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Flagler County, Florida: environmental and disease records

Cancer mortality in Flagler County is 149.1 deaths per 100,000 people per year against a U.S. rate of 143.2. The strongest disease signals are Lung & bronchus deaths at 1.1 times the U.S. rate. Federal databases place 365 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (156), Industrial wastewater discharge (77), Gas station (mapped facility) (36). 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: 29.4655, -81.3093.

How this county ranks in Florida

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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 Flagler County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Melanoma of the skinNew cases3723.81.55xSignificant33 to 41.32019-2023
Non-Hodgkin lymphomaNew cases26.918.51.45xSignificant23.6 to 30.72019-2023
EsophagusNew cases6.34.61.37xSignificant4.9 to 8.12019-2023
LeukemiaNew cases19.814.51.37xSignificant17 to 23.12019-2023
BladderNew cases24.818.71.33xSignificant22.1 to 27.92019-2023
Childhood cancer (under 15)New cases21.216.41.29x12.1 to 34.52019-2023
Kidney & renal pelvisNew cases22.217.91.24xSignificant19.2 to 25.72019-2023
All cancerNew cases548.3453.41.21xSignificant533.2 to 563.82019-2023
Lung & bronchusNew cases62.451.81.2xSignificant58 to 67.32019-2023
PancreasNew cases16.713.91.2xSignificant14.4 to 19.42019-2023
LeukemiaDeaths6.45.71.12x5 to 8.12020-2024
Liver & bile ductNew cases9.78.71.11x8 to 11.82019-2023
PancreasDeaths12.511.31.11x10.6 to 14.62020-2024
Lung & bronchusDeaths33.430.21.11xSignificant30.3 to 36.92020-2024
Melanoma of the skinDeaths2.221.1x1.5 to 3.42020-2024
Brain & nervous systemDeaths4.84.41.09x3.5 to 6.52020-2024
Brain & nervous systemNew cases6.56.21.05x4.7 to 8.92019-2023
All cancerDeaths149.1143.21.04x142.1 to 156.32020-2024
Kidney & renal pelvisDeaths3.53.41.03x2.5 to 4.92020-2024
EsophagusDeaths3.83.71.03x2.7 to 5.22020-2024
StomachNew cases6.76.61.02x5.1 to 8.72019-2023
Liver & bile ductDeaths6.26.60.94x4.8 to 7.92020-2024
BladderDeaths3.84.10.93x2.9 to 5.22020-2024
StomachDeaths2.42.70.89x1.6 to 3.72020-2024
ThyroidNew cases11.2130.86x8.6 to 14.42019-2023
Non-Hodgkin lymphomaDeaths3.44.80.71x2.5 to 4.72020-2024

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 Flagler County
MeasureCountyU.S. medianDifferenceUnit
Premature death8,875.59,842.6-10%years of life lost before age 75 per 100,000
Life expectancy77.975.3+3%years
Child mortality51.659.8-14%deaths under age 18 per 100,000
Infant mortality5.16.2-19%deaths under age 1 per 1,000 live births
Injury deaths96.196.9-1%deaths per 100,000
Drug overdose deaths32.828.6+15%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.

  • Formaldehyde17.34 per million
  • Carbon Tetrachloride2.89 per million
  • Acetaldehyde1.47 per million
  • Benzene0.6 per million

EPA Air Quality Index 2025

Monitored on 364 days: 357 good, 0 unhealthy for sensitive groups or worse. Median AQI 34, peak 77.

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit156
  • Industrial wastewater discharge77
  • Gas station (mapped facility)36
  • Brownfield property32
  • Rail grade crossing12
  • Air permit holder (minor source)7
  • Auto repair or body shop (mapped facility)7
  • Small hazardous waste generator6
  • Toxic chemical release facility (TRI)6
  • Wastewater plant (mapped facility)6
  • Heliport5
  • TRI reporting facility5
  • Landfill (mapped facility)3
  • Major air pollution source2
  • Public airport2
  • EPA air quality monitor1
  • Commercial airport1
  • Large hazardous waste generator1

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. Boston Whaler, Inc, Flagler Beach

    TRI reporting facility. Penalties $13,190.

    EPA FRS registry ID 110071935055 (U.S. EPA ECHO) Agency record

    Severity 9.5

  2. Boston Whaler Flagler Facility, Flagler Beach

    Toxic chemical release facility (TRI). Chemicals: Styrene, Methyl methacrylate, Diisocyanates. Reports carcinogens. 260,266 lbs released over 5 years.

    TRI facility ID 32037SRYBT100SE (U.S. EPA Toxics Release Inventory)

    Severity 8.7

  3. Kanthal Palm Coast, Palm Coast

    TRI reporting facility. Penalties $9,500.

    EPA FRS registry ID 110006841043 (U.S. EPA ECHO) Agency record

    Severity 7.2

  4. Alleima Llc, Palm Coast

    Toxic chemical release facility (TRI). Chemicals: Xylene (mixed isomers), Nickel, Copper. Reports carcinogens. 1,539 lbs released over 5 years.

    TRI facility ID 32135HPRDC1COMM (U.S. EPA Toxics Release Inventory)

    Severity 6.9

  5. City Of Flagler Beach Wastewater Treatment Plant, Flagler Beach

    NPDES wastewater discharge permit. Penalties $5,100.

    EPA FRS registry ID 110000511919 (U.S. EPA ECHO) Agency record

    Severity 6.8

  6. Boston Whaler, Inc, Flagler Beach

    Major air pollution source. Penalties $13,190.

    EPA FRS registry ID 110071935055 (U.S. EPA ECHO) Agency record

    Severity 6.8

  7. Kanthal Palm Coast, Palm Coast

    Major air pollution source. Penalties $9,500.

    EPA FRS registry ID 110006841043 (U.S. EPA ECHO) Agency record

    Severity 5.5

  8. Kanthal Palm Coast, Palm Coast

    Large hazardous waste generator. Penalties $9,500.

    EPA FRS registry ID 110006841043 (U.S. EPA ECHO) Agency record

    Severity 5

  9. Kanthal Palm Coast, Palm Coast

    NPDES wastewater discharge permit. Penalties $9,500.

    EPA FRS registry ID 110006841043 (U.S. EPA ECHO) Agency record

    Severity 5

  10. Argos Bunnell Ready Mix Plant, Bunnell

    Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 2 lbs released over 5 years.

    TRI facility ID 3211WFLRDR575SA (U.S. EPA Toxics Release Inventory)

    Severity 4.9

  11. Boston Whaler, Inc, Flagler Beach

    Small hazardous waste generator. Penalties $13,190.

    EPA FRS registry ID 110071935055 (U.S. EPA ECHO) Agency record

    Severity 4.8

  12. Titan Florida Llc - Bunnell Ready Mix Plant, Bunnell

    Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 1 lbs released over 5 years.

    TRI facility ID 3211WTTNFL178NU (U.S. EPA Toxics Release Inventory)

    Severity 4.6

  13. Palm Coast, City Of - Palm Coast Wwtp, Palm Coast

    NPDES wastewater discharge permit. Penalties $25,218.

    EPA FRS registry ID 110010042970 (U.S. EPA ECHO) Agency record

    Severity 4.5

  14. Florida Rock Bunnell Terminal, Bunnell

    TRI reporting facility.

    EPA FRS registry ID 110020175576 (U.S. EPA ECHO) Agency record

    Severity 4

  15. Cemex Bunnell North, Bunnell

    TRI reporting facility.

    EPA FRS registry ID 110067125140 (U.S. EPA ECHO) Agency record

    Severity 4

  16. Titan Florida Llc - Bunnell Ready Mix Plant, Bunnell

    TRI reporting facility.

    EPA FRS registry ID 110067232140 (U.S. EPA ECHO) Agency record

    Severity 4

  17. Bunnell Wwtp, Bunnell

    NPDES wastewater discharge permit. Penalties $63,338.

    EPA FRS registry ID 110010043871 (U.S. EPA ECHO) Agency record

    Severity 3.8

  18. Dunes Cdd Water & Wastewater Treatment Facility, Palm Coast

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110017370511 (U.S. EPA ECHO) Agency record

    Severity 3.3

  19. East Flagler Mosquito Control District, Palm Coast

    Brownfield property.

    EPA FRS registry ID 110035548912 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  20. 375 Peavy Grade, Palm Coast

    Brownfield property.

    EPA FRS registry ID 110071965472 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  21. 41 Enterprise Drive - Undeveloped Wooded Property, Bunnell

    Brownfield property.

    EPA FRS registry ID 110071965475 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  22. Palm Coast Park, Palm Coast

    Brownfield property.

    EPA FRS registry ID 110071965798 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  23. Tract D Palm Coast Park Phase I, Palm Coast

    Brownfield property.

    EPA FRS registry ID 110071965799 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  24. 77 Hargrove Grade (Vacant Chemical Plant), Palm Coast

    Brownfield property.

    EPA FRS registry ID 110071965856 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  25. 71 Hargrove Grade (Sunbelt Chemical Plant), Palm Coast

    Brownfield property.

    EPA FRS registry ID 110071965857 (U.S. EPA Brownfields (ACRES)) 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 Flagler County

  • Florida 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 Flagler County, and their findings.

  • Florida vital statistics office

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

  • Florida health department, environmental epidemiology

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

  • Florida 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.

  • Florida 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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