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St. Johns County, Florida: environmental and disease records

Cancer mortality in St. Johns County is 124.1 deaths per 100,000 people per year against a U.S. rate of 143.2. The strongest disease signals are Melanoma of the skin deaths at 1.5 times the U.S. rate and Brain & nervous system deaths at 1.3 times the U.S. rate. Federal databases place 946 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (479), Industrial wastewater discharge (232), Gas station (mapped facility) (91). 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: 29.9382, -81.4492.

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 St. Johns County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Melanoma of the skinNew cases45.323.81.9xSignificant42.3 to 48.52019-2023
Non-Hodgkin lymphomaNew cases26.918.51.45xSignificant24.7 to 29.42019-2023
Melanoma of the skinDeaths2.921.45xSignificant2.2 to 3.72020-2024
Brain & nervous systemNew cases8.76.21.4xSignificant7.3 to 10.32019-2023
Brain & nervous systemDeaths5.74.41.3xSignificant4.7 to 6.82020-2024
LeukemiaNew cases18.714.51.29xSignificant16.8 to 20.82019-2023
Childhood cancer (under 15)New cases21.116.41.29x15.6 to 27.82019-2023
BladderNew cases21.718.71.16xSignificant19.8 to 23.82019-2023
All cancerNew cases520.5453.41.15xSignificant510.4 to 530.72019-2023
BladderDeaths4.44.11.07x3.6 to 5.42020-2024
Lung & bronchusNew cases51.751.81x48.7 to 54.82019-2023
PancreasNew cases13.813.90.99x12.3 to 15.52019-2023
LeukemiaDeaths5.35.70.93x4.4 to 6.42020-2024
Kidney & renal pelvisNew cases16.517.90.92x14.8 to 18.42019-2023
ThyroidNew cases11.9130.92x10.2 to 13.82019-2023
PancreasDeaths10.111.30.89x8.8 to 11.52020-2024
Kidney & renal pelvisDeaths33.40.88x2.3 to 3.82020-2024
Non-Hodgkin lymphomaDeaths4.24.80.88x3.4 to 5.22020-2024
All cancerDeaths124.1143.20.87x119.5 to 128.92020-2024
Liver & bile ductNew cases7.58.70.86x6.3 to 8.72019-2023
EsophagusNew cases3.84.60.83x3.1 to 4.82019-2023
Lung & bronchusDeaths24.930.20.82x22.9 to 272020-2024
StomachNew cases5.16.60.77x4.1 to 6.22019-2023
EsophagusDeaths2.83.70.76x2.2 to 3.62020-2024
Liver & bile ductDeaths46.60.61x3.2 to 4.92020-2024
StomachDeaths1.62.70.59x1.1 to 2.22020-2024

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 St. Johns County
MeasureCountyU.S. medianDifferenceUnit
Premature death5,815.49,842.6-41%years of life lost before age 75 per 100,000
Life expectancy8175.3+8%years
Child mortality3559.8-41%deaths under age 18 per 100,000
Infant mortality4.86.2-23%deaths under age 1 per 1,000 live births
Injury deaths68.296.9-30%deaths per 100,000
Drug overdose deaths1928.6-34%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.

  • Formaldehyde18.08 per million
  • Carbon Tetrachloride2.9 per million
  • Acetaldehyde1.5 per million
  • Benzene0.67 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit479
  • Industrial wastewater discharge232
  • Gas station (mapped facility)91
  • Rail grade crossing25
  • Air permit holder (minor source)24
  • Small hazardous waste generator23
  • Auto repair or body shop (mapped facility)20
  • Dry cleaner (mapped facility)8
  • Landfill (mapped facility)7
  • Wastewater plant (mapped facility)7
  • Heliport6
  • Toxic chemical release facility (TRI)6
  • TRI reporting facility5
  • Public airport4
  • Large hazardous waste generator4
  • Major air pollution source2
  • Commercial airport1
  • Large greenhouse gas emitter1
  • 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. Anastasia Island Wastewater Treatment Facility, Saint Augustine

    NPDES wastewater discharge permit. Penalties $22,345.

    EPA FRS registry ID 110067189900 (U.S. EPA ECHO) Agency record

    Severity 6.8

  2. Hydro Extrusion Usa Llc, Saint Augustine

    Toxic chemical release facility (TRI). Chemicals: Copper, Lead, Chromium, Dioxin and dioxin-like compounds. Reports carcinogens. 674 lbs released over 5 years.

    TRI facility ID 32086VWFMR200RI (U.S. EPA Toxics Release Inventory)

    Severity 6.7

  3. St Augustine, City Of - St Augustine Wwtf No 1, Saint Augustine

    NPDES wastewater discharge permit. Penalties $37,256.

    EPA FRS registry ID 110064643818 (U.S. EPA ECHO) Agency record

    Severity 5.5

  4. Hydro Extrusion Usa Llc, Saint Augustine

    TRI reporting facility.

    EPA FRS registry ID 110000845284 (U.S. EPA ECHO) Agency record

    Severity 5.3

  5. St Augustine, St Augustine

    Commercial airport. O.

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

    Severity 5

  6. Cr210 Concrete Plant, Saint Johns

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

    TRI facility ID 3225WCRCNC11EWP (U.S. EPA Toxics Release Inventory)

    Severity 4.8

  7. Titan Florida Llc-St. Augustine (Elkton) Rmc/Distribution Pl, Elkton

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

    TRI facility ID 3203WTRMCM3657D (U.S. EPA Toxics Release Inventory)

    Severity 4.7

  8. Argos Usa St Augustine Concrete Plant, Saint Augustine

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

    TRI facility ID 3208WRGSSS192DB (U.S. EPA Toxics Release Inventory)

    Severity 4.6

  9. Preferred-St Augustine Rm, Saint Augustine

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

    TRI facility ID 3209WVCNPR497IN (U.S. EPA Toxics Release Inventory)

    Severity 4.5

  10. City Of St. Augustine Wtp 2009, St. Augustine

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110000752043 (U.S. EPA ECHO) Agency record

    Severity 4.3

  11. Players Club South Wwtf, Ponte Vedra Beach

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110027958672 (U.S. EPA ECHO) Agency record

    Severity 4.3

  12. Hydro Extrusion Usa Llc, Saint Augustine

    Major air pollution source.

    EPA FRS registry ID 110000845284 (U.S. EPA ECHO) Agency record

    Severity 4

  13. Ponte Vedra Wwtf, Ponte Vedra Beach

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110027962854 (U.S. EPA ECHO) Agency record

    Severity 4

  14. Titan Florida Llc-St. Augustine (Elkton) Rmc/Distribution Plant, Elkton

    TRI reporting facility.

    EPA FRS registry ID 110039631048 (U.S. EPA ECHO) Agency record

    Severity 4

  15. Vcna Prestige Concrete-St Augustine, Saint Augustine

    TRI reporting facility.

    EPA FRS registry ID 110060260060 (U.S. EPA ECHO) Agency record

    Severity 4

  16. Cr210 Concrete Plant, Saint Johns

    TRI reporting facility.

    EPA FRS registry ID 110069309894 (U.S. EPA ECHO) Agency record

    Severity 4

  17. Argos Usa St Augustine Concrete Plant, Saint Augustine

    TRI reporting facility.

    EPA FRS registry ID 110071434231 (U.S. EPA ECHO) Agency record

    Severity 4

  18. Northrop Grumman Systems Corporation, St. Augustine

    Large hazardous waste generator.

    EPA FRS registry ID 110000910916 (U.S. EPA ECHO) Agency record

    Severity 3.8

  19. Northrop Grumman Systems Corporation, Saint Augustine

    Large hazardous waste generator.

    EPA FRS registry ID 110007244026 (U.S. EPA ECHO) Agency record

    Severity 3.8

  20. Ring Power Corporation, St Augustine

    Small hazardous waste generator. Penalties $37,723.

    EPA FRS registry ID 110022308493 (U.S. EPA ECHO) Agency record

    Severity 3.8

  21. Ring Power Corporation, St Augustine

    NPDES wastewater discharge permit. Penalties $37,723.

    EPA FRS registry ID 110022308493 (U.S. EPA ECHO) Agency record

    Severity 3.8

  22. Luhrs Corporation, St Augustine

    Major air pollution source.

    EPA FRS registry ID 110000361616 (U.S. EPA ECHO) Agency record

    Severity 3.5

  23. Hydro Extrusion Usa Llc, Saint Augustine

    Large hazardous waste generator.

    EPA FRS registry ID 110000845284 (U.S. EPA ECHO) Agency record

    Severity 3.5

  24. Hydro Extrusion Usa Llc, Saint Augustine

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110000845284 (U.S. EPA ECHO) Agency record

    Severity 3.5

  25. Northwest Wastewater Treatment Plant, St Augustine

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110067628847 (U.S. EPA ECHO) Agency record

    Severity 3.5

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 St. Johns 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 St. Johns 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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