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Warren County, Virginia: environmental and disease records

Cancer mortality in Warren County is 178.7 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Liver & bile duct deaths at 1.6 times the U.S. rate and Lung & bronchus deaths at 1.6 times the U.S. rate. Federal databases place 332 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (165), Rail grade crossing (64), Air permit holder (minor source) (36). 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: 38.8963, -78.1977.

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 Warren County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Liver & bile duct	Deaths	10.6	6.6	1.61xSignificant	7.2 to 15.3	2020-2024
Lung & bronchus	Deaths	47.8	30.2	1.58xSignificant	39.9 to 57.1	2020-2024
Esophagus	New cases	6.3	4.6	1.37x	3.7 to 10.3	2019-2023
All cancer	Deaths	178.7	143.2	1.25xSignificant	162.7 to 195.9	2020-2024
Lung & bronchus	New cases	63.4	51.8	1.22xSignificant	54.1 to 73.8	2019-2023
Liver & bile duct	New cases	10.6	8.7	1.22x	7.2 to 15.3	2019-2023
Bladder	New cases	21.3	18.7	1.14x	16.1 to 27.8	2019-2023
Thyroid	New cases	12.1	13	0.93x	7.8 to 18	2019-2023
All cancer	New cases	419.4	453.4	0.93x	394.3 to 445.7	2019-2023
Kidney & renal pelvis	New cases	15.5	17.9	0.87x	11 to 21.4	2019-2023
Stomach	New cases	5.7	6.6	0.86x	3.2 to 9.7	2019-2023
Non-Hodgkin lymphoma	New cases	15.9	18.5	0.86x	11.4 to 21.6	2019-2023
Pancreas	Deaths	8.9	11.3	0.79x	5.8 to 13.4	2020-2024
Pancreas	New cases	10.2	13.9	0.73x	6.6 to 15	2019-2023
Melanoma of the skin	New cases	16.1	23.8	0.68x	11.4 to 22.1	2019-2023
Leukemia	New cases	9.8	14.5	0.68x	6.2 to 14.9	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 Warren County
Measure	County	U.S. median	Difference	Unit
Premature death	9,847.2	9,842.6	+0%	years of life lost before age 75 per 100,000
Life expectancy	74.7	75.3	-1%	years
Child mortality	66.3	59.8	+11%	deaths under age 18 per 100,000
Infant mortality	7.8	6.2	+25%	deaths under age 1 per 1,000 live births
Injury deaths	98	96.9	+1%	deaths per 100,000
Drug overdose deaths	48	28.6	+68%	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.

Formaldehyde17.94 per million
Carbon Tetrachloride2.92 per million
Acetaldehyde1.71 per million
Benzene1.18 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit165
Rail grade crossing64
Air permit holder (minor source)36
Gas station (mapped facility)25
Small hazardous waste generator13
Toxic chemical release facility (TRI)7
TRI reporting facility5
Auto repair or body shop (mapped facility)4
Large hazardous waste generator4
Scrapyard (mapped facility)2
Major air pollution source1
Commercial airport1
Large greenhouse gas emitter1
Heliport1
Gas power plant1
Solar power plant1
Superfund (NPL) site1

Highest-severity records

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

Avtex Fibers, Inc., Front Royal
Superfund (NPL) site. Hazard Ranking System score 35.4. NPL Site.
EPA site ID VAD070358684 (U.S. EPA Superfund (SEMS/NPL)) Agency record
Severity 10
Axalta Coating Systems Usa Llc-Front Royal Plant, Front Royal
Toxic chemical release facility (TRI). Chemicals: Toluene, Xylene (mixed isomers), Methyl methacrylate, Ethylbenzene and 4 more. Reports carcinogens. 144,351 lbs released over 5 years.
TRI facility ID 22630DPNTFPOBOX (U.S. EPA Toxics Release Inventory)
Severity 8.5
Rps Composites Virginia Inc., Front Royal
Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 31,684 lbs released over 5 years.
TRI facility ID 22630SHNND210E4 (U.S. EPA Toxics Release Inventory)
Severity 8
Axalta Coating Systems Usa Llc, Front Royal
TRI reporting facility.
EPA FRS registry ID 110000341149 (U.S. EPA ECHO) Agency record
Severity 6
Rps Composites Virginia Inc, Front Royal
TRI reporting facility.
EPA FRS registry ID 110000341167 (U.S. EPA ECHO) Agency record
Severity 5.7
Us Cbp Canine Training Facility Firing Range #Va0040, Front Royal
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens.
TRI facility ID 22630SCSTM828HA (U.S. EPA Toxics Release Inventory)
Severity 4.6
Quarles Petroleum Inc. Front Royal Bulk Plant, Front Royal
Toxic chemical release facility (TRI). Chemicals: n-Hexane, Ethylbenzene, Benzene, Toluene and 2 more. Reports carcinogens.
TRI facility ID 22630QRLSP195CO (U.S. EPA Toxics Release Inventory)
Severity 4.5
Interbake Foods, Front Royal
Toxic chemical release facility (TRI). Chemicals: Sulfuric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Lead, Arsenic. Reports carcinogens.
TRI facility ID 2263WNTRBK2BAKE (U.S. EPA Toxics Release Inventory)
Severity 4.5
Warren County, Front Royal
Gas power plant.
Record ID 55939 (U.S. Energy Information Administration)
Severity 4.5
Toray Plastics, Front Royal
TRI reporting facility.
EPA FRS registry ID 110000341176 (U.S. EPA ECHO) Agency record
Severity 4.3
Christendom College, Front Royal
NPDES wastewater discharge permit. Penalties $32,700.
EPA FRS registry ID 110010914403 (U.S. EPA ECHO) Agency record
Severity 4.3
Jacksons Chase Wwtp, Middletown
NPDES wastewater discharge permit.
EPA FRS registry ID 110010912290 (U.S. EPA ECHO) Agency record
Severity 4
U.S. Customs Service Canine Training Facility Firing Range, Front Royal
TRI reporting facility.
EPA FRS registry ID 110013284784 (U.S. EPA ECHO) Agency record
Severity 4
Ferguson Enterprises #5422 (Fabrication Shop), Front Royal
Large hazardous waste generator. Penalties $13,892.
EPA FRS registry ID 110041353727 (U.S. EPA ECHO) Agency record
Severity 4
Titan Virginia Ready-Mix Llc - Front Royal, Front Royal
TRI reporting facility.
EPA FRS registry ID 110071372828 (U.S. EPA ECHO) Agency record
Severity 4
Skyline Resort Inc Stp, Front Royal
NPDES wastewater discharge permit.
EPA FRS registry ID 110009767626 (U.S. EPA ECHO) Agency record
Severity 3.5
Apple Mountain Chevron, Linden
NPDES wastewater discharge permit.
EPA FRS registry ID 110010912487 (U.S. EPA ECHO) Agency record
Severity 3.5
Dominion - Warren, Front Royal
Major air pollution source.
EPA FRS registry ID 110040513110 (U.S. EPA ECHO) Agency record
Severity 3.5
Front Royal Wwtp, Front Royal
NPDES wastewater discharge permit.
EPA FRS registry ID 110009116018 (U.S. EPA ECHO) Agency record
Severity 3.3
Titan Virginia Ready-Mix Llc-Front Royal Ready-Mix Concrete, Front Royal
Toxic chemical release facility (TRI). Chemicals: Lead And Lead Compounds.
TRI facility ID 2263WTTNVR399KE (U.S. EPA Toxics Release Inventory)
Severity 3
Axalta Coating Systems Usa Llc, Front Royal
Large hazardous waste generator.
EPA FRS registry ID 110000341149 (U.S. EPA ECHO) Agency record
Severity 3
The Apple House Wwtp, Linden
NPDES wastewater discharge permit. Penalties $7,875.
EPA FRS registry ID 110010914957 (U.S. EPA ECHO) Agency record
Severity 3
Front Royal Quarry, Front Royal
NPDES wastewater discharge permit.
EPA FRS registry ID 110070621431 (U.S. EPA ECHO) Agency record
Severity 3
Vdot M47 Bridge #6080 & 6078 - I66 Median, Middletown
Large hazardous waste generator.
EPA FRS registry ID 110072292511 (U.S. EPA ECHO) Agency record
Severity 3
Va Strc 6067 - Va 619 Over Sf Shen. River & Nsrr Warren County (Vdot), Front Royal
Large hazardous waste generator.
EPA FRS registry ID x4f606472a54433a84c920af89f33a3ef (U.S. EPA ECHO) Agency record
Severity 3

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 Warren 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 Warren 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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