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Okaloosa County, Florida: environmental and disease records

Cancer mortality in Okaloosa County is 159.9 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 1.4 times the U.S. rate and Bladder deaths at 1.4 times the U.S. rate. Federal databases place 692 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (288), Industrial wastewater discharge (129), Gas station (mapped facility) (67). One correctional facility operates in the county, at least one with health-based drinking water violations on record. 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: 30.6959, -86.5921.

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 Okaloosa County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Lung & bronchusDeaths41.530.21.37xSignificant38.1 to 45.22020-2024
BladderDeaths5.64.11.37xSignificant4.4 to 7.12020-2024
Brain & nervous systemDeaths64.41.36xSignificant4.6 to 7.52020-2024
EsophagusDeaths4.63.71.24x3.5 to 62020-2024
Brain & nervous systemNew cases7.66.21.23x6.1 to 9.52019-2023
Lung & bronchusNew cases61.151.81.18xSignificant56.9 to 65.52019-2023
Melanoma of the skinDeaths2.321.15x1.6 to 3.32020-2024
All cancerDeaths159.9143.21.12xSignificant153 to 167.12020-2024
Non-Hodgkin lymphomaDeaths5.34.81.1x4.1 to 6.82020-2024
Melanoma of the skinNew cases26.123.81.1x23.3 to 29.22019-2023
LeukemiaDeaths6.15.71.07x4.8 to 7.72020-2024
EsophagusNew cases4.94.61.07x3.7 to 6.32019-2023
PancreasDeaths1211.31.06x10.2 to 14.12020-2024
BladderNew cases19.718.71.05x17.3 to 22.32019-2023
PancreasNew cases14.413.91.04x12.4 to 16.72019-2023
LeukemiaNew cases14.814.51.02x12.7 to 17.22019-2023
Kidney & renal pelvisNew cases18.117.91.01x15.8 to 20.72019-2023
Non-Hodgkin lymphomaNew cases18.618.51.01x16.2 to 21.22019-2023
Kidney & renal pelvisDeaths3.43.41x2.5 to 4.72020-2024
All cancerNew cases443.1453.40.98x431.3 to 455.12019-2023
Childhood cancer (under 15)New cases14.616.40.89x9.8 to 20.82019-2023
StomachDeaths2.32.70.85x1.6 to 3.42020-2024
Liver & bile ductNew cases7.18.70.82x5.7 to 8.72019-2023
Liver & bile ductDeaths5.36.60.8x4.1 to 6.72020-2024
StomachNew cases4.66.60.7x3.5 to 62019-2023
ThyroidNew cases9130.69x7.2 to 112019-2023

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 Okaloosa County
MeasureCountyU.S. medianDifferenceUnit
Premature death9,412.19,842.6-4%years of life lost before age 75 per 100,000
Life expectancy75.975.3+1%years
Child mortality57.459.8-4%deaths under age 18 per 100,000
Infant mortality5.96.2-5%deaths under age 1 per 1,000 live births
Injury deaths99.596.9+3%deaths per 100,000
Drug overdose deaths4228.6+47%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.

  • Formaldehyde20.57 per million
  • Carbon Tetrachloride2.91 per million
  • Acetaldehyde1.78 per million
  • Pahpom0.72 per million

EPA Air Quality Index 2025

Monitored on 360 days: 338 good, 0 unhealthy for sensitive groups or worse. Median AQI 36, peak 84.

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit288
  • Industrial wastewater discharge129
  • Gas station (mapped facility)67
  • Wastewater plant (mapped facility)29
  • Air permit holder (minor source)27
  • Auto repair or body shop (mapped facility)27
  • Small hazardous waste generator25
  • Landfill (mapped facility)21
  • Rail grade crossing19
  • Scrapyard (mapped facility)12
  • Public airport9
  • Toxic chemical release facility (TRI)7
  • TRI reporting facility6
  • Commercial airport5
  • Heliport5
  • Large hazardous waste generator4
  • Brownfield property3
  • Major air pollution source2
  • Dry cleaner (mapped facility)2
  • EPA air quality monitor1
  • Correctional facility (prison or jail)1
  • Large greenhouse gas emitter1
  • Hazardous waste transporter1
  • Solar power plant1

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. U.S. Dod Usaf Eglin Afb Fl, Eglin Afb

    Toxic chemical release facility (TRI). Chemicals: Copper, Lead And Lead Compounds, Lead, Xylene (mixed isomers) and 3 more. Reports carcinogens. 221,669 lbs released over 5 years.

    TRI facility ID 32542GLNRF501DE (U.S. EPA Toxics Release Inventory)

    Severity 8.6

  2. Kitchen & Bath Center, Fort Walton Beach

    Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 16,902 lbs released over 5 years.

    TRI facility ID 32548FSHRM20REA (U.S. EPA Toxics Release Inventory)

    Severity 7.7

  3. Us Dod, Usaf, Hurlburt Field, Hurlburt Field

    Toxic chemical release facility (TRI). Chemicals: Lead, Naphthalene, Ethylbenzene. Reports carcinogens. 16,502 lbs released over 5 years.

    TRI facility ID 32544SRFRC16CES (U.S. EPA Toxics Release Inventory)

    Severity 7.7

  4. Eglin Afb, Eglin Afb

    TRI reporting facility.

    EPA FRS registry ID 110021362023 (U.S. EPA ECHO) Agency record

    Severity 6.9

  5. Us Air Force Hurlburt Field, Hurlburt Field

    TRI reporting facility.

    EPA FRS registry ID 110012707035 (U.S. EPA ECHO) Agency record

    Severity 6.9

  6. Eglin Afb/Destin-Ft Walton Beach, Valparaiso/Destin-Ft Walton Beach

    Commercial airport. O.

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

    Severity 5

  7. Mmc Materials Gulf Coast Llc - Crestview, Crestview

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

    TRI facility ID 3253WBYCNC542FA (U.S. EPA Toxics Release Inventory)

    Severity 4.6

  8. Eglin Afb, Eglin Afb

    Major air pollution source.

    EPA FRS registry ID 110021362023 (U.S. EPA ECHO) Agency record

    Severity 4.3

  9. Us Air Force Hurlburt Field, Hurlburt Field

    Large hazardous waste generator.

    EPA FRS registry ID 110012707035 (U.S. EPA ECHO) Agency record

    Severity 4

  10. Crane Aerospace & Electronics, Fort Walton Beach

    TRI reporting facility.

    EPA FRS registry ID 110013288085 (U.S. EPA ECHO) Agency record

    Severity 4

  11. Ready Mix Usa, Llc, Fort Walton Beach

    TRI reporting facility.

    EPA FRS registry ID 110027972683 (U.S. EPA ECHO) Agency record

    Severity 4

  12. Bae Systems - Fwb, Fort Walton Beach

    TRI reporting facility.

    EPA FRS registry ID 110070813443 (U.S. EPA ECHO) Agency record

    Severity 4

  13. Bayou Concrete Llc - Crestview, Crestview

    TRI reporting facility.

    EPA FRS registry ID 110071732378 (U.S. EPA ECHO) Agency record

    Severity 4

  14. Marble Works, Fort Walton Beach

    Major air pollution source.

    EPA FRS registry ID 110000362508 (U.S. EPA ECHO) Agency record

    Severity 3.8

  15. Eglin Afb, Eglin Afb

    Large hazardous waste generator.

    EPA FRS registry ID 110021362023 (U.S. EPA ECHO) Agency record

    Severity 3.8

  16. Eglin Afb, Eglin Afb

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110021362023 (U.S. EPA ECHO) Agency record

    Severity 3.8

  17. Crane Electronics Inc, Fort Walton Beach

    Toxic chemical release facility (TRI). Chemicals: Lead And Lead Compounds. 3 lbs released over 5 years.

    TRI facility ID 32548SGNLT84HIL (U.S. EPA Toxics Release Inventory)

    Severity 3.5

  18. Eglin Afb, Eglin Afb

    Large greenhouse gas emitter.

    EPA FRS registry ID 110021362023 (U.S. EPA ECHO) Agency record

    Severity 3.3

  19. Lovejoy Community, Fort Walton Beach

    Brownfield property.

    EPA FRS registry ID 110040821910 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  20. Former Happy Store, Fort Walton Beach

    Brownfield property.

    EPA FRS registry ID 110059701265 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  21. Bayou Woods Dump, Fort Walton Beach

    Brownfield property.

    EPA FRS registry ID 110071964086 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  22. Crestview Aerospace, Crestview

    Large hazardous waste generator.

    EPA FRS registry ID 110000787612 (U.S. EPA ECHO) Agency record

    Severity 3

  23. Fort Walton Machining Inc, Fort Walton Beach

    Large hazardous waste generator.

    EPA FRS registry ID 110042181769 (U.S. EPA ECHO) Agency record

    Severity 3

  24. Bae Systems - Fwb, Fort Walton Beach

    Toxic chemical release facility (TRI). Chemicals: Lead And Lead Compounds.

    TRI facility ID 3254WBSYST654AN (U.S. EPA Toxics Release Inventory)

    Severity 3

  25. Ready Mix Usa Llc-Fort Walton Plant, Fort Walton Beach

    Toxic chemical release facility (TRI). Chemicals: Lead And Lead Compounds.

    TRI facility ID 3254WRDYMX216RA (U.S. EPA Toxics Release Inventory)

    Severity 3

Correctional facilities

Prisons, jails and corrections operations with an EPA facility record, and the drinking water and wastewater compliance attached to them.

  • Okaloosa Correctional Inst.-Well #2, Crestview

    EPA FRS registry ID
    110013193098
    Water system
    FL1464034
    Health-based violations
    1 all time, 0 in 5 years
    All violations
    7
    Contaminants cited
    Lead and Copper Rule
    Wastewater permit
    None on record

    EPA detailed facility report

Discovery / public records

Records to request for Okaloosa 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 Okaloosa 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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