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Madison County, Florida: environmental and disease records

Cancer mortality in Madison County is 194.8 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 1.6 times the U.S. rate. Federal databases place 133 regulated facilities, sites and hazards inside the county, led by Rail grade crossing (56), NPDES wastewater discharge permit (19), Landfill (mapped facility) (15). 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: 30.4552, -83.4736.

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 Madison County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Lung & bronchusDeaths49.130.21.63xSignificant38.4 to 62.42020-2024
Liver & bile ductNew cases12.58.71.44x7.3 to 20.82019-2023
All cancerDeaths194.8143.21.36xSignificant172 to 220.32020-2024
PancreasDeaths14.611.31.29x9.1 to 22.92020-2024
Lung & bronchusNew cases57.451.81.11x45.7 to 71.82019-2023
Kidney & renal pelvisNew cases17.217.90.96x10.4 to 27.12019-2023
Non-Hodgkin lymphomaNew cases17.418.50.94x10.9 to 272019-2023
All cancerNew cases415.2453.40.92x380 to 453.12019-2023
PancreasNew cases12.513.90.9x7.5 to 20.42019-2023
LeukemiaNew cases12.114.50.83x7 to 20.42019-2023

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 Madison County
MeasureCountyU.S. medianDifferenceUnit
Premature death11,824.19,842.6+20%years of life lost before age 75 per 100,000
Life expectancy72.475.3-4%years
Child mortality80.759.8+35%deaths under age 18 per 100,000
Infant mortalityn/a6.2n/adeaths under age 1 per 1,000 live births
Injury deaths95.496.9-2%deaths per 100,000
Drug overdose deathsn/a28.6n/adeaths 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.

  • Formaldehyde20.62 per million
  • Carbon Tetrachloride2.9 per million
  • Acetaldehyde2.14 per million
  • Pahpom0.67 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

  • Rail grade crossing56
  • NPDES wastewater discharge permit19
  • Landfill (mapped facility)15
  • Gas station (mapped facility)10
  • Industrial wastewater discharge8
  • Air permit holder (minor source)7
  • Scrapyard (mapped facility)7
  • Wastewater plant (mapped facility)5
  • Public airport3
  • Correctional facility (prison or jail)1
  • Small hazardous waste generator1
  • 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.

  1. Madison County Sanitary Landfill, Madison

    Superfund (NPL) site. Hazard Ranking System score 37.9. NPL Site.

    EPA site ID FLD981019235 (U.S. EPA Superfund (SEMS/NPL)) Agency record

    Severity 10

  2. Scruggs Concrete Company, Madison

    NPDES wastewater discharge permit. Penalties $2,066.

    EPA FRS registry ID 110054101994 (U.S. EPA ECHO) Agency record

    Severity 2.5

  3. Full Circle Dairy, Llc, Lee

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110035723599 (U.S. EPA ECHO) Agency record

    Severity 2.3

  4. Landfill

    Landfill (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID relation/14882621 (OpenStreetMap contributors) Agency record

    Severity 2

  5. Landfill

    Landfill (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID way/1112602652 (OpenStreetMap contributors) Agency record

    Severity 2

  6. Landfill

    Landfill (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID way/1112603709 (OpenStreetMap contributors) Agency record

    Severity 2

  7. Landfill

    Landfill (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID way/1112604748 (OpenStreetMap contributors) Agency record

    Severity 2

  8. Landfill

    Landfill (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID way/1112605754 (OpenStreetMap contributors) Agency record

    Severity 2

  9. Wastewater Plant

    Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID way/1112620077 (OpenStreetMap contributors) Agency record

    Severity 2

  10. Wastewater Plant

    Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID way/1112620522 (OpenStreetMap contributors) Agency record

    Severity 2

  11. Wastewater Plant

    Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID way/1112620601 (OpenStreetMap contributors) Agency record

    Severity 2

  12. Landfill

    Landfill (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID way/1112621403 (OpenStreetMap contributors) Agency record

    Severity 2

  13. Wastewater Plant

    Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID way/1112622238 (OpenStreetMap contributors) Agency record

    Severity 2

  14. Landfill

    Landfill (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID way/1112623377 (OpenStreetMap contributors) Agency record

    Severity 2

  15. Landfill

    Landfill (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID way/1112623562 (OpenStreetMap contributors) Agency record

    Severity 2

  16. Landfill

    Landfill (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID way/1112623848 (OpenStreetMap contributors) Agency record

    Severity 2

  17. Landfill

    Landfill (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID way/1112625738 (OpenStreetMap contributors) Agency record

    Severity 2

  18. Landfill

    Landfill (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID way/1112626674 (OpenStreetMap contributors) Agency record

    Severity 2

  19. Landfill

    Landfill (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID way/1112627494 (OpenStreetMap contributors) Agency record

    Severity 2

  20. Landfill

    Landfill (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID way/1112628320 (OpenStreetMap contributors) Agency record

    Severity 2

  21. Wastewater Plant

    Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID way/1112630625 (OpenStreetMap contributors) Agency record

    Severity 2

  22. Landfill

    Landfill (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID way/1112633406 (OpenStreetMap contributors) Agency record

    Severity 2

  23. Landfill

    Landfill (mapped facility). Mapped facility presence only; no compliance or exposure measurements.

    Record ID way/1112633644 (OpenStreetMap contributors) Agency record

    Severity 2

  24. Aucilla Solid Waste Facility, Greenville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110008056414 (U.S. EPA ECHO) Agency record

    Severity 1.5

  25. Itt-Thompson Industries, Inc, Madison

    Small hazardous waste generator.

    EPA FRS registry ID 110009328361 (U.S. EPA ECHO) Agency record

    Severity 1.5

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 Madison 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 Madison 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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