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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 rates for Twin Falls County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Melanoma of the skinDeaths3.221.6x1.9 to 5.12020-2024
Melanoma of the skinNew cases33.823.81.42xSignificant28.9 to 39.32019-2023
EsophagusNew cases6.24.61.35x4.2 to 8.82019-2023
LeukemiaNew cases18.914.51.3xSignificant15.4 to 232019-2023
LeukemiaDeaths7.25.71.26x5.2 to 9.92020-2024
Non-Hodgkin lymphomaDeaths5.94.81.23x4 to 8.32020-2024
BladderNew cases22.118.71.18x18.4 to 26.42019-2023
Brain & nervous systemNew cases7.36.21.18x5.1 to 10.12019-2023
EsophagusDeaths4.33.71.16x2.8 to 6.52020-2024
PancreasNew cases15.113.91.09x12 to 18.72019-2023
Non-Hodgkin lymphomaNew cases19.418.51.05x15.8 to 23.62019-2023
Kidney & renal pelvisDeaths3.53.41.03x2.1 to 5.52020-2024
All cancerDeaths147.1143.21.03x137.2 to 157.62020-2024
All cancerNew cases449.9453.40.99x431.8 to 468.62019-2023
Childhood cancer (under 15)New cases16.216.40.99x9.2 to 26.32019-2023
PancreasDeaths10.811.30.96x8.3 to 13.92020-2024
Liver & bile ductDeaths6.36.60.95x4.4 to 8.72020-2024
ThyroidNew cases11.8130.91x8.8 to 15.42019-2023
Kidney & renal pelvisNew cases1617.90.89x12.8 to 19.92019-2023
Lung & bronchusDeaths26.530.20.88x22.5 to 31.12020-2024
Liver & bile ductNew cases7.68.70.87x5.4 to 10.32019-2023
StomachNew cases5.56.60.83x3.7 to 82019-2023
BladderDeaths3.44.10.83x2 to 5.32020-2024
Brain & nervous systemDeaths3.54.40.8x2.1 to 5.62020-2024
Lung & bronchusNew cases40.751.80.79x35.5 to 46.32019-2023

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 Twin Falls County
MeasureCountyU.S. medianDifferenceUnit
Premature death8,578.69,842.6-13%years of life lost before age 75 per 100,000
Life expectancy7675.3+1%years
Child mortality52.959.8-11%deaths under age 18 per 100,000
Infant mortality3.96.2-37%deaths under age 1 per 1,000 live births
Injury deaths110.996.9+14%deaths per 100,000
Drug overdose deaths24.128.6-16%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.

  1. Amalgamated Sugar Co Llc, Twin Falls

    TRI reporting facility. Penalties $22,600.

    EPA FRS registry ID 110000468388 (U.S. EPA ECHO) Agency record

    Severity 10
  2. 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 7.9
  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 7.3
  4. 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
  5. Twin Falls Stp, Twin Falls

    NPDES wastewater discharge permit. Penalties $19,188.

    EPA FRS registry ID 110039977102 (U.S. EPA ECHO) Agency record

    Severity 6.8
  6. 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 6.7
  7. 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 6.5
  8. 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 6.3
  9. Amalgamated Sugar Twin Falls, Twin Falls

    Coal power plant.

    Record ID 10504 (U.S. Energy Information Administration)

    Severity 6
  10. Lamb Weston Inc, Twin Falls

    TRI reporting facility.

    EPA FRS registry ID 110000468379 (U.S. EPA ECHO) Agency record

    Severity 6
  11. 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 5.7
  12. Chobani Idaho, Twin Falls

    TRI reporting facility.

    EPA FRS registry ID 110045947794 (U.S. EPA ECHO) Agency record

    Severity 5
  13. Joslin Fld/Magic Valley Rgnl, Twin Falls

    Commercial airport. O.

    Record ID TWF (FAA / U.S. DOT)

    Severity 5
  14. Twin Falls Redi-Mix, Twin Falls

    TRI reporting facility.

    EPA FRS registry ID 110070047371 (U.S. EPA ECHO) Agency record

    Severity 5
  15. 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 4.8
  16. First Ascent Fish Farm, Buhl

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006776275 (U.S. EPA ECHO) Agency record

    Severity 4.5
  17. 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
  18. Rcp Fish Ponds, Buhl

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110011272274 (U.S. EPA ECHO) Agency record

    Severity 4.5
  19. Lippert Components Twin Falls 64, Kimberly

    TRI reporting facility.

    EPA FRS registry ID 110043513999 (U.S. EPA ECHO) Agency record

    Severity 4.4
  20. Glanbia Foods Twin Falls, Twin Falls

    TRI reporting facility.

    EPA FRS registry ID 110000468397 (U.S. EPA ECHO) Agency record

    Severity 4
  21. Hansen Stp, Hansen

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110039977344 (U.S. EPA ECHO) Agency record

    Severity 4
  22. J D Heiskell And Company, Twin Falls

    TRI reporting facility.

    EPA FRS registry ID 110040629282 (U.S. EPA ECHO) Agency record

    Severity 4
  23. Box Canyon Trout Farm, Buhl

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110050463897 (U.S. EPA ECHO) Agency record

    Severity 4
  24. Snyder Blue Rock Farms, Buhl

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006776266 (U.S. EPA ECHO) Agency record

    Severity 3.8
  25. Chobani Idaho, Twin Falls

    Large greenhouse gas emitter.

    EPA FRS registry ID 110045947794 (U.S. EPA ECHO) Agency record

    Severity 3.5

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 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.