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Lexington city, Virginia: environmental and disease records

Cancer mortality in Lexington city is 132.5 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 24 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (10), Air permit holder (minor source) (8), Gas station (mapped facility) (2). 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: 37.7815, -79.4444.

How this county ranks in Virginia

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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 Lexington city compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
All cancer	New cases	500.5	453.4	1.1x	426.8 to 584.2	2019-2023
Lung & bronchus	New cases	48.8	51.8	0.94x	28.3 to 80.1	2019-2023
All cancer	Deaths	132.5	143.2	0.93x	98.8 to 175.6	2020-2024

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 Lexington city
Measure	County	U.S. median	Difference	Unit
Premature death	5,114.5	9,842.6	-48%	years of life lost before age 75 per 100,000
Life expectancy	78.7	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	62.5	96.9	-35%	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: 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.

Formaldehyde17.89 per million
Carbon Tetrachloride2.87 per million
Acetaldehyde1.76 per million
Benzene0.98 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit10
Air permit holder (minor source)8
Gas station (mapped facility)2
Auto repair or body shop (mapped facility)1
Dry cleaner (mapped facility)1
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.

University Cleaners, Lexington
Dry cleaner (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID node/3865331557 (OpenStreetMap contributors) Agency record
Severity 2
Virginia Military Institute, Lexington
Small hazardous waste generator.
EPA FRS registry ID 110008183740 (U.S. EPA ECHO) Agency record
Severity 1.5
City Of Lexington Public Works Facility, Lexington
NPDES wastewater discharge permit.
EPA FRS registry ID 110070877461 (U.S. EPA ECHO) Agency record
Severity 1.5
Vmi Cptf Phase Iii - Aquatics Center, Lexington
NPDES wastewater discharge permit.
EPA FRS registry ID 110071502357 (U.S. EPA ECHO) Agency record
Severity 1.5
Construction Of Williams School, Lexington
NPDES wastewater discharge permit.
EPA FRS registry ID 110071510398 (U.S. EPA ECHO) Agency record
Severity 1.5
Center For Excellence - Sigma Nu, Lexington
NPDES wastewater discharge permit.
EPA FRS registry ID 110071514821 (U.S. EPA ECHO) Agency record
Severity 1.5
Kendal At Lexington Renovations And Expansion, Lexington
NPDES wastewater discharge permit.
EPA FRS registry ID 110071515147 (U.S. EPA ECHO) Agency record
Severity 1.5
Addition And Renovation To Marketplace Dining Room, Lexington
NPDES wastewater discharge permit.
EPA FRS registry ID 110071527271 (U.S. EPA ECHO) Agency record
Severity 1.5
Lindley Center For Student Wellness, Lexington Rockbridge County
NPDES wastewater discharge permit.
EPA FRS registry ID 110071667999 (U.S. EPA ECHO) Agency record
Severity 1.5
Woods Creek Stormwater Bmp Pond, Lexington
NPDES wastewater discharge permit.
EPA FRS registry ID 110071915261 (U.S. EPA ECHO) Agency record
Severity 1.5
Low Temperature Hot Water Loop- Phase 1, Lexington
NPDES wastewater discharge permit.
EPA FRS registry ID 110071959836 (U.S. EPA ECHO) Agency record
Severity 1.5
Washington & Lee Founders Hall, Lexington
NPDES wastewater discharge permit.
EPA FRS registry ID 110072202466 (U.S. EPA ECHO) Agency record
Severity 1.5
Maury River Middle School, Lexington
Air permit holder (minor source).
EPA FRS registry ID 110001895245 (U.S. EPA ECHO) Agency record
Severity 1
Town-N-Country Cleaners, Lexington
Air permit holder (minor source).
EPA FRS registry ID 110001899483 (U.S. EPA ECHO) Agency record
Severity 1
University Cleaners, Lexington
Air permit holder (minor source).
EPA FRS registry ID 110001901906 (U.S. EPA ECHO) Agency record
Severity 1
Washington & Lee University, Lexington
Air permit holder (minor source).
EPA FRS registry ID 110007321095 (U.S. EPA ECHO) Agency record
Severity 1
Virginia Military Institute, Lexington
Air permit holder (minor source).
EPA FRS registry ID 110008183740 (U.S. EPA ECHO) Agency record
Severity 1
Harrison Funeral Home, Lexington
Air permit holder (minor source).
EPA FRS registry ID 110014338797 (U.S. EPA ECHO) Agency record
Severity 1
Stonewall Jackson Hospital, Lexington
Air permit holder (minor source).
EPA FRS registry ID 110014466078 (U.S. EPA ECHO) Agency record
Severity 1
Stop In Food Store #44, Lexington
Air permit holder (minor source).
EPA FRS registry ID 110039135959 (U.S. EPA ECHO) Agency record
Severity 1
Sheetz, Lexington
Gas station (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID node/6294803096 (OpenStreetMap contributors) Agency record
Severity 1
Clark's Muffler and Brake Shop
Auto repair or body shop (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/383924702 (OpenStreetMap contributors) Agency record
Severity 1
Stop In Food Stores, Lexington
Gas station (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/383924855 (OpenStreetMap contributors) Agency record
Severity 1
Carilion Rockbridge Community Hospital, Lexington
Heliport. O.
Record ID 8VA7 (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 Lexington city

Virginia 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 Lexington city, and their findings.
Virginia vital statistics office
Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.
Virginia health department, environmental epidemiology
Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.
Virginia 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.
Virginia 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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