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Hawkins County, Tennessee: environmental and disease records

Cancer mortality in Hawkins County is 194.2 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Melanoma of the skin deaths at 2.6 times the U.S. rate and Lung & bronchus deaths at 1.6 times the U.S. rate. Federal databases place 281 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (92), Rail grade crossing (84), 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: 36.4188, -82.9467.

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 Hawkins County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Melanoma of the skinDeaths5.222.6xSignificant2.9 to 8.52020-2024
Lung & bronchusDeaths49.630.21.64xSignificant43.4 to 56.62020-2024
Lung & bronchusNew cases80.951.81.56xSignificant72.8 to 89.82019-2023
Liver & bile ductDeaths106.61.52xSignificant7.4 to 13.52020-2024
BladderDeaths6.14.11.49x4 to 9.12020-2024
All cancerDeaths194.2143.21.36xSignificant181 to 208.22020-2024
Kidney & renal pelvisDeaths4.63.41.35x2.8 to 7.32020-2024
EsophagusDeaths53.71.35x3.1 to 7.72020-2024
Melanoma of the skinNew cases30.623.81.29xSignificant24.9 to 37.22019-2023
BladderNew cases23.118.71.24x18.7 to 28.42019-2023
Non-Hodgkin lymphomaDeaths5.84.81.21x3.7 to 8.82020-2024
Kidney & renal pelvisNew cases20.117.91.12x15.7 to 25.42019-2023
Non-Hodgkin lymphomaNew cases19.918.51.08x15.6 to 25.12019-2023
ThyroidNew cases13.9131.07x9.8 to 19.12019-2023
All cancerNew cases474.3453.41.05x452.8 to 496.82019-2023
LeukemiaDeaths5.95.71.04x3.7 to 9.12020-2024
Liver & bile ductNew cases8.98.71.02x6.3 to 12.42019-2023
LeukemiaNew cases14.214.50.98x10.5 to 18.92019-2023
Brain & nervous systemNew cases5.86.20.94x3.4 to 9.22019-2023
Brain & nervous systemDeaths4.14.40.93x2.4 to 6.82020-2024
EsophagusNew cases4.24.60.91x2.6 to 6.82019-2023
PancreasNew cases11.713.90.84x8.6 to 15.72019-2023
PancreasDeaths9.211.30.81x6.5 to 12.82020-2024
StomachNew cases5.16.60.77x3.1 to 7.92019-2023

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 Hawkins County
MeasureCountyU.S. medianDifferenceUnit
Premature death13,677.39,842.6+39%years of life lost before age 75 per 100,000
Life expectancy71.575.3-5%years
Child mortality57.659.8-4%deaths under age 18 per 100,000
Infant mortality86.2+28%deaths under age 1 per 1,000 live births
Injury deaths106.996.9+10%deaths per 100,000
Drug overdose deaths41.828.6+46%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.

  • Formaldehyde20.64 per million
  • Carbon Tetrachloride2.85 per million
  • Acetaldehyde2.23 per million
  • Benzene1 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit92
  • Rail grade crossing84
  • Air permit holder (minor source)27
  • Gas station (mapped facility)15
  • Toxic chemical release facility (TRI)12
  • TRI reporting facility11
  • Landfill (mapped facility)7
  • Major air pollution source6
  • Scrapyard (mapped facility)6
  • Large hazardous waste generator5
  • Large greenhouse gas emitter3
  • Small hazardous waste generator3
  • Public airport2
  • Brownfield property2
  • Wastewater plant (mapped facility)2
  • Commercial airport1
  • Auto repair or body shop (mapped facility)1
  • Heliport1
  • Gas 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.

  1. Us Army Holston Army Ammunition Plant, Kingsport

    TRI reporting facility. Penalties $20,900.

    EPA FRS registry ID 110000372285 (U.S. EPA ECHO) Agency record

    Severity 9.3

  2. John Sevier Combustion Turbine Combined Cycle Plant Tva, Rogersville

    TRI reporting facility.

    EPA FRS registry ID 110000607530 (U.S. EPA ECHO) Agency record

    Severity 8.7

  3. U.S. Tva John Sevier Combined Cycle Plant, Rogersville

    Toxic chemical release facility (TRI). Chemicals: Ammonia, Polycyclic aromatic compounds, Naphthalene. Reports carcinogens. 18,700 lbs released over 5 years.

    TRI facility ID 37857STVJHOLDHW (U.S. EPA Toxics Release Inventory)

    Severity 7.8

  4. Holliston Holdings, Llc, Church Hill

    TRI reporting facility. Penalties $1,500.

    EPA FRS registry ID 110064108647 (U.S. EPA ECHO) Agency record

    Severity 7.6

  5. Us Army Holston Army Ammunition Plant, Kingsport

    Toxic chemical release facility (TRI). Chemicals: Nitrate compounds (water dissociable; reportable only when in aqueous solution), Sulfuric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Toluene, Nitric acid and 1 more. 619,586 lbs released over 5 years.

    TRI facility ID 37660HLSTNWESTS (U.S. EPA Toxics Release Inventory)

    Severity 7.4

  6. Holliston Holdings Llc, Church Hill

    Toxic chemical release facility (TRI). Chemicals: Toluene. 457,081 lbs released over 5 years.

    TRI facility ID 37642HLLSTHWY11 (U.S. EPA Toxics Release Inventory)

    Severity 7.3

  7. Agc Industries - Greenland Plant, Church Hill

    TRI reporting facility. Penalties $3,000.

    EPA FRS registry ID 110000546080 (U.S. EPA ECHO) Agency record

    Severity 7

  8. Bae Systems Ordnance Systems Inc., Kingsport

    Major air pollution source. Penalties $53,496.

    EPA FRS registry ID 110070828339 (U.S. EPA ECHO) Agency record

    Severity 7

  9. Dodge Industrial, Rogersville

    Toxic chemical release facility (TRI). Chemicals: Methanol, Nickel, Chromium. Reports carcinogens. 1,275 lbs released over 5 years.

    TRI facility ID 37857RLNCLRELIA (U.S. EPA Toxics Release Inventory)

    Severity 6.9

  10. Bharat Forge Pmt Technologie Llc, Surgoinsville

    Toxic chemical release facility (TRI). Chemicals: Nickel, Chromium, Manganese, Lead. Reports carcinogens. 1,089 lbs released over 5 years.

    TRI facility ID 37873PDDNG2105S (U.S. EPA Toxics Release Inventory)

    Severity 6.8

  11. Bharat Forge Pmt Technologies, Surgoinsville

    TRI reporting facility. Penalties $39,445.

    EPA FRS registry ID 110000373248 (U.S. EPA ECHO) Agency record

    Severity 6.6

  12. Cardinal Glass Industries-Greenland Plant, Church Hill

    Toxic chemical release facility (TRI). Chemicals: Selenium, Cobalt, Arsenic compounds, Ammonia and 1 more. Reports carcinogens. 500 lbs released over 5 years.

    TRI facility ID 37642FGNDSAFGRD (U.S. EPA Toxics Release Inventory)

    Severity 6.6

  13. Us Army Holston Army Ammunition Plant, Kingsport

    Major air pollution source. Penalties $20,900.

    EPA FRS registry ID 110000372285 (U.S. EPA ECHO) Agency record

    Severity 6.5

  14. Agc Industries - Greenland Plant, Church Hill

    Major air pollution source. Penalties $3,000.

    EPA FRS registry ID 110000546080 (U.S. EPA ECHO) Agency record

    Severity 6.5

  15. John Sevier Combustion Turbine Combined Cycle Plant Tva, Rogersville

    Major air pollution source.

    EPA FRS registry ID 110000607530 (U.S. EPA ECHO) Agency record

    Severity 6.5

  16. Bae Systems Ordnance Systems Inc., Kingsport

    NPDES wastewater discharge permit. Penalties $53,496.

    EPA FRS registry ID 110070828339 (U.S. EPA ECHO) Agency record

    Severity 6.5

  17. Sam Dong Inc, Rogersville

    Toxic chemical release facility (TRI). Chemicals: Cresol (mixed isomers), Phenol, Xylene (mixed isomers), N-Methyl-2-pyrrolidone and 1 more. 14,331 lbs released over 5 years.

    TRI facility ID 37857SSRDC300IN (U.S. EPA Toxics Release Inventory)

    Severity 6.2

  18. Us Army Holston Army Ammunition Plant, Kingsport

    Large hazardous waste generator. Penalties $20,900.

    EPA FRS registry ID 110000372285 (U.S. EPA ECHO) Agency record

    Severity 6

  19. Us Army Holston Army Ammunition Plant, Kingsport

    NPDES wastewater discharge permit. Penalties $20,900.

    EPA FRS registry ID 110000372285 (U.S. EPA ECHO) Agency record

    Severity 6

  20. Agc Industries - Greenland Plant, Church Hill

    NPDES wastewater discharge permit. Penalties $3,000.

    EPA FRS registry ID 110000546080 (U.S. EPA ECHO) Agency record

    Severity 6

  21. John Sevier Combustion Turbine Combined Cycle Plant Tva, Rogersville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110000607530 (U.S. EPA ECHO) Agency record

    Severity 6

  22. Hutchinson Sealing Systems Inc, Church Hill

    Toxic chemical release facility (TRI). Chemicals: Zinc compounds. 5,463 lbs released over 5 years.

    TRI facility ID 37642KNGST11KIN (U.S. EPA Toxics Release Inventory)

    Severity 5.9

  23. Assured Castings Corp, Rogersville

    TRI reporting facility.

    EPA FRS registry ID 110000373140 (U.S. EPA ECHO) Agency record

    Severity 5.8

  24. Us Army Holston Army Ammunition Plant, Kingsport

    Large greenhouse gas emitter. Penalties $20,900.

    EPA FRS registry ID 110000372285 (U.S. EPA ECHO) Agency record

    Severity 5.5

  25. Agc Industries - Greenland Plant, Church Hill

    Large greenhouse gas emitter. Penalties $3,000.

    EPA FRS registry ID 110000546080 (U.S. EPA ECHO) Agency record

    Severity 5.5

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 Hawkins 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 Hawkins 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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