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Lewis County, Tennessee: environmental and disease records

Cancer mortality in Lewis County is 205.6 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 2.1 times the U.S. rate. Federal databases place 49 regulated facilities, sites and hazards inside the county, led by Rail grade crossing (17), NPDES wastewater discharge permit (15), Gas station (mapped facility) (8). 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: 35.5284, -87.4866.

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 Lewis County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Lung & bronchusDeaths62.430.22.07xSignificant47.9 to 80.82020-2024
Lung & bronchusNew cases93.351.81.8xSignificant75.3 to 115.12019-2023
Kidney & renal pelvisNew cases28.617.91.6x17.8 to 43.92019-2023
All cancerDeaths205.6143.21.44xSignificant177.5 to 237.62020-2024
BladderNew cases21.918.71.17x13.6 to 34.42019-2023
All cancerNew cases506.5453.41.12xSignificant460.1 to 556.92019-2023

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 Lewis County
MeasureCountyU.S. medianDifferenceUnit
Premature death13,691.39,842.6+39%years of life lost before age 75 per 100,000
Life expectancy71.575.3-5%years
Child mortality82.659.8+38%deaths under age 18 per 100,000
Infant mortalityn/a6.2n/adeaths under age 1 per 1,000 live births
Injury deaths127.996.9+32%deaths per 100,000
Drug overdose deaths65.528.6+129%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.

  • Formaldehyde21.82 per million
  • Carbon Tetrachloride2.89 per million
  • Acetaldehyde2.2 per million
  • Benzene0.71 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

  • Rail grade crossing17
  • NPDES wastewater discharge permit15
  • Gas station (mapped facility)8
  • Air permit holder (minor source)3
  • Public airport2
  • Major air pollution source1
  • Large hazardous waste generator1
  • TRI reporting facility1
  • Toxic chemical release facility (TRI)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. Oliver Fiberglass Products, Hohenwald

    Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 469,947 lbs released over 5 years.

    TRI facility ID 38462BSTNNSWANA (U.S. EPA Toxics Release Inventory)

    Severity 8.9

  2. Oliver Fiberglass Products, Hohenwald

    TRI reporting facility.

    EPA FRS registry ID 110000375139 (U.S. EPA ECHO) Agency record

    Severity 6.4

  3. Oliver Fiberglass Products, Hohenwald

    Major air pollution source.

    EPA FRS registry ID 110000375139 (U.S. EPA ECHO) Agency record

    Severity 3.8

  4. Oliver Fiberglass Products, Hohenwald

    Large hazardous waste generator.

    EPA FRS registry ID 110000375139 (U.S. EPA ECHO) Agency record

    Severity 3.3

  5. Oliver Fiberglass Products, Hohenwald

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110000375139 (U.S. EPA ECHO) Agency record

    Severity 3.3

  6. Hohenwald Stp, Hohenwald,

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006367608 (U.S. EPA ECHO) Agency record

    Severity 3

  7. Paul Bridges Fld, Hohenwald

    Public airport. O.

    Record ID 0M3 (FAA / U.S. DOT)

    Severity 2

  8. V & W Ready Mix Concrete Co In, Hohenwald

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006692016 (U.S. EPA ECHO) Agency record

    Severity 1.5

  9. The Sawmill, Inc., Hohenwald

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110033646990 (U.S. EPA ECHO) Agency record

    Severity 1.5

  10. Wedlake Industries, Llc, Hohenwald

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070012760 (U.S. EPA ECHO) Agency record

    Severity 1.5

  11. Napier Lake Farm Ponds, Hohenwald

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070048690 (U.S. EPA ECHO) Agency record

    Severity 1.5

  12. Summertown Metals Llc, Summertown

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070345435 (U.S. EPA ECHO) Agency record

    Severity 1.5

  13. Lewis County High School, Hohenwald

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071310556 (U.S. EPA ECHO) Agency record

    Severity 1.5

  14. Summertown Metals, Hohenwald

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071365679 (U.S. EPA ECHO) Agency record

    Severity 1.5

  15. Tn Lewis Ce-22-19794 Project, Hohenwald

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071426897 (U.S. EPA ECHO) Agency record

    Severity 1.5

  16. Hohenwald Estates Apartments, Hohenwald

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071510919 (U.S. EPA ECHO) Agency record

    Severity 1.5

  17. Summertown Highway Industrial Park Water And Sanitary Sewer Extension Hohenwald,, Hohenwald

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071527448 (U.S. EPA ECHO) Agency record

    Severity 1.5

  18. Tcat Hohenwald, Hohenwald

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071895682 (U.S. EPA ECHO) Agency record

    Severity 1.5

  19. Lewis County High School, Hohenwald

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071949690 (U.S. EPA ECHO) Agency record

    Severity 1.5

  20. Hohenwald Fast Stop (Former Pizza Hut), Hohenwald

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110072230385 (U.S. EPA ECHO) Agency record

    Severity 1.5

  21. Holloway Rd, Ethridge

    Rail grade crossing.

    Record ID 350718G (Federal Railroad Administration)

    Severity 1.2

  22. V & W Ready Mix Concrete Co In, Hohenwald

    Air permit holder (minor source).

    EPA FRS registry ID 110006692016 (U.S. EPA ECHO) Agency record

    Severity 1

  23. The Sawmill, Inc., Hohenwald

    Air permit holder (minor source).

    EPA FRS registry ID 110033646990 (U.S. EPA ECHO) Agency record

    Severity 1

  24. Hohenwald Animal Hospital, Hohenwald

    Air permit holder (minor source).

    EPA FRS registry ID 110044302876 (U.S. EPA ECHO) Agency record

    Severity 1

  25. Oguin Cemetary Rd, Aetna

    Rail grade crossing.

    Record ID 351144X (Federal Railroad Administration)

    Severity 1

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 Lewis 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 Lewis 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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