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Tillamook County, Oregon: environmental and disease records

Cancer mortality in Tillamook County is 161.7 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. Federal databases place 340 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (156), Rail grade crossing (113), Brownfield property (37). One correctional facility operates in the county. 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: 45.4018, -123.7145.

How this county ranks in Oregon

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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 Tillamook County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Esophagus	New cases	7.1	4.6	1.54x	4 to 12.2	2019-2023
Brain & nervous system	Deaths	6.6	4.4	1.5x	3.8 to 11.4	2020-2024
Liver & bile duct	New cases	11.9	8.7	1.37x	7.6 to 18.1	2019-2023
Bladder	New cases	25.5	18.7	1.36xSignificant	19.2 to 33.7	2019-2023
Melanoma of the skin	New cases	30	23.8	1.26x	22.6 to 39.4	2019-2023
Lung & bronchus	Deaths	35.6	30.2	1.18x	28.6 to 44.2	2020-2024
Pancreas	Deaths	13.3	11.3	1.18x	9.2 to 19.4	2020-2024
Liver & bile duct	Deaths	7.6	6.6	1.15x	4.4 to 12.8	2020-2024
All cancer	Deaths	161.7	143.2	1.13xSignificant	145.7 to 179.4	2020-2024
Lung & bronchus	New cases	50.4	51.8	0.97x	41.8 to 60.7	2019-2023
Kidney & renal pelvis	New cases	16.8	17.9	0.94x	10.8 to 25.1	2019-2023
All cancer	New cases	420.5	453.4	0.93x	392 to 450.8	2019-2023
Pancreas	New cases	11	13.9	0.79x	7.2 to 16.8	2019-2023
Non-Hodgkin lymphoma	New cases	14.6	18.5	0.79x	9.8 to 21.3	2019-2023
Thyroid	New cases	9.6	13	0.74x	5 to 16.6	2019-2023
Leukemia	New cases	7.7	14.5	0.53x	4.1 to 13.5	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 Tillamook County
Measure	County	U.S. median	Difference	Unit
Premature death	10,981.9	9,842.6	+12%	years of life lost before age 75 per 100,000
Life expectancy	75.2	75.3	-0%	years
Child mortality	58.6	59.8	-2%	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	107.6	96.9	+11%	deaths per 100,000
Drug overdose deaths	27.8	28.6	-3%	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.

Formaldehyde9.59 per million
Carbon Tetrachloride2.98 per million
Acetaldehyde1.4 per million
Naphthalene1.25 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit156
Rail grade crossing113
Brownfield property37
Gas station (mapped facility)12
Wastewater plant (mapped facility)4
Auto repair or body shop (mapped facility)3
TRI reporting facility3
Toxic chemical release facility (TRI)3
Air permit holder (minor source)2
Commercial airport2
Major air pollution source1
Public airport1
Correctional facility (prison or jail)1
Heliport1
Biomass power plant1

Highest-severity records

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

Tillamook County Creamery, Tillamook
TRI reporting facility.
EPA FRS registry ID 110006114276 (U.S. EPA ECHO) Agency record
Severity 7.9
Tillamook Stp, Tillamook
NPDES wastewater discharge permit.
EPA FRS registry ID 110039738692 (U.S. EPA ECHO) Agency record
Severity 6
Tillamook County Creamery, Tillamook
NPDES wastewater discharge permit.
EPA FRS registry ID 110006114276 (U.S. EPA ECHO) Agency record
Severity 5.8
Tillamook County Creamery Assoc, Tillamook
Toxic chemical release facility (TRI). Chemicals: Ammonia, Nitrate compounds (water dissociable; reportable only when in aqueous solution), Nitric acid, Chlorine and 1 more. 1,250 lbs released over 5 years.
TRI facility ID 97141TLLMK4175H (U.S. EPA Toxics Release Inventory)
Severity 5.4
Stimson Lumber Company Tillamook, Tillamook
TRI reporting facility.
EPA FRS registry ID 110020517573 (U.S. EPA ECHO) Agency record
Severity 4.6
Tillamook Industrial Park Stp, Tillamook
NPDES wastewater discharge permit.
EPA FRS registry ID 110054993708 (U.S. EPA ECHO) Agency record
Severity 4.5
Stimson Lumber Co - Tillamook, Tillamook
Toxic chemical release facility (TRI). Chemicals: Lead And Lead Compounds, Lead compounds. 74 lbs released over 5 years.
TRI facility ID 97141STMSN59MFF (U.S. EPA Toxics Release Inventory)
Severity 4.4
Chs Nutrition Tillamook, Tillamook
TRI reporting facility.
EPA FRS registry ID 110070070127 (U.S. EPA ECHO) Agency record
Severity 4
Hampton Lumber Mills, Inc. Tillamook Lumber Co., Tillamook
Major air pollution source.
EPA FRS registry ID 110001656645 (U.S. EPA ECHO) Agency record
Severity 3.8
Tillamook County Creamery, Tillamook
Air permit holder (minor source).
EPA FRS registry ID 110006114276 (U.S. EPA ECHO) Agency record
Severity 3.8
Hebo Jwsa Wwtp, Hebo
NPDES wastewater discharge permit.
EPA FRS registry ID 110014172858 (U.S. EPA ECHO) Agency record
Severity 3.5
Hampton Lumber Mills, Inc. Tillamook Lumber Co., Tillamook
NPDES wastewater discharge permit.
EPA FRS registry ID 110001656645 (U.S. EPA ECHO) Agency record
Severity 3.3
Nehalem Bay Stp, Nehalem
NPDES wastewater discharge permit.
EPA FRS registry ID 110006696352 (U.S. EPA ECHO) Agency record
Severity 3.3
Tillamook Riverwalk Park, Tillamook
Brownfield property.
EPA FRS registry ID 110038755255 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Schmidt Property, Tillamook
Brownfield property.
EPA FRS registry ID 110044215550 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Tillamook Industrial Park Stp, Tillamook
Brownfield property.
EPA FRS registry ID 110054993708 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Modern Dry Cleaners (Former), Tillamook
Brownfield property.
EPA FRS registry ID 110071964448 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Former R&R Service Station, Cloverdale
Brownfield property.
EPA FRS registry ID 110071970455 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Sammy'S Place, Nehalem
Brownfield property.
EPA FRS registry ID 110071972269 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Aufdermaur Property, Tillamook
Brownfield property.
EPA FRS registry ID 110071973656 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Bay City Wood Products, Bay City
Brownfield property.
EPA FRS registry ID 110071973667 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Highway 101 Former Mill Site, Wheeler
Brownfield property.
EPA FRS registry ID 110071973668 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Botts Marsh, Wheeler
Brownfield property.
EPA FRS registry ID 110071974954 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Botts Marsh Upland, Wheeler
Brownfield property.
EPA FRS registry ID 110071974955 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
City Of Tillamook Tl900, Tillamook
Brownfield property.
EPA FRS registry ID 110071975950 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3

Correctional facilities

Prisons, jails and corrections operations with an EPA facility record, and the drinking water and wastewater compliance attached to them.

South Fork Forest Camp Correctional Facility, Tillamook
EPA FRS registry ID
110004822158
Wastewater permit
None on record
EPA detailed facility report

Discovery / public records

Records to request for Tillamook County

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