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Randolph County, North Carolina: environmental and disease records

Cancer mortality in Randolph County is 169.8 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Melanoma of the skin deaths at 2 times the U.S. rate and Lung & bronchus deaths at 1.6 times the U.S. rate. Federal databases place 641 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (218), Rail grade crossing (154), Air permit holder (minor source) (77). 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: 35.7111, -79.8025.

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 Randolph County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Melanoma of the skin	Deaths	4	2	2xSignificant	2.8 to 5.6	2020-2024
Lung & bronchus	Deaths	47.1	30.2	1.56xSignificant	42.9 to 51.5	2020-2024
Kidney & renal pelvis	Deaths	5.3	3.4	1.56xSignificant	3.9 to 7.1	2020-2024
Bladder	Deaths	6	4.1	1.46xSignificant	4.5 to 7.9	2020-2024
Lung & bronchus	New cases	75.4	51.8	1.46xSignificant	70.1 to 81	2019-2023
Kidney & renal pelvis	New cases	25.7	17.9	1.44xSignificant	22.5 to 29.3	2019-2023
Melanoma of the skin	New cases	31.6	23.8	1.33xSignificant	27.9 to 35.6	2019-2023
Liver & bile duct	Deaths	8.4	6.6	1.27xSignificant	6.7 to 10.5	2020-2024
Liver & bile duct	New cases	11	8.7	1.26xSignificant	9 to 13.3	2019-2023
Esophagus	New cases	5.8	4.6	1.26x	4.3 to 7.5	2019-2023
Bladder	New cases	23.5	18.7	1.26xSignificant	20.6 to 26.8	2019-2023
Childhood cancer (under 15)	New cases	20	16.4	1.22x	13 to 29.3	2019-2023
All cancer	Deaths	169.8	143.2	1.19xSignificant	161.5 to 178.3	2020-2024
Brain & nervous system	Deaths	4.9	4.4	1.11x	3.6 to 6.6	2020-2024
All cancer	New cases	498.4	453.4	1.1xSignificant	484 to 513.2	2019-2023
Brain & nervous system	New cases	6.6	6.2	1.06x	5 to 8.7	2019-2023
Pancreas	Deaths	11.8	11.3	1.04x	9.8 to 14.2	2020-2024
Esophagus	Deaths	3.7	3.7	1x	2.6 to 5.2	2020-2024
Leukemia	New cases	13.6	14.5	0.94x	11.3 to 16.4	2019-2023
Non-Hodgkin lymphoma	New cases	17.3	18.5	0.94x	14.7 to 20.3	2019-2023
Pancreas	New cases	12.8	13.9	0.92x	10.6 to 15.3	2019-2023
Non-Hodgkin lymphoma	Deaths	4.3	4.8	0.9x	3.1 to 5.8	2020-2024
Leukemia	Deaths	5	5.7	0.88x	3.7 to 6.7	2020-2024
Stomach	New cases	5.5	6.6	0.83x	4.1 to 7.4	2019-2023
Thyroid	New cases	8.4	13	0.65x	6.4 to 10.7	2019-2023
Stomach	Deaths	1.6	2.7	0.59x	0.9 to 2.6	2020-2024

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 Randolph County
Measure	County	U.S. median	Difference	Unit
Premature death	12,479	9,842.6	+27%	years of life lost before age 75 per 100,000
Life expectancy	72.9	75.3	-3%	years
Child mortality	73.7	59.8	+23%	deaths under age 18 per 100,000
Infant mortality	8.7	6.2	+40%	deaths under age 1 per 1,000 live births
Injury deaths	133	96.9	+37%	deaths per 100,000
Drug overdose deaths	65.9	28.6	+130%	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.

Formaldehyde21.91 per million
Carbon Tetrachloride2.91 per million
Acetaldehyde2.29 per million
Ethylene Oxide1.89 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit218
Rail grade crossing154
Air permit holder (minor source)77
Gas station (mapped facility)46
Small hazardous waste generator34
Toxic chemical release facility (TRI)22
Auto repair or body shop (mapped facility)20
TRI reporting facility19
Solar power plant9
Wastewater plant (mapped facility)9
Public airport8
Brownfield property6
Major air pollution source5
Large hazardous waste generator5
Dry cleaner (mapped facility)2
Large greenhouse gas emitter2
Hazardous waste transporter2
Commercial airport1
Crematorium (mapped facility)1
Battery storage 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.

Starpet Inc, Asheboro
Toxic chemical release facility (TRI). Chemicals: Acetaldehyde, Ethylene glycol, 1,4-Dioxane, Antimony And Antimony Compounds and 1 more. Reports carcinogens. 142,812 lbs released over 5 years.
TRI facility ID 27203TLRMP801PI (U.S. EPA Toxics Release Inventory)
Severity 8.5
Toyota Battery Manufacturing North Carolina, Liberty
Toxic chemical release facility (TRI). Chemicals: Polycyclic aromatic compounds, N-Methyl-2-pyrrolidone, Nickel, Copper. Reports carcinogens. 25,796 lbs released over 5 years.
TRI facility ID 2729WTYTBT599DG (U.S. EPA Toxics Release Inventory)
Severity 7.9
Starpet Incorporated, Asheboro
TRI reporting facility. Penalties $20,542.
EPA FRS registry ID 110056970434 (U.S. EPA ECHO) Agency record
Severity 7.8
Jowat Corp, High Point
Toxic chemical release facility (TRI). Chemicals: Vinyl acetate, Diisocyanates, Zinc compounds. Reports carcinogens. 18,653 lbs released over 5 years.
TRI facility ID 2726WJWTCR658LI (U.S. EPA Toxics Release Inventory)
Severity 7.8
Norcraft Cos Lp Dba Ultracraft Cabinetry, Liberty
Toxic chemical release facility (TRI). Chemicals: Xylene (mixed isomers), n-Butyl alcohol. 197,892 lbs released over 5 years.
TRI facility ID 27298SSCTD6163O (U.S. EPA Toxics Release Inventory)
Severity 7.1
Timken Co Asheboro Bearing Plant, Randleman
Toxic chemical release facility (TRI). Chemicals: Methanol, Nickel, Chromium, Manganese. Reports carcinogens. 2,036 lbs released over 5 years.
TRI facility ID 27317THTMK3500T (U.S. EPA Toxics Release Inventory)
Severity 7
The Timken Company - Asheboro Bearing Plant, Randleman
TRI reporting facility.
EPA FRS registry ID 110000346199 (U.S. EPA ECHO) Agency record
Severity 6.9
City Of Asheboro Wastewater Treatment Plant, Asheboro
NPDES wastewater discharge permit. Penalties $4,124.
EPA FRS registry ID 110000570944 (U.S. EPA ECHO) Agency record
Severity 6.8
Arrow International Inc, Asheboro
Toxic chemical release facility (TRI). Chemicals: Ethylene oxide. Reports carcinogens. 256 lbs released over 5 years.
TRI facility ID 27317RRWNT200CO (U.S. EPA Toxics Release Inventory)
Severity 6.3
Norcraft Companies, Lp, Dba Ultracraft Cabinetry, Liberty
TRI reporting facility.
EPA FRS registry ID 110000346135 (U.S. EPA ECHO) Agency record
Severity 6.2
Industrial Wood Products, Climax
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 149 lbs released over 5 years.
TRI facility ID 27233NDSTR6924H (U.S. EPA Toxics Release Inventory)
Severity 6.2
Toyota Battery Manufacturing North Carolina, Liberty
TRI reporting facility.
EPA FRS registry ID 110071467568 (U.S. EPA ECHO) Agency record
Severity 6
Hidden Forest Mhc Wwtp, Pleasant Garden
NPDES wastewater discharge permit. Penalties $6,880.
EPA FRS registry ID 110006804100 (U.S. EPA ECHO) Agency record
Severity 5.5
Starpet Incorporated, Asheboro
Major air pollution source. Penalties $20,542.
EPA FRS registry ID 110056970434 (U.S. EPA ECHO) Agency record
Severity 5.3
Energizer Manufacturing, Inc., Asheboro
TRI reporting facility.
EPA FRS registry ID 110000345564 (U.S. EPA ECHO) Agency record
Severity 5.2
Oliver Rubber Co, Asheboro
Toxic chemical release facility (TRI). Chemicals: Zinc compounds. 599 lbs released over 5 years.
TRI facility ID 27203LVRRB408TE (U.S. EPA Toxics Release Inventory)
Severity 5.1
Americhem Inc. - Liberty Plant, Liberty
TRI reporting facility.
EPA FRS registry ID 110055577503 (U.S. EPA ECHO) Agency record
Severity 5.1
Safety-Kleen Systems Archdale (Arc), Archdale
Toxic chemical release facility (TRI). Chemicals: Ethylene glycol, Benzo[g,h,i]perylene, Lead, Polycyclic aromatic compounds. Reports carcinogens. 4 lbs released over 5 years.
TRI facility ID 27263SFTYK6182O (U.S. EPA Toxics Release Inventory)
Severity 5
Jowat Corporation, Archdale
TRI reporting facility.
EPA FRS registry ID 110007662779 (U.S. EPA ECHO) Agency record
Severity 5
Zooland Family Campground, Asheboro
NPDES wastewater discharge permit. Penalties $1,869.
EPA FRS registry ID 110027405047 (U.S. EPA ECHO) Agency record
Severity 5
Americhem Inc Lnc, Liberty
Toxic chemical release facility (TRI). Chemicals: Copper And Copper Compounds, Copper compounds, Zinc compounds. 399 lbs released over 5 years.
TRI facility ID 2729WMRCHM7279L (U.S. EPA Toxics Release Inventory)
Severity 5
Starpet Incorporated, Asheboro
NPDES wastewater discharge permit. Penalties $20,542.
EPA FRS registry ID 110056970434 (U.S. EPA ECHO) Agency record
Severity 4.8
Energizer Manufacturing Inc, Asheboro
Toxic chemical release facility (TRI). Chemicals: Manganese compounds, Zinc (fume or dust), Manganese And Manganese Compounds, Zinc compounds. 179 lbs released over 5 years.
TRI facility ID 27204VRDYB419AR (U.S. EPA Toxics Release Inventory)
Severity 4.7
Oliver Rubber Company, Llc, Asheboro
TRI reporting facility.
EPA FRS registry ID 110000345519 (U.S. EPA ECHO) Agency record
Severity 4.7
Vpc Foam Usa Inc., Asheboro
Toxic chemical release facility (TRI). Chemicals: Toluene diisocyanate (mixed isomers). Reports carcinogens. 1 lbs released over 5 years.
TRI facility ID 27203PRSTG2206D (U.S. EPA Toxics Release Inventory)
Severity 4.7

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 Randolph 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 Randolph 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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