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Adair County, Oklahoma: environmental and disease records

Cancer mortality in Adair County is 219.9 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Lung & bronchus deaths at 2.2 times the U.S. rate and Liver & bile duct deaths at 2.1 times the U.S. rate. Federal databases place 113 regulated facilities, sites and hazards inside the county, led by Rail grade crossing (49), Air permit holder (minor source) (28), NPDES wastewater discharge permit (18). 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: 35.8891, -94.6614.

How this county ranks in Oklahoma

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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 Adair County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	66.1	30.2	2.19xSignificant	52.2 to 82.8	2020-2024
Liver & bile duct	Deaths	13.7	6.6	2.08xSignificant	8.1 to 22.3	2020-2024
All cancer	Deaths	219.9	143.2	1.54xSignificant	193.6 to 248.9	2020-2024
Pancreas	Deaths	16	11.3	1.42x	9.6 to 25.3	2020-2024
Kidney & renal pelvis	New cases	21.6	17.9	1.21x	13.6 to 32.6	2019-2023
Lung & bronchus	New cases	58.5	51.8	1.13x	45.5 to 74.2	2019-2023
Non-Hodgkin lymphoma	New cases	14.7	18.5	0.79x	8.4 to 24.1	2019-2023
All cancer	New cases	346.2	453.4	0.76x	312.3 to 382.9	2019-2023
Melanoma of the skin	New cases	17.1	23.8	0.72x	10.2 to 27	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 Adair County
Measure	County	U.S. median	Difference	Unit
Premature death	16,045.5	9,842.6	+63%	years of life lost before age 75 per 100,000
Life expectancy	69.3	75.3	-8%	years
Child mortality	77.8	59.8	+30%	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	121.6	96.9	+25%	deaths per 100,000
Drug overdose deaths	27.9	28.6	-2%	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.

Formaldehyde20.63 per million
Carbon Tetrachloride2.87 per million
Acetaldehyde1.88 per million
Pahpom0.8 per million

EPA Air Quality Index 2025

Monitored on 362 days: 202 good, 2 unhealthy for sensitive groups or worse. Median AQI 48, peak 184.

Regulated facilities, sites and hazards by type

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

Rail grade crossing49
Air permit holder (minor source)28
NPDES wastewater discharge permit18
Gas station (mapped facility)4
Brownfield property3
Toxic chemical release facility (TRI)3
EPA air quality monitor1
Public airport1
Large hazardous waste generator1
Small hazardous waste generator1
Heliport1
Landfill (mapped facility)1
TRI reporting facility1
Wastewater plant (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.

Sfc Global Supply Chain Inc. - Stilwell Ok, Stilwell
Toxic chemical release facility (TRI). Chemicals: Ammonia. 30,217 lbs released over 5 years.
TRI facility ID 74960STLWL5EAST (U.S. EPA Toxics Release Inventory)
Severity 6.4
STILWELL, Cherry Tree
EPA air quality monitor.
Record ID 400019009 (U.S. EPA AirData)
Severity 6.4
Abb Motors & Mechanical Inc., Westville
Toxic chemical release facility (TRI). Chemicals: Copper, Chromium, Nickel, Manganese and 1 more. Reports carcinogens. 65 lbs released over 5 years.
TRI facility ID 74965BLRLCBALLM (U.S. EPA Toxics Release Inventory)
Severity 5.9
Stilwell Area Development Auth, Stilwell
NPDES wastewater discharge permit. Penalties $63,750.
EPA FRS registry ID 110011008408 (U.S. EPA ECHO) Agency record
Severity 5
Abb Motors And Mechanical, Inc, Westville
TRI reporting facility.
EPA FRS registry ID 110007730660 (U.S. EPA ECHO) Agency record
Severity 5
Sfc Schwan'S Global Supply Chain, Inc, Stilwell
NPDES wastewater discharge permit. Penalties $10,500.
EPA FRS registry ID 110000557451 (U.S. EPA ECHO) Agency record
Severity 4.3
Sfc Schwan'S Global Supply Chain, Inc, Stilwell
Air permit holder (minor source). Penalties $10,500.
EPA FRS registry ID 110000557451 (U.S. EPA ECHO) Agency record
Severity 3.8
Abb Motors And Mechanical, Inc, Westville
Large hazardous waste generator.
EPA FRS registry ID 110007730660 (U.S. EPA ECHO) Agency record
Severity 3.5
Stilwell Armory, Stilwell
Brownfield property.
EPA FRS registry ID 110071964116 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
55 Performance Factory, Stilwell
Brownfield property.
EPA FRS registry ID 110071984494 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Means Tract, Stilwell
Brownfield property.
EPA FRS registry ID 110072219139 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Tyson Chicken Inc. - Westville Feedmill, Westville
Toxic chemical release facility (TRI). Chemicals: Copper compounds, Manganese compounds, Zinc compounds.
TRI facility ID 74965HDSNFRT1BO (U.S. EPA Toxics Release Inventory)
Severity 3
Westville Utility Auth, Westville
NPDES wastewater discharge permit.
EPA FRS registry ID 110011008578 (U.S. EPA ECHO) Agency record
Severity 2
Stilwell / Cherokee Nation, Stilwell
Public airport. O.
Record ID 1PP (FAA / U.S. DOT)
Severity 2
Cherokee Nation Sanitary Landfill
Landfill (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/1436929856 (OpenStreetMap contributors) Agency record
Severity 2
Wastewater Plant
Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/915732541 (OpenStreetMap contributors) Agency record
Severity 2
Facet Filtration, Stilwell
Small hazardous waste generator.
EPA FRS registry ID 110007721135 (U.S. EPA ECHO) Agency record
Severity 1.5
Abb Motors And Mechanical, Inc, Westville
Air permit holder (minor source).
EPA FRS registry ID 110007730660 (U.S. EPA ECHO) Agency record
Severity 1.5
Illinois Farms, Inc., Watts
NPDES wastewater discharge permit.
EPA FRS registry ID 110009153682 (U.S. EPA ECHO) Agency record
Severity 1.5
Wayne Hampton Farm #1, Watts
NPDES wastewater discharge permit.
EPA FRS registry ID 110010734376 (U.S. EPA ECHO) Agency record
Severity 1.5
L & J Poultry, Westville
NPDES wastewater discharge permit.
EPA FRS registry ID 110011013447 (U.S. EPA ECHO) Agency record
Severity 1.5
Glenn D. Yell, Stilwell
NPDES wastewater discharge permit.
EPA FRS registry ID 110011013544 (U.S. EPA ECHO) Agency record
Severity 1.5
Wayne Hampton Farm #2, Westville
NPDES wastewater discharge permit.
EPA FRS registry ID 110011013571 (U.S. EPA ECHO) Agency record
Severity 1.5
Fain'S Farms, Watts
NPDES wastewater discharge permit.
EPA FRS registry ID 110011013759 (U.S. EPA ECHO) Agency record
Severity 1.5
Kindles Kountry Lane, Inc., Westville
NPDES wastewater discharge permit.
EPA FRS registry ID 110011013811 (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 Adair County

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