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Nash County, North Carolina: environmental and disease records

Cancer mortality in Nash County is 157 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 1.2 times the U.S. rate. Federal databases place 438 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (172), Rail grade crossing (86), Gas station (mapped facility) (41). 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: 35.9717, -77.9719.

How this county ranks in North Carolina

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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 Nash County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Kidney & renal pelvisDeaths4.43.41.29x3 to 6.52020-2024
Liver & bile ductNew cases11.28.71.29x8.7 to 14.22019-2023
Kidney & renal pelvisNew cases22.317.91.25xSignificant18.5 to 26.62019-2023
Liver & bile ductDeaths7.96.61.2x5.9 to 10.42020-2024
Lung & bronchusDeaths35.530.21.18xSignificant31.1 to 40.32020-2024
Lung & bronchusNew cases5851.81.12xSignificant52.5 to 642019-2023
All cancerDeaths157143.21.1xSignificant147.4 to 167.12020-2024
EsophagusDeaths3.93.71.05x2.5 to 5.82020-2024
PancreasDeaths11.611.31.03x9.1 to 14.62020-2024
All cancerNew cases462.7453.41.02x445.6 to 480.32019-2023
Non-Hodgkin lymphomaDeaths4.74.80.98x3.1 to 6.82020-2024
BladderDeaths3.94.10.95x2.6 to 5.92020-2024
LeukemiaNew cases13.714.50.94x10.9 to 17.22019-2023
PancreasNew cases12.913.90.93x10.2 to 16.22019-2023
EsophagusNew cases4.24.60.91x2.7 to 6.32019-2023
StomachNew cases66.60.91x4.3 to 8.32019-2023
LeukemiaDeaths55.70.88x3.4 to 7.12020-2024
Non-Hodgkin lymphomaNew cases15.818.50.85x12.8 to 19.52019-2023
Brain & nervous systemNew cases5.16.20.82x3.5 to 7.42019-2023
Melanoma of the skinNew cases18.423.80.77x15.1 to 22.32019-2023
Brain & nervous systemDeaths3.14.40.7x1.8 to 4.92020-2024
ThyroidNew cases8.9130.68x6.5 to 11.92019-2023
BladderNew cases12.618.70.67x10 to 15.82019-2023

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 Nash County
MeasureCountyU.S. medianDifferenceUnit
Premature death11,9799,842.6+22%years of life lost before age 75 per 100,000
Life expectancy73.575.3-2%years
Child mortality68.359.8+14%deaths under age 18 per 100,000
Infant mortality7.66.2+23%deaths under age 1 per 1,000 live births
Injury deaths103.396.9+7%deaths per 100,000
Drug overdose deaths3628.6+26%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.

  • Formaldehyde20.52 per million
  • Carbon Tetrachloride2.96 per million
  • Acetaldehyde2.08 per million
  • Benzene1.06 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit172
  • Rail grade crossing86
  • Gas station (mapped facility)41
  • Air permit holder (minor source)29
  • Solar power plant27
  • Brownfield property17
  • Toxic chemical release facility (TRI)13
  • TRI reporting facility12
  • Small hazardous waste generator11
  • Auto repair or body shop (mapped facility)9
  • Wastewater plant (mapped facility)9
  • Large hazardous waste generator3
  • Heliport3
  • Major air pollution source2
  • Public airport1
  • Commercial airport1
  • Hazardous waste transporter1
  • Hydroelectric 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. Consolidated Diesel Co, Whitakers

    Toxic chemical release facility (TRI). Chemicals: Naphthalene, Ethylene glycol. Reports carcinogens. 20,304 lbs released over 5 years.

    TRI facility ID 27891CNSLDUSHWY (U.S. EPA Toxics Release Inventory)

    Severity 7.8

  2. Hubbell Lenoir City Rocky Mount, Rocky Mount

    Toxic chemical release facility (TRI). Chemicals: Styrene, Lead compounds, Lead And Lead Compounds, Chromium compounds (except for chromite ore mined in the Transvaal Region). Reports carcinogens. 19,871 lbs released over 5 years.

    TRI facility ID 2780WPNCLL542EN (U.S. EPA Toxics Release Inventory)

    Severity 7.8

  3. Kaba Ilco Corp, Rocky Mount

    Toxic chemical release facility (TRI). Chemicals: Copper And Copper Compounds, Zinc compounds, Nickel And Nickel Compounds, Lead And Lead Compounds and 1 more. Reports carcinogens. 1,647 lbs released over 5 years.

    TRI facility ID 27804LCNCN400JE (U.S. EPA Toxics Release Inventory)

    Severity 7

  4. Universal Leaf N.A. Us Inc, Nashville

    Toxic chemical release facility (TRI). Chemicals: Nicotine and salts. 99,341 lbs released over 5 years.

    TRI facility ID 27856NVRSL3174B (U.S. EPA Toxics Release Inventory)

    Severity 6.8

  5. Cummins Inc, Whitakers

    TRI reporting facility.

    EPA FRS registry ID 110007659471 (U.S. EPA ECHO) Agency record

    Severity 6.1

  6. Universal Leaf North America, Nashville

    TRI reporting facility.

    EPA FRS registry ID 110018681407 (U.S. EPA ECHO) Agency record

    Severity 5.9

  7. Pen-Cell Plastics Inc, Rocky Mount

    TRI reporting facility.

    EPA FRS registry ID 110060260621 (U.S. EPA ECHO) Agency record

    Severity 5.7

  8. Southern Nash High School, Bailey

    NPDES wastewater discharge permit. Penalties $461.

    EPA FRS registry ID 110006709730 (U.S. EPA ECHO) Agency record

    Severity 5.3

  9. Spring Hope Wwtp, Spring Hope

    NPDES wastewater discharge permit. Penalties $15,799.

    EPA FRS registry ID 110040024951 (U.S. EPA ECHO) Agency record

    Severity 5

  10. Rocky Mount/Wilson Rgnl, Rocky Mount

    Commercial airport. O.

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

    Severity 5

  11. Kaba Ilco Corporation, Rocky Mount

    TRI reporting facility.

    EPA FRS registry ID 110000347492 (U.S. EPA ECHO) Agency record

    Severity 5

  12. Hospira, Inc., Rocky Mount

    Large hazardous waste generator.

    EPA FRS registry ID 110007376473 (U.S. EPA ECHO) Agency record

    Severity 4.8

  13. Belt Concepts Of America Inc, Spring Hope

    Toxic chemical release facility (TRI). Chemicals: Dibutyl phthalate, Diisononyl Phthalates (DINP). 126 lbs released over 5 years.

    TRI facility ID 27882BLTCN605NP (U.S. EPA Toxics Release Inventory)

    Severity 4.6

  14. New Standard Corp, Rocky Mount

    Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens.

    TRI facility ID 2780WNWSTN3883S (U.S. EPA Toxics Release Inventory)

    Severity 4.6

  15. Belt Concepts Of America Inc, Spring Hope

    TRI reporting facility.

    EPA FRS registry ID 110000347660 (U.S. EPA ECHO) Agency record

    Severity 4.4

  16. Carolina Steel Corporation, Nashville

    TRI reporting facility.

    EPA FRS registry ID 110006722172 (U.S. EPA ECHO) Agency record

    Severity 4.4

  17. Nashville Town-Small Ms4, Nashville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110022906480 (U.S. EPA ECHO) Agency record

    Severity 4.3

  18. Rocky Mount City - Small Ms4, Rocky Mount

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110022908077 (U.S. EPA ECHO) Agency record

    Severity 4.3

  19. Sepro Corporation, Whitakers

    TRI reporting facility.

    EPA FRS registry ID 110004044052 (U.S. EPA ECHO) Agency record

    Severity 4.1

  20. Draka Elevator Products, Inc., Rocky Mount

    TRI reporting facility.

    EPA FRS registry ID 110000347517 (U.S. EPA ECHO) Agency record

    Severity 4

  21. Nash Remediation Site, Rocky Mount

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110002444463 (U.S. EPA ECHO) Agency record

    Severity 4

  22. Bailey Well #1 Wtp, Bailey

    NPDES wastewater discharge permit. Penalties $3,608.

    EPA FRS registry ID 110006707224 (U.S. EPA ECHO) Agency record

    Severity 4

  23. Brigadier Homes Of North Carolina Incorporated, Nashville

    TRI reporting facility.

    EPA FRS registry ID 110007122853 (U.S. EPA ECHO) Agency record

    Severity 4

  24. Cummins Inc, Whitakers

    Major air pollution source.

    EPA FRS registry ID 110007659471 (U.S. EPA ECHO) Agency record

    Severity 4

  25. Perdue Nashville Feed Mill, Nashville

    TRI reporting facility.

    EPA FRS registry ID 110009849815 (U.S. EPA ECHO) Agency record

    Severity 4

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 Nash County

  • North Carolina 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 Nash County, and their findings.

  • North Carolina vital statistics office

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

  • North Carolina health department, environmental epidemiology

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

  • North Carolina 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.

  • North Carolina 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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