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Fillmore County, Nebraska: environmental and disease records

Cancer mortality in Fillmore County is 145.3 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 136 regulated facilities, sites and hazards inside the county, led by Rail grade crossing (57), Air permit holder (minor source) (46), NPDES wastewater discharge permit (16). EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 20 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: 40.539, -97.5965.

How this county ranks in Nebraska

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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 Fillmore County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	New cases	53.8	51.8	1.04x	35.2 to 81.4	2019-2023
All cancer	Deaths	145.3	143.2	1.01x	112.1 to 187.2	2020-2024
All cancer	New cases	404.7	453.4	0.89x	342.8 to 475.8	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 Fillmore County
Measure	County	U.S. median	Difference	Unit
Premature death	5,978.3	9,842.6	-39%	years of life lost before age 75 per 100,000
Life expectancy	79.1	75.3	+5%	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	94.2	96.9	-3%	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: 20 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

Formaldehyde14.38 per million
Carbon Tetrachloride2.86 per million
Acetaldehyde1.16 per million
Benzene0.72 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

Rail grade crossing57
Air permit holder (minor source)46
NPDES wastewater discharge permit16
Brownfield property4
Major air pollution source2
Large greenhouse gas emitter2
TRI reporting facility2
Toxic chemical release facility (TRI)2
Commercial airport1
Auto repair or body shop (mapped facility)1
Gas station (mapped facility)1
Wind power plant1
Scrapyard (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.

Flint Hills Fairmont, Fairmont
TRI reporting facility.
EPA FRS registry ID 110030917603 (U.S. EPA ECHO) Agency record
Severity 9.1
Poet Biorefining - Fairmont Llc, Fairmont
Toxic chemical release facility (TRI). Chemicals: Acetaldehyde, Formic acid, n-Hexane, Acrolein and 4 more. Reports carcinogens. 110,079 lbs released over 5 years.
TRI facility ID 68354BFRMN1214R (U.S. EPA Toxics Release Inventory)
Severity 8.4
Ne Nitro Geneva Llc, Geneva
Toxic chemical release facility (TRI). Chemicals: Ammonia. 76,346 lbs released over 5 years.
TRI facility ID 6836WFRTGNRSTXX (U.S. EPA Toxics Release Inventory)
Severity 6.7
Flint Hills Fairmont, Fairmont
Major air pollution source.
EPA FRS registry ID 110030917603 (U.S. EPA ECHO) Agency record
Severity 6.5
Flint Hills Fairmont, Fairmont
NPDES wastewater discharge permit.
EPA FRS registry ID 110030917603 (U.S. EPA ECHO) Agency record
Severity 6
Flint Hills Fairmont, Fairmont
Large greenhouse gas emitter.
EPA FRS registry ID 110030917603 (U.S. EPA ECHO) Agency record
Severity 5.5
Fortigen Geneva Llc, Geneva
TRI reporting facility.
EPA FRS registry ID 110070126748 (U.S. EPA ECHO) Agency record
Severity 5.4
Nu Star Energy Geneva Terminal, Geneva
Major air pollution source.
EPA FRS registry ID 110041206824 (U.S. EPA ECHO) Agency record
Severity 3.8
Bioiberica Nebraska Inc, Geneva
NPDES wastewater discharge permit.
EPA FRS registry ID 110001509494 (U.S. EPA ECHO) Agency record
Severity 3.3
Fairmont Wastewater Treatment Facility, Fairmont
NPDES wastewater discharge permit.
EPA FRS registry ID 110006674811 (U.S. EPA ECHO) Agency record
Severity 3.3
Industrial Site - East, Geneva
Brownfield property.
EPA FRS registry ID 110038750189 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Industrial Site - West, Geneva
Brownfield property.
EPA FRS registry ID 110038750198 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Fairmont State Airfield, Fairmont
Brownfield property.
EPA FRS registry ID 110038751160 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Former Implement Dealership, Exeter
Brownfield property.
EPA FRS registry ID 110038757217 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Bioiberica Nebraska Inc, Geneva
Air permit holder (minor source).
EPA FRS registry ID 110001509494 (U.S. EPA ECHO) Agency record
Severity 2.8
Shickley Wastewater Treatment, Shickley
NPDES wastewater discharge permit.
EPA FRS registry ID 110009002015 (U.S. EPA ECHO) Agency record
Severity 2.8
Fortigen Geneva Llc, Geneva
Large greenhouse gas emitter.
EPA FRS registry ID 110070126748 (U.S. EPA ECHO) Agency record
Severity 2.8
Ipsco Tubulars Inc., Geneva
NPDES wastewater discharge permit.
EPA FRS registry ID 110001518331 (U.S. EPA ECHO) Agency record
Severity 2.5
Grafton Wastewater Treatment Facility, Grafton
NPDES wastewater discharge permit.
EPA FRS registry ID 110009164457 (U.S. EPA ECHO) Agency record
Severity 2.3
Ipsco Tubulars Inc., Geneva
Air permit holder (minor source).
EPA FRS registry ID 110001518331 (U.S. EPA ECHO) Agency record
Severity 2
Fairmont State, Fairmont
Commercial airport. O.
Record ID FMZ (FAA / U.S. DOT)
Severity 2
Exeter Wwtf, Exeter
NPDES wastewater discharge permit.
EPA FRS registry ID 110006674802 (U.S. EPA ECHO) Agency record
Severity 1.8
Fortigen Geneva Llc, Geneva
NPDES wastewater discharge permit.
EPA FRS registry ID 110070126748 (U.S. EPA ECHO) Agency record
Severity 1.8
Metal-Tech Partners, Geneva
NPDES wastewater discharge permit.
EPA FRS registry ID 110002358911 (U.S. EPA ECHO) Agency record
Severity 1.5
Geneva Wastewater Treatment Facility, Geneva
NPDES wastewater discharge permit.
EPA FRS registry ID 110008949674 (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 Fillmore County

Nebraska 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 Fillmore County, and their findings.
Nebraska vital statistics office
Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.
Nebraska health department, environmental epidemiology
Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.
Nebraska 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.
Nebraska 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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