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Scotland County, North Carolina: environmental and disease records

Cancer mortality in Scotland County is 194.3 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 1.9 times the U.S. rate. Federal databases place 234 regulated facilities, sites and hazards inside the county, led by Rail grade crossing (102), NPDES wastewater discharge permit (51), Gas station (mapped facility) (18). 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: 34.8373, -79.4841.

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 Scotland County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	56.3	30.2	1.86xSignificant	46.9 to 67.3	2020-2024
Lung & bronchus	New cases	87.1	51.8	1.68xSignificant	75.4 to 100.4	2019-2023
Leukemia	New cases	22.8	14.5	1.57xSignificant	16.5 to 30.8	2019-2023
Kidney & renal pelvis	New cases	28.1	17.9	1.57xSignificant	21.1 to 36.8	2019-2023
Brain & nervous system	New cases	9	6.2	1.45x	5.2 to 14.7	2019-2023
Liver & bile duct	New cases	12.6	8.7	1.45x	8.4 to 18.3	2019-2023
Liver & bile duct	Deaths	9.1	6.6	1.38x	5.8 to 14	2020-2024
All cancer	Deaths	194.3	143.2	1.36xSignificant	176.1 to 214	2020-2024
Pancreas	New cases	18.8	13.9	1.35x	13.3 to 25.9	2019-2023
Pancreas	Deaths	13.4	11.3	1.19x	9.1 to 19.2	2020-2024
All cancer	New cases	531.2	453.4	1.17xSignificant	500.3 to 563.6	2019-2023
Stomach	New cases	7.7	6.6	1.17x	4.4 to 12.6	2019-2023
Bladder	New cases	21.2	18.7	1.13x	15.4 to 28.6	2019-2023
Non-Hodgkin lymphoma	New cases	18.5	18.5	1x	13.2 to 25.4	2019-2023
Melanoma of the skin	New cases	12.6	23.8	0.53x	8.4 to 18.5	2019-2023

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 Scotland County
Measure	County	U.S. median	Difference	Unit
Premature death	16,834.6	9,842.6	+71%	years of life lost before age 75 per 100,000
Life expectancy	69.5	75.3	-8%	years
Child mortality	93.2	59.8	+56%	deaths under age 18 per 100,000
Infant mortality	9.1	6.2	+47%	deaths under age 1 per 1,000 live births
Injury deaths	132.6	96.9	+37%	deaths per 100,000
Drug overdose deaths	53.4	28.6	+87%	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.

Formaldehyde21.75 per million
Carbon Tetrachloride2.94 per million
Acetaldehyde2.14 per million
Benzene0.88 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

Rail grade crossing102
NPDES wastewater discharge permit51
Gas station (mapped facility)18
Air permit holder (minor source)17
Solar power plant12
Brownfield property10
Toxic chemical release facility (TRI)7
TRI reporting facility4
Major air pollution source3
Large hazardous waste generator3
Small hazardous waste generator3
Commercial airport1
Large greenhouse gas emitter1
Heliport1
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.

Pilkington North America, Inc., Laurinburg
TRI reporting facility. Penalties $59,631.
EPA FRS registry ID 110064226868 (U.S. EPA ECHO) Agency record
Severity 10
Railroad Friction Products Corp, Maxton
Toxic chemical release facility (TRI). Chemicals: n-Hexane, Toluene, Phenol, Aluminum oxide (fibrous forms) and 4 more. Reports carcinogens. 1,612,661 lbs released over 5 years.
TRI facility ID 28352MNVLLPOBOX (U.S. EPA Toxics Release Inventory)
Severity 9.3
Railroad Friction Products Corp, Maxton
TRI reporting facility.
EPA FRS registry ID 110000349980 (U.S. EPA ECHO) Agency record
Severity 8.1
Pilkington North America, Inc., Laurinburg
Major air pollution source. Penalties $59,631.
EPA FRS registry ID 110064226868 (U.S. EPA ECHO) Agency record
Severity 7.5
Pilkington Na, Laurinburg
Toxic chemical release facility (TRI). Chemicals: Sulfuric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Hydrochloric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Ammonia, Lead And Lead Compounds and 2 more. 526,383 lbs released over 5 years.
TRI facility ID 28352LBBYWHWY74 (U.S. EPA Toxics Release Inventory)
Severity 7.4
Pilkington North America, Inc., Laurinburg
Large hazardous waste generator. Penalties $59,631.
EPA FRS registry ID 110064226868 (U.S. EPA ECHO) Agency record
Severity 7
Pilkington North America, Inc., Laurinburg
NPDES wastewater discharge permit. Penalties $59,631.
EPA FRS registry ID 110064226868 (U.S. EPA ECHO) Agency record
Severity 7
Laurinburg Industrial Wwtp, Maxton
NPDES wastewater discharge permit. Penalties $8,515.
EPA FRS registry ID 110040036840 (U.S. EPA ECHO) Agency record
Severity 6.8
Pilkington North America, Inc., Laurinburg
Large greenhouse gas emitter. Penalties $59,631.
EPA FRS registry ID 110064226868 (U.S. EPA ECHO) Agency record
Severity 6.5
Kordsa Inc., Laurel Hill
Toxic chemical release facility (TRI). Chemicals: Formaldehyde. Reports carcinogens. 204 lbs released over 5 years.
TRI facility ID 28351PRLLRSTATE (U.S. EPA Toxics Release Inventory)
Severity 6.3
Leith Creek Wwtp, Laurinburg
NPDES wastewater discharge permit. Penalties $1,715.
EPA FRS registry ID 110006644186 (U.S. EPA ECHO) Agency record
Severity 5.8
Fcc (North Carolina) Paper Plant, Laurinburg
Large hazardous waste generator. Penalties $12,157.
EPA FRS registry ID 110055573669 (U.S. EPA ECHO) Agency record
Severity 5.3
Railroad Friction Products Corp, Maxton
Major air pollution source.
EPA FRS registry ID 110000349980 (U.S. EPA ECHO) Agency record
Severity 5
Murphy-Brown, Llc. - Laurinburg Feed Mill, Laurinburg
TRI reporting facility.
EPA FRS registry ID 110001499183 (U.S. EPA ECHO) Agency record
Severity 4.6
Schneider National Carriers, Laurinburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110018705800 (U.S. EPA ECHO) Agency record
Severity 4.5
Edwards Wood Products, Inc. - Laurinburg Saw Mill #2, Laurinburg
Major air pollution source. Penalties $8,670.
EPA FRS registry ID 110070222865 (U.S. EPA ECHO) Agency record
Severity 4.5
Murphy-Brown Llc Laurinburg Feed Mill, Laurinburg
Toxic chemical release facility (TRI). Chemicals: Zinc (fume or dust), Copper And Copper Compounds, Manganese And Manganese Compounds, Copper compounds. 60 lbs released over 5 years.
TRI facility ID 28352MRPHY19600 (U.S. EPA Toxics Release Inventory)
Severity 4.4
Laurel Hill/Maxton Wwtp, Laurel Hill
NPDES wastewater discharge permit. Penalties $1,033.
EPA FRS registry ID 110009846104 (U.S. EPA ECHO) Agency record
Severity 4.3
Plant 75, Laurinburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110064226886 (U.S. EPA ECHO) Agency record
Severity 4
Scotland County Feed Mill, Maxton
TRI reporting facility.
EPA FRS registry ID 110070795818 (U.S. EPA ECHO) Agency record
Severity 4
American Wood Fibers - Laurinburg, Laurinburg
NPDES wastewater discharge permit. Penalties $19,375.
EPA FRS registry ID 110040504399 (U.S. EPA ECHO) Agency record
Severity 3.8
Wagram Plant, Wagram
NPDES wastewater discharge permit.
EPA FRS registry ID 110055031237 (U.S. EPA ECHO) Agency record
Severity 3.8
Edwards Wood Products Inc., Laurinburg
Toxic chemical release facility (TRI). Chemicals: Lead And Lead Compounds, Lead compounds. 7 lbs released over 5 years.
TRI facility ID 28352DWRDS195LD (U.S. EPA Toxics Release Inventory)
Severity 3.7
Edwards Wood Products Inc. - Laurinburg East, Laurinburg
Toxic chemical release facility (TRI). Chemicals: Lead And Lead Compounds. 4 lbs released over 5 years.
TRI facility ID 28352BTLRMHWY74 (U.S. EPA Toxics Release Inventory)
Severity 3.6
Laurinburg Wtp, Laurinburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110006709963 (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 Scotland 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 Scotland 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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