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Forsyth County, Georgia: environmental and disease records

Cancer mortality in Forsyth County is 117.7 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 2,482 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (1,632), Industrial wastewater discharge (575), Gas station (mapped facility) (81). One correctional facility operates 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: 34.1926, -84.1516.

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 Forsyth County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Melanoma of the skinNew cases47.323.81.99xSignificant43.6 to 51.12019-2023
Brain & nervous systemNew cases8.36.21.34xSignificant6.8 to 10.12019-2023
Childhood cancer (under 15)New cases20.216.41.23x15 to 26.52019-2023
ThyroidNew cases15.5131.19xSignificant13.4 to 17.92019-2023
Non-Hodgkin lymphomaNew cases2218.51.19xSignificant19.5 to 24.72019-2023
BladderDeaths4.74.11.15x3.5 to 6.22020-2024
BladderNew cases20.918.71.12x18.4 to 23.62019-2023
Melanoma of the skinDeaths2.221.1x1.4 to 3.12020-2024
All cancerNew cases495.9453.41.09xSignificant483.9 to 508.12019-2023
Brain & nervous systemDeaths4.84.41.09x3.7 to 6.12020-2024
Kidney & renal pelvisNew cases18.517.91.03x16.3 to 212019-2023
LeukemiaNew cases14.814.51.02x12.7 to 172019-2023
Non-Hodgkin lymphomaDeaths4.84.81x3.7 to 6.22020-2024
PancreasNew cases13.313.90.96x11.4 to 15.42019-2023
EsophagusNew cases4.44.60.96x3.4 to 5.72019-2023
Kidney & renal pelvisDeaths3.23.40.94x2.3 to 4.42020-2024
Liver & bile ductDeaths5.96.60.89x4.6 to 7.32020-2024
EsophagusDeaths3.33.70.89x2.4 to 4.42020-2024
Lung & bronchusNew cases45.151.80.87x41.5 to 492019-2023
PancreasDeaths9.711.30.86x8.1 to 11.62020-2024
StomachNew cases5.56.60.83x4.4 to 6.92019-2023
Liver & bile ductNew cases7.28.70.83x5.8 to 8.92019-2023
All cancerDeaths117.7143.20.82x111.8 to 123.92020-2024
LeukemiaDeaths4.45.70.77x3.3 to 5.82020-2024
Lung & bronchusDeaths22.130.20.73x19.5 to 24.82020-2024
StomachDeaths1.62.70.59x1 to 2.42020-2024

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 Forsyth County
MeasureCountyU.S. medianDifferenceUnit
Premature death4,424.79,842.6-55%years of life lost before age 75 per 100,000
Life expectancy8175.3+8%years
Child mortality26.259.8-56%deaths under age 18 per 100,000
Infant mortality46.2-36%deaths under age 1 per 1,000 live births
Injury deaths42.796.9-56%deaths per 100,000
Drug overdose deaths13.628.6-52%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.

  • Formaldehyde25.24 per million
  • Carbon Tetrachloride2.86 per million
  • Acetaldehyde2.39 per million
  • Benzene1.31 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

2,482 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.

  • NPDES wastewater discharge permit1,632
  • Industrial wastewater discharge575
  • Gas station (mapped facility)81
  • Air permit holder (minor source)52
  • Auto repair or body shop (mapped facility)52
  • Small hazardous waste generator25
  • Toxic chemical release facility (TRI)16
  • TRI reporting facility14
  • Dry cleaner (mapped facility)9
  • Large hazardous waste generator8
  • Heliport4
  • Hazardous waste transporter3
  • Major air pollution source2
  • Public airport2
  • Large greenhouse gas emitter2
  • Correctional facility (prison or jail)1
  • Landfill (mapped facility)1
  • Hydroelectric plant1
  • 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. Tyson Poultry Inc - Cumming Facility, Cumming

    TRI reporting facility. Penalties $5,000.

    EPA FRS registry ID 110007909674 (U.S. EPA ECHO) Agency record

    Severity 8.6

  2. Tyson Poultry Inc. River Valley Ingredients Cumming, Cumming

    Toxic chemical release facility (TRI). Chemicals: Hydrogen sulfide, Ammonia, Nitrate compounds (water dissociable; reportable only when in aqueous solution), Chlorine dioxide. 209,409 lbs released over 5 years.

    TRI facility ID 30130GRGPRROUTE (U.S. EPA Toxics Release Inventory)

    Severity 7.1

  3. Hoover Precision Prods Inc, Cumming

    TRI reporting facility.

    EPA FRS registry ID 110000356542 (U.S. EPA ECHO) Agency record

    Severity 7

  4. Midsouth Paving, Inc. Dba Midsouth Aggregates (Forsyth Quarry), Suwanee

    TRI reporting facility.

    EPA FRS registry ID 110007499144 (U.S. EPA ECHO) Agency record

    Severity 7

  5. Argos Ready Mix Llc-Lawrenceville, Cumming

    TRI reporting facility.

    EPA FRS registry ID 110022447627 (U.S. EPA ECHO) Agency record

    Severity 7

  6. Forsyth County Department Of Water And Sewer (Fowler & Shakerag Wrf), Suwanee

    NPDES wastewater discharge permit. Penalties $6,065.

    EPA FRS registry ID 110064647075 (U.S. EPA ECHO) Agency record

    Severity 7

  7. Cumming, City Of (Bethelview Road Wpcp), Cumming

    NPDES wastewater discharge permit. Penalties $750.

    EPA FRS registry ID 110064650122 (U.S. EPA ECHO) Agency record

    Severity 7

  8. Tyson Foods Inc, Cumming

    TRI reporting facility.

    EPA FRS registry ID 110000356551 (U.S. EPA ECHO) Agency record

    Severity 6.6

  9. Tyson Poultry Inc-Processing Plant, Cumming

    Toxic chemical release facility (TRI). Chemicals: Ammonia, Peracetic acid. 26,973 lbs released over 5 years.

    TRI facility ID 30130TYSNF340WM (U.S. EPA Toxics Release Inventory)

    Severity 6.4

  10. Tyson Poultry Inc - Cumming Facility, Cumming

    Major air pollution source. Penalties $5,000.

    EPA FRS registry ID 110007909674 (U.S. EPA ECHO) Agency record

    Severity 6

  11. Solvay Specialty Polymers Usa Llc-Alpharetta, Alpharetta

    Toxic chemical release facility (TRI). Chemicals: Methanol, N-Methyl-2-pyrrolidone. 2,156 lbs released over 5 years.

    TRI facility ID 3000WSLVYS45MCG (U.S. EPA Toxics Release Inventory)

    Severity 5.6

  12. Tyson Poultry Inc - Cumming Facility, Cumming

    NPDES wastewater discharge permit. Penalties $5,000.

    EPA FRS registry ID 110007909674 (U.S. EPA ECHO) Agency record

    Severity 5.5

  13. Forsyth County (Fowler Wrf & James Creek Wrf), Suwanee

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110064605119 (U.S. EPA ECHO) Agency record

    Severity 5.5

  14. Innovative Water Care, Llc, Alpharetta

    TRI reporting facility.

    EPA FRS registry ID 110000499791 (U.S. EPA ECHO) Agency record

    Severity 5.3

  15. Innovative Circuits Inc, Alpharetta

    TRI reporting facility.

    EPA FRS registry ID 110005715510 (U.S. EPA ECHO) Agency record

    Severity 5.3

  16. Solvay Advanced Polymers, Alpharetta

    TRI reporting facility.

    EPA FRS registry ID 110000856538 (U.S. EPA ECHO) Agency record

    Severity 5.2

  17. Tyson Poultry Inc - Cumming Facility, Cumming

    Large greenhouse gas emitter. Penalties $5,000.

    EPA FRS registry ID 110007909674 (U.S. EPA ECHO) Agency record

    Severity 5

  18. Chemence, Inc., Alpharetta

    TRI reporting facility.

    EPA FRS registry ID 110022522643 (U.S. EPA ECHO) Agency record

    Severity 5

  19. L3harris Aviation Products Inc, Alpharetta

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

    TRI facility ID 30004L3CMM1355B (U.S. EPA Toxics Release Inventory)

    Severity 4.9

  20. Sesco-Eagle Point Landfill, Ball Ground

    Major air pollution source.

    EPA FRS registry ID 110014327905 (U.S. EPA ECHO) Agency record

    Severity 4.8

  21. Argos Cumming Concrete Plant, Cumming

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

    TRI facility ID 30041LFRGC524HA (U.S. EPA Toxics Release Inventory)

    Severity 4.7

  22. Hoover Precision Prods Inc, Cumming

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110000356542 (U.S. EPA ECHO) Agency record

    Severity 4.5

  23. Metcam Inc, Alpharetta

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110002044886 (U.S. EPA ECHO) Agency record

    Severity 4.5

  24. Midsouth Paving, Inc. Dba Midsouth Aggregates (Forsyth Quarry), Suwanee

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110007499144 (U.S. EPA ECHO) Agency record

    Severity 4.5

  25. Settendown Public Utility, Llc (Hampton Creek Wrf), Cumming

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110020160591 (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.

Discovery / public records

Records to request for Forsyth 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 Forsyth 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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