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Adams County, North Dakota: environmental and disease records

Cancer mortality in Adams County is 166.8 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 63 regulated facilities, sites and hazards inside the county, led by Rail grade crossing (47), NPDES wastewater discharge permit (10), Auto repair or body shop (mapped facility) (2). EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 10 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: 46.1119, -102.4968.

How this county ranks in North Dakota

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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 Adams County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
All cancer	Deaths	166.8	143.2	1.16x	112.8 to 245	2020-2024
All cancer	New cases	351.2	453.4	0.77x	269.1 to 456.7	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 Adams County
Measure	County	U.S. median	Difference	Unit
Premature death	11,263.1	9,842.6	+14%	years of life lost before age 75 per 100,000
Life expectancy	77.1	75.3	+2%	years
Child mortality	n/a	59.8	n/a	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	154.8	96.9	+60%	deaths per 100,000
Drug overdose deaths	n/a	28.6	n/a	deaths per 100,000

Air toxics and air quality

EPA AirToxScreen 2020

Lifetime cancer risk from outdoor air toxics: 10 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

Formaldehyde8.99 per million
Carbon Tetrachloride2.8 per million
Acetaldehyde0.61 per million
Benzene0.48 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

Rail grade crossing47
NPDES wastewater discharge permit10
Auto repair or body shop (mapped facility)2
Air permit holder (minor source)1
Public airport1
Commercial airport1
Wind 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.

Stippich Inc, Hettinger
NPDES wastewater discharge permit.
EPA FRS registry ID 110056175623 (U.S. EPA ECHO) Agency record
Severity 4.3
Hettinger/Jb Lindquist Rgnl, Hettinger
Commercial airport. O.
Record ID HEI (FAA / U.S. DOT)
Severity 2
Reeder City Of, Reeder
NPDES wastewater discharge permit.
EPA FRS registry ID 110011042638 (U.S. EPA ECHO) Agency record
Severity 1.5
Hettinger City Of, Hettinger
NPDES wastewater discharge permit.
EPA FRS registry ID 110011042763 (U.S. EPA ECHO) Agency record
Severity 1.5
Adams County Shop, Hettinger
NPDES wastewater discharge permit.
EPA FRS registry ID 110061961266 (U.S. EPA ECHO) Agency record
Severity 1.5
Arnt Construction Co - Kmm/Arnt Mountrail Co Site, Ross
NPDES wastewater discharge permit.
EPA FRS registry ID 110062900008 (U.S. EPA ECHO) Agency record
Severity 1.5
Walsh County Highway Dept-Adams Shop 5, Adams
NPDES wastewater discharge permit.
EPA FRS registry ID 110070528079 (U.S. EPA ECHO) Agency record
Severity 1.5
Adams County - Stormwater Construction, North Lemmon
NPDES wastewater discharge permit.
EPA FRS registry ID 110072103609 (U.S. EPA ECHO) Agency record
Severity 1.5
Adams County - Stormwater Construction, Hettinger
NPDES wastewater discharge permit.
EPA FRS registry ID 110072104879 (U.S. EPA ECHO) Agency record
Severity 1.5
Adams Co Brj 0001(054) Pcn 23700, Hettinger
NPDES wastewater discharge permit.
EPA FRS registry ID 110072150400 (U.S. EPA ECHO) Agency record
Severity 1.5
Adams Co. Graveling, Hettinger
NPDES wastewater discharge permit.
EPA FRS registry ID xb904a7e523e1cea498ca0a77c6e9f1c9 (U.S. EPA ECHO) Agency record
Severity 1.5
Fas Route 0139, Haynes
Rail grade crossing.
Record ID 085943U (Federal Railroad Administration)
Severity 1.3
Private, Hettinger
Rail grade crossing.
Record ID 086197S (Federal Railroad Administration)
Severity 1.3
Haynes Rd, Haynes
Rail grade crossing.
Record ID 086198Y (Federal Railroad Administration)
Severity 1.3
Pedestrian, Hettinger
Rail grade crossing.
Record ID 098724T (Federal Railroad Administration)
Severity 1.3
8th St Se, Hettinger
Rail grade crossing.
Record ID 098725A (Federal Railroad Administration)
Severity 1.3
Private, Haynes
Rail grade crossing.
Record ID 098726G (Federal Railroad Administration)
Severity 1.3
31st St Se, Haynes
Rail grade crossing.
Record ID 393965T (Federal Railroad Administration)
Severity 1.3
30th St Se, Haynes
Rail grade crossing.
Record ID 393966A (Federal Railroad Administration)
Severity 1.3
29th St Se, Haynes
Rail grade crossing.
Record ID 393967G (Federal Railroad Administration)
Severity 1.3
28th St Se, Haynes
Rail grade crossing.
Record ID 393968N (Federal Railroad Administration)
Severity 1.3
Black Blue Rd, Haynes
Rail grade crossing.
Record ID 393969V (Federal Railroad Administration)
Severity 1.3
2nd Ave West, Haynes
Rail grade crossing.
Record ID 393972D (Federal Railroad Administration)
Severity 1.3
Private, Haynes
Rail grade crossing.
Record ID 393974S (Federal Railroad Administration)
Severity 1.3
Private, Haynes
Rail grade crossing.
Record ID 393975Y (Federal Railroad Administration)
Severity 1.3

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 Adams County

North Dakota 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 Adams County, and their findings.
North Dakota 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 Dakota health department, environmental epidemiology
Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.
North Dakota 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 Dakota 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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