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Hettinger County, North Dakota: environmental and disease records

Cancer mortality in Hettinger County is 145.7 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 23 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (8), Brownfield property (7), Gas station (mapped facility) (5). 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: 46.416, -102.4868.

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 Hettinger County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
All cancer	New cases	515.5	453.4	1.14x	410.8 to 641.5	2019-2023
All cancer	Deaths	145.7	143.2	1.02x	95.3 to 217.5	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 Hettinger County
Measure	County	U.S. median	Difference	Unit
Premature death	6,977.3	9,842.6	-29%	years of life lost before age 75 per 100,000
Life expectancy	77.9	75.3	+4%	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	89.5	96.9	-8%	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.

Formaldehyde9.38 per million
Carbon Tetrachloride2.81 per million
Acetaldehyde0.64 per million
Benzene0.5 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit8
Brownfield property7
Gas station (mapped facility)5
Public airport1
Auto repair or body shop (mapped facility)1
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.

Regent City Of, Regent
NPDES wastewater discharge permit.
EPA FRS registry ID 110011042647 (U.S. EPA ECHO) Agency record
Severity 3.3
Schotzko, Mott
Brownfield property.
EPA FRS registry ID 110038741564 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Anna Schmidt, Mott
Brownfield property.
EPA FRS registry ID 110038741573 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Emmie Lutz Building, Mott
Brownfield property.
EPA FRS registry ID 110038741582 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Deadhorse Inn, Mott
Brownfield property.
EPA FRS registry ID 110038741591 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Press/Sauer Buildings, Mott
Brownfield property.
EPA FRS registry ID 110038741617 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Old Nursing Home, Mott
Brownfield property.
EPA FRS registry ID 110038755754 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Good Samaritan Home, Mott
Brownfield property.
EPA FRS registry ID 110071966385 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Mott Muni, Mott
Public airport. O.
Record ID 3P3 (FAA / U.S. DOT)
Severity 2
Mott City Of, Mott
NPDES wastewater discharge permit.
EPA FRS registry ID 110043673003 (U.S. EPA ECHO) Agency record
Severity 1.8
New England City Of, New England
NPDES wastewater discharge permit.
EPA FRS registry ID 110011044930 (U.S. EPA ECHO) Agency record
Severity 1.5
Hettinger County Court House, (Mott)
NPDES wastewater discharge permit.
EPA FRS registry ID 110020919434 (U.S. EPA ECHO) Agency record
Severity 1.5
Hettinger County Shop, Mott
NPDES wastewater discharge permit.
EPA FRS registry ID 110070528724 (U.S. EPA ECHO) Agency record
Severity 1.5
City Of New England, (Unknown City)
NPDES wastewater discharge permit.
EPA FRS registry ID 110070618147 (U.S. EPA ECHO) Agency record
Severity 1.5
Mott Equity Exchange - Stormwater Construction, Mott
NPDES wastewater discharge permit.
EPA FRS registry ID 110071950608 (U.S. EPA ECHO) Agency record
Severity 1.5
City Of Mott - Stormwater Construction, Mott
NPDES wastewater discharge permit.
EPA FRS registry ID 110072146118 (U.S. EPA ECHO) Agency record
Severity 1.5
Fitterer Oil, New England
Gas station (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID node/10984702841 (OpenStreetMap contributors) Agency record
Severity 1
The Hub, New England
Gas station (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID node/11002344347 (OpenStreetMap contributors) Agency record
Severity 1
Fitterer Oil, New England
Gas station (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID node/11020954842 (OpenStreetMap contributors) Agency record
Severity 1
Wolf Body & Glass
Auto repair or body shop (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID node/11161514975 (OpenStreetMap contributors) Agency record
Severity 1
Cenex
Gas station (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/710181886 (OpenStreetMap contributors) Agency record
Severity 1
Fiterrer Sales, Inc., Mott
Gas station (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/712651791 (OpenStreetMap contributors) Agency record
Severity 1
Brady Ii Wind Energy Center, Dickinson
Wind power plant.
Record ID 60354 (U.S. Energy Information Administration)
Severity 0.7

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 Hettinger 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 Hettinger 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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