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Fulton County, Georgia: environmental and disease records

Cancer mortality in Fulton County is 137.4 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 7,770 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (4,747), Industrial wastewater discharge (1,656), Air permit holder (minor source) (336). 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: 33.8437, -84.404.

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 Fulton County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Stomach	New cases	7.6	6.6	1.15xSignificant	6.9 to 8.4	2019-2023
Melanoma of the skin	New cases	27.1	23.8	1.14xSignificant	25.7 to 28.5	2019-2023
Stomach	Deaths	3	2.7	1.11x	2.6 to 3.5	2020-2024
Pancreas	New cases	14.5	13.9	1.04x	13.5 to 15.6	2019-2023
All cancer	New cases	469.4	453.4	1.04xSignificant	463.6 to 475.3	2019-2023
Leukemia	New cases	14.6	14.5	1.01x	13.6 to 15.7	2019-2023
Pancreas	Deaths	10.9	11.3	0.96x	10 to 11.9	2020-2024
Kidney & renal pelvis	New cases	17.2	17.9	0.96x	16.1 to 18.4	2019-2023
All cancer	Deaths	137.4	143.2	0.96x	134.2 to 140.6	2020-2024
Non-Hodgkin lymphoma	New cases	17.3	18.5	0.94x	16.2 to 18.5	2019-2023
Brain & nervous system	Deaths	4.1	4.4	0.93x	3.6 to 4.7	2020-2024
Liver & bile duct	New cases	8.1	8.7	0.93x	7.4 to 8.9	2019-2023
Bladder	Deaths	3.8	4.1	0.93x	3.2 to 4.4	2020-2024
Leukemia	Deaths	5.2	5.7	0.91x	4.6 to 5.9	2020-2024
Liver & bile duct	Deaths	5.9	6.6	0.89x	5.3 to 6.6	2020-2024
Childhood cancer (under 15)	New cases	14.6	16.4	0.89x	12.3 to 17.3	2019-2023
Bladder	New cases	16.3	18.7	0.87x	15.2 to 17.5	2019-2023
Lung & bronchus	New cases	44.9	51.8	0.87x	43.1 to 46.8	2019-2023
Non-Hodgkin lymphoma	Deaths	4	4.8	0.83x	3.5 to 4.6	2020-2024
Brain & nervous system	New cases	5	6.2	0.81x	4.4 to 5.7	2019-2023
Esophagus	New cases	3.7	4.6	0.8x	3.2 to 4.2	2019-2023
Lung & bronchus	Deaths	24.2	30.2	0.8x	22.9 to 25.6	2020-2024
Thyroid	Deaths	0.4	0.5	0.8x	0.2 to 0.6	2020-2024
Thyroid	New cases	10	13	0.77x	9.2 to 10.8	2019-2023
Esophagus	Deaths	2.8	3.7	0.76x	2.4 to 3.3	2020-2024
Kidney & renal pelvis	Deaths	2.4	3.4	0.71x	2 to 2.9	2020-2024
Melanoma of the skin	Deaths	1.3	2	0.65x	1 to 1.6	2020-2024

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 Fulton County
Measure	County	U.S. median	Difference	Unit
Premature death	8,074.7	9,842.6	-18%	years of life lost before age 75 per 100,000
Life expectancy	77.5	75.3	+3%	years
Child mortality	62.9	59.8	+5%	deaths under age 18 per 100,000
Infant mortality	6.7	6.2	+7%	deaths under age 1 per 1,000 live births
Injury deaths	76.1	96.9	-22%	deaths per 100,000
Drug overdose deaths	24.2	28.6	-15%	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.

Formaldehyde27.43 per million
Carbon Tetrachloride2.87 per million
Acetaldehyde2.55 per million
Benzene1.65 per million

EPA Air Quality Index 2025

Monitored on 365 days: 198 good, 4 unhealthy for sensitive groups or worse. Median AQI 49, peak 129.

Regulated facilities, sites and hazards by type

7,770 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.

NPDES wastewater discharge permit4,747
Industrial wastewater discharge1,656
Air permit holder (minor source)336
Gas station (mapped facility)279
Brownfield property149
Rail grade crossing147
Small hazardous waste generator118
Auto repair or body shop (mapped facility)82
Toxic chemical release facility (TRI)46
TRI reporting facility43
Dry cleaner (mapped facility)42
Large hazardous waste generator37
Heliport20
Major air pollution source17
Hazardous waste transporter12
Oil-fired power plant10
Scrapyard (mapped facility)6
EPA air quality monitor4
Wastewater plant (mapped facility)4
Landfill (mapped facility)3
Correctional facility (prison or jail)2
Large greenhouse gas emitter2
Gas power plant2
Public airport1
Commercial airport1
Combined sewer overflow outfall1
Hydroelectric plant1
Solar 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.

Westside Lead, Atlanta
Superfund (NPL) site. Hazard Ranking System score 50. NPL Site.
EPA site ID GAN000407160 (U.S. EPA Superfund (SEMS/NPL)) Agency record
Severity 10
Svc Manufcturing, Atlanta
TRI reporting facility.
EPA FRS registry ID 110000357792 (U.S. EPA ECHO) Agency record
Severity 8.3
Spectra Metal Sales Inc Cc700, Atlanta
Toxic chemical release facility (TRI). Chemicals: Xylene (mixed isomers), n-Butyl alcohol, Naphthalene, 1,2,4-Trimethylbenzene and 1 more. Reports carcinogens. 57,927 lbs released over 5 years.
TRI facility ID 30336SPCTR6104B (U.S. EPA Toxics Release Inventory)
Severity 8.2
Whitaker Oil Company, Atlanta
TRI reporting facility. Penalties $23,453.
EPA FRS registry ID 110000498587 (U.S. EPA ECHO) Agency record
Severity 8.1
The Pittsburgh Paints Co., East Point
Toxic chemical release facility (TRI). Chemicals: Toluene, Xylene (mixed isomers), Ethylbenzene, Certain glycol ethers and 4 more. Reports carcinogens. 37,509 lbs released over 5 years.
TRI facility ID 30344PPGND1377O (U.S. EPA Toxics Release Inventory)
Severity 8
Owens Corning Insulating Sysytems Llc Fairburn Ga, Fairburn
TRI reporting facility.
EPA FRS registry ID 110000356953 (U.S. EPA ECHO) Agency record
Severity 8
Owens Corning Atlanta Roofing & Asphalt, Llc, Atlanta
TRI reporting facility.
EPA FRS registry ID 110000357836 (U.S. EPA ECHO) Agency record
Severity 7.8
The Whitaker Co, Atlanta
Toxic chemical release facility (TRI). Chemicals: Toluene, n-Hexane, Methanol, Xylene (mixed isomers) and 4 more. Reports carcinogens. 21,026 lbs released over 5 years.
TRI facility ID 30318WHTKR1557M (U.S. EPA Toxics Release Inventory)
Severity 7.8
Rm Clayton Water Reclamation Center, City Of Atlanta, Atlanta
Major air pollution source. Penalties $480,675.
EPA FRS registry ID 110011331022 (U.S. EPA ECHO) Agency record
Severity 7.5
Us Penitentiary, Atlanta
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 6,011 lbs released over 5 years.
TRI facility ID 3031WNTDST61MCD (U.S. EPA Toxics Release Inventory)
Severity 7.4
Nexus Circular Llc, Atlanta
Toxic chemical release facility (TRI). Chemicals: Propylene, n-Hexane, Ethylene, Ethylbenzene and 1 more. Reports carcinogens. 4,000 lbs released over 5 years.
TRI facility ID 3033WNXSCR5WATE (U.S. EPA Toxics Release Inventory)
Severity 7.3
Ppg Industries Inc., East Point
TRI reporting facility. Penalties $4,000.
EPA FRS registry ID 110001422032 (U.S. EPA ECHO) Agency record
Severity 7.3
William C Meredith Co Inc, East Point
TRI reporting facility.
EPA FRS registry ID 110000357961 (U.S. EPA ECHO) Agency record
Severity 7
Ufp Union City, Llc, Union City
TRI reporting facility.
EPA FRS registry ID 110000587936 (U.S. EPA ECHO) Agency record
Severity 7
Southern Industrial Chemicals, Inc., Atlanta
TRI reporting facility.
EPA FRS registry ID 110000859848 (U.S. EPA ECHO) Agency record
Severity 7
Piedmont Atlanta Hospital - Marcus Tower Expansion, Atlanta
Large hazardous waste generator. Penalties $3,700.
EPA FRS registry ID 110001765395 (U.S. EPA ECHO) Agency record
Severity 7
Rm Clayton Water Reclamation Center, City Of Atlanta, Atlanta
NPDES wastewater discharge permit. Penalties $480,675.
EPA FRS registry ID 110011331022 (U.S. EPA ECHO) Agency record
Severity 7
Lafarge Red Oak Concrete Plant, College Park
TRI reporting facility.
EPA FRS registry ID 110022447734 (U.S. EPA ECHO) Agency record
Severity 7
Spectra Metal Sales Inc, Atlanta
TRI reporting facility.
EPA FRS registry ID 110005714922 (U.S. EPA ECHO) Agency record
Severity 6.9
Metalplate Galvanizing Inc, Atlanta
TRI reporting facility.
EPA FRS registry ID 110000357783 (U.S. EPA ECHO) Agency record
Severity 6.7
Owens Corning Insulating Systems Llc Fairburn Ga, Fairburn
Toxic chemical release facility (TRI). Chemicals: Manganese And Manganese Compounds, Chromium compounds (except for chromite ore mined in the Transvaal Region), Lead And Lead Compounds, Cobalt and 1 more. Reports carcinogens. 679 lbs released over 5 years.
TRI facility ID 30213WNSCR7000M (U.S. EPA Toxics Release Inventory)
Severity 6.7
Mondelez Global Llc, Atlanta
Toxic chemical release facility (TRI). Chemicals: Ammonia. 42,718 lbs released over 5 years.
TRI facility ID 30310NBSCB1400M (U.S. EPA Toxics Release Inventory)
Severity 6.6
Nestle Purina Petcare Co, Fairburn
TRI reporting facility.
EPA FRS registry ID 110000356944 (U.S. EPA ECHO) Agency record
Severity 6.5
Owens Corning Insulating Sysytems Llc Fairburn Ga, Fairburn
Major air pollution source.
EPA FRS registry ID 110000356953 (U.S. EPA ECHO) Agency record
Severity 6.5
Owens Corning Atlanta Roofing & Asphalt, Llc, Atlanta
Major air pollution source.
EPA FRS registry ID 110000357836 (U.S. EPA ECHO) Agency record
Severity 6.5

Correctional facilities

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

U S Penitentiary Atlanta, Atlanta
EPA FRS registry ID
110005664762
Wastewater permit
Yes
EPA detailed facility report
Stormwater Detention Facility Modification For North Bridges Shopping Center, Johns Creek
EPA FRS registry ID
110070016132
Wastewater permit
Yes
EPA detailed facility report

Discovery / public records

Records to request for Fulton 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 Fulton 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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