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Twin Falls County, Idaho: environmental and disease records
Cancer mortality in Twin Falls County is 147.1 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 516 regulated facilities, sites and hazards inside the county, led by Industrial wastewater discharge (135), NPDES wastewater discharge permit (106), Rail grade crossing (85). 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: 42.4462, -114.5535.
How this county ranks in Idaho
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 | Deaths | 3.2 | 2 | 1.6x | 1.9 to 5.1 | 2020-2024 |
| Melanoma of the skin | New cases | 33.8 | 23.8 | 1.42xSignificant | 28.9 to 39.3 | 2019-2023 |
| Esophagus | New cases | 6.2 | 4.6 | 1.35x | 4.2 to 8.8 | 2019-2023 |
| Leukemia | New cases | 18.9 | 14.5 | 1.3xSignificant | 15.4 to 23 | 2019-2023 |
| Leukemia | Deaths | 7.2 | 5.7 | 1.26x | 5.2 to 9.9 | 2020-2024 |
| Non-Hodgkin lymphoma | Deaths | 5.9 | 4.8 | 1.23x | 4 to 8.3 | 2020-2024 |
| Bladder | New cases | 22.1 | 18.7 | 1.18x | 18.4 to 26.4 | 2019-2023 |
| Brain & nervous system | New cases | 7.3 | 6.2 | 1.18x | 5.1 to 10.1 | 2019-2023 |
| Esophagus | Deaths | 4.3 | 3.7 | 1.16x | 2.8 to 6.5 | 2020-2024 |
| Pancreas | New cases | 15.1 | 13.9 | 1.09x | 12 to 18.7 | 2019-2023 |
| Non-Hodgkin lymphoma | New cases | 19.4 | 18.5 | 1.05x | 15.8 to 23.6 | 2019-2023 |
| Kidney & renal pelvis | Deaths | 3.5 | 3.4 | 1.03x | 2.1 to 5.5 | 2020-2024 |
| All cancer | Deaths | 147.1 | 143.2 | 1.03x | 137.2 to 157.6 | 2020-2024 |
| All cancer | New cases | 449.9 | 453.4 | 0.99x | 431.8 to 468.6 | 2019-2023 |
| Childhood cancer (under 15) | New cases | 16.2 | 16.4 | 0.99x | 9.2 to 26.3 | 2019-2023 |
| Pancreas | Deaths | 10.8 | 11.3 | 0.96x | 8.3 to 13.9 | 2020-2024 |
| Liver & bile duct | Deaths | 6.3 | 6.6 | 0.95x | 4.4 to 8.7 | 2020-2024 |
| Thyroid | New cases | 11.8 | 13 | 0.91x | 8.8 to 15.4 | 2019-2023 |
| Kidney & renal pelvis | New cases | 16 | 17.9 | 0.89x | 12.8 to 19.9 | 2019-2023 |
| Lung & bronchus | Deaths | 26.5 | 30.2 | 0.88x | 22.5 to 31.1 | 2020-2024 |
| Liver & bile duct | New cases | 7.6 | 8.7 | 0.87x | 5.4 to 10.3 | 2019-2023 |
| Stomach | New cases | 5.5 | 6.6 | 0.83x | 3.7 to 8 | 2019-2023 |
| Bladder | Deaths | 3.4 | 4.1 | 0.83x | 2 to 5.3 | 2020-2024 |
| Brain & nervous system | Deaths | 3.5 | 4.4 | 0.8x | 2.1 to 5.6 | 2020-2024 |
| Lung & bronchus | New cases | 40.7 | 51.8 | 0.79x | 35.5 to 46.3 | 2019-2023 |
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.
| Measure | County | U.S. median | Difference | Unit |
|---|---|---|---|---|
| Premature death | 8,578.6 | 9,842.6 | -13% | years of life lost before age 75 per 100,000 |
| Life expectancy | 76 | 75.3 | +1% | years |
| Child mortality | 52.9 | 59.8 | -11% | deaths under age 18 per 100,000 |
| Infant mortality | 3.9 | 6.2 | -37% | deaths under age 1 per 1,000 live births |
| Injury deaths | 110.9 | 96.9 | +14% | deaths per 100,000 |
| Drug overdose deaths | 24.1 | 28.6 | -16% | 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.
- Formaldehyde12.43 per million
- Carbon Tetrachloride2.66 per million
- Acetaldehyde1.34 per million
- Naphthalene1.26 per million
EPA Air Quality Index 2025
Monitored on 365 days: 339 good, 1 unhealthy for sensitive groups or worse. Median AQI 26, peak 105.
Regulated facilities, sites and hazards by type
516 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.
- Industrial wastewater discharge135
- NPDES wastewater discharge permit106
- Rail grade crossing85
- Air permit holder (minor source)56
- Gas station (mapped facility)35
- Auto repair or body shop (mapped facility)21
- Brownfield property14
- Small hazardous waste generator12
- Wind power plant12
- Hydroelectric plant10
- TRI reporting facility7
- Toxic chemical release facility (TRI)7
- Public airport4
- Large greenhouse gas emitter3
- EPA air quality monitor2
- Heliport2
- Major air pollution source1
- Commercial airport1
- Biomass power plant1
- Coal power plant1
- Solar power plant1
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 10
Amalgamated Sugar Co Llc, Twin Falls
TRI reporting facility. Penalties $22,600.
EPA FRS registry ID 110000468388 (U.S. EPA ECHO) Agency record
- Severity 7.9
Amalgamated Sugar Co, Twin Falls
Toxic chemical release facility (TRI). Chemicals: Ammonia, Methanol, Lead compounds, Lead And Lead Compounds and 1 more. 2,171,616 lbs released over 5 years.
TRI facility ID 83303MLGMTPOBOX (U.S. EPA Toxics Release Inventory)
- Severity 7.3
Amalgamated Sugar Co Llc, Twin Falls
Major air pollution source. Penalties $22,600.
EPA FRS registry ID 110000468388 (U.S. EPA ECHO) Agency record
- Severity 6.8
Amalgamated Sugar Co Llc, Twin Falls
NPDES wastewater discharge permit. Penalties $22,600.
EPA FRS registry ID 110000468388 (U.S. EPA ECHO) Agency record
- Severity 6.8
Twin Falls Stp, Twin Falls
NPDES wastewater discharge permit. Penalties $19,188.
EPA FRS registry ID 110039977102 (U.S. EPA ECHO) Agency record
- Severity 6.7
Lamb Weston Inc, Twin Falls
Toxic chemical release facility (TRI). Chemicals: Ammonia, Hydrogen sulfide, Nitric acid. 74,625 lbs released over 5 years.
TRI facility ID 83301NVRSL856RU (U.S. EPA Toxics Release Inventory)
- Severity 6.5
Twin Falls Redi-Mix, Twin Falls
Toxic chemical release facility (TRI). Chemicals: Nitrate compounds (water dissociable; reportable only when in aqueous solution), Lead. Reports carcinogens. 416 lbs released over 5 years.
TRI facility ID 8330WTWNFL197AD (U.S. EPA Toxics Release Inventory)
- Severity 6.3
Amalgamated Sugar Co Llc, Twin Falls
Large greenhouse gas emitter. Penalties $22,600.
EPA FRS registry ID 110000468388 (U.S. EPA ECHO) Agency record
- Severity 6
Amalgamated Sugar Twin Falls, Twin Falls
Coal power plant.
Record ID 10504 (U.S. Energy Information Administration)
- Severity 6
Lamb Weston Inc, Twin Falls
TRI reporting facility.
EPA FRS registry ID 110000468379 (U.S. EPA ECHO) Agency record
- Severity 5.7
Lippert Components - Twin Falls #64, Twin Falls
Toxic chemical release facility (TRI). Chemicals: Manganese, Chromium, Lead. Reports carcinogens. 39 lbs released over 5 years.
TRI facility ID 8330WLPPRT427SH (U.S. EPA Toxics Release Inventory)
- Severity 5
Chobani Idaho, Twin Falls
TRI reporting facility.
EPA FRS registry ID 110045947794 (U.S. EPA ECHO) Agency record
- Severity 5
Joslin Fld/Magic Valley Rgnl, Twin Falls
Commercial airport. O.
Record ID TWF (FAA / U.S. DOT)
- Severity 5
Twin Falls Redi-Mix, Twin Falls
TRI reporting facility.
EPA FRS registry ID 110070047371 (U.S. EPA ECHO) Agency record
- Severity 4.8
Twin Falls Stp, Twin Falls
Air permit holder (minor source). Penalties $19,188.
EPA FRS registry ID 110039977102 (U.S. EPA ECHO) Agency record
- Severity 4.5
First Ascent Fish Farm, Buhl
NPDES wastewater discharge permit.
EPA FRS registry ID 110006776275 (U.S. EPA ECHO) Agency record
- Severity 4.5
Boswell Trout Farms Jacks Ponds Site, Buhl
NPDES wastewater discharge permit.
EPA FRS registry ID 110006776319 (U.S. EPA ECHO) Agency record
- Severity 4.5
Rcp Fish Ponds, Buhl
NPDES wastewater discharge permit.
EPA FRS registry ID 110011272274 (U.S. EPA ECHO) Agency record
- Severity 4.4
Lippert Components Twin Falls 64, Kimberly
TRI reporting facility.
EPA FRS registry ID 110043513999 (U.S. EPA ECHO) Agency record
- Severity 4
Glanbia Foods Twin Falls, Twin Falls
TRI reporting facility.
EPA FRS registry ID 110000468397 (U.S. EPA ECHO) Agency record
- Severity 4
Hansen Stp, Hansen
NPDES wastewater discharge permit.
EPA FRS registry ID 110039977344 (U.S. EPA ECHO) Agency record
- Severity 4
J D Heiskell And Company, Twin Falls
TRI reporting facility.
EPA FRS registry ID 110040629282 (U.S. EPA ECHO) Agency record
- Severity 4
Box Canyon Trout Farm, Buhl
NPDES wastewater discharge permit.
EPA FRS registry ID 110050463897 (U.S. EPA ECHO) Agency record
- Severity 3.8
Snyder Blue Rock Farms, Buhl
NPDES wastewater discharge permit.
EPA FRS registry ID 110006776266 (U.S. EPA ECHO) Agency record
- Severity 3.5
Chobani Idaho, Twin Falls
Large greenhouse gas emitter.
EPA FRS registry ID 110045947794 (U.S. EPA ECHO) Agency record
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 Twin Falls County
Idaho 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 Twin Falls County, and their findings.
Idaho vital statistics office
Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.
Idaho health department, environmental epidemiology
Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.
Idaho 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.
Idaho 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.