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Harnett County, North Carolina: environmental and disease records

Cancer mortality in Harnett County is 182.1 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 and Bladder deaths at 1.5 times the U.S. rate. Federal databases place 595 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (370), Rail grade crossing (61), Gas station (mapped facility) (46). 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: 35.3877, -78.8387.

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 Harnett County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Lung & bronchusDeaths47.230.21.56xSignificant42.3 to 52.52020-2024
BladderDeaths64.11.46xSignificant4.3 to 8.22020-2024
EsophagusDeaths5.33.71.43x3.7 to 7.32020-2024
Lung & bronchusNew cases72.251.81.39xSignificant66.2 to 78.72019-2023
PancreasDeaths15.411.31.36xSignificant12.6 to 18.62020-2024
All cancerDeaths182.1143.21.27xSignificant172.2 to 192.42020-2024
Kidney & renal pelvisDeaths4.33.41.26x2.9 to 6.12020-2024
StomachDeaths3.42.71.26x2.2 to 5.12020-2024
PancreasNew cases17.113.91.23xSignificant14.1 to 20.52019-2023
Liver & bile ductDeaths8.16.61.23x6.1 to 10.52020-2024
LeukemiaDeaths6.45.71.12x4.6 to 8.62020-2024
Childhood cancer (under 15)New cases18.216.41.11x12 to 26.52019-2023
LeukemiaNew cases15.614.51.08x12.8 to 18.92019-2023
EsophagusNew cases4.94.61.07x3.5 to 6.82019-2023
All cancerNew cases472.9453.41.04xSignificant457 to 489.32019-2023
Brain & nervous systemNew cases6.36.21.02x4.6 to 8.42019-2023
BladderNew cases18.918.71.01x15.8 to 22.52019-2023
Non-Hodgkin lymphomaDeaths4.74.80.98x3.2 to 6.62020-2024
Brain & nervous systemDeaths4.34.40.98x2.9 to 6.22020-2024
StomachNew cases6.26.60.94x4.5 to 8.42019-2023
Liver & bile ductNew cases8.18.70.93x6.2 to 10.42019-2023
Kidney & renal pelvisNew cases16.617.90.93x13.7 to 19.92019-2023
ThyroidNew cases12130.92x9.6 to 14.92019-2023
Melanoma of the skinNew cases19.823.80.83x16.6 to 23.52019-2023
Non-Hodgkin lymphomaNew cases1418.50.76x11.3 to 17.12019-2023

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 Harnett County
MeasureCountyU.S. medianDifferenceUnit
Premature death10,063.59,842.6+2%years of life lost before age 75 per 100,000
Life expectancy74.675.3-1%years
Child mortality52.659.8-12%deaths under age 18 per 100,000
Infant mortality6.26.2+0%deaths under age 1 per 1,000 live births
Injury deaths102.596.9+6%deaths per 100,000
Drug overdose deaths41.328.6+44%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.

  • Formaldehyde21.92 per million
  • Carbon Tetrachloride2.94 per million
  • Acetaldehyde2.23 per million
  • Benzene1.03 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit370
  • Rail grade crossing61
  • Gas station (mapped facility)46
  • Auto repair or body shop (mapped facility)28
  • Air permit holder (minor source)21
  • Brownfield property12
  • Solar power plant10
  • Small hazardous waste generator9
  • Wastewater plant (mapped facility)9
  • Toxic chemical release facility (TRI)8
  • TRI reporting facility7
  • Public airport5
  • Dry cleaner (mapped facility)3
  • Hazardous waste transporter2
  • Heliport2
  • Airfield1
  • Commercial airport1

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. Brainerd Llc, Dunn

    Toxic chemical release facility (TRI). Chemicals: Hydrogen fluoride, Peracetic acid, Formaldehyde, Methanol and 1 more. Reports carcinogens. 12,661 lbs released over 5 years.

    TRI facility ID 28334MCPGN1600S (U.S. EPA Toxics Release Inventory)

    Severity 7.6

  2. Concrete Pipe & Precast Llc-Dunn Precast Plant, Dunn

    Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 312 lbs released over 5 years.

    TRI facility ID 2833WHNSNP451WE (U.S. EPA Toxics Release Inventory)

    Severity 6.4

  3. North Harnett Regional Wwtp, Lillington

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009719484 (U.S. EPA ECHO) Agency record

    Severity 5.8

  4. Black River Wwtp, Dunn

    NPDES wastewater discharge permit. Penalties $15,064.

    EPA FRS registry ID 110064616063 (U.S. EPA ECHO) Agency record

    Severity 5.8

  5. Brainerd Chemical Co Inc, Dunn

    TRI reporting facility.

    EPA FRS registry ID 110009855914 (U.S. EPA ECHO) Agency record

    Severity 5.7

  6. Angus Kidde Fire, Angier

    TRI reporting facility.

    EPA FRS registry ID 110001492821 (U.S. EPA ECHO) Agency record

    Severity 5.4

  7. National Foam Inc, Angier

    Toxic chemical release facility (TRI). Chemicals: Certain glycol ethers, Ethylene glycol. 1,040 lbs released over 5 years.

    TRI facility ID 27501KDDFR141JU (U.S. EPA Toxics Release Inventory)

    Severity 5.3

  8. Concrete Pipe And Precast - Dunn, Dunn

    TRI reporting facility.

    EPA FRS registry ID 110039204072 (U.S. EPA ECHO) Agency record

    Severity 5

  9. South Harnett Regional Wwtp, Spring Lake

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110040040808 (U.S. EPA ECHO) Agency record

    Severity 5

  10. Adams An Oldcastle Co-Dunn, Dunn

    Toxic chemical release facility (TRI). Chemicals: Lead, Mercury. Reports carcinogens. 1 lbs released over 5 years.

    TRI facility ID 2833WLDCST192GA (U.S. EPA Toxics Release Inventory)

    Severity 4.8

  11. Thomas Concrete - Fuquay, Fuquay Varina

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

    TRI facility ID 2752WTHMSC14PAM (U.S. EPA Toxics Release Inventory)

    Severity 4.5

  12. Broadway Wwtp, Broadway

    NPDES wastewater discharge permit. Penalties $910.

    EPA FRS registry ID 110006708866 (U.S. EPA ECHO) Agency record

    Severity 4.5

  13. Champion Home Builders Inc, Lillington

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110020516388 (U.S. EPA ECHO) Agency record

    Severity 4.5

  14. Harnett Regional Jetport, Erwin

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110043672745 (U.S. EPA ECHO) Agency record

    Severity 4.5

  15. Womble Mine, Cameron

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110045404736 (U.S. EPA ECHO) Agency record

    Severity 4.3

  16. Weeks Sand Pit #3, Cameron

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110022545432 (U.S. EPA ECHO) Agency record

    Severity 4

  17. Warren Oil Co Inc, Dunn

    TRI reporting facility.

    EPA FRS registry ID 110037964352 (U.S. EPA ECHO) Agency record

    Severity 4

  18. Adams Products - Concrete Block Plant, Dunn

    TRI reporting facility.

    EPA FRS registry ID 110038457675 (U.S. EPA ECHO) Agency record

    Severity 4

  19. Fuquay, Fuquay Varina

    TRI reporting facility.

    EPA FRS registry ID 110071042164 (U.S. EPA ECHO) Agency record

    Severity 4

  20. Thomas Concrete - Fuquay, Fuquay Varina

    TRI reporting facility.

    EPA FRS registry ID 110071956693 (U.S. EPA ECHO) Agency record

    Severity 4

  21. Concrete Supply Co. Llc - Fuquay, Fuquay Varina

    Toxic chemical release facility (TRI). Chemicals: Lead And Lead Compounds.

    TRI facility ID 2752WFQYXX243PR (U.S. EPA Toxics Release Inventory)

    Severity 3

  22. 101 West Duke Street, Dunn

    Brownfield property.

    EPA FRS registry ID 110070209700 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  23. Highway Inn Property, Dunn

    Brownfield property.

    EPA FRS registry ID 110071971906 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  24. 1001 Susan Tart Road, Dunn

    Brownfield property.

    EPA FRS registry ID 110071974162 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  25. Fayetteville Ave Railroad Row, Dunn

    Brownfield property.

    EPA FRS registry ID 110071976176 (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 Harnett 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 Harnett 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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