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St. Clair County, Illinois: environmental and disease records
Cancer mortality in St. Clair County is 165 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Lung & bronchus deaths at 1.3 times the U.S. rate. Federal databases place 1,594 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (393), Air permit holder (minor source) (337), Rail grade crossing (282). 2 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: 38.4339, -89.9293.
How this county ranks in Illinois
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 |
|---|---|---|---|---|---|---|
| Lung & bronchus | New cases | 70.2 | 51.8 | 1.36xSignificant | 66.1 to 74.4 | 2019-2023 |
| Lung & bronchus | Deaths | 39.5 | 30.2 | 1.31xSignificant | 36.5 to 42.7 | 2020-2024 |
| Kidney & renal pelvis | Deaths | 4.3 | 3.4 | 1.26x | 3.3 to 5.5 | 2020-2024 |
| Esophagus | Deaths | 4.6 | 3.7 | 1.24x | 3.6 to 5.8 | 2020-2024 |
| Kidney & renal pelvis | New cases | 21.9 | 17.9 | 1.22xSignificant | 19.6 to 24.4 | 2019-2023 |
| Melanoma of the skin | Deaths | 2.4 | 2 | 1.2x | 1.7 to 3.3 | 2020-2024 |
| Stomach | New cases | 7.7 | 6.6 | 1.17x | 6.4 to 9.2 | 2019-2023 |
| All cancer | Deaths | 165 | 143.2 | 1.15xSignificant | 158.7 to 171.5 | 2020-2024 |
| Esophagus | New cases | 5.3 | 4.6 | 1.15x | 4.2 to 6.6 | 2019-2023 |
| Pancreas | Deaths | 13 | 11.3 | 1.15x | 11.3 to 15 | 2020-2024 |
| Stomach | Deaths | 3 | 2.7 | 1.11x | 2.2 to 4 | 2020-2024 |
| Liver & bile duct | New cases | 9.5 | 8.7 | 1.09x | 8.1 to 11.1 | 2019-2023 |
| Liver & bile duct | Deaths | 7.2 | 6.6 | 1.09x | 6 to 8.7 | 2020-2024 |
| All cancer | New cases | 494.2 | 453.4 | 1.09xSignificant | 483.1 to 505.6 | 2019-2023 |
| Bladder | Deaths | 4.4 | 4.1 | 1.07x | 3.4 to 5.6 | 2020-2024 |
| Melanoma of the skin | New cases | 25.4 | 23.8 | 1.07x | 22.8 to 28.1 | 2019-2023 |
| Bladder | New cases | 19.7 | 18.7 | 1.05x | 17.5 to 22 | 2019-2023 |
| Pancreas | New cases | 14.4 | 13.9 | 1.04x | 12.5 to 16.4 | 2019-2023 |
| Leukemia | Deaths | 5.9 | 5.7 | 1.04x | 4.7 to 7.3 | 2020-2024 |
| Brain & nervous system | New cases | 6.4 | 6.2 | 1.03x | 5.2 to 7.9 | 2019-2023 |
| Leukemia | New cases | 14.2 | 14.5 | 0.98x | 12.4 to 16.3 | 2019-2023 |
| Brain & nervous system | Deaths | 4.1 | 4.4 | 0.93x | 3.2 to 5.3 | 2020-2024 |
| Childhood cancer (under 15) | New cases | 15 | 16.4 | 0.91x | 10.5 to 20.8 | 2019-2023 |
| Non-Hodgkin lymphoma | New cases | 16.7 | 18.5 | 0.9x | 14.7 to 19 | 2019-2023 |
| Non-Hodgkin lymphoma | Deaths | 4.3 | 4.8 | 0.9x | 3.3 to 5.5 | 2020-2024 |
| Thyroid | New cases | 10.6 | 13 | 0.82x | 8.9 to 12.5 | 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 | 11,441.5 | 9,842.6 | +16% | years of life lost before age 75 per 100,000 |
| Life expectancy | 74.1 | 75.3 | -2% | years |
| Child mortality | 83.2 | 59.8 | +39% | deaths under age 18 per 100,000 |
| Infant mortality | 9.3 | 6.2 | +49% | deaths under age 1 per 1,000 live births |
| Injury deaths | 103.6 | 96.9 | +7% | deaths per 100,000 |
| Drug overdose deaths | 36.1 | 28.6 | +26% | 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.
- Formaldehyde20.61 per million
- Carbon Tetrachloride2.96 per million
- Acetaldehyde1.94 per million
- Naphthalene1.35 per million
EPA Air Quality Index
No EPA air quality monitor reports daily AQI for this county.
Regulated facilities, sites and hazards by type
1,594 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.
- NPDES wastewater discharge permit393
- Air permit holder (minor source)337
- Rail grade crossing282
- Industrial wastewater discharge228
- Gas station (mapped facility)73
- Brownfield property66
- Small hazardous waste generator32
- Auto repair or body shop (mapped facility)25
- Toxic chemical release facility (TRI)25
- Large hazardous waste generator24
- Major air pollution source20
- TRI reporting facility19
- Wastewater plant (mapped facility)15
- Combined sewer overflow outfall10
- Public airport9
- Scrapyard (mapped facility)7
- Large greenhouse gas emitter6
- Dry cleaner (mapped facility)5
- Heliport4
- Hazardous waste transporter3
- Commercial airport2
- Correctional facility (prison or jail)2
- Proposed Superfund site2
- EPA air quality monitor1
- Landfill (mapped facility)1
- Oil-fired power plant1
- Solar power plant1
- Superfund (NPL) site1
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
Old American Zinc Plant, Fairmont City
Superfund (NPL) site. Hazard Ranking System score 30. NPL Site.
EPA site ID IL0000034355 (U.S. EPA Superfund (SEMS/NPL)) Agency record
- Severity 8.8
Allnex Usa Inc, East St. Louis
TRI reporting facility.
EPA FRS registry ID 110000497542 (U.S. EPA ECHO) Agency record
- Severity 8.6
Afton Chemical Corp, Sauget
Toxic chemical release facility (TRI). Chemicals: n-Hexane, Methanol, Ammonia, Ethylene glycol and 4 more. Reports carcinogens. 251,402 lbs released over 5 years.
TRI facility ID 62201THYLPMONSA (U.S. EPA Toxics Release Inventory)
- Severity 8.6
Scott Air Force Base, Scott Air Force Base
TRI reporting facility. Penalties $7,500.
EPA FRS registry ID 110000438964 (U.S. EPA ECHO) Agency record
- Severity 8.5
Kempen Paint Co, East Carondelet
TRI reporting facility.
EPA FRS registry ID 110000439026 (U.S. EPA ECHO) Agency record
- Severity 8.1
Flexsys America Lp Krummrich, Sauget
Toxic chemical release facility (TRI). Chemicals: Methyl isobutyl ketone, p-Nitroaniline, sec-Butyl alcohol. Reports carcinogens. 55,132 lbs released over 5 years.
TRI facility ID 62206FLXSY500MO (U.S. EPA Toxics Release Inventory)
- Severity 8
Sauget Area 2, Sauget
Proposed Superfund site. Hazard Ranking System score 50. Proposed NPL Site.
EPA site ID ILD000605790 (U.S. EPA Superfund (SEMS/NPL)) Agency record
- Severity 8
Sauget Area 1, Cahokia, Sauget
Proposed Superfund site. Hazard Ranking System score 50. Proposed NPL Site.
EPA site ID ILD980792006 (U.S. EPA Superfund (SEMS/NPL)) Agency record
- Severity 7.9
Afton Chemical Corporation, Sauget
TRI reporting facility. Penalties $63,065.
EPA FRS registry ID 110000438884 (U.S. EPA ECHO) Agency record
- Severity 7.9
Phillips 66 Co East St Louis Terminal, Cahokia
Toxic chemical release facility (TRI). Chemicals: Toluene, Xylene (mixed isomers), n-Hexane, Benzene and 4 more. Reports carcinogens. 28,544 lbs released over 5 years.
TRI facility ID 62206STSTL3300M (U.S. EPA Toxics Release Inventory)
- Severity 7.9
Allnex Usa Inc., East Saint Louis
Toxic chemical release facility (TRI). Chemicals: Xylene (mixed isomers), Methyl methacrylate, Ethylbenzene, Styrene and 4 more. Reports carcinogens. 27,650 lbs released over 5 years.
TRI facility ID 62205KZCTN2904M (U.S. EPA Toxics Release Inventory)
- Severity 7.7
Custom Marble Inc, Millstadt
Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 16,896 lbs released over 5 years.
TRI facility ID 62260CSTMM700BH (U.S. EPA Toxics Release Inventory)
- Severity 7.6
Veolia N.A. Inc., Sauget
Toxic chemical release facility (TRI). Chemicals: Hydrochloric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Sulfuric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Hydrogen fluoride, Toluene and 4 more. Reports carcinogens. 12,501 lbs released over 5 years.
TRI facility ID 62201TRDWS7MOBI (U.S. EPA Toxics Release Inventory)
- Severity 7.6
Kempen Paint Co, East Carondelet
Toxic chemical release facility (TRI). Chemicals: Xylene (mixed isomers), Toluene, Styrene, Cyclohexane. Reports carcinogens. 10,016 lbs released over 5 years.
TRI facility ID 62240KMPNPPOBOX (U.S. EPA Toxics Release Inventory)
- Severity 7.4
Gateway Terminals Llc, Sauget
Toxic chemical release facility (TRI). Chemicals: Toluene, n-Hexane, Benzene, Cyclohexane and 2 more. Reports carcinogens. 6,574 lbs released over 5 years.
TRI facility ID 66201GTWYT4PITZ (U.S. EPA Toxics Release Inventory)
- Severity 7
Scott Air Force Base, Scott Air Force Base
Major air pollution source. Penalties $7,500.
EPA FRS registry ID 110000438964 (U.S. EPA ECHO) Agency record
- Severity 7
Cerro Flow Products Llc, Sauget
TRI reporting facility.
EPA FRS registry ID 110018344184 (U.S. EPA ECHO) Agency record
- Severity 6.8
Flexsys W.G. Krummrich Plant, Sauget
TRI reporting facility.
EPA FRS registry ID 110069500524 (U.S. EPA ECHO) Agency record
- Severity 6.7
Veolia Es Technical Solutions Llc, Sauget
TRI reporting facility.
EPA FRS registry ID 110000438893 (U.S. EPA ECHO) Agency record
- Severity 6.7
Us Air Force/Scott Air Force Base, Scott Air Force Base
Toxic chemical release facility (TRI). Chemicals: Xylene (mixed isomers), Naphthalene, Ethylbenzene, Benzene. Reports carcinogens. 649 lbs released over 5 years.
TRI facility ID 62222SCTTR701HA (U.S. EPA Toxics Release Inventory)
- Severity 6.7
Occidental Chemical Corp Sauget Plant, Sauget
Toxic chemical release facility (TRI). Chemicals: Ammonia, Chlorine. 58,070 lbs released over 5 years.
TRI facility ID 62206CCDNT500MO (U.S. EPA Toxics Release Inventory)
- Severity 6.5
Scott Air Force Base, Scott Air Force Base
Large hazardous waste generator. Penalties $7,500.
EPA FRS registry ID 110000438964 (U.S. EPA ECHO) Agency record
- Severity 6.5
Scott Air Force Base, Scott Air Force Base
NPDES wastewater discharge permit. Penalties $7,500.
EPA FRS registry ID 110000438964 (U.S. EPA ECHO) Agency record
- Severity 6.5
Jet Enterprises & Holding Co Llc, Sauget
Major air pollution source.
EPA FRS registry ID 110018344077 (U.S. EPA ECHO) Agency record
- Severity 6.5
Cerro Flow Products Llc, Sauget
Major air pollution source.
EPA FRS registry ID 110018344184 (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.
Southwestern Illinois Correctional Center, East Saint Louis
- EPA FRS registry ID
- 110018346226
- Wastewater permit
- None on record
Design Deficiency Corrections - Bid Package 14b, Brooklyn
- EPA FRS registry ID
- 110071915563
- Wastewater permit
- Yes
Discovery / public records
Records to request for St. Clair 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 St. Clair 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.