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DeKalb County, Georgia: environmental and disease records

Cancer mortality in DeKalb County is 131.2 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 2,792 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (1,482), Industrial wastewater discharge (510), Air permit holder (minor source) (214). 2 correctional facilities operate in the county. EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 40 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: 33.7938, -84.2203.

How this county ranks in Georgia

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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 DeKalb County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
StomachNew cases8.36.61.26xSignificant7.4 to 9.22019-2023
StomachDeaths3.22.71.19x2.7 to 3.82020-2024
PancreasNew cases14.213.91.02x13 to 15.42019-2023
All cancerNew cases446.1453.40.98x439.5 to 452.82019-2023
LeukemiaNew cases14.114.50.97x13 to 15.42019-2023
PancreasDeaths10.611.30.94x9.5 to 11.62020-2024
Childhood cancer (under 15)New cases15.216.40.93x12.5 to 18.22019-2023
Kidney & renal pelvisNew cases16.517.90.92x15.3 to 17.92019-2023
All cancerDeaths131.2143.20.92x127.6 to 134.92020-2024
Liver & bile ductNew cases7.88.70.9x6.9 to 8.72019-2023
Brain & nervous systemNew cases5.36.20.85x4.6 to 6.12019-2023
LeukemiaDeaths4.85.70.84x4.2 to 5.62020-2024
Non-Hodgkin lymphomaNew cases15.318.50.83x14.1 to 16.72019-2023
ThyroidNew cases10.5130.81x9.5 to 11.62019-2023
ThyroidDeaths0.40.50.8x0.3 to 0.72020-2024
Brain & nervous systemDeaths3.54.40.8x2.9 to 4.12020-2024
Lung & bronchusNew cases40.251.80.78x38.2 to 42.22019-2023
Liver & bile ductDeaths5.16.60.77x4.4 to 5.92020-2024
BladderNew cases14.418.70.77x13.2 to 15.72019-2023
EsophagusNew cases3.44.60.74x2.8 to 42019-2023
Non-Hodgkin lymphomaDeaths3.44.80.71x2.8 to 4.12020-2024
Kidney & renal pelvisDeaths2.43.40.71x1.9 to 2.92020-2024
Lung & bronchusDeaths2130.20.7x19.6 to 22.52020-2024
Melanoma of the skinNew cases16.423.80.69x15.1 to 17.72019-2023
BladderDeaths2.84.10.68x2.3 to 3.42020-2024
EsophagusDeaths2.33.70.62x1.9 to 2.92020-2024
Melanoma of the skinDeaths120.5x0.7 to 1.42020-2024

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 DeKalb County
MeasureCountyU.S. medianDifferenceUnit
Premature death8,477.19,842.6-14%years of life lost before age 75 per 100,000
Life expectancy78.275.3+4%years
Child mortality69.859.8+17%deaths under age 18 per 100,000
Infant mortality6.96.2+10%deaths under age 1 per 1,000 live births
Injury deaths73.796.9-24%deaths per 100,000
Drug overdose deaths19.128.6-33%deaths per 100,000

Air toxics and air quality

EPA AirToxScreen 2020

Lifetime cancer risk from outdoor air toxics: 40 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

  • Formaldehyde27.52 per million
  • Carbon Tetrachloride2.87 per million
  • Acetaldehyde2.57 per million
  • Benzene1.65 per million

EPA Air Quality Index 2025

Monitored on 365 days: 213 good, 0 unhealthy for sensitive groups or worse. Median AQI 47, peak 90.

Regulated facilities, sites and hazards by type

2,792 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.

  • NPDES wastewater discharge permit1,482
  • Industrial wastewater discharge510
  • Air permit holder (minor source)214
  • Gas station (mapped facility)205
  • Auto repair or body shop (mapped facility)89
  • Rail grade crossing74
  • Small hazardous waste generator70
  • Toxic chemical release facility (TRI)24
  • Major air pollution source21
  • Large hazardous waste generator20
  • TRI reporting facility19
  • Brownfield property15
  • Dry cleaner (mapped facility)15
  • Heliport8
  • Hazardous waste transporter5
  • Scrapyard (mapped facility)4
  • Landfill (mapped facility)3
  • EPA air quality monitor2
  • Combined sewer overflow outfall2
  • Correctional facility (prison or jail)2
  • Large greenhouse gas emitter2
  • Oil-fired power plant2
  • Solar power plant2
  • Public airport1
  • Commercial airport1

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. Arch Wood Protection Inc, Conley

    TRI reporting facility. Penalties $5,000.

    EPA FRS registry ID 110070819480 (U.S. EPA ECHO) Agency record

    Severity 10

  2. Trojan Battery Co, Lithonia

    TRI reporting facility. Penalties $53,485.

    EPA FRS registry ID 110016723857 (U.S. EPA ECHO) Agency record

    Severity 9.2

  3. Arch Wood Protection Inc, Conley

    Toxic chemical release facility (TRI). Chemicals: Ammonia, Sodium nitrite, Arsenic And Arsenic Compounds, Arsenic compounds and 4 more. Reports carcinogens. 152,148 lbs released over 5 years.

    TRI facility ID 30027KPPRS1579K (U.S. EPA Toxics Release Inventory)

    Severity 8.5

  4. Woodbridge, Lithonia

    TRI reporting facility.

    EPA FRS registry ID 110012597653 (U.S. EPA ECHO) Agency record

    Severity 8.4

  5. Atlanta Marble Manufacturing Inc, Decatur

    Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 29,113 lbs released over 5 years.

    TRI facility ID 30030TLNTM224RI (U.S. EPA Toxics Release Inventory)

    Severity 7.9

  6. Univar Solutions Usa, Doraville

    Toxic chemical release facility (TRI). Chemicals: Toluene, Methanol, Xylene (mixed isomers), Ethylene glycol and 4 more. Reports carcinogens. 12,808 lbs released over 5 years.

    TRI facility ID 30340SHLND4550N (U.S. EPA Toxics Release Inventory)

    Severity 7.7

  7. Global Doraville Terminal, Doraville

    Toxic chemical release facility (TRI). Chemicals: Toluene, n-Hexane, Xylene (mixed isomers), Benzene and 4 more. Reports carcinogens. 8,710 lbs released over 5 years.

    TRI facility ID 30360DRVLL4127W (U.S. EPA Toxics Release Inventory)

    Severity 7.5

  8. Itw Pro Brands, Tucker

    TRI reporting facility.

    EPA FRS registry ID 110000356114 (U.S. EPA ECHO) Agency record

    Severity 7.4

  9. Woodbridge Corp, Lithonia

    Toxic chemical release facility (TRI). Chemicals: Diethanolamine, Toluene-2,4-diisocyanate, Toluene-2,6-diisocyanate, Diisocyanates. Reports carcinogens. 4,446 lbs released over 5 years.

    TRI facility ID 30058WDBRD2399S (U.S. EPA Toxics Release Inventory)

    Severity 7.3

  10. Atlanta Marble Manufacturing Inc, Decatur

    Major air pollution source. Penalties $5,000.

    EPA FRS registry ID 110012576257 (U.S. EPA ECHO) Agency record

    Severity 7.3

  11. Mplx Terminals Llc - Doraville Ga Terminal, Doraville

    Toxic chemical release facility (TRI). Chemicals: n-Hexane, Toluene, Benzene, Xylene (mixed isomers) and 4 more. Reports carcinogens. 2,982 lbs released over 5 years.

    TRI facility ID 30362DRVLL6293N (U.S. EPA Toxics Release Inventory)

    Severity 7.2

  12. Trojan Battery Co. - Lithonia, Lithonia

    Toxic chemical release facility (TRI). Chemicals: Sulfuric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Lead And Lead Compounds, Antimony, Arsenic. Reports carcinogens. 2,233 lbs released over 5 years.

    TRI facility ID 30058TRJNB5194M (U.S. EPA Toxics Release Inventory)

    Severity 7.1

  13. Thomas Concrete Of Georgia - Tucker Plant, Tucker

    TRI reporting facility.

    EPA FRS registry ID 110001766633 (U.S. EPA ECHO) Agency record

    Severity 7

  14. Ups - Pleasantdale Road Distribution Facility, Atlanta

    Large hazardous waste generator. Penalties $5,300,000.

    EPA FRS registry ID 110007488129 (U.S. EPA ECHO) Agency record

    Severity 7

  15. Trojan Battery Co, Lithonia

    Large hazardous waste generator. Penalties $53,485.

    EPA FRS registry ID 110016723857 (U.S. EPA ECHO) Agency record

    Severity 7

  16. Corbion, Tucker

    Large hazardous waste generator. Penalties $764,000.

    EPA FRS registry ID 110064467483 (U.S. EPA ECHO) Agency record

    Severity 7

  17. Arch Wood Protection Inc, Conley

    Large hazardous waste generator. Penalties $5,000.

    EPA FRS registry ID 110070819480 (U.S. EPA ECHO) Agency record

    Severity 7

  18. Arch Wood Protection Inc, Conley

    NPDES wastewater discharge permit. Penalties $5,000.

    EPA FRS registry ID 110070819480 (U.S. EPA ECHO) Agency record

    Severity 7

  19. Itw Pro Brands, Tucker

    Toxic chemical release facility (TRI). Chemicals: Trichloroethylene, Zinc (fume or dust). Reports carcinogens. 1,176 lbs released over 5 years.

    TRI facility ID 30084HLTLL4647H (U.S. EPA Toxics Release Inventory)

    Severity 6.9

  20. Inliner, Stone Mountain

    Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 860 lbs released over 5 years.

    TRI facility ID 3008WNLNRX1585R (U.S. EPA Toxics Release Inventory)

    Severity 6.8

  21. Oldcastle Retail, Inc. Dba Bonsal American, Conley

    TRI reporting facility.

    EPA FRS registry ID 110007255834 (U.S. EPA ECHO) Agency record

    Severity 6.8

  22. Atlanta Marble Manufacturing Inc, Decatur

    NPDES wastewater discharge permit. Penalties $5,000.

    EPA FRS registry ID 110012576257 (U.S. EPA ECHO) Agency record

    Severity 6.8

  23. Dart Container Corporation, Lithonia

    Major air pollution source. Penalties $16,400.

    EPA FRS registry ID 110001425066 (U.S. EPA ECHO) Agency record

    Severity 6.5

  24. Flexible Metal Inc, Tucker

    Toxic chemical release facility (TRI). Chemicals: Nickel, Copper, Chromium, Manganese and 1 more. Reports carcinogens. 171 lbs released over 5 years.

    TRI facility ID 30085FLXBL2467M (U.S. EPA Toxics Release Inventory)

    Severity 6.2

  25. Kinder Morgan Phoenix Doraville Bulk Storage Facility #3, Doraville

    Major air pollution source.

    EPA FRS registry ID 110000357907 (U.S. EPA ECHO) Agency record

    Severity 6

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 DeKalb County

  • Georgia 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 DeKalb County, and their findings.

  • Georgia vital statistics office

    Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.

  • Georgia health department, environmental epidemiology

    Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.

  • Georgia 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.

  • Georgia 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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