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Stokes County, North Carolina: environmental and disease records

Cancer mortality in Stokes County is 169.7 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Bladder deaths at 1.6 times the U.S. rate and Lung & bronchus deaths at 1.5 times the U.S. rate. Federal databases place 141 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (62), Rail grade crossing (38), Gas station (mapped facility) (12). 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: 36.3916, -80.2401.

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 Stokes County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
BladderDeaths6.74.11.63xSignificant4.2 to 10.32020-2024
Lung & bronchusNew cases83.151.81.6xSignificant74.1 to 93.22019-2023
Brain & nervous systemNew cases9.36.21.5x5.7 to 14.32019-2023
Lung & bronchusDeaths44.230.21.46xSignificant37.8 to 51.82020-2024
Brain & nervous systemDeaths64.41.36x3.4 to 9.92020-2024
PancreasDeaths14.211.31.26x10.4 to 19.12020-2024
Kidney & renal pelvisNew cases22.317.91.25x17.2 to 28.72019-2023
Kidney & renal pelvisDeaths4.13.41.21x2.3 to 72020-2024
Melanoma of the skinNew cases28.423.81.19x22.6 to 35.32019-2023
All cancerDeaths169.7143.21.19xSignificant156.1 to 184.32020-2024
EsophagusNew cases5.34.61.15x3.1 to 8.72019-2023
BladderNew cases21.418.71.14x17 to 272019-2023
All cancerNew cases506.8453.41.12xSignificant482.2 to 532.62019-2023
Liver & bile ductDeaths7.16.61.08x4.6 to 10.82020-2024
Non-Hodgkin lymphomaNew cases19.618.51.06x15.1 to 25.32019-2023
Liver & bile ductNew cases98.71.03x6.1 to 132019-2023
PancreasNew cases14.213.91.02x10.3 to 19.22019-2023
LeukemiaNew cases14.614.51.01x10.7 to 19.72019-2023
ThyroidNew cases11.2130.86x7.2 to 16.72019-2023
LeukemiaDeaths4.85.70.84x2.8 to 8.12020-2024
StomachNew cases5.46.60.82x3.3 to 8.62019-2023

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 Stokes County
MeasureCountyU.S. medianDifferenceUnit
Premature death12,0679,842.6+23%years of life lost before age 75 per 100,000
Life expectancy73.775.3-2%years
Child mortality54.559.8-9%deaths under age 18 per 100,000
Infant mortalityn/a6.2n/adeaths under age 1 per 1,000 live births
Injury deaths13296.9+36%deaths per 100,000
Drug overdose deaths6228.6+117%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.

  • Formaldehyde20.26 per million
  • Carbon Tetrachloride2.89 per million
  • Acetaldehyde2.11 per million
  • Benzene1.04 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit62
  • Rail grade crossing38
  • Gas station (mapped facility)12
  • Auto repair or body shop (mapped facility)7
  • Air permit holder (minor source)6
  • Public airport4
  • Small hazardous waste generator3
  • Solar power plant2
  • TRI reporting facility2
  • Toxic chemical release facility (TRI)2
  • Major air pollution source1
  • Large greenhouse gas emitter1
  • Coal 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. Duke Energy Carolinas Llc - Belews Creek Steam Station, Walnut Cove

    Toxic chemical release facility (TRI). Chemicals: Sulfuric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Barium compounds (except for barium sulfate (CAS No. 7727-43-7)), n-Hexane, Vanadium compounds and 4 more. Reports carcinogens. 3,276,418 lbs released over 5 years.

    TRI facility ID 27052DKNRGPINEH (U.S. EPA Toxics Release Inventory)

    Severity 9.5

  2. Duke Energy Carolinas, Llc - Belews Creek Steam Station, Walnut Cove

    TRI reporting facility.

    EPA FRS registry ID 110000604141 (U.S. EPA ECHO) Agency record

    Severity 9.4

  3. Belews Creek, Belews Creek

    Coal power plant.

    Record ID 8042 (U.S. Energy Information Administration)

    Severity 8

  4. Wieland Copper Products Llc, Pine Hall

    Toxic chemical release facility (TRI). Chemicals: Copper, Chromium compounds (except for chromite ore mined in the Transvaal Region), Lead, Arsenic and 4 more. Reports carcinogens. 6,072 lbs released over 5 years.

    TRI facility ID 27042HLSTDHWY31 (U.S. EPA Toxics Release Inventory)

    Severity 7.4

  5. Duke Energy Carolinas, Llc - Belews Creek Steam Station, Walnut Cove

    Major air pollution source.

    EPA FRS registry ID 110000604141 (U.S. EPA ECHO) Agency record

    Severity 6.3

  6. Duke Energy Carolinas, Llc - Belews Creek Steam Station, Walnut Cove

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110000604141 (U.S. EPA ECHO) Agency record

    Severity 5.8

  7. Wieland Copper Products Llc, Pine Hall

    TRI reporting facility.

    EPA FRS registry ID 110009844865 (U.S. EPA ECHO) Agency record

    Severity 5.4

  8. Duke Energy Carolinas, Llc - Belews Creek Steam Station, Walnut Cove

    Large greenhouse gas emitter.

    EPA FRS registry ID 110000604141 (U.S. EPA ECHO) Agency record

    Severity 5.3

  9. Hidden Lakes Village Mobile Home Park Wwtp, King

    NPDES wastewater discharge permit. Penalties $6,942.

    EPA FRS registry ID 110006804155 (U.S. EPA ECHO) Agency record

    Severity 5.3

  10. Wieland Copper Products, Llc, Pine Hall

    NPDES wastewater discharge permit. Penalties $17,998.

    EPA FRS registry ID 110072167254 (U.S. EPA ECHO) Agency record

    Severity 5

  11. Danbury Wwtp, Danbury

    NPDES wastewater discharge permit. Penalties $513.

    EPA FRS registry ID 110009842545 (U.S. EPA ECHO) Agency record

    Severity 4.8

  12. 1539 Nc Hwy 65 West, Walnut Cove

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009719019 (U.S. EPA ECHO) Agency record

    Severity 4.5

  13. Danbury, Town Of, Danbury

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009719885 (U.S. EPA ECHO) Agency record

    Severity 4.5

  14. Pine Hall Elementary School Wwtp, Pine Hall

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110018802410 (U.S. EPA ECHO) Agency record

    Severity 4.5

  15. Briarwood Subdivision Wwtp, King

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110064322567 (U.S. EPA ECHO) Agency record

    Severity 4.5

  16. Duke Energy Carolinas, Llc - Belews Creek Steam Station, Walnut Cove

    Small hazardous waste generator.

    EPA FRS registry ID 110000604141 (U.S. EPA ECHO) Agency record

    Severity 4.3

  17. Walnut Cove Wwtp, Walnut Cove

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009719625 (U.S. EPA ECHO) Agency record

    Severity 4

  18. Virginia Dot/I-77 Rest Area, Pine Hall

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009719778 (U.S. EPA ECHO) Agency record

    Severity 4

  19. North Stokes High School, Danbury

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009844375 (U.S. EPA ECHO) Agency record

    Severity 2

  20. Meadow Brook Fld, Walnut Cove

    Public airport. O.

    Record ID N63 (FAA / U.S. DOT)

    Severity 2

  21. South Stokes High School, Walnut Cove

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006709446 (U.S. EPA ECHO) Agency record

    Severity 1.8

  22. Jps Elastomerics Corporation, Westfield

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110000345234 (U.S. EPA ECHO) Agency record

    Severity 1.5

  23. Bill Hanks Lumber Co., Lawsonville

    Small hazardous waste generator.

    EPA FRS registry ID 110001491109 (U.S. EPA ECHO) Agency record

    Severity 1.5

  24. 2754 Lynchburg Road, Westfield

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006713262 (U.S. EPA ECHO) Agency record

    Severity 1.5

  25. 1795 Ymca Camp Road, King

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006713805 (U.S. EPA ECHO) Agency record

    Severity 1.5

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 Stokes 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 Stokes 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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