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Marshall County, Tennessee: environmental and disease records

Cancer mortality in Marshall County is 187.5 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 1.7 times the U.S. rate. Federal databases place 223 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (113), Rail grade crossing (35), 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: 35.4838, -86.7781.

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 Marshall County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	52.8	30.2	1.75xSignificant	43.7 to 63.5	2020-2024
Lung & bronchus	New cases	88.4	51.8	1.71xSignificant	76.5 to 101.9	2019-2023
Bladder	New cases	27.6	18.7	1.48xSignificant	21.2 to 35.6	2019-2023
Esophagus	New cases	6.7	4.6	1.46x	3.7 to 11.2	2019-2023
All cancer	Deaths	187.5	143.2	1.31xSignificant	169.4 to 207	2020-2024
Pancreas	New cases	17.8	13.9	1.28x	12.5 to 24.8	2019-2023
Pancreas	Deaths	14.3	11.3	1.27x	9.6 to 20.5	2020-2024
Kidney & renal pelvis	New cases	22.6	17.9	1.26x	16.5 to 30.3	2019-2023
Liver & bile duct	Deaths	8.1	6.6	1.23x	4.8 to 12.9	2020-2024
All cancer	New cases	550.8	453.4	1.21xSignificant	519.3 to 583.9	2019-2023
Leukemia	New cases	14.3	14.5	0.99x	9.6 to 20.7	2019-2023
Melanoma of the skin	New cases	23.2	23.8	0.97x	17 to 31	2019-2023
Thyroid	New cases	12.2	13	0.94x	7.5 to 18.7	2019-2023
Non-Hodgkin lymphoma	New cases	17.1	18.5	0.92x	11.9 to 23.9	2019-2023
Liver & bile duct	New cases	7.7	8.7	0.89x	4.6 to 12.4	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 Marshall County
Measure	County	U.S. median	Difference	Unit
Premature death	10,468.5	9,842.6	+6%	years of life lost before age 75 per 100,000
Life expectancy	73.6	75.3	-2%	years
Child mortality	50.9	59.8	-15%	deaths under age 18 per 100,000
Infant mortality	6.9	6.2	+11%	deaths under age 1 per 1,000 live births
Injury deaths	100.6	96.9	+4%	deaths per 100,000
Drug overdose deaths	42.5	28.6	+49%	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.

Formaldehyde21.61 per million
Carbon Tetrachloride2.9 per million
Acetaldehyde2.36 per million
Benzene0.89 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit113
Rail grade crossing35
Air permit holder (minor source)27
Gas station (mapped facility)15
Toxic chemical release facility (TRI)7
Major air pollution source4
TRI reporting facility4
Public airport3
Auto repair or body shop (mapped facility)3
Large hazardous waste generator3
Scrapyard (mapped facility)3
Small hazardous waste generator2
Commercial airport1
Large greenhouse gas emitter1
Landfill (mapped facility)1
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.

Trison Coatings Inc, Lewisburg
Toxic chemical release facility (TRI). Chemicals: Methyl isobutyl ketone, Xylene (mixed isomers), Lead And Lead Compounds. Reports carcinogens. 75,526 lbs released over 5 years.
TRI facility ID 37091KNKTX801GA (U.S. EPA Toxics Release Inventory)
Severity 8.2
Allison Transmissions Inc, Lewisburg
Toxic chemical release facility (TRI). Chemicals: Hydrochloric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Copper, Nickel, Lead. Reports carcinogens. 69,458 lbs released over 5 years.
TRI facility ID 37091WLKRD1125H (U.S. EPA Toxics Release Inventory)
Severity 8.2
Minth Tennessee International, Lewisburg
Toxic chemical release facility (TRI). Chemicals: Toluene, Xylene (mixed isomers), Methyl isobutyl ketone, Chromium and 2 more. Reports carcinogens. 5,152 lbs released over 5 years.
TRI facility ID 37091HYPRN1801C (U.S. EPA Toxics Release Inventory)
Severity 7.3
Lewisburg Stp, Lewisburg
NPDES wastewater discharge permit. Penalties $25,260.
EPA FRS registry ID 110006367680 (U.S. EPA ECHO) Agency record
Severity 7
Worldwise Plastics Llc, Lewisburg
Large hazardous waste generator. Penalties $321,250.
EPA FRS registry ID 110070670512 (U.S. EPA ECHO) Agency record
Severity 5.5
Teledyne Aes, Lewisburg
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 5 lbs released over 5 years.
TRI facility ID 37091TLDYN1425H (U.S. EPA Toxics Release Inventory)
Severity 5.1
Allison Transmission, Inc. Dba Walker Die Casting, Lewisburg
TRI reporting facility.
EPA FRS registry ID 110000370358 (U.S. EPA ECHO) Agency record
Severity 5
Calsonic Kansei Na Inc, Lewisburg
TRI reporting facility.
EPA FRS registry ID 110000370330 (U.S. EPA ECHO) Agency record
Severity 4.5
Tennessee Technical Coatings Corp, Lewisburg
Toxic chemical release facility (TRI). Chemicals: Nickel compounds, Methanol, Selenium compounds, Toluene and 4 more. Reports carcinogens.
TRI facility ID 37091TNNSS1421H (U.S. EPA Toxics Release Inventory)
Severity 4.5
Tennessee Technical Coatings Corporation, Lewisburg
TRI reporting facility.
EPA FRS registry ID 110000895318 (U.S. EPA ECHO) Agency record
Severity 4.3
Teledyne Electronic Technology Lewisburg, Lewisburg
TRI reporting facility.
EPA FRS registry ID 110000370349 (U.S. EPA ECHO) Agency record
Severity 4.2
Trison Coatings, Inc., Lewisburg
NPDES wastewater discharge permit. Penalties $244,227.
EPA FRS registry ID 110000370321 (U.S. EPA ECHO) Agency record
Severity 4
Calsonic Kansei Na Inc, Lewisburg
Major air pollution source.
EPA FRS registry ID 110000370330 (U.S. EPA ECHO) Agency record
Severity 4
Worldwise Plastics Llc, Lewisburg
NPDES wastewater discharge permit. Penalties $321,250.
EPA FRS registry ID 110070670512 (U.S. EPA ECHO) Agency record
Severity 4
Comfort Research, Llc, Lewisburg
Major air pollution source.
EPA FRS registry ID 110063223417 (U.S. EPA ECHO) Agency record
Severity 3.8
Trison Coatings, Inc., Lewisburg
Air permit holder (minor source). Penalties $244,227.
EPA FRS registry ID 110000370321 (U.S. EPA ECHO) Agency record
Severity 3.5
Calsonic Kansei Na Inc, Lewisburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110000370330 (U.S. EPA ECHO) Agency record
Severity 3.5
East Tennessee Natural Gas, Llc, Belfast
Major air pollution source.
EPA FRS registry ID 110005002344 (U.S. EPA ECHO) Agency record
Severity 3.5
Waste Management - Cedar Ridge Landfill, Lewisburg
Major air pollution source.
EPA FRS registry ID 110013743388 (U.S. EPA ECHO) Agency record
Severity 3.5
Worldwise Plastics Llc, Lewisburg
Air permit holder (minor source). Penalties $321,250.
EPA FRS registry ID 110070670512 (U.S. EPA ECHO) Agency record
Severity 3.5
Tennessee Technical Coatings Corporation, Lewisburg
Large hazardous waste generator.
EPA FRS registry ID 110000895318 (U.S. EPA ECHO) Agency record
Severity 3.3
Comfort Research, Llc, Lewisburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110063223417 (U.S. EPA ECHO) Agency record
Severity 3.3
Cornersville Stp, Cornersville
NPDES wastewater discharge permit.
EPA FRS registry ID 110006802282 (U.S. EPA ECHO) Agency record
Severity 3
Chapel Hill Wwtp, Chapel Hill
NPDES wastewater discharge permit. Penalties $13,980.
EPA FRS registry ID 110009786767 (U.S. EPA ECHO) Agency record
Severity 3
Csx Transportation, Inc., Chapel Hill
Large hazardous waste generator.
EPA FRS registry ID x90bab931a28e7d0e3ffcb71854907f84 (U.S. EPA ECHO) Agency record
Severity 3

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 Marshall 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 Marshall 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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