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Elmore County, Alabama: environmental and disease records

Cancer mortality in Elmore County is 170.1 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 1.5 times the U.S. rate. Federal databases place 648 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (289), Industrial wastewater discharge (242), Gas station (mapped facility) (21). 3 correctional facilities operate in the county. EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 40 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: 32.5885, -86.1519.

How this county ranks in Alabama

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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 Elmore County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Lung & bronchusDeaths44.630.21.48xSignificant39.2 to 50.62020-2024
BladderDeaths64.11.46x4 to 8.72020-2024
Kidney & renal pelvisDeaths4.73.41.38x3 to 7.12020-2024
StomachNew cases8.76.61.32x6.3 to 11.72019-2023
Lung & bronchusNew cases65.851.81.27xSignificant59.2 to 732019-2023
EsophagusNew cases5.64.61.22x3.8 to 8.12019-2023
All cancerDeaths170.1143.21.19xSignificant159.2 to 181.72020-2024
PancreasDeaths13.311.31.18x10.4 to 16.92020-2024
BladderNew cases2218.71.18x18.1 to 26.52019-2023
Kidney & renal pelvisNew cases20.917.91.17x17.1 to 25.32019-2023
Brain & nervous systemDeaths4.94.41.11x3.2 to 7.22020-2024
Brain & nervous systemNew cases6.76.21.08x4.5 to 9.52019-2023
StomachDeaths2.92.71.07x1.6 to 4.92020-2024
PancreasNew cases14.813.91.06x11.6 to 18.52019-2023
All cancerNew cases481.4453.41.06xSignificant462.8 to 500.72019-2023
LeukemiaNew cases15.214.51.05x11.9 to 19.12019-2023
Melanoma of the skinNew cases23.923.81x19.8 to 28.72019-2023
EsophagusDeaths3.53.70.95x2.2 to 5.62020-2024
Liver & bile ductNew cases8.28.70.94x6 to 11.12019-2023
Liver & bile ductDeaths66.60.91x4.1 to 8.42020-2024
LeukemiaDeaths4.85.70.84x3.1 to 7.12020-2024
Non-Hodgkin lymphomaNew cases14.518.50.78x11.4 to 18.32019-2023
ThyroidNew cases9.5130.73x6.8 to 12.82019-2023

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 Elmore County
MeasureCountyU.S. medianDifferenceUnit
Premature death9,508.19,842.6-3%years of life lost before age 75 per 100,000
Life expectancy74.675.3-1%years
Child mortality72.759.8+22%deaths under age 18 per 100,000
Infant mortality7.46.2+19%deaths under age 1 per 1,000 live births
Injury deaths69.396.9-28%deaths per 100,000
Drug overdose deaths10.728.6-62%deaths per 100,000

Air toxics and air quality

EPA AirToxScreen 2020

Lifetime cancer risk from outdoor air toxics: 40 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

  • Formaldehyde26.56 per million
  • Carbon Tetrachloride2.91 per million
  • Acetaldehyde2.66 per million
  • Pahpom0.88 per million

EPA Air Quality Index 2025

Monitored on 235 days: 230 good, 0 unhealthy for sensitive groups or worse. Median AQI 34, peak 64.

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit289
  • Industrial wastewater discharge242
  • Gas station (mapped facility)21
  • Air permit holder (minor source)19
  • Small hazardous waste generator16
  • Rail grade crossing15
  • Auto repair or body shop (mapped facility)11
  • Brownfield property8
  • Public airport4
  • Hydroelectric plant4
  • Correctional facility (prison or jail)3
  • Large hazardous waste generator3
  • Toxic chemical release facility (TRI)3
  • Major air pollution source2
  • Hazardous waste transporter2
  • TRI reporting facility2
  • EPA air quality monitor1
  • Dry cleaner (mapped facility)1
  • Large greenhouse gas emitter1
  • 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.

  1. Tallassee Sewer Stabilization Pond, Tallassee

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110055980577 (U.S. EPA ECHO) Agency record

    Severity 6

  2. Lennox Aes-Tallassee, Tallassee

    Toxic chemical release facility (TRI). Chemicals: Manganese, Chromium, Copper, Chlorodifluoromethane (HCFC-22). 1,789 lbs released over 5 years.

    TRI facility ID 3607WLNNXS2171A (U.S. EPA Toxics Release Inventory)

    Severity 5.5

  3. Lennox Aes-Tallassee, Tallassee

    TRI reporting facility.

    EPA FRS registry ID 110071731511 (U.S. EPA ECHO) Agency record

    Severity 5.4

  4. Neptune Technology Group Inc, Tallassee

    TRI reporting facility.

    EPA FRS registry ID 110000368557 (U.S. EPA ECHO) Agency record

    Severity 4.5

  5. Neptune Technology Group Inc, Tallassee

    Toxic chemical release facility (TRI). Chemicals: Nickel, Selenium compounds, Lead, Cadmium And Cadmium Compounds and 4 more. Reports carcinogens.

    TRI facility ID 36078NPTNWHWY22 (U.S. EPA Toxics Release Inventory)

    Severity 4.5

  6. Taylor Petroleum, Eclectic

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110020433422 (U.S. EPA ECHO) Agency record

    Severity 4.3

  7. Carwash Usa Express - Millbrook, Millbrook

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110067566663 (U.S. EPA ECHO) Agency record

    Severity 4.3

  8. Ti Fluid Systems, Tallassee

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070273405 (U.S. EPA ECHO) Agency record

    Severity 4.3

  9. Amtech Southeast, Elmore

    Major air pollution source.

    EPA FRS registry ID 110000368450 (U.S. EPA ECHO) Agency record

    Severity 3.5

  10. Neptune Technology Group Inc, Tallassee

    Large hazardous waste generator.

    EPA FRS registry ID 110000368557 (U.S. EPA ECHO) Agency record

    Severity 3.5

  11. City Of Prattville, Prattville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110055975477 (U.S. EPA ECHO) Agency record

    Severity 3.5

  12. Southern Natural Gas, Elmore

    Major air pollution source.

    EPA FRS registry ID 110064122006 (U.S. EPA ECHO) Agency record

    Severity 3.5

  13. Kowaliga Retreat Homeowners As, Eclectic

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006787511 (U.S. EPA ECHO) Agency record

    Severity 3.3

  14. Wilako Wastewater Treatment Plant, Wetumpka

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110020133265 (U.S. EPA ECHO) Agency record

    Severity 3.3

  15. Tallassee Mill And Confederate Armory, Tallassee

    Brownfield property.

    EPA FRS registry ID 110015330328 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  16. Wetumpka, City Of - Coosa River Plant, Wetumpka

    Brownfield property.

    EPA FRS registry ID 110071965614 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  17. Chamber Bridge, Tallassee

    Brownfield property.

    EPA FRS registry ID 110071969921 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  18. Mount Vernon Theater, Tallassee

    Brownfield property.

    EPA FRS registry ID 110071969932 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  19. Mount Vernon Mill East Side, Tallassee

    Brownfield property.

    EPA FRS registry ID 110071969933 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  20. Old Mount Vernon Mill And Confederate Armory, Tallassee

    Brownfield property.

    EPA FRS registry ID 110071969934 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  21. Patterson Station, Tallassee

    Brownfield property.

    EPA FRS registry ID 110071969935 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  22. Henderson Property, Wetumpka

    Brownfield property.

    EPA FRS registry ID 110071980012 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  23. Amtech Southeast, Elmore

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110000368450 (U.S. EPA ECHO) Agency record

    Severity 3

  24. Millbrook Wwtp, Millbrook

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110002041077 (U.S. EPA ECHO) Agency record

    Severity 3

  25. Gkn Westland Aerospace, Inc., Tallassee

    Large hazardous waste generator.

    EPA FRS registry ID 110009456230 (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.

Discovery / public records

Records to request for Elmore County

  • Alabama 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 Elmore County, and their findings.

  • Alabama vital statistics office

    Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.

  • Alabama health department, environmental epidemiology

    Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.

  • Alabama 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.

  • Alabama 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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