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Bowie County, Texas: environmental and disease records

Cancer mortality in Bowie County is 186.2 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Kidney & renal pelvis deaths at 1.6 times the U.S. rate and Liver & bile duct deaths at 1.6 times the U.S. rate. Federal databases place 509 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (194), Rail grade crossing (99), Gas station (mapped facility) (68). 2 correctional facilities operate in the county. EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 40 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: 33.4799, -94.395.

How this county ranks in Texas

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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 Bowie County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
EsophagusNew cases7.94.61.72xSignificant5.7 to 10.72019-2023
Kidney & renal pelvisDeaths5.63.41.65xSignificant3.8 to 82020-2024
Liver & bile ductDeaths10.46.61.58xSignificant7.9 to 13.42020-2024
Lung & bronchusDeaths46.530.21.54xSignificant41.2 to 52.42020-2024
Liver & bile ductNew cases13.38.71.53xSignificant10.5 to 16.72019-2023
EsophagusDeaths5.63.71.51x3.7 to 82020-2024
Melanoma of the skinDeaths321.5x1.7 to 52020-2024
Kidney & renal pelvisNew cases23.917.91.34xSignificant19.9 to 28.52019-2023
LeukemiaDeaths7.55.71.32x5.5 to 10.22020-2024
Lung & bronchusNew cases67.551.81.3xSignificant61 to 74.52019-2023
All cancerDeaths186.2143.21.3xSignificant175.2 to 197.82020-2024
Brain & nervous systemDeaths5.74.41.3x3.9 to 8.12020-2024
Non-Hodgkin lymphomaDeaths5.64.81.17x3.8 to 7.92020-2024
StomachDeaths3.12.71.15x1.9 to 52020-2024
Brain & nervous systemNew cases7.16.21.15x5 to 9.92019-2023
LeukemiaNew cases16.314.51.12x13 to 20.12019-2023
PancreasDeaths12.311.31.09x9.6 to 15.52020-2024
Non-Hodgkin lymphomaNew cases19.518.51.05x16 to 23.52019-2023
All cancerNew cases471.3453.41.04x453.3 to 489.92019-2023
PancreasNew cases14.213.91.02x11.3 to 17.72019-2023
BladderNew cases18.518.70.99x15.2 to 22.42019-2023
Melanoma of the skinNew cases21.523.80.9x17.7 to 25.82019-2023
StomachNew cases5.16.60.77x3.4 to 7.32019-2023
BladderDeaths3.14.10.76x1.8 to 52020-2024
ThyroidNew cases8.6130.66x6.2 to 11.62019-2023

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 Bowie County
MeasureCountyU.S. medianDifferenceUnit
Premature death12,277.69,842.6+25%years of life lost before age 75 per 100,000
Life expectancy72.375.3-4%years
Child mortality76.159.8+27%deaths under age 18 per 100,000
Infant mortality8.46.2+36%deaths under age 1 per 1,000 live births
Injury deaths86.196.9-11%deaths per 100,000
Drug overdose deaths12.228.6-57%deaths per 100,000

Air toxics and air quality

EPA AirToxScreen 2020

Lifetime cancer risk from outdoor air toxics: 40 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

  • Formaldehyde26.92 per million
  • Carbon Tetrachloride2.92 per million
  • Acetaldehyde2.35 per million
  • Benzene1 per million

EPA Air Quality Index 2025

Monitored on 342 days: 188 good, 1 unhealthy for sensitive groups or worse. Median AQI 48, peak 107.

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit194
  • Rail grade crossing99
  • Gas station (mapped facility)68
  • Brownfield property37
  • Auto repair or body shop (mapped facility)32
  • Small hazardous waste generator12
  • Toxic chemical release facility (TRI)10
  • Air permit holder (minor source)9
  • TRI reporting facility9
  • Major air pollution source7
  • Hazardous waste transporter6
  • Large hazardous waste generator5
  • Dry cleaner (mapped facility)3
  • Large greenhouse gas emitter3
  • Heliport3
  • Superfund (NPL) site3
  • Public airport2
  • Correctional facility (prison or jail)2
  • Wastewater plant (mapped facility)2
  • EPA air quality monitor1
  • Landfill (mapped facility)1
  • Scrapyard (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.

  1. Lone Star Army Ammunition Plant, Texarkana

    Superfund (NPL) site. Hazard Ranking System score 31.9. NPL Site.

    EPA site ID TX7213821831 (U.S. EPA Superfund (SEMS/NPL)) Agency record

    Severity 10

  2. Texarkana Wood Preserving Co., Texarkana

    Superfund (NPL) site. Hazard Ranking System score 40.2. NPL Site.

    EPA site ID TXD008056152 (U.S. EPA Superfund (SEMS/NPL)) Agency record

    Severity 10

  3. Koppers Co., Inc. (Texarkana Plant), Texarkana

    Superfund (NPL) site. Hazard Ranking System score 31.3. NPL Site.

    EPA site ID TXD980623904 (U.S. EPA Superfund (SEMS/NPL)) Agency record

    Severity 10

  4. U.S. Army Red River Army Depot, Texarkana

    Toxic chemical release facility (TRI). Chemicals: Toluene, Methanol, Ethylene glycol, Cadmium and 4 more. Reports carcinogens. Reports PFAS. 31,123 lbs released over 5 years.

    TRI facility ID 75507SDDRDSDSRR (U.S. EPA Toxics Release Inventory)

    Severity 9.4

  5. West Fraser Wood Products Inc., New Boston

    Toxic chemical release facility (TRI). Chemicals: Methanol, Lead And Lead Compounds, Lead compounds, Dioxin and dioxin-like compounds. Reports carcinogens. 249,287 lbs released over 5 years.

    TRI facility ID 75570NWBSTHWY82 (U.S. EPA Toxics Release Inventory)

    Severity 8.6

  6. Federal Correctional Institution, Texarkana

    Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 2,377 lbs released over 5 years.

    TRI facility ID 7550WFDRLC41LEP (U.S. EPA Toxics Release Inventory)

    Severity 7.1

  7. Tci Texarkana Inc., Nash

    Toxic chemical release facility (TRI). Chemicals: Chlorine, Manganese, Lead And Lead Compounds, Copper and 2 more. Reports carcinogens. 1,181 lbs released over 5 years.

    TRI facility ID 75501LMXML300AL (U.S. EPA Toxics Release Inventory)

    Severity 6.9

  8. New Boston Concrete, New Boston

    Major air pollution source.

    EPA FRS registry ID 110070048789 (U.S. EPA ECHO) Agency record

    Severity 6.5

  9. The Sterno Group Llc, Texarkana

    Toxic chemical release facility (TRI). Chemicals: Methanol, Ethylene glycol. 23,660 lbs released over 5 years.

    TRI facility ID 75501CPLND303FA (U.S. EPA Toxics Release Inventory)

    Severity 6.4

  10. New Boston Lumber Mill, New Boston

    TRI reporting facility.

    EPA FRS registry ID 110012702851 (U.S. EPA ECHO) Agency record

    Severity 6.2

  11. Us Army Lone Star Army Ammunition Plant, Texarkana

    TRI reporting facility.

    EPA FRS registry ID 110016706448 (U.S. EPA ECHO) Agency record

    Severity 6

  12. New Boston Concrete, New Boston

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070048789 (U.S. EPA ECHO) Agency record

    Severity 6

  13. Candle Corp Of America, Texarkana

    TRI reporting facility.

    EPA FRS registry ID 110017353861 (U.S. EPA ECHO) Agency record

    Severity 5.9

  14. Texarkana New Boston, Texarkana

    EPA air quality monitor.

    Record ID 480371031 (U.S. EPA AirData)

    Severity 5.8

  15. Federal Correctional Institute, Texarkana

    TRI reporting facility.

    EPA FRS registry ID 110033855086 (U.S. EPA ECHO) Agency record

    Severity 5.3

  16. City Of Redwater, Redwater

    NPDES wastewater discharge permit. Penalties $16,312.

    EPA FRS registry ID 110009780870 (U.S. EPA ECHO) Agency record

    Severity 5.3

  17. Us Army Lone Star Army Ammunition Plant, Texarkana

    Major air pollution source.

    EPA FRS registry ID 110016706448 (U.S. EPA ECHO) Agency record

    Severity 5.3

  18. Expal Texarkana, Hooks

    Toxic chemical release facility (TRI). Chemicals: Nitroglycerin, Lead compounds, Dibutyl phthalate, Dioxin and dioxin-like compounds and 3 more. Reports carcinogens. 5 lbs released over 5 years.

    TRI facility ID 7556WXPLTX69NEL (U.S. EPA Toxics Release Inventory)

    Severity 5.1

  19. City Of Maud Wwtp, Maud

    NPDES wastewater discharge permit. Penalties $15,187.

    EPA FRS registry ID 110010921404 (U.S. EPA ECHO) Agency record

    Severity 5

  20. Us Army Red River Army Depot, Texarkana

    TRI reporting facility.

    EPA FRS registry ID 110034785524 (U.S. EPA ECHO) Agency record

    Severity 5

  21. Tci Texarkana, Inc, Texarkana

    TRI reporting facility.

    EPA FRS registry ID 110018919946 (U.S. EPA ECHO) Agency record

    Severity 5

  22. Us Army Lone Star Army Ammunition Plant, Texarkana

    Large hazardous waste generator.

    EPA FRS registry ID 110016706448 (U.S. EPA ECHO) Agency record

    Severity 4.8

  23. Us Army Lone Star Army Ammunition Plant, Texarkana

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110016706448 (U.S. EPA ECHO) Agency record

    Severity 4.8

  24. South Regional Waste Water Treatment Facility, Texarkana

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110000503358 (U.S. EPA ECHO) Agency record

    Severity 4.5

  25. City Of Redwater, Redwater

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006801158 (U.S. EPA ECHO) Agency record

    Severity 4.5

Correctional facilities

Prisons, jails and corrections operations with an EPA facility record, and the drinking water and wastewater compliance attached to them.

Discovery / public records

Records to request for Bowie County

  • Texas 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 Bowie County, and their findings.

  • Texas vital statistics office

    Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.

  • Texas health department, environmental epidemiology

    Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.

  • Texas 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.

  • Texas 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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