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Roosevelt County, Montana: environmental and disease records

Cancer mortality in Roosevelt County is 222.3 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. Federal databases place 226 regulated facilities, sites and hazards inside the county, led by Rail grade crossing (82), NPDES wastewater discharge permit (64), Brownfield property (44). EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 20 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: 48.274, -104.9254.

How this county ranks in Montana

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 Roosevelt County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
All cancerDeaths222.3143.21.55xSignificant181 to 269.92020-2024
Lung & bronchusDeaths3630.21.19x21.1 to 57.52020-2024
Lung & bronchusNew cases58.251.81.12x38.6 to 84.22019-2023
All cancerNew cases500.3453.41.1x437.7 to 569.12019-2023

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 Roosevelt County
MeasureCountyU.S. medianDifferenceUnit
Premature death32,695.59,842.6+232%years of life lost before age 75 per 100,000
Life expectancy60.475.3-20%years
Child mortality113.759.8+90%deaths under age 18 per 100,000
Infant mortalityn/a6.2n/adeaths under age 1 per 1,000 live births
Injury deaths194.896.9+101%deaths per 100,000
Drug overdose deaths3428.6+19%deaths per 100,000

Air toxics and air quality

EPA AirToxScreen 2020

Lifetime cancer risk from outdoor air toxics: 20 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

  • Formaldehyde10.1 per million
  • Carbon Tetrachloride2.87 per million
  • Acetaldehyde0.74 per million
  • Benzene0.7 per million

EPA Air Quality Index 2025

Monitored on 94 days: 82 good, 1 unhealthy for sensitive groups or worse. Median AQI 16, peak 196.

Regulated facilities, sites and hazards by type

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

  • Rail grade crossing82
  • NPDES wastewater discharge permit64
  • Brownfield property44
  • Gas station (mapped facility)8
  • Air permit holder (minor source)5
  • Major air pollution source3
  • Public airport3
  • Auto repair or body shop (mapped facility)2
  • Large greenhouse gas emitter2
  • Large hazardous waste generator2
  • Small hazardous waste generator2
  • Landfill (mapped facility)2
  • Other power plant2
  • Wastewater plant (mapped facility)2
  • EPA air quality monitor1
  • Commercial airport1
  • 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. High Plains Motors, Wolf Point

    Large hazardous waste generator.

    EPA FRS registry ID 110021323405 (U.S. EPA ECHO) Agency record

    Severity 6
  2. Town Of Culbertson Domestic Wwtf, Culbertson

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110059798474 (U.S. EPA ECHO) Agency record

    Severity 4.5
  3. Poplar, Town Of, Poplar

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110024586214 (U.S. EPA ECHO) Agency record

    Severity 4.3
  4. Anderson Pit, Culbertson

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110056150551 (U.S. EPA ECHO) Agency record

    Severity 3.8
  5. Black Hills Trucking Inc - Culbertson Terminal, Culbertson

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110010825759 (U.S. EPA ECHO) Agency record

    Severity 3.5
  6. Basin Electric Power Cooperative, Bainville

    Major air pollution source.

    EPA FRS registry ID 110040484641 (U.S. EPA ECHO) Agency record

    Severity 3.5
  7. Cs-3 Recovered Energy Facility, Culbertson

    Major air pollution source.

    EPA FRS registry ID 110041624187 (U.S. EPA ECHO) Agency record

    Severity 3.5
  8. Northern Border Pipeline Wolf Point Cs#2, Wolf Point

    Major air pollution source.

    EPA FRS registry ID 110043792802 (U.S. EPA ECHO) Agency record

    Severity 3.5
  9. Culbertson Generation Station, Culbertson

    Gas power plant.

    Record ID 56606 (U.S. Energy Information Administration)

    Severity 3.1
  10. Butch'S Exxon, Poplar

    Brownfield property.

    EPA FRS registry ID 110010692385 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3
  11. Dallas Aero, Poplar

    Brownfield property.

    EPA FRS registry ID 110010780306 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3
  12. Wolf Point Round House, Wolf Point

    Brownfield property.

    EPA FRS registry ID 110015334324 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3
  13. Mt Cowboy Hall Of Fame & Western Heritage Center, Wolf Point

    Brownfield property.

    EPA FRS registry ID 110040316690 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3
  14. Wolf Point City Shop, Wolf Point

    Brownfield property.

    EPA FRS registry ID 110070491699 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3
  15. Imagination Station, Wolf Point

    Brownfield property.

    EPA FRS registry ID 110071963973 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3
  16. Poplar Community Center Property, Poplar

    Brownfield property.

    EPA FRS registry ID 110071964117 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3
  17. Peters Auto, Wolf Point

    Brownfield property.

    EPA FRS registry ID 110071964130 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3
  18. Kenco Refinery - Wolf Point Green, Llc, Wolf Point

    Brownfield property.

    EPA FRS registry ID 110071964722 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3
  19. Former Vfw Club, Wolf Point

    Brownfield property.

    EPA FRS registry ID 110071965129 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3
  20. Old Saddle Shop, Wolf Point

    Brownfield property.

    EPA FRS registry ID 110071966750 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3
  21. Former Spotted Bull Treatment Center, Poplar

    Brownfield property.

    EPA FRS registry ID 110071967625 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3
  22. Poplar Airport, Poplar

    Brownfield property.

    EPA FRS registry ID 110071967708 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3
  23. Mvdc Vet Clinic, Wolf Point

    Brownfield property.

    EPA FRS registry ID 110071968178 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3
  24. Poplar Sludge Pit, Near Poplar

    Brownfield property.

    EPA FRS registry ID 110071968625 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3
  25. Old Poplar Landfill, Poplar

    Brownfield property.

    EPA FRS registry ID 110071968626 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 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 Roosevelt County

  • Montana 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 Roosevelt County, and their findings.

  • Montana vital statistics office

    Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.

  • Montana health department, environmental epidemiology

    Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.

  • Montana 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.

  • Montana 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.