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Jefferson County, Tennessee: environmental and disease records

Cancer mortality in Jefferson County is 170.1 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Brain & nervous system deaths at 1.7 times the U.S. rate and Lung & bronchus deaths at 1.6 times the U.S. rate. Federal databases place 262 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (144), Rail grade crossing (31), Gas station (mapped facility) (28). 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: 36.0437, -83.4657.

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 Jefferson County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Brain & nervous systemDeaths7.54.41.7xSignificant5 to 10.92020-2024
Lung & bronchusDeaths49.230.21.63xSignificant42.9 to 56.42020-2024
EsophagusDeaths63.71.62xSignificant3.8 to 9.12020-2024
Lung & bronchusNew cases82.451.81.59xSignificant74 to 91.72019-2023
BladderDeaths6.54.11.59xSignificant4.2 to 9.92020-2024
Liver & bile ductDeaths9.46.61.42x6.5 to 13.22020-2024
Brain & nervous systemNew cases8.26.21.32x5.4 to 122019-2023
Melanoma of the skinNew cases30.123.81.26xSignificant24.7 to 36.62019-2023
EsophagusNew cases5.74.61.24x3.6 to 8.82019-2023
LeukemiaDeaths6.85.71.19x4.4 to 10.12020-2024
All cancerDeaths170.1143.21.19xSignificant157.6 to 183.52020-2024
PancreasNew cases15.613.91.12x11.9 to 20.22019-2023
Liver & bile ductNew cases9.68.71.1x6.7 to 13.42019-2023
BladderNew cases20.618.71.1x16.4 to 25.72019-2023
Kidney & renal pelvisDeaths3.73.41.09x2.2 to 6.32020-2024
All cancerNew cases466.1453.41.03x444.4 to 488.72019-2023
PancreasDeaths1111.30.97x8.1 to 14.72020-2024
Kidney & renal pelvisNew cases16.917.90.94x13 to 21.92019-2023
Non-Hodgkin lymphomaDeaths4.54.80.94x2.7 to 7.22020-2024
StomachNew cases66.60.91x3.9 to 92019-2023
ThyroidNew cases11.8130.91x8.1 to 16.62019-2023
Non-Hodgkin lymphomaNew cases15.618.50.84x12 to 20.12019-2023
LeukemiaNew cases12.214.50.84x8.8 to 16.62019-2023

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 Jefferson County
MeasureCountyU.S. medianDifferenceUnit
Premature death12,482.39,842.6+27%years of life lost before age 75 per 100,000
Life expectancy72.975.3-3%years
Child mortality64.559.8+8%deaths under age 18 per 100,000
Infant mortality6.36.2+1%deaths under age 1 per 1,000 live births
Injury deaths103.996.9+7%deaths per 100,000
Drug overdose deaths48.928.6+71%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.

  • Formaldehyde23.22 per million
  • Carbon Tetrachloride2.87 per million
  • Acetaldehyde2.5 per million
  • Benzene1.14 per million

EPA Air Quality Index 2025

Monitored on 237 days: 215 good, 0 unhealthy for sensitive groups or worse. Median AQI 41, peak 93.

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit144
  • Rail grade crossing31
  • Gas station (mapped facility)28
  • Air permit holder (minor source)16
  • Scrapyard (mapped facility)13
  • Toxic chemical release facility (TRI)6
  • TRI reporting facility5
  • Small hazardous waste generator4
  • Auto repair or body shop (mapped facility)3
  • Major air pollution source2
  • Public airport2
  • Large hazardous waste generator2
  • Landfill (mapped facility)2
  • EPA air quality monitor1
  • Airfield1
  • Heliport1
  • Wastewater plant (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.

  1. Nystar - Young Mine & Mill, New Market

    Toxic chemical release facility (TRI). Chemicals: Zinc compounds, Copper compounds, Cadmium compounds, Cadmium And Cadmium Compounds and 4 more. Reports carcinogens. 11,216,920 lbs released over 5 years.

    TRI facility ID 37871SRCNC1977W (U.S. EPA Toxics Release Inventory)

    Severity 9.9

  2. Sonoco Metal Packaging Llc, Dandridge

    Toxic chemical release facility (TRI). Chemicals: n-Butyl alcohol, Certain glycol ethers, Naphthalene. Reports carcinogens. 148,332 lbs released over 5 years.

    TRI facility ID 37716HKNCN408EA (U.S. EPA Toxics Release Inventory)

    Severity 8.5

  3. Nyrstar Coy-Mine, Jefferson City

    Toxic chemical release facility (TRI). Chemicals: Zinc compounds, Lead compounds, Lead And Lead Compounds, Mercury compounds and 1 more. 6,532,625 lbs released over 5 years.

    TRI facility ID 37760SRCNC420WB (U.S. EPA Toxics Release Inventory)

    Severity 8.2

  4. Nyrstar - Coy Mine, Jefferson City

    TRI reporting facility.

    EPA FRS registry ID 110000372604 (U.S. EPA ECHO) Agency record

    Severity 7.6

  5. Oshkosh Manufacturing Llc, Jefferson City

    Toxic chemical release facility (TRI). Chemicals: Manganese, Ethylene glycol, Nickel, Chromium. Reports carcinogens. 1,285 lbs released over 5 years.

    TRI facility ID 3776WSHKSH14FLA (U.S. EPA Toxics Release Inventory)

    Severity 6.9

  6. Ball Metal Food Container Corp, Dandridge

    TRI reporting facility.

    EPA FRS registry ID 110007844093 (U.S. EPA ECHO) Agency record

    Severity 6.6

  7. Jlg Industries, Inc. - Jefferson City, Tn, Jefferson City

    TRI reporting facility. Penalties $1,500.

    EPA FRS registry ID 110070599732 (U.S. EPA ECHO) Agency record

    Severity 6.5

  8. Quikrete - Morristown Tn Plant, Jefferson City

    Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 1 lbs released over 5 years.

    TRI facility ID 3776WQKRTM269RC (U.S. EPA Toxics Release Inventory)

    Severity 4.8

  9. Jlg Industries, Inc. - Jefferson City, Tn, Jefferson City

    Major air pollution source. Penalties $1,500.

    EPA FRS registry ID 110070599732 (U.S. EPA ECHO) Agency record

    Severity 4.8

  10. White Pine Stp, White Pine

    NPDES wastewater discharge permit. Penalties $5,440.

    EPA FRS registry ID 110006689654 (U.S. EPA ECHO) Agency record

    Severity 4.3

  11. Jlg Industries, Inc. - Jefferson City, Tn, Jefferson City

    NPDES wastewater discharge permit. Penalties $1,500.

    EPA FRS registry ID 110070599732 (U.S. EPA ECHO) Agency record

    Severity 4.3

  12. The Quikrete Companies, Llc - Quikrete - Jefferson City, Jefferson Cty

    TRI reporting facility.

    EPA FRS registry ID 110071433010 (U.S. EPA ECHO) Agency record

    Severity 4.1

  13. Dandridge Stp, Dandridge

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009789005 (U.S. EPA ECHO) Agency record

    Severity 4

  14. Cmh Manufacturing Inc (Dba Tru Mh), White Pine

    TRI reporting facility.

    EPA FRS registry ID 110011731563 (U.S. EPA ECHO) Agency record

    Severity 4

  15. Nyrstar - Coy Mine, Jefferson City

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110000372604 (U.S. EPA ECHO) Agency record

    Severity 3.8

  16. Jefferson City Stp, Jefferson City

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006367653 (U.S. EPA ECHO) Agency record

    Severity 3.8

  17. Sonoco Metal Packaging, Llc, Dandridge

    Major air pollution source.

    EPA FRS registry ID 110033181571 (U.S. EPA ECHO) Agency record

    Severity 3.8

  18. Young Mill And Mine, New Market

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110064602513 (U.S. EPA ECHO) Agency record

    Severity 3.8

  19. Ball Metal Food Container Corp, Dandridge

    Large hazardous waste generator.

    EPA FRS registry ID 110007844093 (U.S. EPA ECHO) Agency record

    Severity 3.5

  20. Beaver Creek Shaft, Strawberry Plains

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110064295622 (U.S. EPA ECHO) Agency record

    Severity 3.5

  21. Jlg Industries, Inc., Jefferson City

    Large hazardous waste generator.

    EPA FRS registry ID 110072050365 (U.S. EPA ECHO) Agency record

    Severity 3.5

  22. Bush Brothers & Company, Dandridge

    NPDES wastewater discharge permit. Penalties $6,000.

    EPA FRS registry ID 110052231624 (U.S. EPA ECHO) Agency record

    Severity 3

  23. Tru White Pine, White Pine

    Toxic chemical release facility (TRI). Chemicals: Diisocyanates.

    TRI facility ID 37890CLYTN2215W (U.S. EPA Toxics Release Inventory)

    Severity 3

  24. Quikrete-Tennessee, Jefferson City

    Air permit holder (minor source). Penalties $1,500.

    EPA FRS registry ID 110010368379 (U.S. EPA ECHO) Agency record

    Severity 2.5

  25. Rush Strong School, Strawberry Plains

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110010947654 (U.S. EPA ECHO) Agency record

    Severity 2.5

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 Jefferson 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 Jefferson 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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