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Marshall County, Oklahoma: environmental and disease records

Cancer mortality in Marshall County is 198.1 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Liver & bile duct deaths at 2.5 times the U.S. rate and Lung & bronchus deaths at 1.8 times the U.S. rate. Federal databases place 191 regulated facilities, sites and hazards inside the county, led by Air permit holder (minor source) (123), Rail grade crossing (24), Gas station (mapped facility) (11). 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: 33.9982, -96.776.

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 Marshall County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Liver & bile duct	Deaths	16.2	6.6	2.45xSignificant	9.9 to 25.9	2020-2024
Lung & bronchus	Deaths	53.1	30.2	1.76xSignificant	41.4 to 67.8	2020-2024
Liver & bile duct	New cases	15	8.7	1.72xSignificant	8.9 to 24.5	2019-2023
Leukemia	New cases	25	14.5	1.72xSignificant	15.8 to 37.9	2019-2023
Kidney & renal pelvis	New cases	30.1	17.9	1.68xSignificant	20.1 to 43.9	2019-2023
Lung & bronchus	New cases	80.7	51.8	1.56xSignificant	65.8 to 98.6	2019-2023
All cancer	Deaths	198.1	143.2	1.38xSignificant	173.7 to 225.5	2020-2024
Pancreas	New cases	18.1	13.9	1.3x	10.4 to 29.6	2019-2023
Pancreas	Deaths	13.8	11.3	1.22x	8.1 to 22.9	2020-2024
Non-Hodgkin lymphoma	New cases	20.4	18.5	1.1x	12.2 to 32.4	2019-2023
All cancer	New cases	471.9	453.4	1.04x	431.1 to 515.9	2019-2023
Bladder	New cases	17.2	18.7	0.92x	10.9 to 26.7	2019-2023
Melanoma of the skin	New cases	19.6	23.8	0.82x	12.7 to 29.7	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 Marshall County
Measure	County	U.S. median	Difference	Unit
Premature death	11,481.6	9,842.6	+17%	years of life lost before age 75 per 100,000
Life expectancy	73.3	75.3	-3%	years
Child mortality	72.8	59.8	+22%	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	122.7	96.9	+27%	deaths per 100,000
Drug overdose deaths	26.8	28.6	-6%	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.

Formaldehyde22.22 per million
Carbon Tetrachloride2.88 per million
Acetaldehyde1.73 per million
Benzene0.82 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

Air permit holder (minor source)123
Rail grade crossing24
Gas station (mapped facility)11
NPDES wastewater discharge permit9
Toxic chemical release facility (TRI)5
Major air pollution source4
Large hazardous waste generator4
TRI reporting facility4
Public airport3
Auto repair or body shop (mapped facility)2
Brownfield property1
Large greenhouse gas emitter1

Highest-severity records

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

Mid American Steel & Wire Co Llc, Madill
Toxic chemical release facility (TRI). Chemicals: Zinc compounds, Manganese And Manganese Compounds, Lead And Lead Compounds, Chromium compounds (except for chromite ore mined in the Transvaal Region) and 3 more. Reports carcinogens. 58,718 lbs released over 5 years.
TRI facility ID 73446MDMRC1327S (U.S. EPA Toxics Release Inventory)
Severity 8.2
Oklahoma Steel & Wire Co Inc, Madill
Toxic chemical release facility (TRI). Chemicals: Zinc compounds, Lead And Lead Compounds, Nickel, Ammonia and 2 more. Reports carcinogens. 11,062 lbs released over 5 years.
TRI facility ID 73446KLHMSPOBOX (U.S. EPA Toxics Release Inventory)
Severity 7.6
Cm Truck Beds - Madill, Madill
Toxic chemical release facility (TRI). Chemicals: Manganese, Chromium, Nickel, Copper and 2 more. Reports carcinogens. 4,783 lbs released over 5 years.
TRI facility ID 73446CNTRC300IN (U.S. EPA Toxics Release Inventory)
Severity 7.3
Cm Truck Beds, Kingston
Toxic chemical release facility (TRI). Chemicals: Manganese, Chromium, Nickel, Copper and 1 more. Reports carcinogens. 1,483 lbs released over 5 years.
TRI facility ID 7343WBGTXT13TIT (U.S. EPA Toxics Release Inventory)
Severity 6.9
Mid American Steel And Wire Co - Mill, Madill
TRI reporting facility.
EPA FRS registry ID 110022524062 (U.S. EPA ECHO) Agency record
Severity 6.1
Oklahoma Steel & Wire Co., Inc., Madill
TRI reporting facility.
EPA FRS registry ID 110000606755 (U.S. EPA ECHO) Agency record
Severity 5.6
Madill Trailer Mfg And Sales, Madill
Major air pollution source. Penalties $13,300.
EPA FRS registry ID 110007388004 (U.S. EPA ECHO) Agency record
Severity 5.5
Contract Manufacturer, Llc (Cm Trailers), Madill
TRI reporting facility.
EPA FRS registry ID 110000454204 (U.S. EPA ECHO) Agency record
Severity 5.4
Cm Truck Beds - Kingston Facility, Kingston
TRI reporting facility.
EPA FRS registry ID 110064387417 (U.S. EPA ECHO) Agency record
Severity 5.1
Madill Trailer Mfg And Sales, Madill
Large hazardous waste generator. Penalties $13,300.
EPA FRS registry ID 110007388004 (U.S. EPA ECHO) Agency record
Severity 5
Rustin Madill Rmc Plant, Madill
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 3 lbs released over 5 years.
TRI facility ID 7344WMDLLR1216H (U.S. EPA Toxics Release Inventory)
Severity 5
Madill Pwa, Madill
NPDES wastewater discharge permit. Penalties $21,250.
EPA FRS registry ID 110011007908 (U.S. EPA ECHO) Agency record
Severity 4.8
Esro Food Group, Madill
NPDES wastewater discharge permit. Penalties $18,574.
EPA FRS registry ID 110071206262 (U.S. EPA ECHO) Agency record
Severity 4.8
Madill Gas Processing Llc/North Madill Sta, Madill
Major air pollution source.
EPA FRS registry ID 110007006729 (U.S. EPA ECHO) Agency record
Severity 3.8
Mid American Steel And Wire Co - Mill, Madill
Major air pollution source.
EPA FRS registry ID 110022524062 (U.S. EPA ECHO) Agency record
Severity 3.8
Madill Gas Processing Llc/Madill Plt, Madill
Major air pollution source.
EPA FRS registry ID 110007338522 (U.S. EPA ECHO) Agency record
Severity 3.5
Mid American Steel And Wire Co - Mill, Madill
Large hazardous waste generator.
EPA FRS registry ID 110022524062 (U.S. EPA ECHO) Agency record
Severity 3.3
Madill Armory, Madill
Brownfield property.
EPA FRS registry ID 110071969034 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Contract Manufacturer, Llc (Cm Trailers), Madill
Large hazardous waste generator.
EPA FRS registry ID 110000454204 (U.S. EPA ECHO) Agency record
Severity 3
Oklahoma Steel & Wire Co., Inc., Madill
Large hazardous waste generator.
EPA FRS registry ID 110000606755 (U.S. EPA ECHO) Agency record
Severity 3
Mid American Steel And Wire Co - Mill, Madill
Large greenhouse gas emitter.
EPA FRS registry ID 110022524062 (U.S. EPA ECHO) Agency record
Severity 2.8
Oakland Pwa, Oakland
NPDES wastewater discharge permit.
EPA FRS registry ID 110011007980 (U.S. EPA ECHO) Agency record
Severity 2.5
Madill Gas Processi/Aylesworth Sta, Mead
Air permit holder (minor source). Penalties $2,100.
EPA FRS registry ID 110007338559 (U.S. EPA ECHO) Agency record
Severity 2.3
Thomas Park Llc, Kingston
NPDES wastewater discharge permit.
EPA FRS registry ID 110011006749 (U.S. EPA ECHO) Agency record
Severity 2.3
Marshall Wwt, Marshall
NPDES wastewater discharge permit.
EPA FRS registry ID 110022634130 (U.S. EPA ECHO) Agency record
Severity 2

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 Marshall 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 Marshall 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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