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Atoka County, Oklahoma: environmental and disease records

Cancer mortality in Atoka County is 188.6 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 times the U.S. rate. Federal databases place 116 regulated facilities, sites and hazards inside the county, led by Air permit holder (minor source) (56), Gas station (mapped facility) (19), Rail grade crossing (17). 3 correctional facilities operate in the county, at least one with health-based drinking water violations on record. 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: 34.4243, -95.9623.

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 Atoka County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	60.1	30.2	1.99xSignificant	45.9 to 77.7	2020-2024
Lung & bronchus	New cases	73.2	51.8	1.41xSignificant	57.1 to 92.9	2019-2023
Kidney & renal pelvis	New cases	24.2	17.9	1.35x	15.1 to 37.1	2019-2023
All cancer	Deaths	188.6	143.2	1.32xSignificant	162.2 to 218.5	2020-2024
Pancreas	New cases	15.5	13.9	1.12x	9 to 25.7	2019-2023
All cancer	New cases	458.5	453.4	1.01x	415.2 to 505.4	2019-2023
Bladder	New cases	18.5	18.7	0.99x	11.1 to 29.7	2019-2023
Non-Hodgkin lymphoma	New cases	16.9	18.5	0.91x	9.4 to 28.3	2019-2023
Melanoma of the skin	New cases	21.4	23.8	0.9x	12.6 to 34.2	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 Atoka County
Measure	County	U.S. median	Difference	Unit
Premature death	12,957.7	9,842.6	+32%	years of life lost before age 75 per 100,000
Life expectancy	72.9	75.3	-3%	years
Child mortality	80.7	59.8	+35%	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	97	96.9	+0%	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: 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.

Formaldehyde22.24 per million
Carbon Tetrachloride2.9 per million
Acetaldehyde1.98 per million
Pahpom0.85 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

Air permit holder (minor source)56
Gas station (mapped facility)19
Rail grade crossing17
NPDES wastewater discharge permit11
Correctional facility (prison or jail)3
Brownfield property2
Small hazardous waste generator2
Major air pollution source1
Public airport1
Commercial airport1
Auto repair or body shop (mapped facility)1
Large hazardous waste generator1
Heliport1

Highest-severity records

The 25 records with the highest Envyrofax severity in the county, with the agency identifier to cite in a records request.

Mack Alford Correctional Center-Mack Alford Corr. Center Wtp, Stringtown
Correctional facility (prison or jail).
EPA FRS registry ID 110010808395 (U.S. EPA ECHO + SDWIS) Agency record
Severity 6.3
Atoka, City Of, Atoka
NPDES wastewater discharge permit. Penalties $18,375.
EPA FRS registry ID 110011008738 (U.S. EPA ECHO) Agency record
Severity 5.5
Ok St Dept Of Corrections-Howa, Atoka
Correctional facility (prison or jail).
EPA FRS registry ID 110009154869 (U.S. EPA ECHO + SDWIS) Agency record
Severity 4.7
Ok St Dept Of Corrections-Howa, Atoka
NPDES wastewater discharge permit.
EPA FRS registry ID 110009154869 (U.S. EPA ECHO) Agency record
Severity 4
Natural Gas Pipelin/Compressor Sta 812, Stringtown
Major air pollution source.
EPA FRS registry ID 110007386391 (U.S. EPA ECHO) Agency record
Severity 3.5
Mack Alford Correctional Center-Mack Alford Corr. Center Wtp, Stringtown
NPDES wastewater discharge permit.
EPA FRS registry ID 110010808395 (U.S. EPA ECHO) Agency record
Severity 3.3
First Baptist Church Of Sulphur, Stringtown
Brownfield property.
EPA FRS registry ID 110038740798 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Atoka Armory/Readiness Center , Atoka
Brownfield property.
EPA FRS registry ID 110038755807 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Atoka Trailer & Mfg. Llc, Atoka
Large hazardous waste generator.
EPA FRS registry ID 110071679419 (U.S. EPA ECHO) Agency record
Severity 3
Atoka Co. Rw & Swmd #4, Atoka
NPDES wastewater discharge permit.
EPA FRS registry ID 110055639411 (U.S. EPA ECHO) Agency record
Severity 2.3
Atoka Muni, Atoka
Commercial airport. O.
Record ID AQR (FAA / U.S. DOT)
Severity 2
Amrize South Central Inc / Stringtown Facility, Stringtown
NPDES wastewater discharge permit.
EPA FRS registry ID 110007384954 (U.S. EPA ECHO) Agency record
Severity 1.8
Dolese Bros Co / Coleman Quarry, Coleman
NPDES wastewater discharge permit.
EPA FRS registry ID 110022402728 (U.S. EPA ECHO) Agency record
Severity 1.8
Howard Mcleod Correctional Center
Correctional facility (prison or jail).
EPA FRS registry ID 110012868940 (U.S. EPA ECHO + SDWIS) Agency record
Severity 1.5
Atoka Co. Rwd #2-Tushka, Atoka
NPDES wastewater discharge permit.
EPA FRS registry ID 110009154789 (U.S. EPA ECHO) Agency record
Severity 1.5
Stringtown Pwa, Stringtown
NPDES wastewater discharge permit.
EPA FRS registry ID 110044903174 (U.S. EPA ECHO) Agency record
Severity 1.5
Love'S Travel Stops And Country Stores, Inc-#268, Atoka
NPDES wastewater discharge permit.
EPA FRS registry ID 110070568846 (U.S. EPA ECHO) Agency record
Severity 1.5
Dolese Bros. Co.- Atoka, Atoka
NPDES wastewater discharge permit.
EPA FRS registry ID 110070685500 (U.S. EPA ECHO) Agency record
Severity 1.5
Estes Express Lines, Atoka
Small hazardous waste generator.
EPA FRS registry ID 110071261914 (U.S. EPA ECHO) Agency record
Severity 1.5
Oreilly Auto Parts #656, Atoka
Small hazardous waste generator.
EPA FRS registry ID 110071843339 (U.S. EPA ECHO) Agency record
Severity 1.5
Atoka Lb Lp Ph 1-3 (Wo# Pending), Atoka
NPDES wastewater discharge permit.
EPA FRS registry ID xe2d50d298d1fb031b98482d0a75f7c3a (U.S. EPA ECHO) Agency record
Severity 1.5
E North Hill Dr, Atoka
Rail grade crossing.
Record ID 413284Y (Federal Railroad Administration)
Severity 1.3
E Reynolds Rd, Stringtown
Rail grade crossing.
Record ID 413712T (Federal Railroad Administration)
Severity 1.3
Private, Stringtown
Rail grade crossing.
Record ID 413713A (Federal Railroad Administration)
Severity 1.3
Private, Stringtown
Rail grade crossing.
Record ID 413714G (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.

Mack Alford Correctional Center-Mack Alford Corr. Center Wtp, Stringtown
EPA FRS registry ID
110010808395
Water system
OK1010408
Health-based violations
48 all time, 6 in 5 years
All violations
61
Contaminants cited
CARBON, TOTAL, Coliform (TCR), Interim Enhanced Surface Water Treatment Rule, Surface Water Treatment Rule, TTHM, Total Haloacetic Acids (HAA5)
Wastewater permit
Yes, 2 quarters in noncompliance
EPA detailed facility report
Ok St Dept Of Corrections-Howa, Atoka
EPA FRS registry ID
110009154869
Wastewater permit
Yes, significant noncompliance, 10 quarters in noncompliance
EPA detailed facility report
Howard Mcleod Correctional Center
EPA FRS registry ID
110012868940
Water system
OK2000304
Health-based violations
1 all time, 1 in 5 years
All violations
26
Contaminants cited
LEAD AND COPPER RULE REVISIONS
Wastewater permit
None on record
EPA detailed facility report

Discovery / public records

Records to request for Atoka 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 Atoka 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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