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Medina County, Texas: environmental and disease records

Cancer mortality in Medina County is 146.5 deaths per 100,000 people per year against a U.S. rate of 143.2. The strongest disease signals are Liver & bile duct deaths at 1.9 times the U.S. rate. Federal databases place 359 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (224), Rail grade crossing (64), Gas station (mapped facility) (35). 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: 29.3848, -99.1086.

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 Medina County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Liver & bile duct	Deaths	12.6	6.6	1.91xSignificant	9.2 to 17.1	2020-2024
Liver & bile duct	New cases	15.2	8.7	1.75xSignificant	11.2 to 20.2	2019-2023
Kidney & renal pelvis	New cases	28.3	17.9	1.58xSignificant	22.6 to 35.1	2019-2023
Thyroid	New cases	18.5	13	1.42xSignificant	13.6 to 24.5	2019-2023
Esophagus	Deaths	4.5	3.7	1.22x	2.5 to 7.5	2020-2024
Leukemia	Deaths	6.5	5.7	1.14x	4.1 to 9.9	2020-2024
Pancreas	New cases	14.7	13.9	1.06x	10.8 to 19.6	2019-2023
All cancer	Deaths	146.5	143.2	1.02x	133.8 to 160.1	2020-2024
Non-Hodgkin lymphoma	New cases	18.6	18.5	1.01x	14.1 to 24.2	2019-2023
Brain & nervous system	New cases	6	6.2	0.97x	3.5 to 9.6	2019-2023
All cancer	New cases	422.6	453.4	0.93x	400.1 to 446.2	2019-2023
Pancreas	Deaths	10.3	11.3	0.91x	7.1 to 14.4	2020-2024
Leukemia	New cases	13	14.5	0.9x	9.3 to 17.8	2019-2023
Stomach	New cases	5.8	6.6	0.88x	3.4 to 9.2	2019-2023
Lung & bronchus	Deaths	25.6	30.2	0.85x	20.5 to 31.7	2020-2024
Bladder	New cases	14.3	18.7	0.76x	10.6 to 19	2019-2023
Lung & bronchus	New cases	39.5	51.8	0.76x	33.1 to 46.9	2019-2023
Melanoma of the skin	New cases	16.4	23.8	0.69x	12.2 to 21.7	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 Medina County
Measure	County	U.S. median	Difference	Unit
Premature death	8,769.9	9,842.6	-11%	years of life lost before age 75 per 100,000
Life expectancy	76.7	75.3	+2%	years
Child mortality	55.8	59.8	-7%	deaths under age 18 per 100,000
Infant mortality	7.1	6.2	+14%	deaths under age 1 per 1,000 live births
Injury deaths	66.8	96.9	-31%	deaths per 100,000
Drug overdose deaths	9.5	28.6	-67%	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.

Formaldehyde18.71 per million
Carbon Tetrachloride2.82 per million
Acetaldehyde1.24 per million
Naphthalene0.79 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit224
Rail grade crossing64
Gas station (mapped facility)35
Public airport9
Auto repair or body shop (mapped facility)7
Toxic chemical release facility (TRI)4
Air permit holder (minor source)3
Hazardous waste transporter3
TRI reporting facility3
Commercial airport2
Dry cleaner (mapped facility)2
Large hazardous waste generator1
Small hazardous waste generator1
Heliport1

Highest-severity records

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

Martin Asphalt - Hondo, Hondo
Toxic chemical release facility (TRI). Chemicals: Polycyclic aromatic compounds. Reports carcinogens. 13 lbs released over 5 years.
TRI facility ID 7886WMRTNS429ZA (U.S. EPA Toxics Release Inventory)
Severity 5.4
City Of Devine Wwtp, Devine
NPDES wastewater discharge permit.
EPA FRS registry ID 110009747621 (U.S. EPA ECHO) Agency record
Severity 4.5
City Of Castroville Wwtp, Castroville
NPDES wastewater discharge permit.
EPA FRS registry ID 110027991957 (U.S. EPA ECHO) Agency record
Severity 4.5
H L Zumwalt Construction, Mico
NPDES wastewater discharge permit. Penalties $18,675.
EPA FRS registry ID 110070358947 (U.S. EPA ECHO) Agency record
Severity 4.5
Martin Asphalt - Hondo, Hondo
TRI reporting facility.
EPA FRS registry ID 110070247339 (U.S. EPA ECHO) Agency record
Severity 4.3
City Of Natalia Wwtp, Natalia
NPDES wastewater discharge permit. Penalties $4,125.
EPA FRS registry ID 110006687166 (U.S. EPA ECHO) Agency record
Severity 4
Wilbur-Ellis Co Devine, Devine
TRI reporting facility.
EPA FRS registry ID 110020515744 (U.S. EPA ECHO) Agency record
Severity 4
Hondo Facility, Hondo
TRI reporting facility.
EPA FRS registry ID 110071432937 (U.S. EPA ECHO) Agency record
Severity 4
Hondo Wwtp, Hondo
NPDES wastewater discharge permit.
EPA FRS registry ID 110039914554 (U.S. EPA ECHO) Agency record
Severity 3.5
Hwy 211 Rm, San Antonio
Toxic chemical release facility (TRI). Chemicals: Lead And Lead Compounds, Lead compounds, Nitrate compounds (water dissociable; reportable only when in aqueous solution).
TRI facility ID 7825WLTTMR9151S (U.S. EPA Toxics Release Inventory)
Severity 3
377 Lytle Station, Natalia
Large hazardous waste generator.
EPA FRS registry ID 110017284320 (U.S. EPA ECHO) Agency record
Severity 3
Wilbur-Ellis Co Devine, Devine
Toxic chemical release facility (TRI). Chemicals: N-Methyl-2-pyrrolidone, Nonylphenol Ethoxylates, Ethylene glycol, Ammonia and 3 more.
TRI facility ID 78016WLBRL265IN (U.S. EPA Toxics Release Inventory)
Severity 3
Hondo Facility, Hondo
Toxic chemical release facility (TRI). Chemicals: Silver.
TRI facility ID 7886WHNDFC111CA (U.S. EPA Toxics Release Inventory)
Severity 3
L-C Transport, Hondo
NPDES wastewater discharge permit. Penalties $656.
EPA FRS registry ID 110070375386 (U.S. EPA ECHO) Agency record
Severity 2.5
Rio Medina Operation, Hondo
NPDES wastewater discharge permit. Penalties $13,388.
EPA FRS registry ID 110070500515 (U.S. EPA ECHO) Agency record
Severity 2.5
Legacy Hills Subdivision, Mico
NPDES wastewater discharge permit. Penalties $7,500.
EPA FRS registry ID 110071427654 (U.S. EPA ECHO) Agency record
Severity 2.5
Fgu-Wrrf1, Castroville
NPDES wastewater discharge permit.
EPA FRS registry ID 110071710664 (U.S. EPA ECHO) Agency record
Severity 2
Devine Muni, Devine
Public airport. O.
Record ID 23R (FAA / U.S. DOT)
Severity 2
Castroville Muni, Castroville
Commercial airport. O.
Record ID CVB (FAA / U.S. DOT)
Severity 2
Hondo Rgnl, Hondo
Commercial airport. O.
Record ID HDO (FAA / U.S. DOT)
Severity 2
Top Notch Cleaners, Devine
Dry cleaner (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID node/6656019701 (OpenStreetMap contributors) Agency record
Severity 2
Maple Tree Cleaners
Dry cleaner (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID node/6656072874 (OpenStreetMap contributors) Agency record
Severity 2
471 Pit, San Antonio
NPDES wastewater discharge permit.
EPA FRS registry ID 110070178025 (U.S. EPA ECHO) Agency record
Severity 1.8
Aircraft Refinishers Of South Texas, Devine
Small hazardous waste generator.
EPA FRS registry ID 110008165895 (U.S. EPA ECHO) Agency record
Severity 1.5
Medina County Wcid 2 Wwtf, D'Hanis
NPDES wastewater discharge permit.
EPA FRS registry ID 110009777544 (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 Medina 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 Medina 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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