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Washington County, Tennessee: environmental and disease records

Cancer mortality in Washington County is 164.4 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Liver & bile duct deaths at 1.4 times the U.S. rate and Bladder deaths at 1.4 times the U.S. rate. Federal databases place 610 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (371), Rail grade crossing (87), Gas station (mapped facility) (45). 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: 36.2752, -82.4872.

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 Washington County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Melanoma of the skinDeaths2.921.45x1.8 to 4.42020-2024
Liver & bile ductDeaths9.46.61.42xSignificant7.5 to 11.62020-2024
BladderDeaths5.84.11.41xSignificant4.3 to 7.72020-2024
EsophagusDeaths53.71.35x3.7 to 6.82020-2024
ThyroidNew cases17.2131.32xSignificant14.2 to 20.72019-2023
EsophagusNew cases64.61.3x4.5 to 7.92019-2023
Melanoma of the skinNew cases30.723.81.29xSignificant26.9 to 352019-2023
Non-Hodgkin lymphomaDeaths6.14.81.27x4.6 to 82020-2024
Lung & bronchusDeaths38.230.21.26xSignificant34.4 to 42.32020-2024
Kidney & renal pelvisDeaths4.23.41.24x3 to 5.82020-2024
BladderNew cases21.718.71.16xSignificant18.8 to 25.12019-2023
All cancerDeaths164.4143.21.15xSignificant156.1 to 1732020-2024
Lung & bronchusNew cases58.951.81.14xSignificant54.1 to 642019-2023
Brain & nervous systemDeaths54.41.14x3.6 to 6.82020-2024
PancreasNew cases14.913.91.07x12.4 to 17.72019-2023
PancreasDeaths1211.31.06x9.9 to 14.52020-2024
Non-Hodgkin lymphomaNew cases18.818.51.02x16 to 21.92019-2023
Liver & bile ductNew cases8.88.71.01x7 to 112019-2023
Brain & nervous systemNew cases6.26.21x4.4 to 8.42019-2023
Kidney & renal pelvisNew cases17.917.91x15.1 to 21.12019-2023
All cancerNew cases443.5453.40.98x429.4 to 458.12019-2023
LeukemiaDeaths5.35.70.93x3.8 to 7.12020-2024
LeukemiaNew cases12.114.50.83x9.9 to 14.82019-2023
StomachDeaths2.22.70.81x1.4 to 3.52020-2024
StomachNew cases3.36.60.5x2.3 to 4.82019-2023

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 Washington County
MeasureCountyU.S. medianDifferenceUnit
Premature death10,756.69,842.6+9%years of life lost before age 75 per 100,000
Life expectancy73.975.3-2%years
Child mortality55.459.8-7%deaths under age 18 per 100,000
Infant mortality8.86.2+42%deaths under age 1 per 1,000 live births
Injury deaths107.996.9+11%deaths per 100,000
Drug overdose deaths42.428.6+48%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.

  • Formaldehyde18.96 per million
  • Carbon Tetrachloride2.82 per million
  • Acetaldehyde1.84 per million
  • Benzene1.05 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit371
  • Rail grade crossing87
  • Gas station (mapped facility)45
  • Air permit holder (minor source)44
  • Small hazardous waste generator11
  • Public airport10
  • Toxic chemical release facility (TRI)9
  • Brownfield property7
  • TRI reporting facility6
  • Hazardous waste transporter4
  • Major air pollution source3
  • Auto repair or body shop (mapped facility)3
  • Large hazardous waste generator3
  • Scrapyard (mapped facility)2
  • Large greenhouse gas emitter1
  • Heliport1
  • Hydroelectric plant1
  • Oil-fired power plant1
  • Solar 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. Lpi Inc, Johnson City

    Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 513,895 lbs released over 5 years.

    TRI facility ID 3760WLPNCX56TWI (U.S. EPA Toxics Release Inventory)

    Severity 8.9

  2. Lpi, Inc, Johnson City

    TRI reporting facility. Penalties $6,000.

    EPA FRS registry ID 110064532073 (U.S. EPA ECHO) Agency record

    Severity 7.8

  3. Dentsply Sirona, Johnson City

    Toxic chemical release facility (TRI). Chemicals: Nickel, Toluene. Reports carcinogens. 6,238 lbs released over 5 years.

    TRI facility ID 3760WDNTSP68RLL (U.S. EPA Toxics Release Inventory)

    Severity 7.4

  4. American Water Heater Co, Johnson City

    Toxic chemical release facility (TRI). Chemicals: Manganese And Manganese Compounds, Barium And Barium Compounds, Nickel compounds, Barium compounds (except for barium sulfate (CAS No. 7727-43-7)) and 4 more. Reports carcinogens. 3,021 lbs released over 5 years.

    TRI facility ID 37601MRFLNOAKLA (U.S. EPA Toxics Release Inventory)

    Severity 7.2

  5. Jtekt Bearings Na Llc - Washington Plant, Telford

    Toxic chemical release facility (TRI). Chemicals: Methanol, Nickel, Chromium, Manganese and 1 more. Reports carcinogens. 840 lbs released over 5 years.

    TRI facility ID 3769WKYCRP146CU (U.S. EPA Toxics Release Inventory)

    Severity 6.7

  6. Dentsply Sirona, Johnson City

    TRI reporting facility.

    EPA FRS registry ID 110071731579 (U.S. EPA ECHO) Agency record

    Severity 5.4

  7. Aerojet Ordnance Tennessee, Jonesborough

    Toxic chemical release facility (TRI). Chemicals: Xylene (mixed isomers). 1,000 lbs released over 5 years.

    TRI facility ID 37659GNCRPOLDHW (U.S. EPA Toxics Release Inventory)

    Severity 5.3

  8. American Water Heater Group, Johnson City

    TRI reporting facility.

    EPA FRS registry ID 110000372098 (U.S. EPA ECHO) Agency record

    Severity 5.2

  9. Alemite, Johnson City

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

    TRI facility ID 3760WLMTXX167RW (U.S. EPA Toxics Release Inventory)

    Severity 5.1

  10. Crown Laboratories Inc, Johnson City

    Toxic chemical release facility (TRI). Chemicals: Zinc compounds. 520 lbs released over 5 years.

    TRI facility ID 3760WCRWNL349LA (U.S. EPA Toxics Release Inventory)

    Severity 5.1

  11. Brush Creek Waste Water Treatment Plant, Johnson City

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110000574307 (U.S. EPA ECHO) Agency record

    Severity 5

  12. Mountain Home Veterans Administration Medical Center, Mountain Home

    Major air pollution source. Penalties $4,500.

    EPA FRS registry ID 110006908472 (U.S. EPA ECHO) Agency record

    Severity 5

  13. Lpi, Inc, Johnson City

    Major air pollution source. Penalties $6,000.

    EPA FRS registry ID 110064532073 (U.S. EPA ECHO) Agency record

    Severity 5

  14. Crown Laboratories, Inc, Johnson City

    TRI reporting facility.

    EPA FRS registry ID 110031297326 (U.S. EPA ECHO) Agency record

    Severity 4.9

  15. Knob Creek Waste Water Plant, Johnson City

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110000551616 (U.S. EPA ECHO) Agency record

    Severity 4.8

  16. Town Of Jonesborough Dba Pliny Fisk Composting And Recycling Center, Jonesboro

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110030994985 (U.S. EPA ECHO) Agency record

    Severity 4.8

  17. Koyo Bearings North America, Llc, Telford

    TRI reporting facility.

    EPA FRS registry ID 110037443843 (U.S. EPA ECHO) Agency record

    Severity 4.7

  18. Regional Waste Water Treatment Plant, Gray

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009789577 (U.S. EPA ECHO) Agency record

    Severity 4.5

  19. Hexpol Compounding Burton Rubber Processing, Jonesborough

    Toxic chemical release facility (TRI). Chemicals: Certain glycol ethers, Zinc compounds, Antimony And Antimony Compounds, Lead compounds. 77 lbs released over 5 years.

    TRI facility ID 37659BRTNRHIGHW (U.S. EPA Toxics Release Inventory)

    Severity 4.5

  20. Sungwoo Hitech, Telford

    Toxic chemical release facility (TRI). Chemicals: Manganese. 38 lbs released over 5 years.

    TRI facility ID 3769WSNGWH115PR (U.S. EPA Toxics Release Inventory)

    Severity 4.2

  21. Mountain Home Energy Center, Mountain Home

    Oil-fired power plant.

    Record ID 59809 (U.S. Energy Information Administration)

    Severity 4

  22. Alemite Corp, Johnson City

    TRI reporting facility.

    EPA FRS registry ID 110054862528 (U.S. EPA ECHO) Agency record

    Severity 4

  23. Iris Glen Environmental Center, Johnson City

    Major air pollution source.

    EPA FRS registry ID 110001864545 (U.S. EPA ECHO) Agency record

    Severity 3.5

  24. Creative Signs, Johnson City

    Brownfield property.

    EPA FRS registry ID 110039062803 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  25. Murphy'S Muffler Service, Johnson City

    Brownfield property.

    EPA FRS registry ID 110039062812 (U.S. EPA Brownfields (ACRES)) 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 Washington 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 Washington 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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