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San Francisco County, California: environmental and disease records

Cancer mortality in San Francisco County is 111.4 deaths per 100,000 people per year against a U.S. rate of 143.2. The strongest disease signals are Stomach deaths at 1.4 times the U.S. rate and Liver & bile duct deaths at 1.2 times the U.S. rate. Federal databases place 1,484 regulated facilities, sites and hazards inside the county, led by Small hazardous waste generator (927), Large hazardous waste generator (214), Hazardous waste transporter (104). One correctional facility operates in the county. 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: 37.7581, -122.4465.

How this county ranks in California

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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 San Francisco County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
StomachNew cases9.56.61.44xSignificant8.7 to 10.42019-2023
StomachDeaths3.82.71.41xSignificant3.3 to 4.32020-2024
Liver & bile ductNew cases12.28.71.4xSignificant11.3 to 13.22019-2023
Liver & bile ductDeaths7.76.61.17xSignificant7 to 8.52020-2024
Childhood cancer (under 15)New cases18.516.41.13x14.8 to 22.72019-2023
Non-Hodgkin lymphomaNew cases20.718.51.12xSignificant19.5 to 222019-2023
ThyroidDeaths0.50.51x0.4 to 0.82020-2024
Brain & nervous systemNew cases6.16.20.98x5.4 to 6.92019-2023
ThyroidNew cases12.4130.95x11.4 to 13.52019-2023
EsophagusNew cases4.24.60.91x3.7 to 4.82019-2023
All cancerNew cases412453.40.91x406.4 to 417.62019-2023
Non-Hodgkin lymphomaDeaths4.34.80.9x3.8 to 4.92020-2024
Melanoma of the skinNew cases21.123.80.89x19.8 to 22.42019-2023
PancreasNew cases12.213.90.88x11.3 to 13.22019-2023
Brain & nervous systemDeaths3.74.40.84x3.1 to 4.32020-2024
LeukemiaNew cases11.714.50.81x10.7 to 12.82019-2023
Lung & bronchusNew cases41.351.80.8x39.5 to 432019-2023
All cancerDeaths111.4143.20.78x108.6 to 114.22020-2024
BladderNew cases14.418.70.77x13.4 to 15.52019-2023
PancreasDeaths8.611.30.76x7.9 to 9.42020-2024
EsophagusDeaths2.73.70.73x2.3 to 3.22020-2024
Lung & bronchusDeaths21.630.20.72x20.4 to 22.92020-2024
Kidney & renal pelvisDeaths2.43.40.71x2 to 2.82020-2024
Kidney & renal pelvisNew cases11.817.90.66x10.9 to 12.82019-2023
BladderDeaths2.74.10.66x2.3 to 3.22020-2024
LeukemiaDeaths3.65.70.63x3.1 to 4.12020-2024
Melanoma of the skinDeaths1.220.6x1 to 1.62020-2024

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 San Francisco County
MeasureCountyU.S. medianDifferenceUnit
Premature death5,6349,842.6-43%years of life lost before age 75 per 100,000
Life expectancy82.475.3+9%years
Child mortality28.859.8-52%deaths under age 18 per 100,000
Infant mortality2.66.2-57%deaths under age 1 per 1,000 live births
Injury deaths86.696.9-11%deaths per 100,000
Drug overdose deaths63.328.6+121%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.

  • Formaldehyde14.32 per million
  • Carbon Tetrachloride2.99 per million
  • Benzene2.77 per million
  • Acetaldehyde1.57 per million

EPA Air Quality Index 2024

Monitored on 334 days: 254 good, 0 unhealthy for sensitive groups or worse. Median AQI 33, peak 94.

Regulated facilities, sites and hazards by type

1,484 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.

  • Small hazardous waste generator927
  • Large hazardous waste generator214
  • Hazardous waste transporter104
  • NPDES wastewater discharge permit92
  • Industrial wastewater discharge41
  • Air permit holder (minor source)36
  • Rail grade crossing28
  • Brownfield property18
  • Gas power plant5
  • Toxic chemical release facility (TRI)5
  • Heliport4
  • Large greenhouse gas emitter3
  • Major air pollution source1
  • EPA air quality monitor1
  • Correctional facility (prison or jail)1
  • Biomass power plant1
  • Solar power plant1
  • Superfund (NPL) site1
  • TRI reporting facility1

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. Hunters Point Naval Shipyard, San Francisco

    Superfund (NPL) site. Hazard Ranking System score 48.8. NPL Site.

    EPA site ID CA1170090087 (U.S. EPA Superfund (SEMS/NPL)) Agency record

    Severity 10

  2. Cpmc Davies Campus Hospital, San Francisco

    Large hazardous waste generator.

    EPA FRS registry ID 110065144187 (U.S. EPA ECHO) Agency record

    Severity 6

  3. Golden Gate National Recreation Area, San Francisco

    Toxic chemical release facility (TRI). Chemicals: Polycyclic aromatic compounds. Reports carcinogens. 89 lbs released over 5 years.

    TRI facility ID 9412WGLDNG21FRT (U.S. EPA Toxics Release Inventory)

    Severity 6

  4. Oceanside Wpcp, San Francisco

    NPDES wastewater discharge permit. Penalties $118,250.

    EPA FRS registry ID 110055972023 (U.S. EPA ECHO) Agency record

    Severity 5.8

  5. Nrg Energy Center San Francisco, San Francisco

    Large greenhouse gas emitter.

    EPA FRS registry ID 110002630065 (U.S. EPA ECHO) Agency record

    Severity 5.5

  6. Ccsf- Southeast Water Pollution Control Plant, San Francisco

    Large hazardous waste generator. Penalties $118,250.

    EPA FRS registry ID 110043091301 (U.S. EPA ECHO) Agency record

    Severity 5.5

  7. Ccsf- Southeast Water Pollution Control Plant, San Francisco

    NPDES wastewater discharge permit. Penalties $118,250.

    EPA FRS registry ID 110043091301 (U.S. EPA ECHO) Agency record

    Severity 5.5

  8. Treasure Island, San Francisco

    Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens.

    TRI facility ID 9413WTRSRS5AVEN (U.S. EPA Toxics Release Inventory)

    Severity 4.5

  9. Nrg Energy Center San Francisco, San Francisco

    Small hazardous waste generator.

    EPA FRS registry ID 110002630065 (U.S. EPA ECHO) Agency record

    Severity 4.5

  10. Treasure Island Wwtp, San Francisco County

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110055972247 (U.S. EPA ECHO) Agency record

    Severity 4.5

  11. Us Mint San Francisco Ca, San Francisco

    Toxic chemical release facility (TRI). Chemicals: Silver, Nickel, Manganese, Copper. Reports carcinogens.

    TRI facility ID 94102SMNTT155HE (U.S. EPA Toxics Release Inventory)

    Severity 4.5

  12. Ucsf/Parnassus, San Francisco

    Large hazardous waste generator.

    EPA FRS registry ID 110064264576 (U.S. EPA ECHO) Agency record

    Severity 4.3

  13. Nrg Energy Center San Francisco, San Francisco

    Air permit holder (minor source).

    EPA FRS registry ID 110002630065 (U.S. EPA ECHO) Agency record

    Severity 4

  14. San Francisco General Hospital, San Francisco

    Large hazardous waste generator.

    EPA FRS registry ID 110013856176 (U.S. EPA ECHO) Agency record

    Severity 4

  15. San Francisco (A), San Francisco

    TRI reporting facility.

    EPA FRS registry ID 110037148547 (U.S. EPA ECHO) Agency record

    Severity 4

  16. Pier 92 Aggregates, San Francisco

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110065823835 (U.S. EPA ECHO) Agency record

    Severity 4

  17. Sf Boat Works, San Francisco

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070087482 (U.S. EPA ECHO) Agency record

    Severity 4

  18. United States Mint At San Francisco, San Francisco

    Large hazardous waste generator.

    EPA FRS registry ID 110000495777 (U.S. EPA ECHO) Agency record

    Severity 3.5

  19. Potrero Generating Station, San Francisco

    Major air pollution source.

    EPA FRS registry ID 110000786178 (U.S. EPA ECHO) Agency record

    Severity 3.5

  20. Presidio Of San Francisco, San Francisco

    Large hazardous waste generator.

    EPA FRS registry ID 110002923800 (U.S. EPA ECHO) Agency record

    Severity 3.5

  21. Kaiser Permanente, San Francisco

    Large hazardous waste generator.

    EPA FRS registry ID 110070423897 (U.S. EPA ECHO) Agency record

    Severity 3.5

  22. Laguna Honda Hospital, San Francisco

    Large hazardous waste generator.

    EPA FRS registry ID 110001182522 (U.S. EPA ECHO) Agency record

    Severity 3.3

  23. Cvs Pharmacy No 10188, San Francisco

    Large hazardous waste generator.

    EPA FRS registry ID 110002930883 (U.S. EPA ECHO) Agency record

    Severity 3.3

  24. Ucsf Mt Zion Medical Center, San Francisco

    Large hazardous waste generator.

    EPA FRS registry ID 110009537340 (U.S. EPA ECHO) Agency record

    Severity 3.3

  25. Cvs Pharmacy #11107, San Francisco

    Large hazardous waste generator.

    EPA FRS registry ID 110070540379 (U.S. EPA ECHO) Agency record

    Severity 3.3

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 San Francisco County

  • California 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 San Francisco County, and their findings.

  • California vital statistics office

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

  • California health department, environmental epidemiology

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

  • California 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.

  • California 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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