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Pickett County, Tennessee: environmental and disease records

Cancer mortality in Pickett County is 185.7 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 17 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (11), Air permit holder (minor source) (4), Brownfield property (2). 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: 36.5158, -85.1514.

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 Pickett County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	50.8	30.2	1.68xSignificant	33 to 78.8	2020-2024
Lung & bronchus	New cases	85.5	51.8	1.65xSignificant	58.4 to 123.7	2019-2023
All cancer	Deaths	185.7	143.2	1.3xSignificant	146.1 to 235.4	2020-2024
All cancer	New cases	427.3	453.4	0.94x	364.3 to 500.4	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 Pickett County
Measure	County	U.S. median	Difference	Unit
Premature death	9,468.7	9,842.6	-4%	years of life lost before age 75 per 100,000
Life expectancy	75.4	75.3	+0%	years
Child mortality	n/a	59.8	n/a	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	126.1	96.9	+30%	deaths per 100,000
Drug overdose deaths	n/a	28.6	n/a	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.

Formaldehyde18.72 per million
Carbon Tetrachloride2.89 per million
Acetaldehyde1.99 per million
Benzene0.72 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit11
Air permit holder (minor source)4
Brownfield property2

Highest-severity records

The 25 records with the highest Envyrofax severity in the county, with the agency identifier to cite in a records request.

Byrdstown Stp, Byrdstown
NPDES wastewater discharge permit.
EPA FRS registry ID 110009787221 (U.S. EPA ECHO) Agency record
Severity 3.8
Mullins Lumber Property, Byrdstown
Brownfield property.
EPA FRS registry ID 110043692242 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Former Sutton Manufacturing, Byrdstown
Brownfield property.
EPA FRS registry ID 110071969762 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
K&T Smoke Llc, Pall Mall
NPDES wastewater discharge permit.
EPA FRS registry ID 110027234865 (U.S. EPA ECHO) Agency record
Severity 1.8
Pickett County Landfill, Byrdstown
NPDES wastewater discharge permit.
EPA FRS registry ID 110035779262 (U.S. EPA ECHO) Agency record
Severity 1.5
Star Point Resort, Llc, Byrdstown
NPDES wastewater discharge permit.
EPA FRS registry ID 110037277069 (U.S. EPA ECHO) Agency record
Severity 1.5
Byrdstown Water Dept - Clearwell Plant, Byrdstown
NPDES wastewater discharge permit.
EPA FRS registry ID 110048029245 (U.S. EPA ECHO) Agency record
Severity 1.5
The Cross Property, Byrdstown-Tn
NPDES wastewater discharge permit.
EPA FRS registry ID 110069996382 (U.S. EPA ECHO) Agency record
Severity 1.5
Off-Site Borrow Area-Pickett County Landfill Closure, Byrdstown
NPDES wastewater discharge permit.
EPA FRS registry ID 110070105541 (U.S. EPA ECHO) Agency record
Severity 1.5
Safe Harbor Eagle Cove Llc Dba Eagle Cove Resort & Marina, Byrdstown
NPDES wastewater discharge permit.
EPA FRS registry ID 110070382583 (U.S. EPA ECHO) Agency record
Severity 1.5
Lakewind Rv Park, Byrdstown
NPDES wastewater discharge permit.
EPA FRS registry ID 110071237223 (U.S. EPA ECHO) Agency record
Severity 1.5
Paradise View, Byrdstown
NPDES wastewater discharge permit.
EPA FRS registry ID 110071785224 (U.S. EPA ECHO) Agency record
Severity 1.5
Stepp Gap Road Preliminary Infrastructure, Byrdstown
NPDES wastewater discharge permit.
EPA FRS registry ID 110072160355 (U.S. EPA ECHO) Agency record
Severity 1.5
K&T Smoke Llc, Pall Mall
Air permit holder (minor source).
EPA FRS registry ID 110027234865 (U.S. EPA ECHO) Agency record
Severity 1.3
Kardol Quality Products, Llc, Byrdstown
Air permit holder (minor source).
EPA FRS registry ID 110007191289 (U.S. EPA ECHO) Agency record
Severity 1
Specialty Woodworking, Inc., Byrdstown
Air permit holder (minor source).
EPA FRS registry ID 110017351532 (U.S. EPA ECHO) Agency record
Severity 1
James Ritter Lumber Company, Byrdstown
Air permit holder (minor source).
EPA FRS registry ID 110061075474 (U.S. EPA ECHO) Agency record
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 Pickett 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 Pickett 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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