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Haywood County, North Carolina: environmental and disease records

Cancer mortality in Haywood County is 157.9 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 1.2 times the U.S. rate. Federal databases place 249 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (107), Rail grade crossing (65), Gas station (mapped facility) (23). One correctional facility operates in the county. EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 20 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: 35.5415, -82.9653.

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 Haywood County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
EsophagusDeaths5.13.71.38x3.3 to 7.72020-2024
Lung & bronchusNew cases69.651.81.34xSignificant62.6 to 77.32019-2023
Melanoma of the skinNew cases31.523.81.32xSignificant26.4 to 37.42019-2023
Liver & bile ductNew cases11.58.71.32x8.7 to 152019-2023
Non-Hodgkin lymphomaNew cases2418.51.3xSignificant19.7 to 29.12019-2023
BladderDeaths5.34.11.29x3.6 to 7.82020-2024
BladderNew cases23.318.71.25xSignificant19.4 to 27.92019-2023
Kidney & renal pelvisDeaths4.23.41.24x2.6 to 6.72020-2024
Lung & bronchusDeaths3630.21.19xSignificant31.1 to 41.62020-2024
Non-Hodgkin lymphomaDeaths5.74.81.19x3.8 to 8.42020-2024
StomachDeaths3.22.71.19x1.8 to 5.52020-2024
EsophagusNew cases5.44.61.17x3.5 to 8.12019-2023
LeukemiaDeaths6.65.71.16x4.5 to 9.62020-2024
Kidney & renal pelvisNew cases20.717.91.16x16.5 to 25.82019-2023
LeukemiaNew cases16.514.51.14x13 to 20.92019-2023
All cancerNew cases500.1453.41.1xSignificant479.6 to 521.32019-2023
All cancerDeaths157.9143.21.1xSignificant147 to 169.52020-2024
PancreasDeaths12.411.31.1x9.6 to 15.92020-2024
Liver & bile ductDeaths6.96.61.05x4.9 to 9.82020-2024
StomachNew cases6.96.61.05x4.6 to 10.12019-2023
PancreasNew cases14.213.91.02x11.1 to 182019-2023
Brain & nervous systemDeaths4.14.40.93x2.5 to 6.52020-2024
ThyroidNew cases11.7130.9x8.2 to 16.32019-2023
Brain & nervous systemNew cases5.46.20.87x3.4 to 8.42019-2023

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 Haywood County
MeasureCountyU.S. medianDifferenceUnit
Premature death10,919.69,842.6+11%years of life lost before age 75 per 100,000
Life expectancy74.675.3-1%years
Child mortality71.659.8+20%deaths under age 18 per 100,000
Infant mortality76.2+13%deaths under age 1 per 1,000 live births
Injury deaths127.196.9+31%deaths per 100,000
Drug overdose deaths40.428.6+41%deaths per 100,000

Air toxics and air quality

EPA AirToxScreen 2020

Lifetime cancer risk from outdoor air toxics: 20 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

  • Formaldehyde14.95 per million
  • Carbon Tetrachloride2.68 per million
  • Acetaldehyde1.31 per million
  • Benzene0.66 per million

EPA Air Quality Index 2025

Monitored on 263 days: 234 good, 0 unhealthy for sensitive groups or worse. Median AQI 43, peak 87.

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit107
  • Rail grade crossing65
  • Gas station (mapped facility)23
  • Air permit holder (minor source)16
  • Auto repair or body shop (mapped facility)9
  • Toxic chemical release facility (TRI)6
  • EPA air quality monitor4
  • TRI reporting facility4
  • Major air pollution source2
  • Large greenhouse gas emitter2
  • Superfund (NPL) site2
  • Correctional facility (prison or jail)1
  • Large hazardous waste generator1
  • Small hazardous waste generator1
  • Heliport1
  • Landfill (mapped facility)1
  • Biomass power plant1
  • Hydroelectric plant1
  • 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. Benfield Industries, Inc., Hazelwood

    Superfund (NPL) site. Hazard Ranking System score 31.7. NPL Site.

    EPA site ID NCD981026479 (U.S. EPA Superfund (SEMS/NPL)) Agency record

    Severity 10

  2. Barber Orchard, Waynesville

    Superfund (NPL) site. Hazard Ranking System score 70.7. NPL Site.

    EPA site ID NCSFN0406989 (U.S. EPA Superfund (SEMS/NPL)) Agency record

    Severity 10

  3. Blue Ridge Paper Products Llc, Canton

    Toxic chemical release facility (TRI). Chemicals: Methanol, Hydrogen sulfide, Ammonia, Manganese compounds and 4 more. Reports carcinogens. 8,089,637 lbs released over 5 years.

    TRI facility ID 28716CHMPNMAINS (U.S. EPA Toxics Release Inventory)

    Severity 9.8

  4. Blue Ridge Paper Products Llc, Canton

    TRI reporting facility. Penalties $51,560.

    EPA FRS registry ID 110009846480 (U.S. EPA ECHO) Agency record

    Severity 7.8

  5. Blue Ridge Paper Products Llc, Canton

    NPDES wastewater discharge permit. Penalties $51,560.

    EPA FRS registry ID 110009846480 (U.S. EPA ECHO) Agency record

    Severity 6.8

  6. Blue Ridge Paper Products - Waynesville, Waynesville

    Toxic chemical release facility (TRI). Chemicals: Ozone. 66,868 lbs released over 5 years.

    TRI facility ID 2878WBLRDG1329H (U.S. EPA Toxics Release Inventory)

    Severity 6.7

  7. Waynesville Waste Water Treatment Plant, Waynesville

    NPDES wastewater discharge permit. Penalties $225,552.

    EPA FRS registry ID 110002357734 (U.S. EPA ECHO) Agency record

    Severity 6.5

  8. Blue Ridge Paper Products Llc, Canton

    Large greenhouse gas emitter. Penalties $51,560.

    EPA FRS registry ID 110009846480 (U.S. EPA ECHO) Agency record

    Severity 6.3

  9. Royal Oaks Incorporated D/Bla Springda, Canton

    NPDES wastewater discharge permit. Penalties $641.

    EPA FRS registry ID 110018562027 (U.S. EPA ECHO) Agency record

    Severity 5.5

  10. Green Valley Mobile Home Park, Waynesville

    NPDES wastewater discharge permit. Penalties $935.

    EPA FRS registry ID 110006673741 (U.S. EPA ECHO) Agency record

    Severity 5.3

  11. Mt. Pisgah Lodge & Recreation Area Wwtp, Canton

    NPDES wastewater discharge permit. Penalties $1,496.

    EPA FRS registry ID 110006804075 (U.S. EPA ECHO) Agency record

    Severity 5

  12. Consolidated Metco Inc, Canton

    TRI reporting facility.

    EPA FRS registry ID 110012278329 (U.S. EPA ECHO) Agency record

    Severity 4.9

  13. Blue Ridge Paper Products Llc, Canton

    Air permit holder (minor source). Penalties $51,560.

    EPA FRS registry ID 110009846480 (U.S. EPA ECHO) Agency record

    Severity 4.8

  14. Consolidated Metco Inc, Canton

    Toxic chemical release facility (TRI). Chemicals: Antimony, Zinc compounds, Chromium. 111 lbs released over 5 years.

    TRI facility ID 2871WCNSLD171GR (U.S. EPA Toxics Release Inventory)

    Severity 4.6

  15. Giles Chemical, A Division Of Premier Magnesia, Llc, Waynesville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110002357690 (U.S. EPA ECHO) Agency record

    Severity 4.5

  16. Waynesville Waste Water Treatment Plant, Waynesville

    Air permit holder (minor source). Penalties $225,552.

    EPA FRS registry ID 110002357734 (U.S. EPA ECHO) Agency record

    Severity 4.5

  17. Pigeon Valley Rest Home, Canton

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006673652 (U.S. EPA ECHO) Agency record

    Severity 4.5

  18. 18769 Great Smoky Mountains Expressway, Waynesville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006713182 (U.S. EPA ECHO) Agency record

    Severity 4.5

  19. Watson, Jane, Clyde

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006714341 (U.S. EPA ECHO) Agency record

    Severity 4.5

  20. 171 Utah Mountain Road, Waynesville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006714779 (U.S. EPA ECHO) Agency record

    Severity 4.5

  21. Pilot Travel Center #393, Waynesville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009841948 (U.S. EPA ECHO) Agency record

    Severity 4.5

  22. Santek Environmental Of Nc Dba Whit Oak Landfill, Waynesville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009853514 (U.S. EPA ECHO) Agency record

    Severity 4.5

  23. Suncrest Llc, Waynesville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009857342 (U.S. EPA ECHO) Agency record

    Severity 4.5

  24. Nc Evergreen Incorporated, Waynesville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110018779204 (U.S. EPA ECHO) Agency record

    Severity 4.5

  25. 144 White Oak Road, Waynesville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110064237357 (U.S. EPA ECHO) Agency record

    Severity 4.5

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 Haywood 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 Haywood 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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