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Nance County, Nebraska: environmental and disease records

Cancer mortality in Nance County is 215.2 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. Federal databases place 89 regulated facilities, sites and hazards inside the county, led by Rail grade crossing (67), Air permit holder (minor source) (13), NPDES wastewater discharge permit (6). 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: 41.4021, -97.9976.

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 Nance County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
All cancerDeaths215.2143.21.5xSignificant157 to 289.72020-2024
Lung & bronchusNew cases7251.81.39x40.5 to 120.82019-2023
All cancerNew cases571.1453.41.26xSignificant468.3 to 690.82019-2023

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 Nance County
MeasureCountyU.S. medianDifferenceUnit
Premature death11,246.89,842.6+14%years of life lost before age 75 per 100,000
Life expectancy72.775.3-3%years
Child mortalityn/a59.8n/adeaths under age 18 per 100,000
Infant mortalityn/a6.2n/adeaths under age 1 per 1,000 live births
Injury deathsn/a96.9n/adeaths per 100,000
Drug overdose deathsn/a28.6n/adeaths 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.

  • Formaldehyde13.69 per million
  • Carbon Tetrachloride2.86 per million
  • Acetaldehyde1.08 per million
  • Benzene0.54 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

  • Rail grade crossing67
  • Air permit holder (minor source)13
  • NPDES wastewater discharge permit6
  • Public airport2
  • Small hazardous waste generator1

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. Genoa Wastewater Treatment, Genoa

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110008930915 (U.S. EPA ECHO) Agency record

    Severity 4

  2. Fullerton Wastewater Treatment, Fullerton

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009841369 (U.S. EPA ECHO) Agency record

    Severity 3.3

  3. Genoa Muni, Genoa

    Public airport. O.

    Record ID 97Y (FAA / U.S. DOT)

    Severity 2

  4. Preferred Sands Of Genoa Llc, Genoa

    Small hazardous waste generator.

    EPA FRS registry ID 110031166949 (U.S. EPA ECHO) Agency record

    Severity 1.8

  5. Preferred Sands Of Genoa Llc, Genoa

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110031166949 (U.S. EPA ECHO) Agency record

    Severity 1.8

  6. Malander Feedyards, Llc, Fullerton

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110045760949 (U.S. EPA ECHO) Agency record

    Severity 1.5

  7. J & T Valasek Farms Inc., Palmer

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110056978347 (U.S. EPA ECHO) Agency record

    Severity 1.5

  8. J & T Valasek Farms Inc., Palmer

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070203004 (U.S. EPA ECHO) Agency record

    Severity 1.5

  9. South Park Street, Genoa

    Rail grade crossing.

    Record ID 815800P (Federal Railroad Administration)

    Severity 1.3

  10. N-22, Genoa

    Rail grade crossing.

    Record ID 815801W (Federal Railroad Administration)

    Severity 1.3

  11. Private, Genoa

    Rail grade crossing.

    Record ID 815802D (Federal Railroad Administration)

    Severity 1.3

  12. Headwater Park, Genoa

    Rail grade crossing.

    Record ID 815803K (Federal Railroad Administration)

    Severity 1.3

  13. Private Drive Lppd, Genoa

    Rail grade crossing.

    Record ID 815804S (Federal Railroad Administration)

    Severity 1.3

  14. Private, Genoa

    Rail grade crossing.

    Record ID 815822P (Federal Railroad Administration)

    Severity 1.3

  15. Private, Genoa

    Rail grade crossing.

    Record ID 815823W (Federal Railroad Administration)

    Severity 1.3

  16. North 430th Street, St Edward

    Rail grade crossing.

    Record ID 815925P (Federal Railroad Administration)

    Severity 1.3

  17. Private, St Edward

    Rail grade crossing.

    Record ID 815926W (Federal Railroad Administration)

    Severity 1.3

  18. North 350th Avenue, St Edward

    Rail grade crossing.

    Record ID 815927D (Federal Railroad Administration)

    Severity 1.3

  19. Private, Genoa

    Rail grade crossing.

    Record ID 815928K (Federal Railroad Administration)

    Severity 1.3

  20. North 450th Street, Genoa

    Rail grade crossing.

    Record ID 815929S (Federal Railroad Administration)

    Severity 1.3

  21. Private, Genoa

    Rail grade crossing.

    Record ID 815931T (Federal Railroad Administration)

    Severity 1.3

  22. Private, Genoa

    Rail grade crossing.

    Record ID 815932A (Federal Railroad Administration)

    Severity 1.3

  23. North 470th Street, Genoa

    Rail grade crossing.

    Record ID 815933G (Federal Railroad Administration)

    Severity 1.3

  24. Private, Genoa

    Rail grade crossing.

    Record ID 815934N (Federal Railroad Administration)

    Severity 1.3

  25. North 480th Street, Genoa

    Rail grade crossing.

    Record ID 815935V (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 Nance 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 Nance 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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