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Franklin County, North Carolina: environmental and disease records

Cancer mortality in Franklin County is 151.5 deaths per 100,000 people per year against a U.S. rate of 143.2. The strongest disease signals are Leukemia deaths at 1.6 times the U.S. rate and Lung & bronchus deaths at 1.2 times the U.S. rate. Federal databases place 267 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (159), Air permit holder (minor source) (18), Gas station (mapped facility) (18). 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: 36.0471, -78.3283.

How this county ranks in North Carolina

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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 Franklin County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
LeukemiaNew cases23.514.51.62xSignificant18.9 to 28.82019-2023
LeukemiaDeaths9.25.71.61xSignificant6.5 to 12.72020-2024
Kidney & renal pelvisDeaths53.41.47x3.1 to 7.72020-2024
Liver & bile ductNew cases11.28.71.29x8.4 to 14.72019-2023
Lung & bronchusDeaths36.730.21.22xSignificant31.4 to 42.62020-2024
Brain & nervous systemNew cases7.56.21.21x5 to 10.82019-2023
Lung & bronchusNew cases61.951.81.19xSignificant55 to 69.62019-2023
Kidney & renal pelvisNew cases21.317.91.19x17 to 26.32019-2023
StomachNew cases7.86.61.18x5.3 to 112019-2023
Melanoma of the skinNew cases27.423.81.15x22.5 to 33.12019-2023
Brain & nervous systemDeaths54.41.14x3.2 to 7.62020-2024
Non-Hodgkin lymphomaDeaths5.24.81.08x3.2 to 7.92020-2024
All cancerNew cases487.1453.41.07xSignificant466.5 to 508.52019-2023
PancreasDeaths12.111.31.07x9.1 to 15.92020-2024
EsophagusNew cases4.94.61.07x3.1 to 7.42019-2023
All cancerDeaths151.5143.21.06x140.3 to 163.42020-2024
BladderNew cases18.718.71x14.9 to 23.22019-2023
ThyroidNew cases12.4130.95x9.2 to 16.52019-2023
PancreasNew cases12.913.90.93x9.8 to 16.92019-2023
EsophagusDeaths3.23.70.86x1.8 to 5.32020-2024
Non-Hodgkin lymphomaNew cases15.718.50.85x12.2 to 202019-2023
Liver & bile ductDeaths5.66.60.85x3.7 to 8.22020-2024

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 Franklin County
MeasureCountyU.S. medianDifferenceUnit
Premature death9,622.19,842.6-2%years of life lost before age 75 per 100,000
Life expectancy76.375.3+1%years
Child mortality60.859.8+2%deaths under age 18 per 100,000
Infant mortality6.86.2+9%deaths under age 1 per 1,000 live births
Injury deaths10396.9+6%deaths per 100,000
Drug overdose deaths32.128.6+12%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.

  • Formaldehyde20.12 per million
  • Carbon Tetrachloride2.94 per million
  • Acetaldehyde2.07 per million
  • Benzene1.08 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit159
  • Air permit holder (minor source)18
  • Gas station (mapped facility)18
  • Rail grade crossing13
  • Solar power plant11
  • Auto repair or body shop (mapped facility)10
  • Brownfield property7
  • Toxic chemical release facility (TRI)6
  • Public airport5
  • Small hazardous waste generator4
  • TRI reporting facility4
  • Correctional facility (prison or jail)3
  • Wastewater plant (mapped facility)3
  • Scrapyard (mapped facility)2
  • Major air pollution source1
  • Commercial airport1
  • Heliport1
  • 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. Novozymes Na Inc, Franklinton

    Toxic chemical release facility (TRI). Chemicals: Nitrate compounds (water dissociable; reportable only when in aqueous solution), Ammonia, Nitric acid, Polycyclic aromatic compounds and 1 more. Reports carcinogens. 164,492 lbs released over 5 years.

    TRI facility ID 27525NVBCHSTATE (U.S. EPA Toxics Release Inventory)

    Severity 8.5

  2. Novo Nordisk Biochem North America, Inc., Franklinton

    TRI reporting facility.

    EPA FRS registry ID 110000346849 (U.S. EPA ECHO) Agency record

    Severity 8.4

  3. Toney Lumber Company, Inc., Louisburg

    TRI reporting facility. Penalties $21,123.

    EPA FRS registry ID 110007376044 (U.S. EPA ECHO) Agency record

    Severity 7.9

  4. Franklin County Wwtp, Youngsville

    NPDES wastewater discharge permit. Penalties $29,582.

    EPA FRS registry ID 110009843107 (U.S. EPA ECHO) Agency record

    Severity 7

  5. Novo Nordisk Biochem North America, Inc., Franklinton

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110000346849 (U.S. EPA ECHO) Agency record

    Severity 5.5

  6. Lake Royale Wwtp, Louisburg

    NPDES wastewater discharge permit. Penalties $1,148.

    EPA FRS registry ID 110006804226 (U.S. EPA ECHO) Agency record

    Severity 5.5

  7. Toney Lumber Company, Inc., Louisburg

    NPDES wastewater discharge permit. Penalties $21,123.

    EPA FRS registry ID 110007376044 (U.S. EPA ECHO) Agency record

    Severity 5

  8. Louisburg Water Reclamation Facility, Louisburg

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110000762292 (U.S. EPA ECHO) Agency record

    Severity 4.5

  9. Southern Nash Middle School, Spring Hope

    NPDES wastewater discharge permit. Penalties $458.

    EPA FRS registry ID 110006709721 (U.S. EPA ECHO) Agency record

    Severity 4.5

  10. Toney Lumber Company, Inc., Louisburg

    Air permit holder (minor source). Penalties $21,123.

    EPA FRS registry ID 110007376044 (U.S. EPA ECHO) Agency record

    Severity 4.5

  11. Pruitt Lumber Co Inc., Louisburg

    Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens.

    TRI facility ID 27549PRTTL387NC (U.S. EPA Toxics Release Inventory)

    Severity 4.5

  12. Captiveaire Systems Inc, Youngsville

    Toxic chemical release facility (TRI). Chemicals: Nickel, Chromium, Zinc compounds, Copper. Reports carcinogens.

    TRI facility ID 2759WCPTVR35NRT (U.S. EPA Toxics Release Inventory)

    Severity 4.5

  13. Captiveaire Systems Inc, Youngsville

    Toxic chemical release facility (TRI). Chemicals: Nickel, Chromium, Zinc compounds, Copper. Reports carcinogens.

    TRI facility ID 2759WCPTVR36NRT (U.S. EPA Toxics Release Inventory)

    Severity 4.5

  14. Toney Lumber Co, Louisburg

    Toxic chemical release facility (TRI). Chemicals: Lead compounds, Lead And Lead Compounds. 33 lbs released over 5 years.

    TRI facility ID 27549TNYLM309BU (U.S. EPA Toxics Release Inventory)

    Severity 4.2

  15. Centurylink Regional Hq, Wake Forest

    Oil-fired power plant.

    Record ID 54882 (U.S. Energy Information Administration)

    Severity 4

  16. Novo Nordisk Biochem North America, Inc., Franklinton

    Small hazardous waste generator.

    EPA FRS registry ID 110000346849 (U.S. EPA ECHO) Agency record

    Severity 4

  17. Pruitt Lumber Company Incorporated, Louisburg

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110001485857 (U.S. EPA ECHO) Agency record

    Severity 4

  18. Oldcastle Lawn & Garden, Louisburg

    TRI reporting facility.

    EPA FRS registry ID 110028298090 (U.S. EPA ECHO) Agency record

    Severity 4

  19. Captiveaire, Youngsville

    TRI reporting facility.

    EPA FRS registry ID 110071284168 (U.S. EPA ECHO) Agency record

    Severity 4

  20. Nomaco Incorporated, Youngsville

    Major air pollution source.

    EPA FRS registry ID 110002348861 (U.S. EPA ECHO) Agency record

    Severity 3.8

  21. Bunn Wwtp, Bunn

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009844419 (U.S. EPA ECHO) Agency record

    Severity 3.8

  22. Novo Nordisk Biochem North America, Inc., Franklinton

    Air permit holder (minor source).

    EPA FRS registry ID 110000346849 (U.S. EPA ECHO) Agency record

    Severity 3.5

  23. Pruitt Lumber Company Incorporated, Louisburg

    Air permit holder (minor source).

    EPA FRS registry ID 110001485857 (U.S. EPA ECHO) Agency record

    Severity 3.5

  24. Nomaco Incorporated, Youngsville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110002348861 (U.S. EPA ECHO) Agency record

    Severity 3.3

  25. Oldcastle Lawn & Garden, Louisburg

    Toxic chemical release facility (TRI). Chemicals: Lead And Lead Compounds, Lead compounds, Trifluralin. 1 lbs released over 5 years.

    TRI facility ID 2754WLDCST8153N (U.S. EPA Toxics Release Inventory)

    Severity 3.2

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 Franklin County

  • North Carolina 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 Franklin County, and their findings.

  • North Carolina vital statistics office

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

  • North Carolina health department, environmental epidemiology

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

  • North Carolina 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.

  • North Carolina 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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