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Wilson County, Tennessee: environmental and disease records
Cancer mortality in Wilson County is 146.5 deaths per 100,000 people per year against a U.S. rate of 143.2. The strongest disease signals are Lung & bronchus deaths at 1.1 times the U.S. rate. Federal databases place 873 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (565), Rail grade crossing (99), Air permit holder (minor source) (61). One correctional facility operates in the county. 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: 36.1529, -86.3216.
How this county ranks in Tennessee
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 | Measure | County rate | U.S. rate | Times U.S. | 95% interval | Years |
|---|---|---|---|---|---|---|
| Leukemia | Deaths | 7.3 | 5.7 | 1.28x | 5.6 to 9.4 | 2020-2024 |
| Kidney & renal pelvis | New cases | 21.2 | 17.9 | 1.18xSignificant | 18.3 to 24.5 | 2019-2023 |
| Lung & bronchus | New cases | 60.5 | 51.8 | 1.17xSignificant | 55.6 to 65.8 | 2019-2023 |
| Non-Hodgkin lymphoma | Deaths | 5.6 | 4.8 | 1.17x | 4.1 to 7.4 | 2020-2024 |
| Brain & nervous system | Deaths | 5.1 | 4.4 | 1.16x | 3.7 to 6.8 | 2020-2024 |
| Brain & nervous system | New cases | 7.1 | 6.2 | 1.15x | 5.4 to 9.2 | 2019-2023 |
| Lung & bronchus | Deaths | 34.5 | 30.2 | 1.14xSignificant | 30.9 to 38.5 | 2020-2024 |
| Melanoma of the skin | Deaths | 2.2 | 2 | 1.1x | 1.3 to 3.4 | 2020-2024 |
| Bladder | New cases | 20.2 | 18.7 | 1.08x | 17.4 to 23.4 | 2019-2023 |
| Childhood cancer (under 15) | New cases | 17.5 | 16.4 | 1.07x | 11.4 to 25.7 | 2019-2023 |
| Kidney & renal pelvis | Deaths | 3.6 | 3.4 | 1.06x | 2.4 to 5.2 | 2020-2024 |
| Leukemia | New cases | 15.3 | 14.5 | 1.06x | 12.7 to 18.2 | 2019-2023 |
| Liver & bile duct | New cases | 9.1 | 8.7 | 1.05x | 7.3 to 11.3 | 2019-2023 |
| All cancer | New cases | 466.7 | 453.4 | 1.03x | 452.7 to 481.2 | 2019-2023 |
| All cancer | Deaths | 146.5 | 143.2 | 1.02x | 138.7 to 154.6 | 2020-2024 |
| Liver & bile duct | Deaths | 6.5 | 6.6 | 0.98x | 5 to 8.4 | 2020-2024 |
| Pancreas | Deaths | 10.9 | 11.3 | 0.96x | 8.8 to 13.2 | 2020-2024 |
| Esophagus | New cases | 4.4 | 4.6 | 0.96x | 3.2 to 6 | 2019-2023 |
| Thyroid | New cases | 11.2 | 13 | 0.86x | 9 to 13.8 | 2019-2023 |
| Pancreas | New cases | 11.9 | 13.9 | 0.86x | 9.8 to 14.5 | 2019-2023 |
| Melanoma of the skin | New cases | 20.3 | 23.8 | 0.85x | 17.3 to 23.6 | 2019-2023 |
| Non-Hodgkin lymphoma | New cases | 15.6 | 18.5 | 0.84x | 13.1 to 18.5 | 2019-2023 |
| Esophagus | Deaths | 3.1 | 3.7 | 0.84x | 2.1 to 4.4 | 2020-2024 |
| Bladder | Deaths | 3.3 | 4.1 | 0.8x | 2.2 to 4.7 | 2020-2024 |
| Stomach | New cases | 4.9 | 6.6 | 0.74x | 3.6 to 6.6 | 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.
| Measure | County | U.S. median | Difference | Unit |
|---|---|---|---|---|
| Premature death | 8,720.2 | 9,842.6 | -11% | years of life lost before age 75 per 100,000 |
| Life expectancy | 76.1 | 75.3 | +1% | years |
| Child mortality | 43.1 | 59.8 | -28% | deaths under age 18 per 100,000 |
| Infant mortality | 5.1 | 6.2 | -18% | deaths under age 1 per 1,000 live births |
| Injury deaths | 103.8 | 96.9 | +7% | deaths per 100,000 |
| Drug overdose deaths | 45.8 | 28.6 | +60% | 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.
- Formaldehyde22.64 per million
- Carbon Tetrachloride2.92 per million
- Acetaldehyde2.4 per million
- Naphthalene1.2 per million
EPA Air Quality Index 2025
Monitored on 243 days: 227 good, 0 unhealthy for sensitive groups or worse. Median AQI 38, peak 77.
Regulated facilities, sites and hazards by type
873 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.
- NPDES wastewater discharge permit565
- Rail grade crossing99
- Air permit holder (minor source)61
- Gas station (mapped facility)55
- Auto repair or body shop (mapped facility)19
- Small hazardous waste generator19
- Toxic chemical release facility (TRI)15
- TRI reporting facility11
- Large hazardous waste generator9
- Public airport8
- Scrapyard (mapped facility)5
- Wastewater plant (mapped facility)4
- Major air pollution source1
- EPA air quality monitor1
- Correctional facility (prison or jail)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.
- Severity 7.8
John Deal Coatings Inc, Mount Juliet
TRI reporting facility. Penalties $9,100.
EPA FRS registry ID 110005004574 (U.S. EPA ECHO) Agency record
- Severity 7.3
Wonder Porcelain Group Llc Co-Located Site: Nashville Ready, Lebanon
Toxic chemical release facility (TRI). Chemicals: Zinc compounds. 350,500 lbs released over 5 years.
TRI facility ID 3709WWNDRP5WNDE (U.S. EPA Toxics Release Inventory)
- Severity 6.5
Wilson Plant, Lebanon
Toxic chemical release facility (TRI). Chemicals: Ammonia, Sulfuric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size). 35,790 lbs released over 5 years.
TRI facility ID 3709WWLSNP3DUKE (U.S. EPA Toxics Release Inventory)
- Severity 6.3
Perma-Pipe Inc., Lebanon
Toxic chemical release facility (TRI). Chemicals: Diisocyanates, Copper compounds, Chromium and Chromium Compounds(except for chromite ore mined in the Transvaal Region), Copper And Copper Compounds and 1 more. 20,634 lbs released over 5 years.
TRI facility ID 37087PRMPP1310Q (U.S. EPA Toxics Release Inventory)
- Severity 6.2
Avery Dennison, Mount Juliet
Toxic chemical release facility (TRI). Chemicals: Toluene. 15,377 lbs released over 5 years.
TRI facility ID 37122JHNDL206ED (U.S. EPA Toxics Release Inventory)
- Severity 6.1
Southtec Llc, Lebanon
Toxic chemical release facility (TRI). Chemicals: Zinc compounds, Manganese, Lead, Nickel and 3 more. Reports carcinogens. 114 lbs released over 5 years.
TRI facility ID 3708WLWNCX712BR (U.S. EPA Toxics Release Inventory)
- Severity 5.8
Parker Hannifin Corp O-Ring Div, Lebanon
Toxic chemical release facility (TRI). Chemicals: Zinc compounds, Thiram, Dibutyl phthalate, Di(2-ethylhexyl) phthalate. Reports carcinogens. 49 lbs released over 5 years.
TRI facility ID 37087WYNNS104HA (U.S. EPA Toxics Release Inventory)
- Severity 5.4
American Fabricators Inc., Lebanon
Toxic chemical release facility (TRI). Chemicals: Manganese, Nickel. Reports carcinogens. 15 lbs released over 5 years.
TRI facility ID 3709WMRCNF1495C (U.S. EPA Toxics Release Inventory)
- Severity 5.3
John Deal Coatings Inc, Mount Juliet
Large hazardous waste generator. Penalties $9,100.
EPA FRS registry ID 110005004574 (U.S. EPA ECHO) Agency record
- Severity 5
City Of Lebanon Wastewater Plant, Lebanon
NPDES wastewater discharge permit.
EPA FRS registry ID 110000553696 (U.S. EPA ECHO) Agency record
- Severity 4.7
Perma Pipe - A Subsidary Of Mfri, Inc., Lebanon
TRI reporting facility.
EPA FRS registry ID 110000370250 (U.S. EPA ECHO) Agency record
- Severity 4.6
Lochinvar Llc, Lebanon
TRI reporting facility.
EPA FRS registry ID 110037444897 (U.S. EPA ECHO) Agency record
- Severity 4.5
Lochinvar Llc, Lebanon
Toxic chemical release facility (TRI). Chemicals: Nitric acid, Diisocyanates, Copper. 100 lbs released over 5 years.
TRI facility ID 37090LCHNV3MADD (U.S. EPA Toxics Release Inventory)
- Severity 4.5
Dover Pumps & Process Solutions Segment Inc., Mount Juliet
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens.
TRI facility ID 3712WDSTCX21MUN (U.S. EPA Toxics Release Inventory)
- Severity 4.5
Novamet Specialty Products, Lebanon
TRI reporting facility.
EPA FRS registry ID 110000370269 (U.S. EPA ECHO) Agency record
- Severity 4.5
Novamet Specialty Products, Lebanon
Toxic chemical release facility (TRI). Chemicals: Nickel compounds, Nickel, Zinc (fume or dust). Reports carcinogens.
TRI facility ID 37087TSHBM1420T (U.S. EPA Toxics Release Inventory)
- Severity 4.5
Zf Active Safety & Electronics Llc, Lebanon
Toxic chemical release facility (TRI). Chemicals: Trichloroethylene, Nickel, Chromium, Manganese. Reports carcinogens.
TRI facility ID 37088TRWNC1103B (U.S. EPA Toxics Release Inventory)
- Severity 4.5
Wynn'S Precision, Inc., Lebanon
TRI reporting facility.
EPA FRS registry ID 110000370278 (U.S. EPA ECHO) Agency record
- Severity 4.5
American Fabricators, Inc., Lebanon
TRI reporting facility.
EPA FRS registry ID 110071724264 (U.S. EPA ECHO) Agency record
- Severity 4.3
Oldcastle Precast, Lebanon
TRI reporting facility.
EPA FRS registry ID 110013341375 (U.S. EPA ECHO) Agency record
- Severity 4.3
City Of Lebanon Landfill, Lebanon
NPDES wastewater discharge permit. Penalties $3,864.
EPA FRS registry ID 110020148106 (U.S. EPA ECHO) Agency record
- Severity 4.3
L & W Engineering, Plant 5, Lebanon
TRI reporting facility.
EPA FRS registry ID 110070000525 (U.S. EPA ECHO) Agency record
- Severity 4
Texas Eastern Transmission, Lp - Gladeville Compressor Station, Gladeville
Major air pollution source.
EPA FRS registry ID 110009786428 (U.S. EPA ECHO) Agency record
- Severity 4
Mars Petcare (The Nutro Company), Lebanon
TRI reporting facility.
EPA FRS registry ID 110037143908 (U.S. EPA ECHO) Agency record
- Severity 4
Plant 15, Lebanon
TRI reporting facility.
EPA FRS registry ID 110070790583 (U.S. EPA ECHO) Agency record
Correctional facilities
Prisons, jails and corrections operations with an EPA facility record, and the drinking water and wastewater compliance attached to them.
Tn Corrections Institute, Lebanon
- EPA FRS registry ID
- 110072075241
- Wastewater permit
- Yes
Discovery / public records
Records to request for Wilson 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 Wilson 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.