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Monroe County, Indiana: environmental and disease records

Cancer mortality in Monroe County is 140.2 deaths per 100,000 people per year against a U.S. rate of 143.2. The strongest disease signals are Pancreas deaths at 1.2 times the U.S. rate. Federal databases place 675 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (255), Industrial wastewater discharge (243), Gas station (mapped facility) (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: 39.1722, -86.5267.

How this county ranks in Indiana

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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
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Melanoma of the skinDeaths2.721.35x1.6 to 4.22020-2024
PancreasDeaths14.111.31.25xSignificant11.5 to 17.22020-2024
Kidney & renal pelvisDeaths4.23.41.24x2.8 to 62020-2024
Childhood cancer (under 15)New cases19.716.41.2x11.7 to 31.22019-2023
PancreasNew cases16.113.91.16x13.2 to 19.32019-2023
Lung & bronchusDeaths33.730.21.12x29.7 to 38.22020-2024
LeukemiaNew cases15.514.51.07x12.6 to 18.92019-2023
EsophagusDeaths3.93.71.05x2.6 to 5.72020-2024
Brain & nervous systemNew cases6.56.21.05x4.7 to 8.92019-2023
Non-Hodgkin lymphomaDeaths54.81.04x3.5 to 6.92020-2024
LeukemiaDeaths5.75.71x4.1 to 7.82020-2024
All cancerDeaths140.2143.20.98x131.7 to 149.12020-2024
Kidney & renal pelvisNew cases17.517.90.98x14.4 to 20.92019-2023
Lung & bronchusNew cases50.651.80.98x45.6 to 56.12019-2023
Brain & nervous systemDeaths4.14.40.93x2.7 to 5.92020-2024
All cancerNew cases416.5453.40.92x401.3 to 432.12019-2023
Non-Hodgkin lymphomaNew cases16.418.50.89x13.5 to 19.72019-2023
Liver & bile ductNew cases7.48.70.85x5.5 to 9.82019-2023
BladderDeaths3.34.10.8x2.1 to 52020-2024
BladderNew cases14.518.70.78x11.9 to 17.62019-2023
Liver & bile ductDeaths56.60.76x3.5 to 6.92020-2024
EsophagusNew cases3.44.60.74x2.2 to 5.22019-2023
Melanoma of the skinNew cases17.423.80.73x14.3 to 212019-2023
ThyroidNew cases8.3130.64x6.1 to 112019-2023
StomachNew cases3.96.60.59x2.6 to 5.72019-2023

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 Monroe County
MeasureCountyU.S. medianDifferenceUnit
Premature death8,007.99,842.6-19%years of life lost before age 75 per 100,000
Life expectancy77.575.3+3%years
Child mortality38.659.8-35%deaths under age 18 per 100,000
Infant mortality5.96.2-5%deaths under age 1 per 1,000 live births
Injury deaths68.296.9-30%deaths per 100,000
Drug overdose deaths35.328.6+23%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.

  • Formaldehyde19.53 per million
  • Carbon Tetrachloride2.94 per million
  • Acetaldehyde1.91 per million
  • Naphthalene1.15 per million

EPA Air Quality Index 2025

Monitored on 360 days: 265 good, 0 unhealthy for sensitive groups or worse. Median AQI 36, peak 84.

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit255
  • Industrial wastewater discharge243
  • Gas station (mapped facility)42
  • Rail grade crossing32
  • Brownfield property29
  • Auto repair or body shop (mapped facility)18
  • Small hazardous waste generator15
  • Air permit holder (minor source)12
  • Large hazardous waste generator7
  • Scrapyard (mapped facility)3
  • Dry cleaner (mapped facility)2
  • Large greenhouse gas emitter2
  • Hazardous waste transporter2
  • Heliport2
  • TRI reporting facility2
  • Toxic chemical release facility (TRI)2
  • Major air pollution source1
  • EPA air quality monitor1
  • Airfield1
  • Public airport1
  • Commercial airport1
  • Solar power plant1
  • Wastewater plant (mapped facility)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.

  1. Cook, Incorporated, Ellettsville

    TRI reporting facility. Penalties $6,750.

    EPA FRS registry ID 110000403242 (U.S. EPA ECHO) Agency record

    Severity 6.7

  2. Cook Inc Ellettsville North, Ellettsville

    Toxic chemical release facility (TRI). Chemicals: Ethylene oxide, Ethylene glycol. Reports carcinogens. 37 lbs released over 5 years.

    TRI facility ID 47429CKNCX6300N (U.S. EPA Toxics Release Inventory)

    Severity 5.7

  3. Monroe County, Bloomington

    Commercial airport. O.

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

    Severity 5

  4. Bloomington- Binford Elementary School, Bloomington

    EPA air quality monitor.

    Record ID 181050003 (U.S. EPA AirData)

    Severity 5

  5. Circle-Prosco Inc, Bloomington

    TRI reporting facility.

    EPA FRS registry ID 110003137757 (U.S. EPA ECHO) Agency record

    Severity 4.6

  6. Circle-Prosco Inc, Bloomington

    Toxic chemical release facility (TRI). Chemicals: Hydrogen fluoride, Nitric acid. 100 lbs released over 5 years.

    TRI facility ID 47404CRCLP401NG (U.S. EPA Toxics Release Inventory)

    Severity 4.5

  7. City Of Bloomington Utilities-Treatment Plant, Bloomington

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110001368957 (U.S. EPA ECHO) Agency record

    Severity 4.5

  8. Indiana University, Bloomington

    Major air pollution source. Penalties $9,600.

    EPA FRS registry ID 110070828300 (U.S. EPA ECHO) Agency record

    Severity 4.5

  9. Mirwec Coating, Bloomington

    Large hazardous waste generator.

    EPA FRS registry ID 110071307754 (U.S. EPA ECHO) Agency record

    Severity 4.3

  10. Dillman Waste Water Treatment Plant, Bloomington

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110000547980 (U.S. EPA ECHO) Agency record

    Severity 4

  11. Cook, Incorporated, Ellettsville

    Small hazardous waste generator. Penalties $6,750.

    EPA FRS registry ID 110000403242 (U.S. EPA ECHO) Agency record

    Severity 3.8

  12. Cook, Incorporated, Ellettsville

    NPDES wastewater discharge permit. Penalties $6,750.

    EPA FRS registry ID 110000403242 (U.S. EPA ECHO) Agency record

    Severity 3.8

  13. Usda Usfs R09 Harrdin Rd, Heltonville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006766455 (U.S. EPA ECHO) Agency record

    Severity 3.5

  14. Cook Pharmica Llc, Bloomington

    Large hazardous waste generator.

    EPA FRS registry ID 110029240211 (U.S. EPA ECHO) Agency record

    Severity 3.5

  15. Rogers Group Inc Bloomington Crushed Stone, Bloomington

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110058450126 (U.S. EPA ECHO) Agency record

    Severity 3.5

  16. Cook, Incorporated, Ellettsville

    Air permit holder (minor source). Penalties $6,750.

    EPA FRS registry ID 110000403242 (U.S. EPA ECHO) Agency record

    Severity 3.3

  17. Monroe Water Treatment Plant, Bloomington

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110000573905 (U.S. EPA ECHO) Agency record

    Severity 3.3

  18. Baxter Pharmaceutical Solutions Llc, Bloomington

    Large hazardous waste generator.

    EPA FRS registry ID 110003131030 (U.S. EPA ECHO) Agency record

    Severity 3.3

  19. Singota Solutions, Bloomington

    Large hazardous waste generator.

    EPA FRS registry ID 110037389634 (U.S. EPA ECHO) Agency record

    Severity 3.3

  20. Printpack Incorporated, Bloomington

    Large hazardous waste generator.

    EPA FRS registry ID 110040826452 (U.S. EPA ECHO) Agency record

    Severity 3.3

  21. Jb Salvage Incorporated West, Bloomington

    NPDES wastewater discharge permit. Penalties $4,760.

    EPA FRS registry ID 110058718231 (U.S. EPA ECHO) Agency record

    Severity 3.3

  22. Salt Creek Services Inc, Monroe County

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110063914796 (U.S. EPA ECHO) Agency record

    Severity 3.3

  23. Catalent - Jonathan Dr, Bloomington

    Small hazardous waste generator.

    EPA FRS registry ID 110071139486 (U.S. EPA ECHO) Agency record

    Severity 3.3

  24. Catalent - Jonathan Dr, Bloomington

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071139486 (U.S. EPA ECHO) Agency record

    Severity 3.3

  25. 4th Street Garage, Bloomington

    Brownfield property.

    EPA FRS registry ID 110070674172 (U.S. EPA Brownfields (ACRES)) 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.

No correctional facility with an EPA record is located in this county.

Discovery / public records

Records to request for Monroe County

  • Indiana 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.

  • Indiana vital statistics office

    Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.

  • Indiana health department, environmental epidemiology

    Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.

  • Indiana 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.

  • Indiana 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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