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Douglas County, Georgia: environmental and disease records

Cancer mortality in Douglas County is 154.9 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. Federal databases place 1,495 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (845), Industrial wastewater discharge (417), Gas station (mapped facility) (62). 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: 33.6881, -84.768.

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 Douglas County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Kidney & renal pelvisNew cases22.517.91.26xSignificant19.2 to 26.32019-2023
LeukemiaDeaths6.95.71.21x5 to 9.32020-2024
BladderDeaths4.94.11.2x3.3 to 7.12020-2024
StomachDeaths3.22.71.19x2 to 4.92020-2024
Lung & bronchusNew cases6151.81.18xSignificant55.2 to 67.32019-2023
Kidney & renal pelvisDeaths3.93.41.15x2.4 to 5.92020-2024
Childhood cancer (under 15)New cases18.616.41.13x12.2 to 27.12019-2023
Liver & bile ductNew cases9.88.71.13x7.6 to 12.42019-2023
BladderNew cases2118.71.12x17.6 to 24.92019-2023
Lung & bronchusDeaths32.930.21.09x28.7 to 37.62020-2024
All cancerDeaths154.9143.21.08xSignificant145.4 to 164.82020-2024
Liver & bile ductDeaths7.16.61.08x5.2 to 9.32020-2024
All cancerNew cases482.6453.41.06xSignificant466.4 to 499.22019-2023
PancreasNew cases14.713.91.06x11.9 to 17.82019-2023
Brain & nervous systemNew cases6.56.21.05x4.7 to 8.82019-2023
Brain & nervous systemDeaths4.64.41.05x3.1 to 6.62020-2024
StomachNew cases6.86.61.03x4.9 to 9.12019-2023
Non-Hodgkin lymphomaDeaths4.74.80.98x3.2 to 6.82020-2024
LeukemiaNew cases13.714.50.94x11.1 to 16.82019-2023
PancreasDeaths10.611.30.94x8.4 to 13.32020-2024
EsophagusNew cases3.84.60.83x2.6 to 5.42019-2023
Non-Hodgkin lymphomaNew cases14.818.50.8x12 to 18.12019-2023
ThyroidNew cases9.8130.75x7.6 to 12.42019-2023
EsophagusDeaths2.63.70.7x1.6 to 42020-2024
Melanoma of the skinNew cases16.623.80.7x13.6 to 20.12019-2023

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 Douglas County
MeasureCountyU.S. medianDifferenceUnit
Premature death8,875.69,842.6-10%years of life lost before age 75 per 100,000
Life expectancy75.675.3+0%years
Child mortality52.259.8-13%deaths under age 18 per 100,000
Infant mortality6.66.2+6%deaths under age 1 per 1,000 live births
Injury deaths67.496.9-30%deaths per 100,000
Drug overdose deaths19.328.6-33%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.

  • Formaldehyde25.88 per million
  • Carbon Tetrachloride2.86 per million
  • Acetaldehyde2.46 per million
  • Benzene1.18 per million

EPA Air Quality Index 2025

Monitored on 129 days: 110 good, 0 unhealthy for sensitive groups or worse. Median AQI 39, peak 97.

Regulated facilities, sites and hazards by type

1,495 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.

  • NPDES wastewater discharge permit845
  • Industrial wastewater discharge417
  • Gas station (mapped facility)62
  • Air permit holder (minor source)54
  • Auto repair or body shop (mapped facility)44
  • Rail grade crossing27
  • Small hazardous waste generator19
  • TRI reporting facility7
  • Toxic chemical release facility (TRI)7
  • Large hazardous waste generator4
  • Public airport3
  • EPA air quality monitor1
  • Dry cleaner (mapped facility)1
  • Hazardous waste transporter1
  • Heliport1
  • Scrapyard (mapped facility)1
  • Wastewater plant (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. Craig Wire Products Llc, Douglasville

    TRI reporting facility.

    EPA FRS registry ID 110005685794 (U.S. EPA ECHO) Agency record

    Severity 8.7

  2. Bitumar (Georgia) Inc., Douglasville

    Toxic chemical release facility (TRI). Chemicals: Polycyclic aromatic compounds, Benzo[g,h,i]perylene. Reports carcinogens. 731 lbs released over 5 years.

    TRI facility ID 30134YNGRF7982H (U.S. EPA Toxics Release Inventory)

    Severity 6.7

  3. Southern Aluminum Finishing Co Winston Paint, Villa Rica

    Toxic chemical release facility (TRI). Chemicals: Certain glycol ethers. 41,619 lbs released over 5 years.

    TRI facility ID 30180STHRN837EH (U.S. EPA Toxics Release Inventory)

    Severity 6.5

  4. Craig Wire Products Llc, Douglasville

    Toxic chemical release facility (TRI). Chemicals: N-Methyl-2-pyrrolidone, Phenol, Copper. 24,107 lbs released over 5 years.

    TRI facility ID 30133STRLN1055S (U.S. EPA Toxics Release Inventory)

    Severity 6.4

  5. Craig Wire Products Llc, Douglasville

    Large hazardous waste generator.

    EPA FRS registry ID 110005685794 (U.S. EPA ECHO) Agency record

    Severity 6

  6. The Coca-Cola Co., Austell

    Large hazardous waste generator.

    EPA FRS registry ID 110018903784 (U.S. EPA ECHO) Agency record

    Severity 6

  7. Southern Aluminum Finishing Co Winston Paint, Villa Rica

    TRI reporting facility.

    EPA FRS registry ID 110039019503 (U.S. EPA ECHO) Agency record

    Severity 5.9

  8. Douglasville-Douglas County Water & Sewerage Authority (Sweetwater Creek Wpcp), Douglasville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110064649876 (U.S. EPA ECHO) Agency record

    Severity 5.8

  9. Douglasville, City Of (South Central Wpcp), Douglasville

    NPDES wastewater discharge permit. Penalties $159,260.

    EPA FRS registry ID 110024400254 (U.S. EPA ECHO) Agency record

    Severity 5.3

  10. A.L.P. Lighting Components, Inc., Lithia Springs

    TRI reporting facility.

    EPA FRS registry ID 110037071833 (U.S. EPA ECHO) Agency record

    Severity 5

  11. Young Refining Corp, Douglasville

    TRI reporting facility.

    EPA FRS registry ID 110041343070 (U.S. EPA ECHO) Agency record

    Severity 5

  12. Tremron - Douglasville Ga Plant, Douglasville

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

    TRI facility ID 3013WTRMRN1436M (U.S. EPA Toxics Release Inventory)

    Severity 4.8

  13. Sherwin-Williams #794302, Lithia Springs

    Large hazardous waste generator. Penalties $2,130.

    EPA FRS registry ID 110045971150 (U.S. EPA ECHO) Agency record

    Severity 4.8

  14. Custom Building Products, Lithia Springs

    Toxic chemical release facility (TRI). Chemicals: Lead, Lithium carbonate, Ethylene glycol, Certain glycol ethers. Reports carcinogens.

    TRI facility ID 30057CSTMB2255S (U.S. EPA Toxics Release Inventory)

    Severity 4.6

  15. Baldwin Paving - Douglasville, Douglasville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110001426939 (U.S. EPA ECHO) Agency record

    Severity 4.5

  16. Craig Wire Products Llc, Douglasville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110005685794 (U.S. EPA ECHO) Agency record

    Severity 4.5

  17. Itw Mima, Douglasville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110005697914 (U.S. EPA ECHO) Agency record

    Severity 4.5

  18. Southeastern Freight Lines, Inc. - Austell, Austell

    Small hazardous waste generator.

    EPA FRS registry ID 110005716154 (U.S. EPA ECHO) Agency record

    Severity 4.5

  19. Southeastern Freight Lines, Inc. - Austell, Austell

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110005716154 (U.S. EPA ECHO) Agency record

    Severity 4.5

  20. The Coca-Cola Co., Austell

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110018903784 (U.S. EPA ECHO) Agency record

    Severity 4.5

  21. Reflek Mfg Inc, Lithia Springs

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110022547494 (U.S. EPA ECHO) Agency record

    Severity 4.5

  22. Wayne Davis Concrete - Douglasville, Douglasville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110030744452 (U.S. EPA ECHO) Agency record

    Severity 4.5

  23. Bluegrass Materials Co., Llc- Douglasville Quarry, Douglasville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110064329258 (U.S. EPA ECHO) Agency record

    Severity 4.5

  24. Westrock Lithia Springs Preprint Plant, Lithia Springs

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110069428818 (U.S. EPA ECHO) Agency record

    Severity 4.5

  25. Tremron Llc, Douglasville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070011513 (U.S. EPA ECHO) Agency record

    Severity 4.5

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 Douglas 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 Douglas 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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