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Dickson County, Tennessee: environmental and disease records

Cancer mortality in Dickson County is 193.5 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Esophagus deaths at 2 times the U.S. rate and Lung & bronchus deaths at 1.7 times the U.S. rate. Federal databases place 288 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (134), Rail grade crossing (61), Air permit holder (minor source) (27). 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: 36.1461, -87.3611.

How this county ranks in Tennessee

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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 Dickson County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Esophagus	Deaths	7.3	3.7	1.97xSignificant	4.8 to 10.7	2020-2024
Lung & bronchus	Deaths	52.7	30.2	1.75xSignificant	45.3 to 61.1	2020-2024
Kidney & renal pelvis	New cases	28.5	17.9	1.59xSignificant	22.8 to 35.1	2019-2023
Lung & bronchus	New cases	80.8	51.8	1.56xSignificant	71.6 to 90.9	2019-2023
Kidney & renal pelvis	Deaths	5.2	3.4	1.53x	2.9 to 8.4	2020-2024
Bladder	Deaths	6	4.1	1.46x	3.5 to 9.6	2020-2024
Esophagus	New cases	6.6	4.6	1.43x	4.3 to 9.9	2019-2023
All cancer	Deaths	193.5	143.2	1.35xSignificant	178.7 to 209.2	2020-2024
Leukemia	New cases	19.2	14.5	1.32x	14.5 to 24.9	2019-2023
Stomach	New cases	8.4	6.6	1.27x	5.5 to 12.2	2019-2023
Leukemia	Deaths	7.1	5.7	1.25x	4.3 to 10.9	2020-2024
All cancer	New cases	534.4	453.4	1.18xSignificant	509.5 to 560.2	2019-2023
Pancreas	Deaths	13.1	11.3	1.16x	9.5 to 17.7	2020-2024
Liver & bile duct	Deaths	7.2	6.6	1.09x	4.6 to 10.8	2020-2024
Bladder	New cases	20	18.7	1.07x	15.5 to 25.5	2019-2023
Pancreas	New cases	14.4	13.9	1.04x	10.6 to 19.2	2019-2023
Brain & nervous system	New cases	6.3	6.2	1.02x	3.8 to 9.9	2019-2023
Melanoma of the skin	New cases	23.3	23.8	0.98x	18.2 to 29.4	2019-2023
Liver & bile duct	New cases	8.4	8.7	0.97x	5.7 to 12.1	2019-2023
Non-Hodgkin lymphoma	New cases	15.9	18.5	0.86x	11.7 to 21	2019-2023
Thyroid	New cases	10.7	13	0.82x	7.2 to 15.3	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 Dickson County
Measure	County	U.S. median	Difference	Unit
Premature death	11,706.3	9,842.6	+19%	years of life lost before age 75 per 100,000
Life expectancy	73.1	75.3	-3%	years
Child mortality	53.8	59.8	-10%	deaths under age 18 per 100,000
Infant mortality	5.9	6.2	-4%	deaths under age 1 per 1,000 live births
Injury deaths	126.8	96.9	+31%	deaths per 100,000
Drug overdose deaths	64.1	28.6	+124%	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.

Formaldehyde22.87 per million
Carbon Tetrachloride2.91 per million
Acetaldehyde2.36 per million
Naphthalene0.92 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit134
Rail grade crossing61
Air permit holder (minor source)27
Gas station (mapped facility)27
Toxic chemical release facility (TRI)10
TRI reporting facility8
Large hazardous waste generator4
Major air pollution source3
Small hazardous waste generator3
Public airport2
Auto repair or body shop (mapped facility)2
Large greenhouse gas emitter2
Heliport2
Wastewater plant (mapped facility)2
Scrapyard (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.

Nemak Usa Inc., Dickson
Toxic chemical release facility (TRI). Chemicals: Naphthalene, Phenol, Copper, Lead and 1 more. Reports carcinogens. 70,198 lbs released over 5 years.
TRI facility ID 37055TKSDL1635O (U.S. EPA Toxics Release Inventory)
Severity 8.2
Ebbtide Holdings Llc, White Bluff
Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 34,163 lbs released over 5 years.
TRI facility ID 37187BBTDCRT2BO (U.S. EPA Toxics Release Inventory)
Severity 8
Dal-Tile Tennessee Llc Dba Dal- Tile Tennessee Old Columbia, Dickson
Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 18,812 lbs released over 5 years.
TRI facility ID 37055MXWLLOLDCO (U.S. EPA Toxics Release Inventory)
Severity 7.8
Dal-Tile Dickson Building Products, Dickson
TRI reporting facility. Penalties $7,700.
EPA FRS registry ID 110000369985 (U.S. EPA ECHO) Agency record
Severity 7.6
Tennsco Plant 2/3, Dickson
TRI reporting facility. Penalties $1,500.
EPA FRS registry ID 110007907550 (U.S. EPA ECHO) Agency record
Severity 7
Zochem Llc, Dickson
Toxic chemical release facility (TRI). Chemicals: Zinc compounds, Lead compounds, Lead And Lead Compounds, Copper. 82,480 lbs released over 5 years.
TRI facility ID 37055WBSHLSOUTH (U.S. EPA Toxics Release Inventory)
Severity 6.8
Dal-Tile Dickson Corp, Dickson
TRI reporting facility. Penalties $1,500.
EPA FRS registry ID 110069457297 (U.S. EPA ECHO) Agency record
Severity 6.8
Archem America Inc., Dickson
Toxic chemical release facility (TRI). Chemicals: Toluene diisocyanate (mixed isomers), Diisocyanates, Diethanolamine. Reports carcinogens. 649 lbs released over 5 years.
TRI facility ID 37055BRDGS14REL (U.S. EPA Toxics Release Inventory)
Severity 6.7
Dal-Tile Dickson, Dickson
Toxic chemical release facility (TRI). Chemicals: Hydrochloric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Hydrogen fluoride, Zinc compounds. 36,476 lbs released over 5 years.
TRI facility ID 3705WDLTLD187WA (U.S. EPA Toxics Release Inventory)
Severity 6.5
Zochem Llc, Dickson
TRI reporting facility.
EPA FRS registry ID 110000370027 (U.S. EPA ECHO) Agency record
Severity 6
Nemak Usa, Inc., Dickson
TRI reporting facility.
EPA FRS registry ID 110009786124 (U.S. EPA ECHO) Agency record
Severity 5.9
Tennsco Plant 2/3, Dickson
Toxic chemical release facility (TRI). Chemicals: Certain glycol ethers. 5,015 lbs released over 5 years.
TRI facility ID 37055TNNSC1STAN (U.S. EPA Toxics Release Inventory)
Severity 5.8
Dickson Stp, Dickson
NPDES wastewater discharge permit.
EPA FRS registry ID 110006518385 (U.S. EPA ECHO) Agency record
Severity 5.8
Masonite Corp, Dickson
Toxic chemical release facility (TRI). Chemicals: Formic acid, Diisocyanates. 1,336 lbs released over 5 years.
TRI facility ID 37055CCNTRONECE (U.S. EPA Toxics Release Inventory)
Severity 5.4
Bridgestone Apm, Dickson
TRI reporting facility.
EPA FRS registry ID 110016711272 (U.S. EPA ECHO) Agency record
Severity 5.3
Premdor Entry Systems, Dickson
TRI reporting facility.
EPA FRS registry ID 110000369967 (U.S. EPA ECHO) Agency record
Severity 5.2
Dal-Tile Dickson Building Products, Dickson
Large hazardous waste generator. Penalties $7,700.
EPA FRS registry ID 110000369985 (U.S. EPA ECHO) Agency record
Severity 5
Dal-Tile Dickson Corp, Dickson
Major air pollution source. Penalties $1,500.
EPA FRS registry ID 110069457297 (U.S. EPA ECHO) Agency record
Severity 4.8
Sumiden Wire Products, Dickson
Toxic chemical release facility (TRI). Chemicals: Nickel compounds, Cobalt, Chromium, Nickel And Nickel Compounds and 2 more. Reports carcinogens.
TRI facility ID 37055SMDNW710MA (U.S. EPA Toxics Release Inventory)
Severity 4.5
Sumiden Wire Products Corp, Dickson
TRI reporting facility.
EPA FRS registry ID 110000369994 (U.S. EPA ECHO) Agency record
Severity 4.3
Dal-Tile Dickson Corp, Dickson
NPDES wastewater discharge permit. Penalties $1,500.
EPA FRS registry ID 110069457297 (U.S. EPA ECHO) Agency record
Severity 4.3
Shiloh Industries Inc, Dickson
Toxic chemical release facility (TRI). Chemicals: Manganese. 10 lbs released over 5 years.
TRI facility ID 37055SHLHNNESHI (U.S. EPA Toxics Release Inventory)
Severity 3.8
Bridgestone Apm, Dickson
Major air pollution source.
EPA FRS registry ID 110016711272 (U.S. EPA ECHO) Agency record
Severity 3.8
Dal-Tile Dickson Corp, Dickson
Large greenhouse gas emitter. Penalties $1,500.
EPA FRS registry ID 110069457297 (U.S. EPA ECHO) Agency record
Severity 3.8
Dal-Tile Dickson Building Products, Dickson
NPDES wastewater discharge permit. Penalties $7,700.
EPA FRS registry ID 110000369985 (U.S. EPA ECHO) Agency record
Severity 3.5

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 Dickson County

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