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Montgomery County, Alabama: environmental and disease records

Cancer mortality in Montgomery County is 160.1 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Pancreas deaths at 1.2 times the U.S. rate and Lung & bronchus deaths at 1.1 times the U.S. rate. Federal databases place 1,695 regulated facilities, sites and hazards inside the county, led by Industrial wastewater discharge (607), NPDES wastewater discharge permit (548), Rail grade crossing (122). 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: 32.2225, -86.2037.

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 Montgomery County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Stomach	Deaths	3.5	2.7	1.3x	2.6 to 4.7	2020-2024
Stomach	New cases	8.4	6.6	1.27xSignificant	6.9 to 10.2	2019-2023
Pancreas	Deaths	13.2	11.3	1.17xSignificant	11.4 to 15.3	2020-2024
All cancer	Deaths	160.1	143.2	1.12xSignificant	153.3 to 167.1	2020-2024
Lung & bronchus	Deaths	33.4	30.2	1.11xSignificant	30.4 to 36.7	2020-2024
Pancreas	New cases	15.3	13.9	1.1x	13.3 to 17.6	2019-2023
Kidney & renal pelvis	New cases	19.1	17.9	1.07x	16.8 to 21.7	2019-2023
Liver & bile duct	New cases	8.9	8.7	1.02x	7.4 to 10.6	2019-2023
Leukemia	New cases	14.8	14.5	1.02x	12.7 to 17.2	2019-2023
All cancer	New cases	459	453.4	1.01x	447.4 to 471	2019-2023
Brain & nervous system	Deaths	4.4	4.4	1x	3.3 to 5.8	2020-2024
Liver & bile duct	Deaths	6.6	6.6	1x	5.3 to 8.1	2020-2024
Childhood cancer (under 15)	New cases	16.1	16.4	0.98x	11.3 to 22.2	2019-2023
Lung & bronchus	New cases	50.4	51.8	0.97x	46.7 to 54.4	2019-2023
Brain & nervous system	New cases	6	6.2	0.97x	4.7 to 7.6	2019-2023
Leukemia	Deaths	5.1	5.7	0.89x	3.9 to 6.5	2020-2024
Esophagus	Deaths	3.1	3.7	0.84x	2.2 to 4.2	2020-2024
Bladder	Deaths	3.4	4.1	0.83x	2.5 to 4.6	2020-2024
Kidney & renal pelvis	Deaths	2.8	3.4	0.82x	2 to 3.9	2020-2024
Non-Hodgkin lymphoma	New cases	14.8	18.5	0.8x	12.7 to 17.1	2019-2023
Esophagus	New cases	3.6	4.6	0.78x	2.7 to 4.8	2019-2023
Non-Hodgkin lymphoma	Deaths	3.3	4.8	0.69x	2.4 to 4.5	2020-2024
Thyroid	New cases	8.4	13	0.65x	6.8 to 10.2	2019-2023
Bladder	New cases	11.9	18.7	0.64x	10.1 to 13.9	2019-2023
Melanoma of the skin	New cases	11.8	23.8	0.5x	9.9 to 13.9	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 Montgomery County
Measure	County	U.S. median	Difference	Unit
Premature death	13,219.4	9,842.6	+34%	years of life lost before age 75 per 100,000
Life expectancy	72.7	75.3	-3%	years
Child mortality	95.8	59.8	+60%	deaths under age 18 per 100,000
Infant mortality	9.4	6.2	+51%	deaths under age 1 per 1,000 live births
Injury deaths	86.8	96.9	-11%	deaths per 100,000
Drug overdose deaths	16.7	28.6	-42%	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.

Formaldehyde27.75 per million
Carbon Tetrachloride2.92 per million
Acetaldehyde2.75 per million
Benzene1.08 per million

EPA Air Quality Index 2025

Monitored on 359 days: 229 good, 0 unhealthy for sensitive groups or worse. Median AQI 44, peak 90.

Regulated facilities, sites and hazards by type

1,695 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.

Industrial wastewater discharge607
NPDES wastewater discharge permit548
Rail grade crossing122
Air permit holder (minor source)117
Gas station (mapped facility)106
Small hazardous waste generator51
Brownfield property45
Toxic chemical release facility (TRI)27
TRI reporting facility21
Auto repair or body shop (mapped facility)11
Major air pollution source8
Large hazardous waste generator7
Heliport5
Scrapyard (mapped facility)5
Hazardous waste transporter4
Commercial airport2
Large greenhouse gas emitter2
Landfill (mapped facility)2
Wastewater plant (mapped facility)2
EPA air quality monitor1
Public airport1
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.

T.H. Agriculture & Nutrition Co. (Montgomery Plant), Montgomery
Superfund (NPL) site. Hazard Ranking System score 44.5. NPL Site.
EPA site ID ALD007454085 (U.S. EPA Superfund (SEMS/NPL)) Agency record
Severity 10
Hyundai Motor Manufacturing Alabama Llc, Montgomery
Toxic chemical release facility (TRI). Chemicals: Nitric acid, Certain glycol ethers, 1,2,4-Trimethylbenzene, n-Butyl alcohol and 4 more. Reports carcinogens. 385,537 lbs released over 5 years.
TRI facility ID 36105HYNDM7HYUN (U.S. EPA Toxics Release Inventory)
Severity 8.8
Hyundai Mobis, Montgomery
Toxic chemical release facility (TRI). Chemicals: Xylene (mixed isomers), Toluene, 1,2,4-Trimethylbenzene, Ethylbenzene and 3 more. Reports carcinogens. 189,628 lbs released over 5 years.
TRI facility ID 3610WHYNDM1395B (U.S. EPA Toxics Release Inventory)
Severity 8.6
Hyundai Motor Manufacturing Alabama Llc, Montgomery
TRI reporting facility. Penalties $16,760.
EPA FRS registry ID 110017378372 (U.S. EPA ECHO) Agency record
Severity 8.5
Dc Alabama Inc, Mount Meigs
Toxic chemical release facility (TRI). Chemicals: Hydrochloric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Sulfuric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Phosphorus (yellow or white), Mercury and 2 more. Reports carcinogens. 23,535 lbs released over 5 years.
TRI facility ID 3605WDWCRN194HI (U.S. EPA Toxics Release Inventory)
Severity 7.9
Mplx Terminals Llc - Montgomery Al Terminal, Montgomery
Toxic chemical release facility (TRI). Chemicals: n-Hexane, Toluene, Benzene, Xylene (mixed isomers) and 4 more. Reports carcinogens. 5,139 lbs released over 5 years.
TRI facility ID 36108MRTHN32HUN (U.S. EPA Toxics Release Inventory)
Severity 7.3
Hyundai Power Transformers Usa, Montgomery
Toxic chemical release facility (TRI). Chemicals: o-Xylene, m-Xylene, Toluene, Xylene (mixed isomers) and 4 more. Reports carcinogens. 4,915 lbs released over 5 years.
TRI facility ID 3610WHYNDP21FLM (U.S. EPA Toxics Release Inventory)
Severity 7.3
Kinpak Llc, Montgomery
Toxic chemical release facility (TRI). Chemicals: Methanol, Certain glycol ethers, Ethylene glycol, 2-Propenoic acid, 2-methyl-, octadecyl ester, polymer with 3,3,4,4,5,5,6,6,7,7,8,8,9,9,10,10,11,11,12,12,12-heneicosafluorododecyl 2-propenoate, 3,3,4,4,5,5,6,6,7,7,8,8,9,9,10,10,10-heptadecafluorodecyl 2-propenoate and 3,3,4,4,5,5,6,6,7,7,8,8,9,9,10,10,11,11,12,12,13,13,14,14,14-pentacosafluorotetradecyl 2-propenoate. Reports PFAS. 3,176 lbs released over 5 years.
TRI facility ID 36109KNPKN2780G (U.S. EPA Toxics Release Inventory)
Severity 7.2
Rheem Manufacturing Water Heater Div, Montgomery
Toxic chemical release facility (TRI). Chemicals: Manganese, Chromium, Nickel, Copper and 1 more. Reports carcinogens. 1,423 lbs released over 5 years.
TRI facility ID 36193RHMMN2600E (U.S. EPA Toxics Release Inventory)
Severity 6.9
Qualico Miscellaneous Inc, Montgomery
Toxic chemical release facility (TRI). Chemicals: Manganese, Chromium, Nickel, Lead and 1 more. Reports carcinogens. 1,095 lbs released over 5 years.
TRI facility ID 3610WQLCMS19PAR (U.S. EPA Toxics Release Inventory)
Severity 6.8
Thermalex Inc, Montgomery
Toxic chemical release facility (TRI). Chemicals: Zinc (fume or dust), Copper, Chromium, Manganese. 52,187 lbs released over 5 years.
TRI facility ID 36193THRML2758G (U.S. EPA Toxics Release Inventory)
Severity 6.6
Rheem Manufacturing Water Heater Div, Montgomery
TRI reporting facility.
EPA FRS registry ID 110000368735 (U.S. EPA ECHO) Agency record
Severity 6.4
Koch Foods Of Alabama, Montgomery
Toxic chemical release facility (TRI). Chemicals: Ammonia, Hydrogen sulfide, Nitrate compounds (water dissociable; reportable only when in aqueous solution), Peracetic acid. 18,363 lbs released over 5 years.
TRI facility ID 36108SYLVS3500W (U.S. EPA Toxics Release Inventory)
Severity 6.3
Hyundai Mobis, Montgomery
TRI reporting facility.
EPA FRS registry ID 110063585516 (U.S. EPA ECHO) Agency record
Severity 6.1
Jay R Smith Manufacturing Co, Montgomery
Toxic chemical release facility (TRI). Chemicals: Manganese, Nickel, Lead, Chromium and 1 more. Reports carcinogens. 126 lbs released over 5 years.
TRI facility ID 36109JYRSM2781G (U.S. EPA Toxics Release Inventory)
Severity 6.1
Marathon Montgomery Terminal, Montgomery
TRI reporting facility.
EPA FRS registry ID 110000780156 (U.S. EPA ECHO) Agency record
Severity 6.1
Jenkins Brick Company, Montgomery
TRI reporting facility. Penalties $15,000.
EPA FRS registry ID 110001714574 (U.S. EPA ECHO) Agency record
Severity 6
Genpak Llc - Hope Hull, Hope Hull
Major air pollution source. Penalties $62,200.
EPA FRS registry ID 110013335408 (U.S. EPA ECHO) Agency record
Severity 6
Koch Foods Of Alabama, Montgomery
TRI reporting facility.
EPA FRS registry ID 110022875325 (U.S. EPA ECHO) Agency record
Severity 5.9
Thermalex, Inc, Montgomery
TRI reporting facility.
EPA FRS registry ID 110000368744 (U.S. EPA ECHO) Agency record
Severity 5.8
Hager Cos, Montgomery
Toxic chemical release facility (TRI). Chemicals: Nickel And Nickel Compounds, Copper compounds, Cyanide compounds, Chromium and Chromium Compounds(except for chromite ore mined in the Transvaal Region) and 4 more. Reports carcinogens. 52 lbs released over 5 years.
TRI facility ID 36105HGRHN150FO (U.S. EPA Toxics Release Inventory)
Severity 5.8
Hyundai Motor Manufacturing Alabama Llc, Montgomery
Major air pollution source. Penalties $16,760.
EPA FRS registry ID 110017378372 (U.S. EPA ECHO) Agency record
Severity 5.8
Smith Industries Inc Jay R Smith Manufacturing Co Div, Montgomery
TRI reporting facility.
EPA FRS registry ID 110000864716 (U.S. EPA ECHO) Agency record
Severity 5.5
Ridley Block Operations, Montgomery
TRI reporting facility.
EPA FRS registry ID 110000368664 (U.S. EPA ECHO) Agency record
Severity 5.5
Genpak Llc - Hope Hull, Hope Hull
NPDES wastewater discharge permit. Penalties $62,200.
EPA FRS registry ID 110013335408 (U.S. EPA ECHO) Agency record
Severity 5.5

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 Montgomery 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 Montgomery 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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