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Page County, Virginia: environmental and disease records

Cancer mortality in Page County is 174.6 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 1.3 times the U.S. rate. Federal databases place 169 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (47), Rail grade crossing (42), Air permit holder (minor source) (36). 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: 38.6211, -78.485.

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 Page County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Non-Hodgkin lymphoma	Deaths	8.3	4.8	1.73x	4.8 to 14	2020-2024
Brain & nervous system	New cases	9.7	6.2	1.56x	5.3 to 16.6	2019-2023
Liver & bile duct	New cases	13.3	8.7	1.53x	8.7 to 20.1	2019-2023
Liver & bile duct	Deaths	10	6.6	1.52x	6.2 to 16.1	2020-2024
Lung & bronchus	Deaths	39.1	30.2	1.29xSignificant	30.8 to 49.4	2020-2024
All cancer	Deaths	174.6	143.2	1.22xSignificant	155.9 to 195.2	2020-2024
Bladder	New cases	21.9	18.7	1.17x	15.7 to 30.3	2019-2023
Lung & bronchus	New cases	60.6	51.8	1.17x	50.3 to 72.9	2019-2023
Non-Hodgkin lymphoma	New cases	21.2	18.5	1.15x	14.8 to 29.7	2019-2023
Kidney & renal pelvis	New cases	19.1	17.9	1.07x	13 to 27.5	2019-2023
Melanoma of the skin	New cases	24	23.8	1.01x	17.1 to 33.2	2019-2023
Pancreas	Deaths	11.1	11.3	0.98x	7 to 17.3	2020-2024
All cancer	New cases	414.6	453.4	0.91x	384 to 447.2	2019-2023
Leukemia	New cases	12.9	14.5	0.89x	7.4 to 20.9	2019-2023
Pancreas	New cases	12.3	13.9	0.88x	7.9 to 18.8	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 Page County
Measure	County	U.S. median	Difference	Unit
Premature death	11,040.9	9,842.6	+12%	years of life lost before age 75 per 100,000
Life expectancy	73.9	75.3	-2%	years
Child mortality	53	59.8	-11%	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	103.9	96.9	+7%	deaths per 100,000
Drug overdose deaths	33.6	28.6	+17%	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.

Formaldehyde16.77 per million
Carbon Tetrachloride2.86 per million
Acetaldehyde1.51 per million
Benzene0.9 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit47
Rail grade crossing42
Air permit holder (minor source)36
Gas station (mapped facility)17
Auto repair or body shop (mapped facility)11
Small hazardous waste generator2
Landfill (mapped facility)2
Hydroelectric plant2
Major air pollution source1
Commercial airport1
Brownfield property1
Large greenhouse gas emitter1
Large hazardous waste generator1
Heliport1
Scrapyard (mapped facility)1
TRI reporting facility1
Toxic chemical release facility (TRI)1
Wastewater plant (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.

Town Of Luray, Luray
NPDES wastewater discharge permit. Penalties $5,149.
EPA FRS registry ID 110006179492 (U.S. EPA ECHO) Agency record
Severity 5.8
Page County High School And Middle School Stp, Shenandoah
NPDES wastewater discharge permit. Penalties $2,448.
EPA FRS registry ID 110007023078 (U.S. EPA ECHO) Agency record
Severity 4.5
Page County High School And Middle School Stp, Shenandoah
Air permit holder (minor source). Penalties $2,448.
EPA FRS registry ID 110007023078 (U.S. EPA ECHO) Agency record
Severity 4
Masonite Corporation, Stanley
TRI reporting facility.
EPA FRS registry ID 110020670497 (U.S. EPA ECHO) Agency record
Severity 4
Shenandoah Compressor Station, Shenandoah
Major air pollution source.
EPA FRS registry ID 110007319204 (U.S. EPA ECHO) Agency record
Severity 3.5
Battle Creek Landfill, Luray
Large greenhouse gas emitter.
EPA FRS registry ID 110038101666 (U.S. EPA ECHO) Agency record
Severity 3.5
Big Gem Furnace, Shenandoah
Brownfield property.
EPA FRS registry ID 110039535027 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Bridge Strc 13077 Page County (Vdot), Stanley
Large hazardous waste generator.
EPA FRS registry ID 110072242475 (U.S. EPA ECHO) Agency record
Severity 3
Masonite Corp, Stanley
Toxic chemical release facility (TRI). Chemicals: Certain glycol ethers.
TRI facility ID 2285WMSNTC28DNV (U.S. EPA Toxics Release Inventory)
Severity 3
Battle Creek Landfill, Luray
NPDES wastewater discharge permit.
EPA FRS registry ID 110038101666 (U.S. EPA ECHO) Agency record
Severity 2.5
Hawksbill Recreation Park, Stanley
NPDES wastewater discharge permit.
EPA FRS registry ID 110010912904 (U.S. EPA ECHO) Agency record
Severity 2
Battle Creek Landfill, Luray
Air permit holder (minor source).
EPA FRS registry ID 110038101666 (U.S. EPA ECHO) Agency record
Severity 2
Luray Caverns, Luray
Commercial airport. O.
Record ID LUA (FAA / U.S. DOT)
Severity 2
Landfill
Landfill (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/1020640532 (OpenStreetMap contributors) Agency record
Severity 2
Car Graveyard
Landfill (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/406203916 (OpenStreetMap contributors) Agency record
Severity 2
Wastewater Plant
Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/758160675 (OpenStreetMap contributors) Agency record
Severity 2
Loft Mountain Stp, Luray
NPDES wastewater discharge permit.
EPA FRS registry ID 110014465863 (U.S. EPA ECHO) Agency record
Severity 1.8
Shenandoah Wwtp, Shenandoah
NPDES wastewater discharge permit.
EPA FRS registry ID 110022314495 (U.S. EPA ECHO) Agency record
Severity 1.8
Grove Hill School, Shenandoah
NPDES wastewater discharge permit.
EPA FRS registry ID 110001895600 (U.S. EPA ECHO) Agency record
Severity 1.5
Valley Health - Page Memorial Hospital, Luray
Small hazardous waste generator.
EPA FRS registry ID 110001898741 (U.S. EPA ECHO) Agency record
Severity 1.5
Emco Enterprises, Luray
NPDES wastewater discharge permit.
EPA FRS registry ID 110002372343 (U.S. EPA ECHO) Agency record
Severity 1.5
Columbia Gas Transmission Corp, Shenandoah
Small hazardous waste generator.
EPA FRS registry ID 110008200641 (U.S. EPA ECHO) Agency record
Severity 1.5
Columbia Gas Transmission Corp, Shenandoah
NPDES wastewater discharge permit.
EPA FRS registry ID 110008200641 (U.S. EPA ECHO) Agency record
Severity 1.5
Stanley Stp, Stanley
NPDES wastewater discharge permit.
EPA FRS registry ID 110009116660 (U.S. EPA ECHO) Agency record
Severity 1.5
Big Meadows, Luray
NPDES wastewater discharge permit.
EPA FRS registry ID 110010916250 (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 Page County

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 Page County, 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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