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Real County, Texas: environmental and disease records

Cancer mortality in Real County is 276.3 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 2.2 times the U.S. rate. Federal databases place 21 regulated facilities, sites and hazards inside the county, led by Public airport (6), NPDES wastewater discharge permit (6), Gas station (mapped facility) (5). EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 20 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: 29.8529, -99.8128.

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 Real County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	66.2	30.2	2.19xSignificant	36.1 to 117.7	2020-2024
All cancer	Deaths	276.3	143.2	1.93xSignificant	213.6 to 357.3	2020-2024
Lung & bronchus	New cases	83.4	51.8	1.61x	49.9 to 137.4	2019-2023
All cancer	New cases	543.6	453.4	1.2x	448.5 to 657	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 Real County
Measure	County	U.S. median	Difference	Unit
Premature death	14,160.3	9,842.6	+44%	years of life lost before age 75 per 100,000
Life expectancy	71.2	75.3	-5%	years
Child mortality	n/a	59.8	n/a	deaths under age 18 per 100,000
Infant mortality	n/a	6.2	n/a	deaths under age 1 per 1,000 live births
Injury deaths	124.9	96.9	+29%	deaths per 100,000
Drug overdose deaths	n/a	28.6	n/a	deaths per 100,000

Air toxics and air quality

EPA AirToxScreen 2020

Lifetime cancer risk from outdoor air toxics: 20 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

Formaldehyde17.3 per million
Carbon Tetrachloride2.74 per million
Acetaldehyde1.13 per million
Benzene0.44 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

Public airport6
NPDES wastewater discharge permit6
Gas station (mapped facility)5
Air permit holder (minor source)2
Heliport1
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.

Larry Chisum Construction Concrete Batch Plant, Leakey
NPDES wastewater discharge permit.
EPA FRS registry ID 110024812372 (U.S. EPA ECHO) Agency record
Severity 2.3
Real County, Leakey
Public airport. O.
Record ID 49R (FAA / U.S. DOT)
Severity 2
Wastewater Collection System And Lift Stations Package B, Leakey
NPDES wastewater discharge permit.
EPA FRS registry ID 110070381758 (U.S. EPA ECHO) Agency record
Severity 1.5
Effluent Irrigation System And Storage Ponds, Leakey
NPDES wastewater discharge permit.
EPA FRS registry ID 110070382372 (U.S. EPA ECHO) Agency record
Severity 1.5
T-269 Camp Wood To Leakey Tl Oh, Rio Frio
NPDES wastewater discharge permit.
EPA FRS registry ID 110070829953 (U.S. EPA ECHO) Agency record
Severity 1.5
Joy Hollow Indian Springs, Rocksprings
NPDES wastewater discharge permit.
EPA FRS registry ID 110071661963 (U.S. EPA ECHO) Agency record
Severity 1.5
Texarome, Leakey
NPDES wastewater discharge permit.
EPA FRS registry ID 110072190913 (U.S. EPA ECHO) Agency record
Severity 1.5
Westex Aromatics Incorporated, Leakey
Air permit holder (minor source).
EPA FRS registry ID 110007198790 (U.S. EPA ECHO) Agency record
Severity 1
Texarome Incorporated, Leakey
Air permit holder (minor source).
EPA FRS registry ID 110022398779 (U.S. EPA ECHO) Agency record
Severity 1
Fuel Station
Gas station (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID node/11800571412 (OpenStreetMap contributors) Agency record
Severity 1
Valero
Gas station (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/1182136512 (OpenStreetMap contributors) Agency record
Severity 1
Shamrock
Gas station (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/1182317049 (OpenStreetMap contributors) Agency record
Severity 1
Sunoco
Gas station (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/973379219 (OpenStreetMap contributors) Agency record
Severity 1
Sunoco
Gas station (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/973379220 (OpenStreetMap contributors) Agency record
Severity 1
Bandera Electric Coop Pv, Leakey
Solar power plant.
Record ID 61205 (U.S. Energy Information Administration)
Severity 0.5
Bitterbottom Airstrip, Rocksprings
Public airport. O.
Record ID 18TT (FAA / U.S. DOT)
Severity 0.5
Prade Ranch, Leakey
Public airport. O.
Record ID 57TE (FAA / U.S. DOT)
Severity 0.5
Flying Bull Ranch, Barksdale
Public airport. O.
Record ID TA52 (FAA / U.S. DOT)
Severity 0.5
Frio Canon, Leakey
Heliport. O.
Record ID TT06 (FAA / U.S. DOT)
Severity 0.5
Lewis Ranch, Leakey
Public airport. O.
Record ID XA31 (FAA / U.S. DOT)
Severity 0.5
Hackberry Ranch, Rocksprings
Public airport. O.
Record ID XS69 (FAA / U.S. DOT)
Severity 0.5

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 Real 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 Real 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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