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Randolph County, Illinois: environmental and disease records

Cancer mortality in Randolph County is 168.3 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Non-Hodgkin lymphoma deaths at 1.7 times the U.S. rate and Lung & bronchus deaths at 1.5 times the U.S. rate. Federal databases place 456 regulated facilities, sites and hazards inside the county, led by Rail grade crossing (202), Industrial wastewater discharge (75), NPDES wastewater discharge permit (73). 3 correctional facilities operate in the county. 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: 38.0128, -89.825.

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 Randolph County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
EsophagusNew cases7.94.61.72x4.4 to 13.22019-2023
Non-Hodgkin lymphomaDeaths8.24.81.71xSignificant4.9 to 13.22020-2024
Lung & bronchusDeaths45.430.21.5xSignificant37.1 to 55.22020-2024
Lung & bronchusNew cases77.651.81.5xSignificant66.4 to 90.42019-2023
Kidney & renal pelvisNew cases21.517.91.2x15.4 to 29.42019-2023
Liver & bile ductDeaths7.86.61.18x4.4 to 13.12020-2024
All cancerDeaths168.3143.21.18xSignificant151.7 to 186.62020-2024
Melanoma of the skinNew cases27.923.81.17x20.9 to 36.62019-2023
Non-Hodgkin lymphomaNew cases20.318.51.1x14.8 to 27.32019-2023
StomachNew cases7.16.61.08x3.9 to 12.12019-2023
PancreasDeaths12.111.31.07x8.1 to 17.92020-2024
All cancerNew cases484.5453.41.07xSignificant454.6 to 5162019-2023
Liver & bile ductNew cases9.28.71.06x5.7 to 14.42019-2023
LeukemiaNew cases14.914.51.03x9.9 to 21.82019-2023
PancreasNew cases12.813.90.92x8.7 to 18.72019-2023
ThyroidNew cases10.9130.84x6.4 to 17.52019-2023
BladderNew cases12.818.70.68x8.6 to 18.72019-2023

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 Randolph County
MeasureCountyU.S. medianDifferenceUnit
Premature death8,769.49,842.6-11%years of life lost before age 75 per 100,000
Life expectancy75.875.3+1%years
Child mortality53.659.8-10%deaths under age 18 per 100,000
Infant mortalityn/a6.2n/adeaths under age 1 per 1,000 live births
Injury deaths105.596.9+9%deaths per 100,000
Drug overdose deaths20.828.6-27%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.

  • Formaldehyde20.09 per million
  • Carbon Tetrachloride2.96 per million
  • Acetaldehyde1.96 per million
  • Benzene0.82 per million

EPA Air Quality Index 2025

Monitored on 364 days: 248 good, 1 unhealthy for sensitive groups or worse. Median AQI 43, peak 161.

Regulated facilities, sites and hazards by type

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

  • Rail grade crossing202
  • Industrial wastewater discharge75
  • NPDES wastewater discharge permit73
  • Air permit holder (minor source)58
  • Gas station (mapped facility)9
  • Auto repair or body shop (mapped facility)5
  • Small hazardous waste generator4
  • TRI reporting facility4
  • Toxic chemical release facility (TRI)4
  • Correctional facility (prison or jail)3
  • Large greenhouse gas emitter3
  • Heliport3
  • Major air pollution source2
  • Large hazardous waste generator2
  • Scrapyard (mapped facility)2
  • Wastewater plant (mapped facility)2
  • EPA air quality monitor1
  • Public airport1
  • Commercial airport1
  • Coal power plant1
  • Oil-fired 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. Baldwin Energy Complex, Baldwin

    Toxic chemical release facility (TRI). Chemicals: Ammonia, Barium And Barium Compounds, Hydrochloric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Hydrogen fluoride and 4 more. Reports carcinogens. 529,183 lbs released over 5 years.

    TRI facility ID 62217LLNSP1901B (U.S. EPA Toxics Release Inventory)

    Severity 8.9

  2. Baldwin Power Plant, Baldwin

    TRI reporting facility.

    EPA FRS registry ID 110011697075 (U.S. EPA ECHO) Agency record

    Severity 8.8

  3. Baldwin Energy Complex, Baldwin

    Coal power plant.

    Record ID 889 (U.S. Energy Information Administration)

    Severity 7.2

  4. Roeslein Modular Fabrication, Red Bud

    Toxic chemical release facility (TRI). Chemicals: Chromium, Nickel, Manganese. Reports carcinogens. 784 lbs released over 5 years.

    TRI facility ID 62278SNYDR401RA (U.S. EPA Toxics Release Inventory)

    Severity 6.7

  5. Spartan Light Metal Products Inc, Sparta

    Toxic chemical release facility (TRI). Chemicals: Copper, Manganese, Nickel, Lead. Reports carcinogens. 342 lbs released over 5 years.

    TRI facility ID 62286SPRTN510EM (U.S. EPA Toxics Release Inventory)

    Severity 6.4

  6. City Of Red Bud, Red Bud

    Major air pollution source.

    EPA FRS registry ID 110001800935 (U.S. EPA ECHO) Agency record

    Severity 6

  7. Baldwin Power Plant, Baldwin

    Major air pollution source.

    EPA FRS registry ID 110011697075 (U.S. EPA ECHO) Agency record

    Severity 6

  8. City Of Red Bud, Red Bud

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110001800935 (U.S. EPA ECHO) Agency record

    Severity 5.5

  9. Baldwin Power Plant, Baldwin

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110011697075 (U.S. EPA ECHO) Agency record

    Severity 5.5

  10. IEPA TRAILER

    EPA air quality monitor.

    Record ID 171570001 (U.S. EPA AirData)

    Severity 5.3

  11. Baldwin Power Plant, Baldwin

    Large greenhouse gas emitter.

    EPA FRS registry ID 110011697075 (U.S. EPA ECHO) Agency record

    Severity 5

  12. Spartan Light Metal Products Inc, Sparta

    TRI reporting facility.

    EPA FRS registry ID 110018359364 (U.S. EPA ECHO) Agency record

    Severity 4.9

  13. Roeslein Modular Fabrication, Red Bud

    Small hazardous waste generator.

    EPA FRS registry ID 110009364865 (U.S. EPA ECHO) Agency record

    Severity 4.5

  14. Ruma, Village Of, Ruma

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009984071 (U.S. EPA ECHO) Agency record

    Severity 4.5

  15. H.B. Russell Truck Service, In, Red Bud

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110011267716 (U.S. EPA ECHO) Agency record

    Severity 4.5

  16. Deaconess Illinois, Red Bud Regional Hospital, Red Bud

    Small hazardous waste generator.

    EPA FRS registry ID 110018359211 (U.S. EPA ECHO) Agency record

    Severity 4.5

  17. Jerry F Costello Lock And Dam Private Sewage Disposal System, Modoc

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070926042 (U.S. EPA ECHO) Agency record

    Severity 4.5

  18. Chester Stp, Chester

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009982411 (U.S. EPA ECHO) Agency record

    Severity 4.3

  19. Red Bud, Red Bud

    Oil-fired power plant.

    Record ID 959 (U.S. Energy Information Administration)

    Severity 4

  20. Ardent Mills Llc, Chester

    TRI reporting facility.

    EPA FRS registry ID 110000439008 (U.S. EPA ECHO) Agency record

    Severity 4

  21. Inter-City Prods./Snyder General Corp., Red Bud

    TRI reporting facility.

    EPA FRS registry ID 110001291272 (U.S. EPA ECHO) Agency record

    Severity 4

  22. Baldwin Power Plant, Baldwin

    Small hazardous waste generator.

    EPA FRS registry ID 110011697075 (U.S. EPA ECHO) Agency record

    Severity 4

  23. Deaconess Illinois, Red Bud Regional Hospital, Red Bud

    Air permit holder (minor source).

    EPA FRS registry ID 110018359211 (U.S. EPA ECHO) Agency record

    Severity 4

  24. Steeleville Stp, Village Of, Steeleville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110010831957 (U.S. EPA ECHO) Agency record

    Severity 3.8

  25. Tilden Stp, Tilden

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110010025061 (U.S. EPA ECHO) Agency record

    Severity 3

Correctional facilities

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

Discovery / public records

Records to request for Randolph 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 Randolph 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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