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Caroline County, Maryland: environmental and disease records

Cancer mortality in Caroline County is 184.2 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 1.6 times the U.S. rate. Federal databases place 362 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (197), Air permit holder (minor source) (47), Industrial wastewater discharge (27). 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: 38.8874, -75.8349.

How this county ranks in Maryland

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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 Caroline County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	49.6	30.2	1.64xSignificant	40.7 to 60.1	2020-2024
Kidney & renal pelvis	New cases	29.1	17.9	1.63xSignificant	21.9 to 38	2019-2023
Stomach	New cases	9.5	6.6	1.44x	5.8 to 14.8	2019-2023
Bladder	New cases	25.2	18.7	1.35xSignificant	19 to 32.9	2019-2023
Lung & bronchus	New cases	67.8	51.8	1.31xSignificant	57.2 to 80	2019-2023
All cancer	Deaths	184.2	143.2	1.29xSignificant	166.4 to 203.4	2020-2024
All cancer	New cases	499.8	453.4	1.1xSignificant	469.7 to 531.5	2019-2023
Pancreas	Deaths	12.1	11.3	1.07x	7.9 to 18	2020-2024
Pancreas	New cases	14.5	13.9	1.04x	9.8 to 20.8	2019-2023
Melanoma of the skin	New cases	24.2	23.8	1.02x	17.8 to 32.3	2019-2023
Non-Hodgkin lymphoma	New cases	16.5	18.5	0.89x	11.3 to 23.4	2019-2023
Liver & bile duct	New cases	7.4	8.7	0.85x	4.2 to 12.3	2019-2023
Thyroid	New cases	10	13	0.77x	5.9 to 16	2019-2023
Leukemia	New cases	7.5	14.5	0.52x	4.2 to 12.4	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 Caroline County
Measure	County	U.S. median	Difference	Unit
Premature death	10,060.6	9,842.6	+2%	years of life lost before age 75 per 100,000
Life expectancy	74.5	75.3	-1%	years
Child mortality	43.7	59.8	-27%	deaths under age 18 per 100,000
Infant mortality	6.9	6.2	+10%	deaths under age 1 per 1,000 live births
Injury deaths	103.6	96.9	+7%	deaths per 100,000
Drug overdose deaths	47.9	28.6	+67%	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.

Formaldehyde17.82 per million
Carbon Tetrachloride2.99 per million
Acetaldehyde1.66 per million
Benzene1.05 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit197
Air permit holder (minor source)47
Industrial wastewater discharge27
Gas station (mapped facility)21
Auto repair or body shop (mapped facility)14
Small hazardous waste generator14
Rail grade crossing14
Scrapyard (mapped facility)5
Public airport3
Brownfield property3
Large hazardous waste generator3
Hazardous waste transporter3
Toxic chemical release facility (TRI)3
Landfill (mapped facility)2
TRI reporting facility2
Major air pollution source1
Commercial airport1
Large greenhouse gas emitter1
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.

Valpac Inc., Federalsburg
Toxic chemical release facility (TRI). Chemicals: Toluene, N,N-Dimethylformamide, Methyl methacrylate, Styrene. Reports carcinogens. 2,250 lbs released over 5 years.
TRI facility ID 2163WVLPCN14IND (U.S. EPA Toxics Release Inventory)
Severity 7.1
Valpac, Inc, Federalsburg
TRI reporting facility.
EPA FRS registry ID 110015308273 (U.S. EPA ECHO) Agency record
Severity 5.3
Schuster Concrete Ready Mix Llc-Hobbs Rd, Denton
Toxic chemical release facility (TRI). Chemicals: Lead, Nickel compounds, Chromium compounds (except for chromite ore mined in the Transvaal Region). Reports carcinogens.
TRI facility ID 2162WSCHST26425 (U.S. EPA Toxics Release Inventory)
Severity 4.5
Marydel / Cedar Mobile Home Park, Marydel
NPDES wastewater discharge permit.
EPA FRS registry ID 110006629773 (U.S. EPA ECHO) Agency record
Severity 4.5
Midshore Ii Regional Solid Waste Facility, Ridgely
Major air pollution source.
EPA FRS registry ID 110055100714 (U.S. EPA ECHO) Agency record
Severity 4.5
Reliance Treated Wood, Federalsburg
Toxic chemical release facility (TRI). Chemicals: Copper compounds, Arsenic compounds, Chromium and Chromium Compounds(except for chromite ore mined in the Transvaal Region), Chromium compounds (except for chromite ore mined in the Transvaal Region). Reports carcinogens.
TRI facility ID 21632RLNCWFEDER (U.S. EPA Toxics Release Inventory)
Severity 4.5
Foy'S Salvage, Greensboro
NPDES wastewater discharge permit.
EPA FRS registry ID 110009680782 (U.S. EPA ECHO) Agency record
Severity 4.3
Benedictine School, Ridgely
NPDES wastewater discharge permit.
EPA FRS registry ID 110011901237 (U.S. EPA ECHO) Agency record
Severity 4.3
Greensboro Regional Wwtp, Greensboro
NPDES wastewater discharge permit. Penalties $970.
EPA FRS registry ID 110060357554 (U.S. EPA ECHO) Agency record
Severity 4.3
Midshore Ii Regional Solid Waste Facility, Ridgely
NPDES wastewater discharge permit.
EPA FRS registry ID 110055100714 (U.S. EPA ECHO) Agency record
Severity 4
Schuster Concrete Ready Mix Llc-Hobbs Rd, Denton
TRI reporting facility.
EPA FRS registry ID 110071042645 (U.S. EPA ECHO) Agency record
Severity 4
Richardson, Col., Middle School, Federalsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110002318475 (U.S. EPA ECHO) Agency record
Severity 3.8
Benedictine School, Ridgely
Air permit holder (minor source).
EPA FRS registry ID 110011901237 (U.S. EPA ECHO) Agency record
Severity 3.8
Preston Water Works, Preston
NPDES wastewater discharge permit.
EPA FRS registry ID 110045497574 (U.S. EPA ECHO) Agency record
Severity 3.8
480 Truck Repair, Ridgely
NPDES wastewater discharge permit.
EPA FRS registry ID 110071710039 (U.S. EPA ECHO) Agency record
Severity 3.8
Eagle Auto Salvage Incorporated, Greensboro
NPDES wastewater discharge permit.
EPA FRS registry ID 110006629719 (U.S. EPA ECHO) Agency record
Severity 3.5
Caroline Acres Wwtp, Henderson
NPDES wastewater discharge permit.
EPA FRS registry ID 110039180123 (U.S. EPA ECHO) Agency record
Severity 3.5
Midshore Ii Regional Solid Waste Facility, Ridgely
Large greenhouse gas emitter.
EPA FRS registry ID 110055100714 (U.S. EPA ECHO) Agency record
Severity 3.5
Tremendo Pick And Pay, Preston
NPDES wastewater discharge permit. Penalties $4,105.
EPA FRS registry ID 110071668796 (U.S. EPA ECHO) Agency record
Severity 3.5
Richardson, Col., Middle School, Federalsburg
Air permit holder (minor source).
EPA FRS registry ID 110002318475 (U.S. EPA ECHO) Agency record
Severity 3.3
Federalsburg Wwtp, Federalsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110009916332 (U.S. EPA ECHO) Agency record
Severity 3.3
Henderson Water System, Henderson
NPDES wastewater discharge permit.
EPA FRS registry ID 110062654319 (U.S. EPA ECHO) Agency record
Severity 3.3
Jonestown Water System, Preston
NPDES wastewater discharge permit.
EPA FRS registry ID 110067190881 (U.S. EPA ECHO) Agency record
Severity 3.3
Rossnan Property, Goldsboro
Brownfield property.
EPA FRS registry ID 110015329018 (U.S. EPA Brownfields (ACRES)) Agency record
Severity 3
Former Famous Drycleaners, Federalsburg
Brownfield property.
EPA FRS registry ID 110038692288 (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 Caroline County

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