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Madison County, Texas: environmental and disease records

Cancer mortality in Madison County is 182.4 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Lung & bronchus deaths at 1.6 times the U.S. rate. Federal databases place 68 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (26), Rail grade crossing (16), Gas station (mapped facility) (12). 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: 30.9582, -95.9473.

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 Madison County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Lung & bronchusDeaths47.930.21.59xSignificant34.1 to 65.62020-2024
Lung & bronchusNew cases80.251.81.55xSignificant61.7 to 102.72019-2023
All cancerDeaths182.4143.21.27xSignificant153.4 to 215.62020-2024
Kidney & renal pelvisNew cases20.717.91.16x11.6 to 34.12019-2023
All cancerNew cases437.4453.40.96x391.2 to 487.62019-2023

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 Madison County
MeasureCountyU.S. medianDifferenceUnit
Premature death12,164.79,842.6+24%years of life lost before age 75 per 100,000
Life expectancy72.975.3-3%years
Child mortality88.759.8+48%deaths under age 18 per 100,000
Infant mortalityn/a6.2n/adeaths under age 1 per 1,000 live births
Injury deaths92.296.9-5%deaths per 100,000
Drug overdose deaths23.928.6-16%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.

  • Formaldehyde23.24 per million
  • Carbon Tetrachloride2.89 per million
  • Acetaldehyde1.88 per million
  • Ethylene Oxide1.08 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit26
  • Rail grade crossing16
  • Gas station (mapped facility)12
  • Public airport5
  • Air permit holder (minor source)4
  • Auto repair or body shop (mapped facility)2
  • Small hazardous waste generator2
  • Major air pollution source1

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. Tdcj Ferguson Unit, Midway

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110005079333 (U.S. EPA ECHO) Agency record

    Severity 3.8

  2. Monterey Mushrooms Facility, Madisonville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009778794 (U.S. EPA ECHO) Agency record

    Severity 3.5

  3. Madison Gas Plant, North Zulch

    Major air pollution source.

    EPA FRS registry ID 110035301544 (U.S. EPA ECHO) Agency record

    Severity 3.5

  4. Texas Internal Pipe Coating, Llc, Madisonville

    NPDES wastewater discharge permit. Penalties $29,325.

    EPA FRS registry ID 110070293373 (U.S. EPA ECHO) Agency record

    Severity 3.3

  5. Madisonville Muni, Madisonville

    Public airport. O.

    Record ID 51R (FAA / U.S. DOT)

    Severity 2

  6. Madisonville Wwtp, Madisonville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110010923457 (U.S. EPA ECHO) Agency record

    Severity 1.8

  7. Drakes Service Center Inc, Madisonville

    Small hazardous waste generator.

    EPA FRS registry ID 110005176790 (U.S. EPA ECHO) Agency record

    Severity 1.5

  8. Dynamic Fiberglass Inc, Madisonville

    Small hazardous waste generator.

    EPA FRS registry ID 110009504134 (U.S. EPA ECHO) Agency record

    Severity 1.5

  9. City Of Midway Wwtp, Midway

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009774342 (U.S. EPA ECHO) Agency record

    Severity 1.5

  10. Best Materials Plant 8, Madisonville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110037196012 (U.S. EPA ECHO) Agency record

    Severity 1.5

  11. Txi Madisonville Ready Mix, Madisonville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110055257172 (U.S. EPA ECHO) Agency record

    Severity 1.5

  12. Osr 786, Madisonville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070067377 (U.S. EPA ECHO) Agency record

    Severity 1.5

  13. Madisonville Municipal Airport, Madisonville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070358532 (U.S. EPA ECHO) Agency record

    Severity 1.5

  14. Integrity Delaware Madisonville, Madisonville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070358753 (U.S. EPA ECHO) Agency record

    Severity 1.5

  15. Madisonville Transportation Facility, Madisonville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070373282 (U.S. EPA ECHO) Agency record

    Severity 1.5

  16. The Preserve At Hidden Trails, North Zulch

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071148887 (U.S. EPA ECHO) Agency record

    Severity 1.5

  17. Txdot - Lfk - 0117-06-047, Midway

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071280569 (U.S. EPA ECHO) Agency record

    Severity 1.5

  18. Wac083101019, Mart

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071357451 (U.S. EPA ECHO) Agency record

    Severity 1.5

  19. Txdot Bry Csj 0117-03-024, North Zulch

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071943692 (U.S. EPA ECHO) Agency record

    Severity 1.5

  20. The Trails Phase 11b Plum Creek, Cleveland

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071959711 (U.S. EPA ECHO) Agency record

    Severity 1.5

  21. Texas Internal Pipe Coating, Madisonville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071995068 (U.S. EPA ECHO) Agency record

    Severity 1.5

  22. Palasota Pit, North Zulch

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110072003801 (U.S. EPA ECHO) Agency record

    Severity 1.5

  23. May Pit, North Zulch

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110072073939 (U.S. EPA ECHO) Agency record

    Severity 1.5

  24. Muncey Pit, North Zulch

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110072085995 (U.S. EPA ECHO) Agency record

    Severity 1.5

  25. Sosa Bess, North Zulch

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110072104004 (U.S. EPA ECHO) Agency record

    Severity 1.5

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 Madison 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 Madison 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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