 Knott County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Lung & bronchusDeaths68.930.22.28xSignificant53.7 to 87.82020-2024
Lung & bronchusNew cases92.451.81.78xSignificant74.8 to 113.52019-2023
All cancerDeaths207.8143.21.45xSignificant179.2 to 240.12020-2024
BladderNew cases2318.71.23x14.5 to 35.42019-2023
PancreasNew cases16.813.91.21x9.7 to 27.82019-2023
Kidney & renal pelvisNew cases21.317.91.19x12.9 to 33.72019-2023
All cancerNew cases518.1453.41.14xSignificant471.6 to 568.52019-2023
Melanoma of the skinNew cases24.923.81.05x14.5 to 39.92019-2023

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 Knott County
MeasureCountyU.S. medianDifferenceUnit
Premature death20,880.89,842.6+112%years of life lost before age 75 per 100,000
Life expectancy67.175.3-11%years
Child mortality113.359.8+90%deaths under age 18 per 100,000
Infant mortalityn/a6.2n/adeaths under age 1 per 1,000 live births
Injury deaths214.296.9+121%deaths per 100,000
Drug overdose deaths117.828.6+312%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.

  • Formaldehyde17.76 per million
  • Carbon Tetrachloride2.86 per million
  • Acetaldehyde1.76 per million
  • Benzene1.08 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

  • Industrial wastewater discharge570
  • NPDES wastewater discharge permit81
  • Rail grade crossing45
  • Brownfield property3
  • Gas station (mapped facility)3
  • Air permit holder (minor source)2
  • Hazardous waste transporter1
  • 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.

  1. Coalton Mining Inc [860-5427], Emmalena

    NPDES wastewater discharge permit. Penalties $5,000.

    EPA FRS registry ID 110071348609 (U.S. EPA ECHO) Agency record

    Severity 5.3

  2. Kratos Resources Llc 860-5430, Sassafras

    NPDES wastewater discharge permit. Penalties $40,000.

    EPA FRS registry ID 110064573821 (U.S. EPA ECHO) Agency record

    Severity 5

  3. Icg Hazard Llc (860-0539), Talcum

    NPDES wastewater discharge permit. Penalties $50,000.

    EPA FRS registry ID 110067231702 (U.S. EPA ECHO) Agency record

    Severity 4.8

  4. Golden Years Healthcare, Lackey

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110012315770 (U.S. EPA ECHO) Agency record

    Severity 4.5

  5. Samuel Coal Co [Consolidated], Kite

    NPDES wastewater discharge permit. Penalties $32,500.

    EPA FRS registry ID 110071345374 (U.S. EPA ECHO) Agency record

    Severity 4.5

  6. Kentucky Fuel Corp (860-8020), Mousie

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009056252 (U.S. EPA ECHO) Agency record

    Severity 4.3

  7. Mason Coal Inc (860-5265), Hollybush

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110020159736 (U.S. EPA ECHO) Agency record

    Severity 4.3

  8. Kentucky Fuel Corp (860-0505), Soft Shell

    NPDES wastewater discharge permit. Penalties $5,000.

    EPA FRS registry ID 110067431666 (U.S. EPA ECHO) Agency record

    Severity 4.3

  9. Ky Fuel Corp [Consolidated], Garrett [Knott]

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110067625332 (U.S. EPA ECHO) Agency record

    Severity 4.3

  10. Ky Fuel Corp [Consolidated], Mousie

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110067632707 (U.S. EPA ECHO) Agency record

    Severity 4.3

  11. Ball Creek Wwtp, Vest

    NPDES wastewater discharge permit. Penalties $5,000.

    EPA FRS registry ID 110064645745 (U.S. EPA ECHO) Agency record

    Severity 4

  12. Knott Co Coal Llc [860-5403], Raven

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110017370101 (U.S. EPA ECHO) Agency record

    Severity 3.8

  13. Cbd Resources Inc [860-5412], Raven

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110064599064 (U.S. EPA ECHO) Agency record

    Severity 3.8

  14. Knott Co Coal Llc [Consolidated], Kite

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110067179305 (U.S. EPA ECHO) Agency record

    Severity 3.8

  15. Cbd Resources Inc [Consolidated], Raven

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110067438026 (U.S. EPA ECHO) Agency record

    Severity 3.8

  16. Cbc Resources Inc - Slone Branch Mine [860-5413], Pippa Passes

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110067617252 (U.S. EPA ECHO) Agency record

    Severity 3.8

  17. Cbd Resources Inc [860-5414], Raven

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070794906 (U.S. EPA ECHO) Agency record

    Severity 3.8

  18. Hendrickson Equipment Inc (860-0431), Mallie

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110056349946 (U.S. EPA ECHO) Agency record

    Severity 3.5

  19. Knott Co Coal Llc, Kite

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110064622378 (U.S. EPA ECHO) Agency record

    Severity 3.5

  20. Deane Mining Llc [867-0537], Omaha

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110067029708 (U.S. EPA ECHO) Agency record

    Severity 3.5

  21. Deane Mining Llc [860-5406], Kite

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110067372505 (U.S. EPA ECHO) Agency record

    Severity 3.5

  22. Ky Fuels Corp [Consolidated], Lackey

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110069413959 (U.S. EPA ECHO) Agency record

    Severity 3.5

  23. Knott Co Coal Llc 860-5398, Puncheon

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110013679965 (U.S. EPA ECHO) Agency record

    Severity 3.3

  24. Icg Knott County Llc (860-5369), Topmost

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110043247670 (U.S. EPA ECHO) Agency record

    Severity 3.3

  25. Knott Co Coal Llc [860-5394], Pippa Passes

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110044900211 (U.S. EPA ECHO) Agency record

    Severity 3.3

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 Knott 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 Knott 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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