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Douglas County, Nebraska: environmental and disease records

Cancer mortality in Douglas County is 152.7 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Leukemia deaths at 1.2 times the U.S. rate and Brain & nervous system deaths at 1.2 times the U.S. rate. Federal databases place 1,328 regulated facilities, sites and hazards inside the county, led by Air permit holder (minor source) (505), Gas station (mapped facility) (174), Small hazardous waste generator (127). 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: 41.2919, -96.1502.

How this county ranks in Nebraska

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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 Douglas County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Thyroid	Deaths	0.8	0.5	1.6x	0.5 to 1.2	2020-2024
Melanoma of the skin	New cases	37.5	23.8	1.58xSignificant	35.3 to 39.8	2019-2023
Childhood cancer (under 15)	Deaths	2.7	1.9	1.42x	1.6 to 4.4	2020-2024
Thyroid	New cases	17.1	13	1.32xSignificant	15.6 to 18.6	2019-2023
Leukemia	Deaths	7	5.7	1.23xSignificant	6.1 to 8.1	2020-2024
Brain & nervous system	Deaths	5.4	4.4	1.23xSignificant	4.6 to 6.3	2020-2024
Kidney & renal pelvis	New cases	21.4	17.9	1.2xSignificant	19.8 to 23.1	2019-2023
Bladder	Deaths	4.9	4.1	1.2x	4.1 to 5.7	2020-2024
Kidney & renal pelvis	Deaths	3.9	3.4	1.15x	3.2 to 4.7	2020-2024
Lung & bronchus	New cases	57.8	51.8	1.12xSignificant	55.1 to 60.5	2019-2023
Pancreas	Deaths	12.5	11.3	1.11x	11.2 to 13.8	2020-2024
Lung & bronchus	Deaths	33.1	30.2	1.1xSignificant	31.1 to 35.2	2020-2024
Non-Hodgkin lymphoma	New cases	19.8	18.5	1.07x	18.2 to 21.5	2019-2023
All cancer	New cases	484.7	453.4	1.07xSignificant	476.8 to 492.7	2019-2023
All cancer	Deaths	152.7	143.2	1.07xSignificant	148.3 to 157.2	2020-2024
Esophagus	Deaths	3.9	3.7	1.05x	3.2 to 4.7	2020-2024
Brain & nervous system	New cases	6.5	6.2	1.05x	5.6 to 7.5	2019-2023
Childhood cancer (under 15)	New cases	17.1	16.4	1.04x	14 to 20.7	2019-2023
Non-Hodgkin lymphoma	Deaths	4.9	4.8	1.02x	4.1 to 5.8	2020-2024
Liver & bile duct	Deaths	6.6	6.6	1x	5.7 to 7.5	2020-2024
Pancreas	New cases	13.7	13.9	0.99x	12.5 to 15.1	2019-2023
Esophagus	New cases	4.4	4.6	0.96x	3.7 to 5.2	2019-2023
Leukemia	New cases	13.5	14.5	0.93x	12.2 to 14.9	2019-2023
Bladder	New cases	17.4	18.7	0.93x	15.9 to 19	2019-2023
Stomach	Deaths	2.5	2.7	0.93x	1.9 to 3.1	2020-2024
Liver & bile duct	New cases	7.3	8.7	0.84x	6.4 to 8.3	2019-2023
Stomach	New cases	5.5	6.6	0.83x	4.7 to 6.4	2019-2023
Melanoma of the skin	Deaths	1.4	2	0.7x	1 to 1.9	2020-2024

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 Douglas County
Measure	County	U.S. median	Difference	Unit
Premature death	7,599.3	9,842.6	-23%	years of life lost before age 75 per 100,000
Life expectancy	77.7	75.3	+3%	years
Child mortality	57.8	59.8	-3%	deaths under age 18 per 100,000
Infant mortality	6.5	6.2	+4%	deaths under age 1 per 1,000 live births
Injury deaths	61.2	96.9	-37%	deaths per 100,000
Drug overdose deaths	17.1	28.6	-40%	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.

Formaldehyde17.2 per million
Carbon Tetrachloride2.91 per million
Naphthalene1.48 per million
Acetaldehyde1.47 per million

EPA Air Quality Index 2025

Monitored on 365 days: 259 good, 2 unhealthy for sensitive groups or worse. Median AQI 42, peak 137.

Regulated facilities, sites and hazards by type

1,328 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.

Air permit holder (minor source)505
Gas station (mapped facility)174
Small hazardous waste generator127
Auto repair or body shop (mapped facility)112
Rail grade crossing108
NPDES wastewater discharge permit73
Brownfield property51
Toxic chemical release facility (TRI)34
TRI reporting facility29
Large hazardous waste generator25
Major air pollution source23
Dry cleaner (mapped facility)11
Scrapyard (mapped facility)10
Hazardous waste transporter8
Heliport7
Large greenhouse gas emitter6
EPA air quality monitor5
Wastewater plant (mapped facility)4
Public airport3
Landfill (mapped facility)3
Commercial airport2
Crematorium (mapped facility)2
Biomass power plant2
Superfund (NPL) site2
Coal power plant1
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.

Old HWY 275 and N 288th Street, Valley
Superfund (NPL) site. Hazard Ranking System score 50. NPL Site.
EPA site ID NEN000704272 (U.S. EPA Superfund (SEMS/NPL)) Agency record
Severity 10
Omaha Lead, Omaha
Superfund (NPL) site. Hazard Ranking System score 50. NPL Site.
EPA site ID NESFN0703481 (U.S. EPA Superfund (SEMS/NPL)) Agency record
Severity 10
Omaha Public Power District North Omaha Station, Omaha
Toxic chemical release facility (TRI). Chemicals: Barium compounds (except for barium sulfate (CAS No. 7727-43-7)), Sulfuric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Manganese, Hydrogen fluoride and 4 more. Reports carcinogens. 795,340 lbs released over 5 years.
TRI facility ID 68112MHPBL7475P (U.S. EPA Toxics Release Inventory)
Severity 9
Valmont Industries Inc., Valley
TRI reporting facility.
EPA FRS registry ID 110057862013 (U.S. EPA ECHO) Agency record
Severity 8.6
Quin Global Us Inc, Omaha
Toxic chemical release facility (TRI). Chemicals: Dichloromethane, n-Hexane. Reports carcinogens. 27,413 lbs released over 5 years.
TRI facility ID 6811WQNGLB571FS (U.S. EPA Toxics Release Inventory)
Severity 7.9
Syngenta Crop Protection Llc-Omaha Plant, Omaha
Toxic chemical release facility (TRI). Chemicals: Toluene, Ethylene glycol, Thiabendazole, Atrazine and 4 more. Reports carcinogens. 23,008 lbs released over 5 years.
TRI facility ID 68107CMRCS41110 (U.S. EPA Toxics Release Inventory)
Severity 7.8
Valmont Industries Inc, Valley
Toxic chemical release facility (TRI). Chemicals: Zinc compounds, Manganese, Nickel, Lead and 1 more. Reports carcinogens. 16,914 lbs released over 5 years.
TRI facility ID 68064VLMNTWESTH (U.S. EPA Toxics Release Inventory)
Severity 7.7
Nox-Crete Inc., Omaha
Toxic chemical release facility (TRI). Chemicals: Xylene (mixed isomers), 1,2,4-Trimethylbenzene, Ethylbenzene, n-Butyl alcohol and 1 more. Reports carcinogens. 15,925 lbs released over 5 years.
TRI facility ID 68108NXCRT1444S (U.S. EPA Toxics Release Inventory)
Severity 7.7
Concrete Supply, Omaha
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 6,346 lbs released over 5 years.
TRI facility ID 6810WCNCRT241CE (U.S. EPA Toxics Release Inventory)
Severity 7.4
North Omaha Power Station, Omaha
TRI reporting facility.
EPA FRS registry ID 110041061374 (U.S. EPA ECHO) Agency record
Severity 7.3
Concrete Supply, Elkhorn
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 4,648 lbs released over 5 years.
TRI facility ID 6302WCNCRT2395H (U.S. EPA Toxics Release Inventory)
Severity 7.3
Prince Agri Products, Omaha
Toxic chemical release facility (TRI). Chemicals: Zinc compounds, Manganese compounds, Copper compounds, Manganese And Manganese Compounds and 4 more. Reports carcinogens. 3,241 lbs released over 5 years.
TRI facility ID 68117BLTZL6930F (U.S. EPA Toxics Release Inventory)
Severity 7.2
Lozier Corp North Plant, Omaha
Toxic chemical release facility (TRI). Chemicals: Chromium, Nickel, Manganese, Lead. Reports carcinogens. 1,410 lbs released over 5 years.
TRI facility ID 68110LZRCR6316P (U.S. EPA Toxics Release Inventory)
Severity 6.9
Intersystems International Inc., Omaha
Toxic chemical release facility (TRI). Chemicals: Nickel, Manganese, Chromium, Copper and 1 more. Reports carcinogens. 1,262 lbs released over 5 years.
TRI facility ID 6814WNTRSY9575N (U.S. EPA Toxics Release Inventory)
Severity 6.9
Drake-Williams Steel, Omaha
Toxic chemical release facility (TRI). Chemicals: Manganese, Nickel. Reports carcinogens. 1,087 lbs released over 5 years.
TRI facility ID 68110DRKWL162N1 (U.S. EPA Toxics Release Inventory)
Severity 6.8
Lozier Corp, Omaha
Toxic chemical release facility (TRI). Chemicals: Chromium, Nickel, Manganese, Lead. Reports carcinogens. 693 lbs released over 5 years.
TRI facility ID 68110LZRCR4225N (U.S. EPA Toxics Release Inventory)
Severity 6.7
North Omaha, Omaha
Coal power plant.
Record ID 2291 (U.S. Energy Information Administration)
Severity 6.6
Safety-Kleen Systems Omaha (Oma), Omaha
Toxic chemical release facility (TRI). Chemicals: Methanol, Ethylene glycol, Benzo[g,h,i]perylene, Polycyclic aromatic compounds. Reports carcinogens. 323 lbs released over 5 years.
TRI facility ID 68144SFTYK13915 (U.S. EPA Toxics Release Inventory)
Severity 6.4
Nox-Crete, Inc., Omaha
TRI reporting facility. Penalties $34,023.
EPA FRS registry ID 110001509252 (U.S. EPA ECHO) Agency record
Severity 6.4
Syngenta Crop Protection Inc.-Omaha Plant, Omaha
TRI reporting facility. Penalties $7,677.
EPA FRS registry ID 110000447491 (U.S. EPA ECHO) Agency record
Severity 6.4
Monarch Oil Co, Omaha
TRI reporting facility.
EPA FRS registry ID 110010164053 (U.S. EPA ECHO) Agency record
Severity 6.3
Valmont Industries Inc., Valley
Large hazardous waste generator.
EPA FRS registry ID 110057862013 (U.S. EPA ECHO) Agency record
Severity 6
Lozier Corporation North Plant, Omaha
TRI reporting facility.
EPA FRS registry ID 110000447525 (U.S. EPA ECHO) Agency record
Severity 5.9
Safety-Kleen Systems Inc - Omaha Facility, Omaha
TRI reporting facility.
EPA FRS registry ID 110000615521 (U.S. EPA ECHO) Agency record
Severity 5.7
Quin Global Us Inc, Omaha
TRI reporting facility.
EPA FRS registry ID 110070543977 (U.S. EPA ECHO) Agency record
Severity 5.7

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 Douglas County

Nebraska 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 Douglas County, and their findings.
Nebraska vital statistics office
Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.
Nebraska health department, environmental epidemiology
Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.
Nebraska 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.
Nebraska 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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