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Polk County, Florida: environmental and disease records

Cancer mortality in Polk County is 148.1 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 1.1 times the U.S. rate. Federal databases place 3,157 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (1,278), Industrial wastewater discharge (610), Rail grade crossing (350). 4 correctional facilities operate 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: 28.0026, -81.7382.

How this county ranks in Florida

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 Polk County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Melanoma of the skinNew cases32.223.81.35xSignificant30.6 to 33.92019-2023
Childhood cancer (under 15)Deaths2.51.91.32x1.5 to 3.92020-2024
Childhood cancer (under 15)New cases19.916.41.21xSignificant16.7 to 23.52019-2023
Lung & bronchusNew cases61.351.81.18xSignificant59.3 to 63.52019-2023
Non-Hodgkin lymphomaNew cases21.718.51.17xSignificant20.4 to 23.12019-2023
LeukemiaNew cases16.714.51.15xSignificant15.6 to 182019-2023
Lung & bronchusDeaths34.630.21.15xSignificant33.1 to 36.22020-2024
Brain & nervous systemNew cases76.21.13x6.2 to 7.92019-2023
All cancerNew cases501.2453.41.11xSignificant494.9 to 507.62019-2023
Liver & bile ductDeaths7.16.61.08x6.4 to 7.82020-2024
Liver & bile ductNew cases9.38.71.07x8.5 to 10.22019-2023
Non-Hodgkin lymphomaDeaths5.14.81.06x4.5 to 5.72020-2024
EsophagusNew cases4.84.61.04x4.2 to 5.42019-2023
All cancerDeaths148.1143.21.03xSignificant144.9 to 151.42020-2024
Brain & nervous systemDeaths4.54.41.02x3.9 to 5.22020-2024
BladderDeaths4.14.11x3.6 to 4.72020-2024
Kidney & renal pelvisNew cases17.817.90.99x16.6 to 192019-2023
ThyroidNew cases12.9130.99x11.8 to 14.12019-2023
BladderNew cases18.218.70.97x17.1 to 19.42019-2023
PancreasNew cases13.313.90.96x12.3 to 14.32019-2023
StomachNew cases6.36.60.95x5.6 to 7.12019-2023
Melanoma of the skinDeaths1.920.95x1.6 to 2.42020-2024
Kidney & renal pelvisDeaths3.23.40.94x2.7 to 3.72020-2024
EsophagusDeaths3.43.70.92x2.9 to 3.92020-2024
LeukemiaDeaths5.25.70.91x4.6 to 5.92020-2024
PancreasDeaths1011.30.88x9.2 to 10.92020-2024
StomachDeaths2.32.70.85x1.9 to 2.82020-2024
ThyroidDeaths0.40.50.8x0.3 to 0.62020-2024

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 Polk County
MeasureCountyU.S. medianDifferenceUnit
Premature death9,798.19,842.6-0%years of life lost before age 75 per 100,000
Life expectancy76.175.3+1%years
Child mortality63.459.8+6%deaths under age 18 per 100,000
Infant mortality7.56.2+21%deaths under age 1 per 1,000 live births
Injury deaths88.296.9-9%deaths per 100,000
Drug overdose deaths3028.6+5%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.

  • Formaldehyde21.95 per million
  • Carbon Tetrachloride2.87 per million
  • Acetaldehyde1.9 per million
  • Benzene0.8 per million

EPA Air Quality Index 2025

Monitored on 355 days: 339 good, 0 unhealthy for sensitive groups or worse. Median AQI 34, peak 100.

Regulated facilities, sites and hazards by type

3,157 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.

  • NPDES wastewater discharge permit1,278
  • Industrial wastewater discharge610
  • Rail grade crossing350
  • Gas station (mapped facility)172
  • Small hazardous waste generator164
  • Air permit holder (minor source)161
  • Toxic chemical release facility (TRI)70
  • TRI reporting facility67
  • Brownfield property64
  • Major air pollution source38
  • Auto repair or body shop (mapped facility)32
  • Large hazardous waste generator25
  • Public airport17
  • Heliport17
  • Large greenhouse gas emitter14
  • Wastewater plant (mapped facility)12
  • Solar power plant11
  • Gas power plant10
  • Scrapyard (mapped facility)10
  • Hazardous waste transporter8
  • Airfield6
  • Commercial airport4
  • Correctional facility (prison or jail)4
  • Landfill (mapped facility)4
  • Other power plant3
  • EPA air quality monitor2
  • Dry cleaner (mapped facility)2
  • Oil-fired power plant1
  • 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. Mosaic Fertilizer, Llc -Bartow, Bartow

    TRI reporting facility. Penalties $16,950.

    EPA FRS registry ID 110008318588 (U.S. EPA ECHO) Agency record

    Severity 10
  2. Mosaic Fertilizer Llc, Mulberry

    TRI reporting facility. Penalties $17,400.

    EPA FRS registry ID 110056968866 (U.S. EPA ECHO) Agency record

    Severity 10
  3. Landia Chemical Company, Lakeland

    Superfund (NPL) site. Hazard Ranking System score 50. NPL Site.

    EPA site ID FLD042110841 (U.S. EPA Superfund (SEMS/NPL)) Agency record

    Severity 10
  4. Mosaic Fertilizer Llc, Mulberry

    TRI reporting facility. Penalties $3,500.

    EPA FRS registry ID 110056968884 (U.S. EPA ECHO) Agency record

    Severity 9.8
  5. Mosaic Fertilizer Llc-New Wales Plant, Mulberry

    Toxic chemical release facility (TRI). Chemicals: Hydrogen fluoride, Ammonia, Lead And Lead Compounds, Sulfuric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size) and 4 more. Reports carcinogens. 6,455,213 lbs released over 5 years.

    TRI facility ID 33860MCFRTHIGHW (U.S. EPA Toxics Release Inventory)

    Severity 9.7
  6. American Environmental Container Corp, Lakeland

    Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 635,563 lbs released over 5 years.

    TRI facility ID 33801SNJNF2302L (U.S. EPA Toxics Release Inventory)

    Severity 9
  7. Polk Power Station, Mulberry

    Toxic chemical release facility (TRI). Chemicals: Ammonia, Naphthalene. Reports carcinogens. 593,750 lbs released over 5 years.

    TRI facility ID 33860TMPLC9995S (U.S. EPA Toxics Release Inventory)

    Severity 8.9
  8. Cd Mcintosh Jr Power Plant, Lakeland

    Toxic chemical release facility (TRI). Chemicals: Ammonia, Hydrochloric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Sulfuric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Hydrogen fluoride and 4 more. Reports carcinogens. 418,096 lbs released over 5 years.

    TRI facility ID 33805CDMCN3030E (U.S. EPA Toxics Release Inventory)

    Severity 8.8
  9. Duke Energy Florida Llc - Hines Energy Complex, Bartow

    Toxic chemical release facility (TRI). Chemicals: Ammonia, Formaldehyde, Mercury And Mercury Compounds. Reports carcinogens. 394,201 lbs released over 5 years.

    TRI facility ID 33830PRGRS77CUN (U.S. EPA Toxics Release Inventory)

    Severity 8.8
  10. Hines Energy Complex, Bartow

    TRI reporting facility. Penalties $3,300.

    EPA FRS registry ID 110000753319 (U.S. EPA ECHO) Agency record

    Severity 8.5
  11. Mosaic Fertilizer Llc-South Pierce Plant, Mulberry

    Toxic chemical release facility (TRI). Chemicals: Sulfuric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Polycyclic aromatic compounds, Vanadium compounds. Reports carcinogens. 165,243 lbs released over 5 years.

    TRI facility ID 33860GRCCHSTATE (U.S. EPA Toxics Release Inventory)

    Severity 8.5
  12. Westlake Epoxy Inc, Lakeland

    Toxic chemical release facility (TRI). Chemicals: Xylene (mixed isomers), Certain glycol ethers, Nonylphenol, n-Butyl alcohol and 4 more. Reports carcinogens. 130,791 lbs released over 5 years.

    TRI facility ID 33801SHRXP2525S (U.S. EPA Toxics Release Inventory)

    Severity 8.4
  13. Tampa Electric Co - Polk Power, Mulberry

    TRI reporting facility.

    EPA FRS registry ID 110000365113 (U.S. EPA ECHO) Agency record

    Severity 8.4
  14. Keymark Corp Of Florida, Lakeland

    TRI reporting facility.

    EPA FRS registry ID 110000364917 (U.S. EPA ECHO) Agency record

    Severity 8.2
  15. Aoc Llc, Lakeland

    Toxic chemical release facility (TRI). Chemicals: Styrene, Ethylene glycol, Phthalic anhydride, Methyl methacrylate and 4 more. Reports carcinogens. 36,202 lbs released over 5 years.

    TRI facility ID 33805LPHRS4620N (U.S. EPA Toxics Release Inventory)

    Severity 8
  16. Mosaic Fertilizer Llc-Bartow, Bartow

    Toxic chemical release facility (TRI). Chemicals: Ammonia, Hydrogen fluoride, Sulfuric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Lead And Lead Compounds and 4 more. 2,946,537 lbs released over 5 years.

    TRI facility ID 33830WRGRCHIGHW (U.S. EPA Toxics Release Inventory)

    Severity 8
  17. Ineos Composites Us Llc, Bartow

    Toxic chemical release facility (TRI). Chemicals: Styrene, Methyl methacrylate, Cobalt compounds. Reports carcinogens. 30,870 lbs released over 5 years.

    TRI facility ID 33830RSTCHSOUTH (U.S. EPA Toxics Release Inventory)

    Severity 7.9
  18. Industrial Composite Systems Dba Industrial Plastic Systems, Lakeland

    Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 29,303 lbs released over 5 years.

    TRI facility ID 33811NDLPL4225D (U.S. EPA Toxics Release Inventory)

    Severity 7.9
  19. South Atlantic Galvanizing, Mulberry

    Toxic chemical release facility (TRI). Chemicals: Zinc compounds, Lead, Chromium and Chromium Compounds(except for chromite ore mined in the Transvaal Region). Reports carcinogens. 24,433 lbs released over 5 years.

    TRI facility ID 3386WSTHTL394CU (U.S. EPA Toxics Release Inventory)

    Severity 7.9
  20. Nucor Steel Florida Inc., Frostproof

    Toxic chemical release facility (TRI). Chemicals: Zinc compounds, Manganese And Manganese Compounds, Lead And Lead Compounds, Mercury And Mercury Compounds and 3 more. Reports carcinogens. 16,781 lbs released over 5 years.

    TRI facility ID 3384WNCRST22NUC (U.S. EPA Toxics Release Inventory)

    Severity 7.7
  21. Polyglass Usa Inc, Winter Haven

    Toxic chemical release facility (TRI). Chemicals: Zinc compounds, 1,2,4-Trimethylbenzene, Polycyclic aromatic compounds, Naphthalene. Reports carcinogens. 16,071 lbs released over 5 years.

    TRI facility ID 3388WPLYGL1231A (U.S. EPA Toxics Release Inventory)

    Severity 7.7
  22. Nucor Steel Florida, Inc., Frostproof

    TRI reporting facility. Penalties $3,300.

    EPA FRS registry ID 110070511623 (U.S. EPA ECHO) Agency record

    Severity 7.7
  23. Givaudan Flavors Corp, Lakeland

    Toxic chemical release facility (TRI). Chemicals: Methanol, Thiols, C8-20, γ-ω-perfluoro, telomers with acrylamide, 1-Propanesulfonic acid, 2-methyl-, 2-[[1-oxo-3-[(γ-ω-perfluoro-C4-16-alkyl)thio]propyl]amino] derivs., sodium salts. Reports PFAS. 10,888 lbs released over 5 years.

    TRI facility ID 33801TSTMK4705U (U.S. EPA Toxics Release Inventory)

    Severity 7.6
  24. Mosaic Fertilizer, Llc -Bartow, Bartow

    Major air pollution source. Penalties $16,950.

    EPA FRS registry ID 110008318588 (U.S. EPA ECHO) Agency record

    Severity 7.5
  25. Mosaic Fertilizer Llc, Mulberry

    Major air pollution source. Penalties $17,400.

    EPA FRS registry ID 110056968866 (U.S. EPA ECHO) Agency record

    Severity 7.5

Correctional facilities

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

  • Avon Park Correctional Institute, Avon Park

    EPA FRS registry ID
    110009138156
    Wastewater permit
    Yes, 8 quarters in noncompliance

    EPA detailed facility report

  • Polk Correctional Institution, Polk City

    EPA FRS registry ID
    110006844264
    Water system
    FL6531426
    Health-based violations
    2 all time, 0 in 5 years
    All violations
    56
    Contaminants cited
    Coliform (TCR)
    Wastewater permit
    None on record

    EPA detailed facility report

  • Demilly Correctional Institution, Polk City

    EPA FRS registry ID
    110042430054
    Wastewater permit
    None on record

    EPA detailed facility report

  • Polk Central County Jail, Bartow

    EPA FRS registry ID
    110045967619
    Wastewater permit
    None on record

    EPA detailed facility report

Discovery / public records

Records to request for Polk 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 Polk 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.