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Monroe County, Illinois: environmental and disease records

Cancer mortality in Monroe County is 133.8 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 214 regulated facilities, sites and hazards inside the county, led by Rail grade crossing (58), NPDES wastewater discharge permit (53), Industrial wastewater discharge (42). EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 30 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: 38.3035, -90.141.

How this county ranks in Illinois

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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 Monroe County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Melanoma of the skin	New cases	39.5	23.8	1.66xSignificant	31.2 to 49.4	2019-2023
Kidney & renal pelvis	New cases	24.4	17.9	1.36xSignificant	18.3 to 31.9	2019-2023
Leukemia	New cases	18.3	14.5	1.26x	12.8 to 25.4	2019-2023
Leukemia	Deaths	6.8	5.7	1.19x	4 to 11.2	2020-2024
Non-Hodgkin lymphoma	New cases	21.7	18.5	1.17x	16.1 to 28.8	2019-2023
Pancreas	Deaths	11.9	11.3	1.05x	8 to 17.2	2020-2024
Lung & bronchus	Deaths	31.8	30.2	1.05x	25.2 to 39.8	2020-2024
All cancer	New cases	460.3	453.4	1.02x	432.4 to 489.6	2019-2023
Pancreas	New cases	13.9	13.9	1x	9.6 to 19.8	2019-2023
All cancer	Deaths	133.8	143.2	0.93x	119.5 to 149.4	2020-2024
Lung & bronchus	New cases	48.2	51.8	0.93x	39.8 to 57.9	2019-2023
Thyroid	New cases	10.9	13	0.84x	6.3 to 17.4	2019-2023
Bladder	New cases	13	18.7	0.7x	8.9 to 18.5	2019-2023
Liver & bile duct	New cases	5.9	8.7	0.68x	3.3 to 10	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.

Mortality measures for Monroe County
Measure	County	U.S. median	Difference	Unit
Premature death	5,616.5	9,842.6	-43%	years of life lost before age 75 per 100,000
Life expectancy	79.6	75.3	+6%	years
Child mortality	33.1	59.8	-45%	deaths under age 18 per 100,000
Infant mortality	n/a	6.2	n/a	deaths under age 1 per 1,000 live births
Injury deaths	63.9	96.9	-34%	deaths per 100,000
Drug overdose deaths	15.3	28.6	-47%	deaths per 100,000

Air toxics and air quality

EPA AirToxScreen 2020

Lifetime cancer risk from outdoor air toxics: 30 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

Formaldehyde20.77 per million
Carbon Tetrachloride2.95 per million
Acetaldehyde2.01 per million
Naphthalene1.11 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

Rail grade crossing58
NPDES wastewater discharge permit53
Industrial wastewater discharge42
Air permit holder (minor source)35
Gas station (mapped facility)10
Public airport4
Auto repair or body shop (mapped facility)2
Wastewater plant (mapped facility)2
Major air pollution source1
EPA air quality monitor1
Combined sewer overflow outfall1
Large hazardous waste generator1
Heliport1
Oil-fired power plant1
TRI reporting facility1
Toxic chemical release facility (TRI)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.

Mozel Columbia, Columbia
Toxic chemical release facility (TRI). Chemicals: Formaldehyde, Methanol, 1,2,4-Trimethylbenzene, Ethylbenzene and 4 more. Reports carcinogens. 13,783 lbs released over 5 years.
TRI facility ID 62236MZLNC1900W (U.S. EPA Toxics Release Inventory)
Severity 7.7
Mozel Inc, Columbia
TRI reporting facility.
EPA FRS registry ID 110007361835 (U.S. EPA ECHO) Agency record
Severity 5.8
Waterloo Stp, City Of, Waterloo
NPDES wastewater discharge permit.
EPA FRS registry ID 110039982436 (U.S. EPA ECHO) Agency record
Severity 5.5
Columbia Quarry Co, Waterloo
NPDES wastewater discharge permit.
EPA FRS registry ID 110001288623 (U.S. EPA ECHO) Agency record
Severity 4.5
Maeystown Stp, Village Of, Maeystown
NPDES wastewater discharge permit.
EPA FRS registry ID 110006767980 (U.S. EPA ECHO) Agency record
Severity 4.5
Waterloo, Waterloo
Oil-fired power plant.
Record ID 971 (U.S. Energy Information Administration)
Severity 4
Columbia Quarry Co, Waterloo
Air permit holder (minor source).
EPA FRS registry ID 110001288623 (U.S. EPA ECHO) Agency record
Severity 4
Msd Lemay Wwtp, St. Louis
Combined sewer overflow outfall. Violation Identified.
NPDES permit MO0025151:SM2 (U.S. EPA NPDES)
Severity 4
Columbia Stp, City Of, Columbia
NPDES wastewater discharge permit.
EPA FRS registry ID 110006645069 (U.S. EPA ECHO) Agency record
Severity 3.8
Camp Wartburg Stp, Waterloo
NPDES wastewater discharge permit.
EPA FRS registry ID 110018232795 (U.S. EPA ECHO) Agency record
Severity 3.8
Waterloo City Light Plant, Waterloo
Major air pollution source.
EPA FRS registry ID 110018395716 (U.S. EPA ECHO) Agency record
Severity 3.5
Fountain Water District, Valmeyer
NPDES wastewater discharge permit.
EPA FRS registry ID 110018358338 (U.S. EPA ECHO) Agency record
Severity 3.3
Mozel Inc, Columbia
Large hazardous waste generator.
EPA FRS registry ID 110007361835 (U.S. EPA ECHO) Agency record
Severity 3
Waterloo City Light Plant, Waterloo
NPDES wastewater discharge permit.
EPA FRS registry ID 110018395716 (U.S. EPA ECHO) Agency record
Severity 3
Hecker Stp, Village Of, Hecker
NPDES wastewater discharge permit.
EPA FRS registry ID 110064251456 (U.S. EPA ECHO) Agency record
Severity 2
Wastewater Plant
Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/1465345345 (OpenStreetMap contributors) Agency record
Severity 2
Wastewater Plant
Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/934956758 (OpenStreetMap contributors) Agency record
Severity 2
Timber Lakes Mhp Stp, Waterloo
NPDES wastewater discharge permit.
EPA FRS registry ID 110010025819 (U.S. EPA ECHO) Agency record
Severity 1.8
Valmeyer, Village Of, Valmeyer
NPDES wastewater discharge permit.
EPA FRS registry ID 110018342774 (U.S. EPA ECHO) Agency record
Severity 1.8
Roessler Ready Mix Inc, Columbia
NPDES wastewater discharge permit.
EPA FRS registry ID 110001291263 (U.S. EPA ECHO) Agency record
Severity 1.5
Monroe County, Waterloo
NPDES wastewater discharge permit.
EPA FRS registry ID 110005942285 (U.S. EPA ECHO) Agency record
Severity 1.5
Rogers Redi-Mix Inc, Waterloo
NPDES wastewater discharge permit.
EPA FRS registry ID 110006774197 (U.S. EPA ECHO) Agency record
Severity 1.5
Gregson Trucking, Waterloo
NPDES wastewater discharge permit.
EPA FRS registry ID 110006799232 (U.S. EPA ECHO) Agency record
Severity 1.5
Prairie Du Rocher Mine, Prairie Du Rocher
NPDES wastewater discharge permit.
EPA FRS registry ID 110009983401 (U.S. EPA ECHO) Agency record
Severity 1.5
Concrete Resources, Inc., Columbia
NPDES wastewater discharge permit.
EPA FRS registry ID 110010007241 (U.S. EPA ECHO) Agency record
Severity 1.5

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 Monroe County

Illinois 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 Monroe County, and their findings.
Illinois vital statistics office
Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.
Illinois health department, environmental epidemiology
Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.
Illinois 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.
Illinois 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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