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Warren County, North Carolina: environmental and disease records

Cancer mortality in Warren County is 155.2 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 87 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (27), Brownfield property (16), Gas station (mapped facility) (9). 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: 36.3703, -78.1031.

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 Warren County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Stomach	New cases	15.2	6.6	2.3xSignificant	8.7 to 25.1	2019-2023
Liver & bile duct	Deaths	9.5	6.6	1.44x	5.3 to 16.7	2020-2024
Pancreas	Deaths	14.9	11.3	1.32x	10 to 22.4	2020-2024
Lung & bronchus	Deaths	37.7	30.2	1.25x	29.2 to 48.8	2020-2024
Pancreas	New cases	16.4	13.9	1.18x	11.1 to 24.3	2019-2023
Lung & bronchus	New cases	59.8	51.8	1.15x	48.4 to 73.9	2019-2023
All cancer	Deaths	155.2	143.2	1.08x	137 to 175.9	2020-2024
All cancer	New cases	481.7	453.4	1.06x	444.9 to 521.2	2019-2023
Bladder	New cases	17.6	18.7	0.94x	11.4 to 26.8	2019-2023
Melanoma of the skin	New cases	21.2	23.8	0.89x	13.3 to 32.3	2019-2023
Leukemia	New cases	12.5	14.5	0.86x	7.4 to 20.6	2019-2023
Kidney & renal pelvis	New cases	14.4	17.9	0.8x	8.3 to 23.9	2019-2023
Non-Hodgkin lymphoma	New cases	14.4	18.5	0.78x	8.6 to 23.3	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 Warren County
Measure	County	U.S. median	Difference	Unit
Premature death	14,445	9,842.6	+47%	years of life lost before age 75 per 100,000
Life expectancy	73	75.3	-3%	years
Child mortality	107.2	59.8	+79%	deaths under age 18 per 100,000
Infant mortality	n/a	6.2	n/a	deaths under age 1 per 1,000 live births
Injury deaths	124.3	96.9	+28%	deaths per 100,000
Drug overdose deaths	35.1	28.6	+23%	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.

Formaldehyde18.77 per million
Carbon Tetrachloride2.95 per million
Acetaldehyde1.93 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

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

NPDES wastewater discharge permit27
Brownfield property16
Gas station (mapped facility)9
Solar power plant8
Rail grade crossing8
Auto repair or body shop (mapped facility)6
Wastewater plant (mapped facility)5
Air permit holder (minor source)3
Public airport2
Scrapyard (mapped facility)2
Heliport1

Highest-severity records

The 25 records with the highest Envyrofax severity in the county, with the agency identifier to cite in a records request.

Warrenton Wwtp, Warrenton
NPDES wastewater discharge permit.
EPA FRS registry ID 110006367298 (U.S. EPA ECHO) Agency record
Severity 4.3
Peck Manufacturing Company, Warrenton
Brownfield property.
EPA FRS registry ID 110001488925 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Warren County Jail Site, Warrenton
Brownfield property.
EPA FRS registry ID 110071975529 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
102-104 N. Main St. Site, Warrenton
Brownfield property.
EPA FRS registry ID 110071975530 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
211 W. Franklin St. Site, Warrenton
Brownfield property.
EPA FRS registry ID 110071975531 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
All Saints Site, Warrenton
Brownfield property.
EPA FRS registry ID 110071977620 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Mckissick Center, Norlina
Brownfield property.
EPA FRS registry ID 110071978549 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Former Healthco, Norlina
Brownfield property.
EPA FRS registry ID 110071981669 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
1049 Rooker Dairy Road, Norlina
Brownfield property.
EPA FRS registry ID 110071982555 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Us-1 Manson Parcels, Norlina
Brownfield property.
EPA FRS registry ID 110071982638 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Katzenstein Property, Warrenton
Brownfield property.
EPA FRS registry ID 110071982642 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Former Southern States Site, Warrenton
Brownfield property.
EPA FRS registry ID 110071986434 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Lions Club/ Fairgrounds, Warrenton
Brownfield property.
EPA FRS registry ID 110071986448 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Former Texaco Gas Station, Norlina
Brownfield property.
EPA FRS registry ID 110071986450 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Wisely Property, Norlina
Brownfield property.
EPA FRS registry ID 110071986452 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
1592-1594 Us Hwy 158, Macon
Brownfield property.
EPA FRS registry ID 110071986536 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Old Norlina School, Norlina
Brownfield property.
EPA FRS registry ID 110072195704 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Cast Stone Systems, Inc., Warrenton
NPDES wastewater discharge permit. Penalties $20,000.
EPA FRS registry ID 110071335971 (U.S. EPA ECHO) Agency record
Severity 2.5
Arcola Lumber Company, Warrenton
NPDES wastewater discharge permit.
EPA FRS registry ID 110027411003 (U.S. EPA ECHO) Agency record
Severity 2
Wastewater Plant
Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/40389708 (OpenStreetMap contributors) Agency record
Severity 2
Wastewater Plant
Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/40389725 (OpenStreetMap contributors) Agency record
Severity 2
Wastewater Plant
Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/40391974 (OpenStreetMap contributors) Agency record
Severity 2
Wastewater Plant
Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/408474597 (OpenStreetMap contributors) Agency record
Severity 2
Wastewater Plant
Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/431969883 (OpenStreetMap contributors) Agency record
Severity 2
Glen Raven Custom Fabrics - Norlina Plant, Norlina
NPDES wastewater discharge permit.
EPA FRS registry ID 110007122764 (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 Warren 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 Warren 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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