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Onslow County, North Carolina: environmental and disease records

Cancer mortality in Onslow County is 189.3 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Kidney & renal pelvis deaths at 1.8 times the U.S. rate and Lung & bronchus deaths at 1.7 times the U.S. rate. Federal databases place 512 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (323), Gas station (mapped facility) (57), Rail grade crossing (36). 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: 34.7151, -77.3927.

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 Onslow County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Kidney & renal pelvisDeaths63.41.76xSignificant4.4 to 8.12020-2024
Lung & bronchusDeaths51.230.21.7xSignificant46.3 to 56.52020-2024
Lung & bronchusNew cases85.151.81.64xSignificant78.7 to 91.82019-2023
Melanoma of the skinDeaths2.921.45x1.8 to 4.32020-2024
Brain & nervous systemNew cases8.56.21.37xSignificant6.6 to 10.82019-2023
Kidney & renal pelvisNew cases24.517.91.37xSignificant21.2 to 28.22019-2023
All cancerDeaths189.3143.21.32xSignificant179.7 to 199.42020-2024
Melanoma of the skinNew cases31.223.81.31xSignificant27.3 to 35.42019-2023
EsophagusDeaths4.83.71.3x3.4 to 6.62020-2024
PancreasDeaths14.611.31.29xSignificant11.9 to 17.52020-2024
Liver & bile ductDeaths86.61.21x6.1 to 10.22020-2024
LeukemiaDeaths6.95.71.21x5.1 to 9.12020-2024
All cancerNew cases544.7453.41.2xSignificant528.3 to 561.52019-2023
StomachDeaths3.22.71.19x2 to 4.72020-2024
LeukemiaNew cases1714.51.17x14.2 to 20.22019-2023
PancreasNew cases16.113.91.16x13.3 to 19.22019-2023
Liver & bile ductNew cases108.71.15x7.9 to 12.52019-2023
BladderNew cases20.918.71.12x17.8 to 24.52019-2023
EsophagusNew cases54.61.09x3.6 to 6.82019-2023
ThyroidNew cases14131.08x11.6 to 16.92019-2023
BladderDeaths4.44.11.07x3 to 6.22020-2024
StomachNew cases76.61.06x5.2 to 9.22019-2023
Non-Hodgkin lymphomaNew cases18.818.51.02x15.9 to 22.12019-2023
Childhood cancer (under 15)New cases16.416.41x11.5 to 22.82019-2023
Brain & nervous systemDeaths4.34.40.98x3 to 62020-2024
Non-Hodgkin lymphomaDeaths4.54.80.94x3.1 to 6.22020-2024

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 Onslow County
MeasureCountyU.S. medianDifferenceUnit
Premature death10,504.89,842.6+7%years of life lost before age 75 per 100,000
Life expectancy74.175.3-2%years
Child mortality64.759.8+8%deaths under age 18 per 100,000
Infant mortality5.36.2-15%deaths under age 1 per 1,000 live births
Injury deaths85.996.9-11%deaths per 100,000
Drug overdose deaths35.828.6+25%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.

  • Formaldehyde15.46 per million
  • Carbon Tetrachloride2.95 per million
  • Acetaldehyde1.34 per million
  • Benzene0.75 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit323
  • Gas station (mapped facility)57
  • Rail grade crossing36
  • Air permit holder (minor source)27
  • Auto repair or body shop (mapped facility)16
  • Small hazardous waste generator7
  • Solar power plant6
  • TRI reporting facility6
  • Wastewater plant (mapped facility)6
  • Toxic chemical release facility (TRI)5
  • Public airport4
  • Dry cleaner (mapped facility)3
  • Large hazardous waste generator3
  • Major air pollution source2
  • Commercial airport2
  • Heliport2
  • Superfund (NPL) site2
  • Brownfield property1
  • Large greenhouse gas emitter1
  • Landfill (mapped facility)1
  • Biomass power plant1
  • Scrapyard (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. Camp Lejeune Military Reservation, Onslow County

    Superfund (NPL) site. Hazard Ranking System score 33.1. NPL Site.

    EPA site ID NC6170022580 (U.S. EPA Superfund (SEMS/NPL)) Agency record

    Severity 10

  2. ABC One Hour Cleaners, Jacksonville

    Superfund (NPL) site. Hazard Ranking System score 29.1. NPL Site.

    EPA site ID NCD024644494 (U.S. EPA Superfund (SEMS/NPL)) Agency record

    Severity 10

  3. Mcieast-Mcb Camlej Main Facility, Camp Lejeune

    Toxic chemical release facility (TRI). Chemicals: Nitrate compounds (water dissociable; reportable only when in aqueous solution), Lead And Lead Compounds, Copper, Lead compounds and 4 more. 5,107,246 lbs released over 5 years.

    TRI facility ID 28542CMPLJATTNA (U.S. EPA Toxics Release Inventory)

    Severity 8.1

  4. Usmc Camp Lejeune, Camp Lejeune

    TRI reporting facility.

    EPA FRS registry ID 110041995151 (U.S. EPA ECHO) Agency record

    Severity 7.4

  5. Rexon, Ltd., Midway Park

    NPDES wastewater discharge permit. Penalties $13,029.

    EPA FRS registry ID 110006709954 (U.S. EPA ECHO) Agency record

    Severity 5.5

  6. Sherwood Mobile Home Park Association, Midway Park

    NPDES wastewater discharge permit. Penalties $1,300.

    EPA FRS registry ID 110006710773 (U.S. EPA ECHO) Agency record

    Severity 5.5

  7. Horse Creek Farms Wwtp, Bridgeton

    NPDES wastewater discharge permit. Penalties $8,391.

    EPA FRS registry ID 110009843633 (U.S. EPA ECHO) Agency record

    Severity 5

  8. Albert J Ellis, Jacksonville

    Commercial airport. O.

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

    Severity 5

  9. P4 Jacksonville Plant, Jacksonville

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

    TRI facility ID 2854WPJCKS24EAS (U.S. EPA Toxics Release Inventory)

    Severity 4.5

  10. S&W Hubert Plant, Hubert

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

    TRI facility ID 2853WSWHBR3248F (U.S. EPA Toxics Release Inventory)

    Severity 4.5

  11. Swan Point Marina - Sneads Ferry, Sneads Ferry

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110004061693 (U.S. EPA ECHO) Agency record

    Severity 4.5

  12. Southgate Mobile Home Park Wwtp, Jacksonville

    NPDES wastewater discharge permit. Penalties $1,171.

    EPA FRS registry ID 110009844017 (U.S. EPA ECHO) Agency record

    Severity 4.5

  13. Commanding Officer Marine Corps Base Camp Lejeune, Camp Lejeune

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110064619792 (U.S. EPA ECHO) Agency record

    Severity 4.5

  14. Stanadyne Operating Co Llc, Jacksonville

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

    TRI facility ID 28540STNDY405WH (U.S. EPA Toxics Release Inventory)

    Severity 4.5

  15. Rock Creek Golf & Country Club Wwtp, Jacksonville

    NPDES wastewater discharge permit. Penalties $1,441.

    EPA FRS registry ID 110006708759 (U.S. EPA ECHO) Agency record

    Severity 4.3

  16. Blue Creek Utilities Incorporated, Jacksonville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006708964 (U.S. EPA ECHO) Agency record

    Severity 4.3

  17. Hinson Arms Apartments Wwtp, Jacksonville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110009843198 (U.S. EPA ECHO) Agency record

    Severity 4.3

  18. Marine Corps Air Station New River, Jacksonville

    Large hazardous waste generator.

    EPA FRS registry ID 110041995204 (U.S. EPA ECHO) Agency record

    Severity 4.3

  19. Stanadyne Llc - Jacksonville, Jacksonville

    TRI reporting facility.

    EPA FRS registry ID 110000836230 (U.S. EPA ECHO) Agency record

    Severity 4

  20. S & W Ready Mix Concrete Jacksonville, Jacksonville

    TRI reporting facility.

    EPA FRS registry ID 110001480479 (U.S. EPA ECHO) Agency record

    Severity 4

  21. Mine Safety Appliances, Jacksonville

    TRI reporting facility.

    EPA FRS registry ID 110001493759 (U.S. EPA ECHO) Agency record

    Severity 4

  22. Onslow County, Hubert

    NPDES wastewater discharge permit. Penalties $4,648.

    EPA FRS registry ID 110024286217 (U.S. EPA ECHO) Agency record

    Severity 4

  23. S & W Ready Mix Concrete - Hubert, Hubert

    TRI reporting facility.

    EPA FRS registry ID 110027981922 (U.S. EPA ECHO) Agency record

    Severity 4

  24. Usmc Camp Lejeune, Camp Lejeune

    Major air pollution source.

    EPA FRS registry ID 110041995151 (U.S. EPA ECHO) Agency record

    Severity 4

  25. S&W Holly Ridge Plant, Holly Ridge

    TRI reporting facility.

    EPA FRS registry ID 110055129463 (U.S. EPA ECHO) Agency record

    Severity 4

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 Onslow 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 Onslow 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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