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Maui County, Hawaii: environmental and disease records
Cancer mortality in Maui County is 123.2 deaths per 100,000 people per year against a U.S. rate of 143.2. The strongest disease signals are Liver & bile duct deaths at 1.3 times the U.S. rate. Federal databases place 987 regulated facilities, sites and hazards inside the county, led by Industrial wastewater discharge (539), NPDES wastewater discharge permit (322), Gas station (mapped facility) (38). 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: 20.8032, -156.3122.
How this county ranks in Hawaii
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 | Measure | County rate | U.S. rate | Times U.S. | 95% interval | Years |
|---|---|---|---|---|---|---|
| Melanoma of the skin | New cases | 32.1 | 23.8 | 1.35xSignificant | 28.7 to 35.8 | 2019-2023 |
| Liver & bile duct | Deaths | 8.6 | 6.6 | 1.3xSignificant | 7 to 10.5 | 2020-2024 |
| Thyroid | New cases | 16.3 | 13 | 1.25xSignificant | 13.8 to 19.3 | 2019-2023 |
| Liver & bile duct | New cases | 9.5 | 8.7 | 1.09x | 7.8 to 11.5 | 2019-2023 |
| Stomach | Deaths | 2.8 | 2.7 | 1.04x | 1.9 to 4.1 | 2020-2024 |
| Stomach | New cases | 6.8 | 6.6 | 1.03x | 5.4 to 8.6 | 2019-2023 |
| All cancer | New cases | 421 | 453.4 | 0.93x | 408.7 to 433.7 | 2019-2023 |
| Pancreas | Deaths | 9.9 | 11.3 | 0.88x | 8.2 to 11.9 | 2020-2024 |
| All cancer | Deaths | 123.2 | 143.2 | 0.86x | 116.8 to 129.8 | 2020-2024 |
| Non-Hodgkin lymphoma | Deaths | 4.1 | 4.8 | 0.85x | 3 to 5.5 | 2020-2024 |
| Melanoma of the skin | Deaths | 1.7 | 2 | 0.85x | 1 to 2.8 | 2020-2024 |
| Non-Hodgkin lymphoma | New cases | 15.3 | 18.5 | 0.83x | 13 to 17.8 | 2019-2023 |
| Pancreas | New cases | 11.2 | 13.9 | 0.81x | 9.3 to 13.4 | 2019-2023 |
| Childhood cancer (under 15) | New cases | 13.1 | 16.4 | 0.8x | 7.9 to 20.5 | 2019-2023 |
| Bladder | New cases | 14.4 | 18.7 | 0.77x | 12.3 to 16.8 | 2019-2023 |
| Leukemia | New cases | 10.9 | 14.5 | 0.75x | 8.9 to 13.2 | 2019-2023 |
| Lung & bronchus | Deaths | 22.6 | 30.2 | 0.75x | 20 to 25.5 | 2020-2024 |
| Leukemia | Deaths | 4.2 | 5.7 | 0.74x | 3.1 to 5.7 | 2020-2024 |
| Bladder | Deaths | 3 | 4.1 | 0.73x | 2.1 to 4.2 | 2020-2024 |
| Esophagus | New cases | 3.2 | 4.6 | 0.7x | 2.2 to 4.4 | 2019-2023 |
| Kidney & renal pelvis | New cases | 12.2 | 17.9 | 0.68x | 10.1 to 14.5 | 2019-2023 |
| Brain & nervous system | New cases | 4.1 | 6.2 | 0.66x | 2.9 to 5.7 | 2019-2023 |
| Lung & bronchus | New cases | 34.2 | 51.8 | 0.66x | 31 to 37.8 | 2019-2023 |
| Kidney & renal pelvis | Deaths | 1.9 | 3.4 | 0.56x | 1.2 to 2.9 | 2020-2024 |
| Brain & nervous system | Deaths | 2.4 | 4.4 | 0.55x | 1.6 to 3.6 | 2020-2024 |
| Esophagus | Deaths | 2 | 3.7 | 0.54x | 1.3 to 3 | 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.
| Measure | County | U.S. median | Difference | Unit |
|---|---|---|---|---|
| Premature death | 6,323.2 | 9,842.6 | -36% | years of life lost before age 75 per 100,000 |
| Life expectancy | 81.7 | 75.3 | +9% | years |
| Child mortality | 42.1 | 59.8 | -30% | deaths under age 18 per 100,000 |
| Infant mortality | 4.9 | 6.2 | -21% | deaths under age 1 per 1,000 live births |
| Injury deaths | 67.7 | 96.9 | -30% | deaths per 100,000 |
| Drug overdose deaths | 19.5 | 28.6 | -32% | 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.
- Formaldehyde10.63 per million
- Carbon Tetrachloride2.82 per million
- Benzene0.99 per million
- Acetaldehyde0.68 per million
EPA Air Quality Index 2025
Monitored on 360 days: 353 good, 0 unhealthy for sensitive groups or worse. Median AQI 21, peak 69.
Regulated facilities, sites and hazards by type
987 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.
- Industrial wastewater discharge539
- NPDES wastewater discharge permit322
- Gas station (mapped facility)38
- Small hazardous waste generator14
- Hazardous waste transporter11
- Major air pollution source8
- Air permit holder (minor source)5
- Commercial airport5
- Landfill (mapped facility)5
- Oil-fired power plant5
- Wastewater plant (mapped facility)5
- Large greenhouse gas emitter4
- TRI reporting facility4
- Toxic chemical release facility (TRI)4
- EPA air quality monitor3
- Brownfield property3
- Solar power plant3
- Wind power plant3
- Public airport2
- Heliport2
- Hydroelectric plant2
Highest-severity records
The 25 records with the highest Envyrofax severity in the county, with the agency identifier to cite in a records request.
- Severity 9
Maui Electric Co Ltd Kahului Generating Station, Kahului
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, Polycyclic aromatic compounds, Benzo[g,h,i]perylene and 1 more. Reports carcinogens. 750,050 lbs released over 5 years.
TRI facility ID 96732KHLGN200HO (U.S. EPA Toxics Release Inventory)
- Severity 8.8
Maui Electric Co Ltd Maalaea Generating Station, Kihei
Toxic chemical release facility (TRI). Chemicals: Sulfuric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Ammonia, Naphthalene, Polycyclic aromatic compounds and 3 more. Reports carcinogens. 418,331 lbs released over 5 years.
TRI facility ID 96793MLGNRNKIHE (U.S. EPA Toxics Release Inventory)
- Severity 7.3
Maui Electric Co (Meco) - Maalaea Generating Station, Kihei
TRI reporting facility. Penalties $235,400.
EPA FRS registry ID 110010385528 (U.S. EPA ECHO) Agency record
- Severity 6.4
Maui Electric Co (Meco) - Kahului Generating Station, Kahului
TRI reporting facility.
EPA FRS registry ID 110000486395 (U.S. EPA ECHO) Agency record
- Severity 6.3
Maui Electric Co Ltd Miki Basin Generating Station, Lanai City
Toxic chemical release facility (TRI). Chemicals: Naphthalene, Polycyclic aromatic compounds. Reports carcinogens. 238 lbs released over 5 years.
TRI facility ID 96763MLCTR1001N (U.S. EPA Toxics Release Inventory)
- Severity 6.3
Maui Electric Co Ltd Palaau Generating Station, Kaunakakai
Toxic chemical release facility (TRI). Chemicals: Naphthalene, Polycyclic aromatic compounds. Reports carcinogens. 215 lbs released over 5 years.
TRI facility ID 96748MLCTR32AUL (U.S. EPA Toxics Release Inventory)
- Severity 5.3
Wailea Golf Estates Ii Condominium, Kihei
NPDES wastewater discharge permit. Penalties $2,200.
EPA FRS registry ID 110071711087 (U.S. EPA ECHO) Agency record
- Severity 5
Kapalua, Lahaina
Commercial airport. O.
Record ID JHM (FAA / U.S. DOT)
- Severity 5
Lanai, Lanai City
Commercial airport. O.
Record ID LNY (FAA / U.S. DOT)
- Severity 5
Molokai, Kaunakakai
Commercial airport. O.
Record ID MKK (FAA / U.S. DOT)
- Severity 5
Kahului, Kahului
Commercial airport. O.
Record ID OGG (FAA / U.S. DOT)
- Severity 4.8
Meco - Miki Basin Power Plant, Lanai City
TRI reporting facility.
EPA FRS registry ID 110001764029 (U.S. EPA ECHO) Agency record
- Severity 4.8
Maui Electric Power Co, Ltd., Moloka'I Power Plant, Kaunakakai
TRI reporting facility.
EPA FRS registry ID 110008062283 (U.S. EPA ECHO) Agency record
- Severity 4.8
Ameron International Corp Dba Ameron Hawaii, Puunene
Major air pollution source. Penalties $300.
EPA FRS registry ID 110001322890 (U.S. EPA ECHO) Agency record
- Severity 4.5
Maui Electric Co (Meco) - Maalaea Generating Station, Kihei
Major air pollution source. Penalties $235,400.
EPA FRS registry ID 110010385528 (U.S. EPA ECHO) Agency record
- Severity 4.5
County Of Maui - Central Maui Mswl, Puunene
NPDES wastewater discharge permit.
EPA FRS registry ID 110043806012 (U.S. EPA ECHO) Agency record
- Severity 4.5
Maui Bay Villas, Kihei
NPDES wastewater discharge permit.
EPA FRS registry ID 110064859906 (U.S. EPA ECHO) Agency record
- Severity 4.5
Rehabilitation Of Localized Streets, Idiq #4 - Wo#6, Unknown
NPDES wastewater discharge permit.
EPA FRS registry ID 110070237810 (U.S. EPA ECHO) Agency record
- Severity 4.5
Lai Loa Condominium Resort Development, Unknown
NPDES wastewater discharge permit.
EPA FRS registry ID 110071068351 (U.S. EPA ECHO) Agency record
- Severity 4.5
Overall Site Improvements Four Seasons Resort Lana?I, Ko?Ele, Lanai City
NPDES wastewater discharge permit.
EPA FRS registry ID 110071711071 (U.S. EPA ECHO) Agency record
- Severity 4.3
Ameron International Corp Dba Ameron Hawaii, Puunene
NPDES wastewater discharge permit. Penalties $300.
EPA FRS registry ID 110001322890 (U.S. EPA ECHO) Agency record
- Severity 4.3
Wake Island Water Plant, Wake Island
NPDES wastewater discharge permit.
EPA FRS registry ID 110070819241 (U.S. EPA ECHO) Agency record
- Severity 4.2
Maalaea, Kihei
Oil-fired power plant.
Record ID 6504 (U.S. Energy Information Administration)
- Severity 4
Kahului, Kahului
Oil-fired power plant.
Record ID 6056 (U.S. Energy Information Administration)
- Severity 4
Palaau Power Hybrid, Kaunakakai
Oil-fired power plant.
Record ID 792 (U.S. Energy Information Administration)
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 Maui County
Hawaii 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 Maui County, and their findings.
Hawaii vital statistics office
Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.
Hawaii health department, environmental epidemiology
Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.
Hawaii 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.
Hawaii 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.