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Fentress County, Tennessee: environmental and disease records

Cancer mortality in Fentress 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 Lung & bronchus deaths at 2 times the U.S. rate. Federal databases place 81 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (41), Scrapyard (mapped facility) (14), Gas station (mapped facility) (12). 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: 36.3577, -84.9267.

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 Fentress County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	59.8	30.2	1.98xSignificant	48.4 to 73.6	2020-2024
Lung & bronchus	New cases	82.1	51.8	1.58xSignificant	68.4 to 98.3	2019-2023
All cancer	Deaths	193.5	143.2	1.35xSignificant	171.2 to 218.4	2020-2024
Pancreas	Deaths	14.4	11.3	1.27x	8.6 to 23.1	2020-2024
Kidney & renal pelvis	New cases	19.6	17.9	1.09x	12.4 to 29.7	2019-2023
Bladder	New cases	20	18.7	1.07x	13.4 to 29.3	2019-2023
All cancer	New cases	466.1	453.4	1.03x	429.8 to 504.9	2019-2023
Non-Hodgkin lymphoma	New cases	18.7	18.5	1.01x	11.8 to 28.5	2019-2023
Melanoma of the skin	New cases	23.2	23.8	0.97x	15.4 to 34.1	2019-2023
Pancreas	New cases	9.1	13.9	0.65x	5.1 to 15.9	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 Fentress County
Measure	County	U.S. median	Difference	Unit
Premature death	15,613.7	9,842.6	+59%	years of life lost before age 75 per 100,000
Life expectancy	70.1	75.3	-7%	years
Child mortality	59.5	59.8	-1%	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	143	96.9	+47%	deaths per 100,000
Drug overdose deaths	49.1	28.6	+72%	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.

Formaldehyde18.43 per million
Carbon Tetrachloride2.84 per million
Acetaldehyde1.81 per million
Benzene0.68 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit41
Scrapyard (mapped facility)14
Gas station (mapped facility)12
Air permit holder (minor source)8
Auto repair or body shop (mapped facility)3
Public airport1
Brownfield property1
Crematorium (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.

Jamestown Stp, Jamestown
NPDES wastewater discharge permit.
EPA FRS registry ID 110006619971 (U.S. EPA ECHO) Agency record
Severity 4
Former Strip Mine, Jamestown
Brownfield property.
EPA FRS registry ID 110071969409 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Jamestown Wtp, Jamestown
NPDES wastewater discharge permit.
EPA FRS registry ID 110042397171 (U.S. EPA ECHO) Agency record
Severity 2.5
Faye Barna Property, Jamestown
NPDES wastewater discharge permit. Penalties $4,978.
EPA FRS registry ID 110072146455 (U.S. EPA ECHO) Agency record
Severity 2.5
Parker Charcoal, Llc, Jamestown
Air permit holder (minor source). Penalties $1,800.
EPA FRS registry ID 110001855804 (U.S. EPA ECHO) Agency record
Severity 2.3
Doubletop Quarry, Jamestown
NPDES wastewater discharge permit.
EPA FRS registry ID 110070265322 (U.S. EPA ECHO) Agency record
Severity 2
Jamestown Stone, Jamestown
NPDES wastewater discharge permit.
EPA FRS registry ID 110070688029 (U.S. EPA ECHO) Agency record
Severity 2
Jamestown Muni, Jamestown
Public airport. O.
Record ID 2A1 (FAA / U.S. DOT)
Severity 2
Acme Block And Brick, Inc., Jamestown
NPDES wastewater discharge permit.
EPA FRS registry ID 110001862431 (U.S. EPA ECHO) Agency record
Severity 1.8
Norris Towing And Auto Salvage, Clarkrange
NPDES wastewater discharge permit.
EPA FRS registry ID 110069994983 (U.S. EPA ECHO) Agency record
Severity 1.8
Pritchetts Llc, Clarkrange
NPDES wastewater discharge permit.
EPA FRS registry ID 110070025858 (U.S. EPA ECHO) Agency record
Severity 1.8
Lane Auto Salvage, Jamestown
NPDES wastewater discharge permit.
EPA FRS registry ID 110070105458 (U.S. EPA ECHO) Agency record
Severity 1.8
Beaty Lumber, Inc., Jamestown
NPDES wastewater discharge permit.
EPA FRS registry ID 110070310430 (U.S. EPA ECHO) Agency record
Severity 1.8
Jamestown Auto Salvage, Jamestown
NPDES wastewater discharge permit.
EPA FRS registry ID 110071375533 (U.S. EPA ECHO) Agency record
Severity 1.8
Fentress County Quarry, Pall Mall
NPDES wastewater discharge permit.
EPA FRS registry ID 110009787098 (U.S. EPA ECHO) Agency record
Severity 1.5
Grimsley Sand & Gravel, Grimsley
NPDES wastewater discharge permit.
EPA FRS registry ID 110010129798 (U.S. EPA ECHO) Agency record
Severity 1.5
Pickett State Park, Jamestown
NPDES wastewater discharge permit.
EPA FRS registry ID 110010947468 (U.S. EPA ECHO) Agency record
Severity 1.5
Imi -Tn, Inc., Jamestown
NPDES wastewater discharge permit.
EPA FRS registry ID 110015716171 (U.S. EPA ECHO) Agency record
Severity 1.5
Plateau Pallet, Llc, Clarkrange
NPDES wastewater discharge permit.
EPA FRS registry ID 110031467712 (U.S. EPA ECHO) Agency record
Severity 1.5
Gary'S Auto Salvage, Jamestown
NPDES wastewater discharge permit.
EPA FRS registry ID 110064638058 (U.S. EPA ECHO) Agency record
Severity 1.5
Jeff Clayborn Dba C&C Stone, Jamestown
NPDES wastewater discharge permit.
EPA FRS registry ID 110069994647 (U.S. EPA ECHO) Agency record
Severity 1.5
Linary Properties Llc, Byrdstown
NPDES wastewater discharge permit.
EPA FRS registry ID 110069995495 (U.S. EPA ECHO) Agency record
Severity 1.5
Southern Petroleum Inc. Dba Jamestown Oil, Jamestown
NPDES wastewater discharge permit.
EPA FRS registry ID 110069999700 (U.S. EPA ECHO) Agency record
Severity 1.5
South Fentress County Natural Gas Improvement Project, Wilder
NPDES wastewater discharge permit.
EPA FRS registry ID 110070133552 (U.S. EPA ECHO) Agency record
Severity 1.5
Jamestown Municipal Airport, Jamestown
NPDES wastewater discharge permit.
EPA FRS registry ID 110070793420 (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 Fentress 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 Fentress 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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