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Rappahannock County, Virginia: environmental and disease records

Cancer mortality in Rappahannock County is 125.1 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 19 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (13), Gas station (mapped facility) (3), Air permit holder (minor source) (2). 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: 38.6927, -78.1288.

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 Rappahannock County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	New cases	48.1	51.8	0.93x	32.9 to 70.7	2019-2023
All cancer	New cases	399.9	453.4	0.88x	345.9 to 461.3	2019-2023
All cancer	Deaths	125.1	143.2	0.87x	99 to 158.1	2020-2024
Lung & bronchus	Deaths	21.2	30.2	0.7x	12.3 to 37.7	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 Rappahannock County
Measure	County	U.S. median	Difference	Unit
Premature death	9,336.3	9,842.6	-5%	years of life lost before age 75 per 100,000
Life expectancy	78.8	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	133.2	96.9	+37%	deaths per 100,000
Drug overdose deaths	67.7	28.6	+137%	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.

Formaldehyde17.26 per million
Carbon Tetrachloride2.91 per million
Acetaldehyde1.62 per million
Benzene0.94 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit13
Gas station (mapped facility)3
Air permit holder (minor source)2
Brownfield property1

Highest-severity records

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

Rush River Wastewater Treatment Plant, Washington
NPDES wastewater discharge permit.
EPA FRS registry ID 110025198248 (U.S. EPA ECHO) Agency record
Severity 3.5
Washington Town Water Treatment Plant, Washington
NPDES wastewater discharge permit.
EPA FRS registry ID 110010844293 (U.S. EPA ECHO) Agency record
Severity 3.3
Aileen Incorporated (Bfp-015), Flint Hill
Brownfield property.
EPA FRS registry ID 110038692037 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Rappahannock County High School, Washington
NPDES wastewater discharge permit.
EPA FRS registry ID 110001903076 (U.S. EPA ECHO) Agency record
Severity 2
Sperryville Wastewater Treatment Plant, Sperryville
NPDES wastewater discharge permit.
EPA FRS registry ID 110008997425 (U.S. EPA ECHO) Agency record
Severity 2
Rappahannock County Elementary School, Washington
NPDES wastewater discharge permit.
EPA FRS registry ID 110001903058 (U.S. EPA ECHO) Agency record
Severity 1.5
Rush River Commons, Washington
NPDES wastewater discharge permit.
EPA FRS registry ID 110071501107 (U.S. EPA ECHO) Agency record
Severity 1.5
Vdot Warrenton - 501-18130-048 Upc 108251, Rappahannock Co
NPDES wastewater discharge permit.
EPA FRS registry ID 110071506061 (U.S. EPA ECHO) Agency record
Severity 1.5
Chiaramonte Farm, Amisville
NPDES wastewater discharge permit.
EPA FRS registry ID 110071643848 (U.S. EPA ECHO) Agency record
Severity 1.5
Vdot Warrenton Pm7t 967 F24 Rte 229 Upc 122880, Culpeper
NPDES wastewater discharge permit.
EPA FRS registry ID 110071656686 (U.S. EPA ECHO) Agency record
Severity 1.5
Vdot Warrenton Pm7t 967 F24 Rte 522 Upc 122880, Rappahannock
NPDES wastewater discharge permit.
EPA FRS registry ID 110071661424 (U.S. EPA ECHO) Agency record
Severity 1.5
Rush River Commons Stream Restoration Project, Washington
NPDES wastewater discharge permit.
EPA FRS registry ID 110071911288 (U.S. EPA ECHO) Agency record
Severity 1.5
Harrelson Steve And Hannah Residence, Boston
NPDES wastewater discharge permit.
EPA FRS registry ID 110072073381 (U.S. EPA ECHO) Agency record
Severity 1.5
Inn At Little Washington Spa Parking Lot & Parsona, Washington
NPDES wastewater discharge permit.
EPA FRS registry ID 110072085480 (U.S. EPA ECHO) Agency record
Severity 1.5
Rappahannock County Elementary School, Washington
Air permit holder (minor source).
EPA FRS registry ID 110001903058 (U.S. EPA ECHO) Agency record
Severity 1
Rappahannock County School Board Office, Washington
Air permit holder (minor source).
EPA FRS registry ID 110001903067 (U.S. EPA ECHO) Agency record
Severity 1
Shell, Washington
Gas station (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID node/11407063753 (OpenStreetMap contributors) Agency record
Severity 1
Excel
Gas station (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID node/2735207688 (OpenStreetMap contributors) Agency record
Severity 1
Baldwins
Gas station (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/1394848808 (OpenStreetMap contributors) Agency record
Severity 1

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 Rappahannock 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 Rappahannock 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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