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Burleigh County, North Dakota: environmental and disease records

Cancer mortality in Burleigh County is 129 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 403 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (198), Rail grade crossing (93), Gas station (mapped facility) (35). 3 correctional facilities operate in the county, at least one with health-based drinking water violations on record. 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: 46.9795, -100.5064.

How this county ranks in North Dakota

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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 Burleigh County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
ThyroidNew cases18.5131.42xSignificant14.9 to 22.72019-2023
Kidney & renal pelvisDeaths4.73.41.38x3.1 to 6.72020-2024
Kidney & renal pelvisNew cases24.717.91.38xSignificant20.7 to 29.32019-2023
LeukemiaNew cases19.314.51.33xSignificant15.8 to 23.32019-2023
Melanoma of the skinNew cases30.423.81.28xSignificant25.9 to 35.52019-2023
BladderNew cases21.518.71.15x18 to 25.62019-2023
Non-Hodgkin lymphomaNew cases20.418.51.1x16.9 to 24.52019-2023
All cancerNew cases473.6453.41.04xSignificant455.9 to 491.82019-2023
PancreasDeaths1111.30.97x8.7 to 13.92020-2024
Brain & nervous systemDeaths4.24.40.95x2.6 to 6.32020-2024
LeukemiaDeaths5.45.70.95x3.7 to 7.62020-2024
Lung & bronchusNew cases47.851.80.92x42.5 to 53.62019-2023
Non-Hodgkin lymphomaDeaths4.44.80.92x2.9 to 6.42020-2024
PancreasNew cases12.713.90.91x10.1 to 15.82019-2023
EsophagusNew cases4.24.60.91x2.7 to 6.22019-2023
Brain & nervous systemNew cases5.66.20.9x3.7 to 82019-2023
BladderDeaths3.74.10.9x2.4 to 5.52020-2024
All cancerDeaths129143.20.9x120.4 to 138.22020-2024
Lung & bronchusDeaths24.430.20.81x20.7 to 28.62020-2024
EsophagusDeaths2.93.70.78x1.8 to 4.52020-2024
Liver & bile ductNew cases6.68.70.76x4.7 to 92019-2023
StomachNew cases4.86.60.73x3.2 to 72019-2023
Liver & bile ductDeaths4.16.60.62x2.7 to 6.12020-2024

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 Burleigh County
MeasureCountyU.S. medianDifferenceUnit
Premature death6,7989,842.6-31%years of life lost before age 75 per 100,000
Life expectancy79.475.3+6%years
Child mortality36.259.8-39%deaths under age 18 per 100,000
Infant mortality4.76.2-24%deaths under age 1 per 1,000 live births
Injury deaths61.896.9-36%deaths per 100,000
Drug overdose deaths15.628.6-45%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.

  • Formaldehyde12.09 per million
  • Carbon Tetrachloride2.9 per million
  • Benzene0.93 per million
  • Acetaldehyde0.85 per million

EPA Air Quality Index 2025

Monitored on 365 days: 285 good, 12 unhealthy for sensitive groups or worse. Median AQI 39, peak 218.

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit198
  • Rail grade crossing93
  • Gas station (mapped facility)35
  • Air permit holder (minor source)26
  • Small hazardous waste generator12
  • Scrapyard (mapped facility)8
  • Public airport5
  • Toxic chemical release facility (TRI)4
  • Auto repair or body shop (mapped facility)3
  • Correctional facility (prison or jail)3
  • Heliport3
  • Wind power plant3
  • TRI reporting facility3
  • Major air pollution source2
  • EPA air quality monitor1
  • Commercial airport1
  • Brownfield property1
  • Large greenhouse gas emitter1
  • Large hazardous waste generator1

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. Bobcat-Doosan, Bismarck

    Toxic chemical release facility (TRI). Chemicals: Methyl isobutyl ketone, Manganese. Reports carcinogens. 63,165 lbs released over 5 years.

    TRI facility ID 58504MLRCM530SO (U.S. EPA Toxics Release Inventory)

    Severity 8.2

  2. Bobcat Co, Bismarck

    TRI reporting facility.

    EPA FRS registry ID 110001505354 (U.S. EPA ECHO) Agency record

    Severity 5.9

  3. BISMARCK RESIDENTIAL, Bismarck

    EPA air quality monitor.

    Record ID 380150003 (U.S. EPA AirData)

    Severity 5.2

  4. Knife River North Central Bismarck Rock Island, Bismarck

    Toxic chemical release facility (TRI). Chemicals: Nitrate compounds (water dissociable; reportable only when in aqueous solution), Lead And Lead Compounds, Mercury And Mercury Compounds. 666 lbs released over 5 years.

    TRI facility ID 5850WKNFRV335RC (U.S. EPA Toxics Release Inventory)

    Severity 5.2

  5. Knife River North Central Bismarck Rock Island, Bismarck

    TRI reporting facility.

    EPA FRS registry ID 110060258830 (U.S. EPA ECHO) Agency record

    Severity 5.1

  6. Bismarck Muni, Bismarck

    Commercial airport. O.

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

    Severity 5

  7. Forterra Concrete Products - Menoken, Menoken

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

    TRI facility ID 5855WFRTRR11115 (U.S. EPA Toxics Release Inventory)

    Severity 4.6

  8. Anderson Western Inc-Base 2, Unit 300 Portable, Bismarck

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070050948 (U.S. EPA ECHO) Agency record

    Severity 4.5

  9. Jmac Bismarck Ready Mix, Bismarck

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110057087637 (U.S. EPA ECHO) Agency record

    Severity 4.3

  10. Porter Bros Gerdau Ameristeel-Bismarck, Bismarck

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070003974 (U.S. EPA ECHO) Agency record

    Severity 4.3

  11. Forterra Concrete Products - Menoken, Menoken

    TRI reporting facility.

    EPA FRS registry ID 110069318580 (U.S. EPA ECHO) Agency record

    Severity 4

  12. Bismarck Municipal Airport, Bismarck

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110004066073 (U.S. EPA ECHO) Agency record

    Severity 3.8

  13. Tri Energy Cooperative, (Unknown City)

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071439111 (U.S. EPA ECHO) Agency record

    Severity 3.8

  14. Oneok Rockies Midstream, L.L.C.-Grasslands Gas Plant, Mckenzie

    Major air pollution source.

    EPA FRS registry ID 110010349587 (U.S. EPA ECHO) Agency record

    Severity 3.5

  15. Lincoln City Of, Lincoln

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110011045127 (U.S. EPA ECHO) Agency record

    Severity 3.5

  16. City Of Bismarck - Bismarck Landfill - Aq, Bismarck

    Major air pollution source.

    EPA FRS registry ID 110037427344 (U.S. EPA ECHO) Agency record

    Severity 3.5

  17. Safety-Kleen Systems, Inc., Bismarck

    Large hazardous waste generator.

    EPA FRS registry ID 110072167073 (U.S. EPA ECHO) Agency record

    Severity 3.5

  18. Bismarck City Of (Potw), Bismarck

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110038155466 (U.S. EPA ECHO) Agency record

    Severity 3.3

  19. Cretex Concrete Products-Menoken, Menoken

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110056236611 (U.S. EPA ECHO) Agency record

    Severity 3.3

  20. Front Street Property, Bismarck

    Brownfield property.

    EPA FRS registry ID 110038762862 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 3

  21. Misty Waters Wastewater Treatment Plant, Bismarck

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110062899911 (U.S. EPA ECHO) Agency record

    Severity 3

  22. Hubbard Feeds Inc, Bismarck

    Toxic chemical release facility (TRI). Chemicals: Zinc compounds.

    TRI facility ID 58502HRTLN1503Y (U.S. EPA Toxics Release Inventory)

    Severity 3

  23. Crow River Construction, Unknown

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110071727282 (U.S. EPA ECHO) Agency record

    Severity 2.8

  24. Basin Electric Power Cooperative-Bismarck Emergency Generator, Bismarck

    Large greenhouse gas emitter.

    EPA FRS registry ID 110011042460 (U.S. EPA ECHO) Agency record

    Severity 2.5

  25. Knife River Corporation - North Central; Portable Locations Statewide, Bismarck

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070050912 (U.S. EPA ECHO) Agency record

    Severity 2.3

Correctional facilities

Prisons, jails and corrections operations with an EPA facility record, and the drinking water and wastewater compliance attached to them.

  • Missouri River Correctional Center, Bismarck

    EPA FRS registry ID
    110004066288
    Water system
    ND0801215
    Health-based violations
    1 all time, 0 in 5 years
    All violations
    11
    Contaminants cited
    Coliform (TCR)
    Wastewater permit
    None on record

    EPA detailed facility report

  • North Dakota State Penitentiary, Bismarck

    EPA FRS registry ID
    110012358019
    Wastewater permit
    Yes

    EPA detailed facility report

  • North Dakota State Penitentiary - Heating Plant, Bismarck

    EPA FRS registry ID
    110064301223
    Wastewater permit
    None on record

    EPA detailed facility report

Discovery / public records

Records to request for Burleigh County

  • North Dakota 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 Burleigh County, and their findings.

  • North Dakota 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 Dakota health department, environmental epidemiology

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

  • North Dakota 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 Dakota 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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