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Monroe County, Florida: environmental and disease records

Cancer mortality in Monroe County is 114.2 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 328 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (153), Industrial wastewater discharge (67), Gas station (mapped facility) (47). 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: 24.6797, -81.5048.

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 Monroe County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Melanoma of the skinDeaths3.321.65x2 to 5.22020-2024
Brain & nervous systemNew cases8.36.21.34x5.6 to 11.72019-2023
EsophagusNew cases64.61.3x4.3 to 8.42019-2023
Melanoma of the skinNew cases24.923.81.05x20.9 to 29.52019-2023
LeukemiaNew cases14.314.50.99x11.2 to 182019-2023
BladderDeaths3.94.10.95x2.5 to 5.82020-2024
BladderNew cases17.718.70.95x14.7 to 21.42019-2023
ThyroidNew cases12.2130.94x9.1 to 16.12019-2023
All cancerNew cases424.1453.40.94x407.7 to 441.12019-2023
StomachDeaths2.42.70.89x1.3 to 4.12020-2024
Lung & bronchusNew cases44.851.80.86x40.2 to 50.12019-2023
PancreasNew cases1213.90.86x9.5 to 15.12019-2023
Kidney & renal pelvisDeaths2.83.40.82x1.7 to 4.62020-2024
Brain & nervous systemDeaths3.64.40.82x2.1 to 5.82020-2024
Lung & bronchusDeaths24.630.20.81x21.2 to 28.62020-2024
EsophagusDeaths33.70.81x1.9 to 4.82020-2024
All cancerDeaths114.2143.20.8x106.3 to 122.62020-2024
Liver & bile ductDeaths5.16.60.77x3.6 to 7.12020-2024
Non-Hodgkin lymphomaNew cases14.218.50.77x11.4 to 17.62019-2023
Kidney & renal pelvisNew cases13.517.90.75x10.8 to 16.72019-2023
Liver & bile ductNew cases6.58.70.75x4.8 to 92019-2023
StomachNew cases4.26.60.64x2.7 to 6.42019-2023
PancreasDeaths7.111.30.63x5.3 to 9.52020-2024
Non-Hodgkin lymphomaDeaths34.80.63x1.8 to 4.82020-2024
LeukemiaDeaths3.55.70.61x2.2 to 5.32020-2024

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 Monroe County
MeasureCountyU.S. medianDifferenceUnit
Premature death7,731.29,842.6-21%years of life lost before age 75 per 100,000
Life expectancy80.875.3+7%years
Child mortality41.759.8-30%deaths under age 18 per 100,000
Infant mortality4.46.2-29%deaths under age 1 per 1,000 live births
Injury deaths116.896.9+20%deaths per 100,000
Drug overdose deaths42.128.6+47%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.

  • Formaldehyde13.64 per million
  • Carbon Tetrachloride2.84 per million
  • Benzene0.27 per million
  • Acetaldehyde0.24 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit153
  • Industrial wastewater discharge67
  • Gas station (mapped facility)47
  • Small hazardous waste generator11
  • Wastewater plant (mapped facility)10
  • Air permit holder (minor source)8
  • Heliport6
  • Auto repair or body shop (mapped facility)5
  • Public airport4
  • Commercial airport3
  • Dry cleaner (mapped facility)2
  • Hazardous waste transporter2
  • Oil-fired power plant2
  • TRI reporting facility2
  • Toxic chemical release facility (TRI)2
  • Major air pollution source1
  • Brownfield property1
  • Large hazardous waste generator1
  • Landfill (mapped facility)1

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. Us Dod Nas Key West, Key West

    Toxic chemical release facility (TRI). Chemicals: Lead, Xylene (mixed isomers), Benzene, Ethylbenzene and 3 more. Reports carcinogens. 6,223 lbs released over 5 years.

    TRI facility ID 3304WSDDNSHIGHW (U.S. EPA Toxics Release Inventory)

    Severity 7.4

  2. Stock Island Power Plant, Key West

    Toxic chemical release facility (TRI). Chemicals: n-Hexane, 1,2,4-Trimethylbenzene, Naphthalene. Reports carcinogens. 200 lbs released over 5 years.

    TRI facility ID 33041CTYLC6900F (U.S. EPA Toxics Release Inventory)

    Severity 6.3

  3. Us Dod Nas Key West, Key West

    TRI reporting facility.

    EPA FRS registry ID 110043694124 (U.S. EPA ECHO) Agency record

    Severity 5.5

  4. Key West Intl, Key West

    Commercial airport. O.

    Record ID EYW (FAA / U.S. DOT)

    Severity 5

  5. The Florida Keys Marathon Intl, Marathon

    Commercial airport. O.

    Record ID MTH (FAA / U.S. DOT)

    Severity 5

  6. Stock Island Power Plant, Stock Island

    TRI reporting facility.

    EPA FRS registry ID 110000363598 (U.S. EPA ECHO) Agency record

    Severity 4.7

  7. Stock Island, Stock Island

    Oil-fired power plant.

    Record ID 6584 (U.S. Energy Information Administration)

    Severity 4.1

  8. Marathon Generating Plant, Marathon

    Oil-fired power plant.

    Record ID 696 (U.S. Energy Information Administration)

    Severity 4

  9. Stock Island Power Plant, Stock Island

    Major air pollution source.

    EPA FRS registry ID 110000363598 (U.S. EPA ECHO) Agency record

    Severity 3.5

  10. Mangrove Marina, Tavernier

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110020068503 (U.S. EPA ECHO) Agency record

    Severity 3.3

  11. Old Baltuff Dump, Middle Torch Key

    Brownfield property.

    EPA FRS registry ID 110045009502 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  12. Stock Island Power Plant, Stock Island

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110000363598 (U.S. EPA ECHO) Agency record

    Severity 3

  13. Garrison Bight Marina Inc, Key West

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110005659947 (U.S. EPA ECHO) Agency record

    Severity 3

  14. Us Dod Nas Key West, Key West

    Large hazardous waste generator.

    EPA FRS registry ID 110043694124 (U.S. EPA ECHO) Agency record

    Severity 3

  15. Us Dod Nas Key West, Key West

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110043694124 (U.S. EPA ECHO) Agency record

    Severity 3

  16. Mileshawk Marine, Llc Dba Shelter Bay Marine, Marathon

    NPDES wastewater discharge permit. Penalties $11,183.

    EPA FRS registry ID 110071359335 (U.S. EPA ECHO) Agency record

    Severity 2.8

  17. City Marina At Garrison Bight, Key West

    NPDES wastewater discharge permit. Penalties $3,740.

    EPA FRS registry ID 110025347934 (U.S. EPA ECHO) Agency record

    Severity 2.5

  18. Florida Keys Wild Bird Rehabilitation Center, Tavernier

    NPDES wastewater discharge permit. Penalties $2,000.

    EPA FRS registry ID 110070073283 (U.S. EPA ECHO) Agency record

    Severity 2.5

  19. Shelter Bay Marina And Storage, Marathon

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110020068987 (U.S. EPA ECHO) Agency record

    Severity 2

  20. Robbie'S Of Key West, Llc, Stock Island

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070620604 (U.S. EPA ECHO) Agency record

    Severity 2

  21. Hilltop Laundry

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

    Record ID node/4871267654 (OpenStreetMap contributors) Agency record

    Severity 2

  22. Tropical Cleaners of the Keys, Key Largo

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

    Record ID node/6641921684 (OpenStreetMap contributors) Agency record

    Severity 2

  23. Mount Trashmore

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

    Record ID way/116676623 (OpenStreetMap contributors) Agency record

    Severity 2

  24. Wastewater Plant

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

    Record ID way/1244160643 (OpenStreetMap contributors) Agency record

    Severity 2

  25. Wastewater Plant

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

    Record ID way/310431569 (OpenStreetMap contributors) Agency record

    Severity 2

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 Monroe 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 Monroe 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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