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Pike County, Kentucky: environmental and disease records

Cancer mortality in Pike County is 198.1 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 2,908 regulated facilities, sites and hazards inside the county, led by Industrial wastewater discharge (2,113), NPDES wastewater discharge permit (518), Rail grade crossing (241). 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: 37.4707, -82.325.

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 Pike County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Lung & bronchusDeaths65.430.22.17xSignificant57.9 to 73.92020-2024
Lung & bronchusNew cases101.751.81.96xSignificant92.3 to 112.12019-2023
ThyroidNew cases21.9131.68xSignificant16.8 to 28.12019-2023
Kidney & renal pelvisNew cases29.117.91.63xSignificant23.7 to 35.32019-2023
EsophagusNew cases7.14.61.54xSignificant4.8 to 10.42019-2023
Brain & nervous systemDeaths6.14.41.39x3.9 to 9.22020-2024
All cancerDeaths198.1143.21.38xSignificant184.4 to 212.82020-2024
Brain & nervous systemNew cases8.46.21.35x5.6 to 12.22019-2023
Kidney & renal pelvisDeaths4.53.41.32x2.7 to 7.32020-2024
Liver & bile ductNew cases11.18.71.28x8.1 to 15.12019-2023
PancreasNew cases17.713.91.27x13.8 to 22.52019-2023
Liver & bile ductDeaths8.46.61.27x5.9 to 11.82020-2024
BladderDeaths5.24.11.27x3.2 to 8.22020-2024
BladderNew cases23.718.71.27xSignificant19 to 29.22019-2023
EsophagusDeaths4.63.71.24x2.7 to 7.52020-2024
LeukemiaDeaths75.71.23x4.5 to 10.52020-2024
All cancerNew cases544453.41.2xSignificant520.3 to 568.52019-2023
LeukemiaNew cases15.614.51.08x11.8 to 20.42019-2023
Non-Hodgkin lymphomaNew cases1918.51.03x14.7 to 24.22019-2023
Non-Hodgkin lymphomaDeaths4.84.81x2.9 to 7.72020-2024
PancreasDeaths10.311.30.91x7.4 to 14.12020-2024
StomachNew cases5.96.60.89x3.6 to 9.22019-2023
Melanoma of the skinNew cases20.123.80.84x15.5 to 25.72019-2023

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 Pike County
MeasureCountyU.S. medianDifferenceUnit
Premature death16,442.59,842.6+67%years of life lost before age 75 per 100,000
Life expectancy69.375.3-8%years
Child mortality47.959.8-20%deaths under age 18 per 100,000
Infant mortality66.2-4%deaths under age 1 per 1,000 live births
Injury deaths146.396.9+51%deaths per 100,000
Drug overdose deaths68.528.6+140%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.

  • Formaldehyde17.97 per million
  • Carbon Tetrachloride2.86 per million
  • Acetaldehyde1.81 per million
  • Benzene1.32 per million

EPA Air Quality Index 2025

Monitored on 365 days: 322 good, 0 unhealthy for sensitive groups or worse. Median AQI 34, peak 77.

Regulated facilities, sites and hazards by type

2,908 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.

  • Industrial wastewater discharge2,113
  • NPDES wastewater discharge permit518
  • Rail grade crossing241
  • Gas station (mapped facility)16
  • Small hazardous waste generator5
  • Air permit holder (minor source)4
  • Auto repair or body shop (mapped facility)3
  • Heliport3
  • Major air pollution source1
  • EPA air quality monitor1
  • Commercial airport1
  • Brownfield property1
  • Scrapyard (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. Kentucky Fuel Corp 898-0884, Meta

    NPDES wastewater discharge permit. Penalties $5,000.

    EPA FRS registry ID 110009964896 (U.S. EPA ECHO) Agency record

    Severity 5.3

  2. Ibcs Mining Inc - Kentucky Division (898-0933 & 898-4490), Coleman

    NPDES wastewater discharge permit. Penalties $10,000.

    EPA FRS registry ID 110064778432 (U.S. EPA ECHO) Agency record

    Severity 5.3

  3. Ky Fuel Corp, Meta

    NPDES wastewater discharge permit. Penalties $17,500.

    EPA FRS registry ID 110069334535 (U.S. EPA ECHO) Agency record

    Severity 5.3

  4. Douglas Industrial Park, Robinson Creek

    NPDES wastewater discharge permit. Penalties $2,500.

    EPA FRS registry ID 110009938229 (U.S. EPA ECHO) Agency record

    Severity 4.8

  5. Premier Elkhorn Coal Co Inc (898-0365), Hartley

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110010840750 (U.S. EPA ECHO) Agency record

    Severity 4.5

  6. Premier Elkhorn Coal Co (898-0468), Myra

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110011197640 (U.S. EPA ECHO) Agency record

    Severity 4.5

  7. Landfall Mining Inc (898-9144), Hellier

    NPDES wastewater discharge permit. Penalties $240,000.

    EPA FRS registry ID 110040342723 (U.S. EPA ECHO) Agency record

    Severity 4.5

  8. Landfall Mining Inc [898-9146], Hellier

    NPDES wastewater discharge permit. Penalties $240,000.

    EPA FRS registry ID 110044895842 (U.S. EPA ECHO) Agency record

    Severity 4.5

  9. Premier Elkhorn Coal Co (898-0397), Myra

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110045176064 (U.S. EPA ECHO) Agency record

    Severity 4.5

  10. Mccoy Elkhorn Coal Llc [898-4571], Meta

    NPDES wastewater discharge permit. Penalties $72,000.

    EPA FRS registry ID 110064573732 (U.S. EPA ECHO) Agency record

    Severity 4.5

  11. Mccoy Elkhorn Coal Llc - Mccoy Elkhorn Coal Co (898-4577), Kimper

    NPDES wastewater discharge permit. Penalties $72,000.

    EPA FRS registry ID 110064872525 (U.S. EPA ECHO) Agency record

    Severity 4.5

  12. Cambrian Coal Corp (Consolidated), Shelbiana

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110067186887 (U.S. EPA ECHO) Agency record

    Severity 4.5

  13. Premier Elkhorn Coal Llc [Consolidated], Virgie

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110067235897 (U.S. EPA ECHO) Agency record

    Severity 4.5

  14. Mccoy Elkhorn Coal Llc [898-4569], Blackburn Bottom

    NPDES wastewater discharge permit. Penalties $72,000.

    EPA FRS registry ID 110067430685 (U.S. EPA ECHO) Agency record

    Severity 4.5

  15. Lexington Coal Co Llc [898-1016], Freeburn

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009965519 (U.S. EPA ECHO) Agency record

    Severity 4.3

  16. Cambrian Coal Corp (898-0620), Millard

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110011195358 (U.S. EPA ECHO) Agency record

    Severity 4.3

  17. Prime Energy Development Llc (898-4513), Ransom

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110011197025 (U.S. EPA ECHO) Agency record

    Severity 4.3

  18. Premier Elkhorn Coal Llc [898-4561], Myra

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110011200967 (U.S. EPA ECHO) Agency record

    Severity 4.3

  19. Glen Alum Operations Llc (898-4478), Ransom

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110011202572 (U.S. EPA ECHO) Agency record

    Severity 4.3

  20. Lexington Coal Co Llc [898-9184], Aflex

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110011209762 (U.S. EPA ECHO) Agency record

    Severity 4.3

  21. Primetime Energy Llc (898-0902), Kewanee

    NPDES wastewater discharge permit. Penalties $7,500.

    EPA FRS registry ID 110013679714 (U.S. EPA ECHO) Agency record

    Severity 4.3

  22. Premier Elkhorn Coal Llc (898-8195), Virgie

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110013680604 (U.S. EPA ECHO) Agency record

    Severity 4.3

  23. Premier Elkhorn Coal Co Inc (898-0694), Etty

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110017373625 (U.S. EPA ECHO) Agency record

    Severity 4.3

  24. Jc1 Mining Llc (898-4474), Kimper

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110044889369 (U.S. EPA ECHO) Agency record

    Severity 4.3

  25. Mccoy Elkhorn Coal Llc [836-5679], Broad Bottom

    NPDES wastewater discharge permit. Penalties $72,000.

    EPA FRS registry ID 110066869428 (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.

No correctional facility with an EPA record is located in this county.

Discovery / public records

Records to request for Pike 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 Pike 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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