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Sarpy County, Nebraska: environmental and disease records

Cancer mortality in Sarpy County is 147.7 deaths per 100,000 people per year against a U.S. rate of 143.2. The strongest disease signals are Melanoma of the skin deaths at 1.6 times the U.S. rate and Esophagus deaths at 1.4 times the U.S. rate. Federal databases place 418 regulated facilities, sites and hazards inside the county, led by Air permit holder (minor source) (172), Gas station (mapped facility) (72), Rail grade crossing (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: 41.0926, -96.1007.

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 Sarpy County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Melanoma of the skin	Deaths	3.2	2	1.6xSignificant	2.1 to 4.6	2020-2024
Melanoma of the skin	New cases	36.7	23.8	1.54xSignificant	32.9 to 40.8	2019-2023
Thyroid	New cases	18.8	13	1.45xSignificant	16.1 to 21.8	2019-2023
Esophagus	Deaths	5.1	3.7	1.38xSignificant	3.8 to 6.7	2020-2024
Brain & nervous system	Deaths	5.8	4.4	1.32x	4.4 to 7.6	2020-2024
Kidney & renal pelvis	New cases	23	17.9	1.28xSignificant	20.1 to 26.2	2019-2023
Non-Hodgkin lymphoma	Deaths	6.1	4.8	1.27x	4.6 to 7.9	2020-2024
Kidney & renal pelvis	Deaths	4.2	3.4	1.24x	3 to 5.7	2020-2024
Esophagus	New cases	5.6	4.6	1.22x	4.2 to 7.3	2019-2023
Non-Hodgkin lymphoma	New cases	22.4	18.5	1.21xSignificant	19.5 to 25.6	2019-2023
Brain & nervous system	New cases	7.3	6.2	1.18x	5.6 to 9.3	2019-2023
Pancreas	Deaths	12.9	11.3	1.14x	10.7 to 15.4	2020-2024
Bladder	Deaths	4.6	4.1	1.12x	3.3 to 6.3	2020-2024
Pancreas	New cases	15.1	13.9	1.09x	12.7 to 17.8	2019-2023
All cancer	New cases	485.2	453.4	1.07xSignificant	471.3 to 499.5	2019-2023
Bladder	New cases	19.3	18.7	1.03x	16.5 to 22.4	2019-2023
All cancer	Deaths	147.7	143.2	1.03x	139.9 to 155.8	2020-2024
Lung & bronchus	Deaths	30.5	30.2	1.01x	27 to 34.3	2020-2024
Lung & bronchus	New cases	51.7	51.8	1x	47.1 to 56.6	2019-2023
Stomach	New cases	5.6	6.6	0.85x	4.1 to 7.3	2019-2023
Leukemia	Deaths	4.7	5.7	0.82x	3.4 to 6.4	2020-2024
Leukemia	New cases	11.9	14.5	0.82x	9.8 to 14.3	2019-2023
Childhood cancer (under 15)	New cases	12.4	16.4	0.76x	8.1 to 18.2	2019-2023
Stomach	Deaths	2	2.7	0.74x	1.2 to 3.2	2020-2024
Liver & bile duct	New cases	6.2	8.7	0.71x	4.7 to 7.9	2019-2023
Liver & bile duct	Deaths	4.3	6.6	0.65x	3.1 to 5.8	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 Sarpy County
Measure	County	U.S. median	Difference	Unit
Premature death	5,139.5	9,842.6	-48%	years of life lost before age 75 per 100,000
Life expectancy	79.9	75.3	+6%	years
Child mortality	40.9	59.8	-32%	deaths under age 18 per 100,000
Infant mortality	4.3	6.2	-31%	deaths under age 1 per 1,000 live births
Injury deaths	48.6	96.9	-50%	deaths per 100,000
Drug overdose deaths	7.9	28.6	-72%	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.

Formaldehyde16.96 per million
Carbon Tetrachloride2.92 per million
Acetaldehyde1.46 per million
Naphthalene1.21 per million

EPA Air Quality Index 2025

Monitored on 353 days: 278 good, 1 unhealthy for sensitive groups or worse. Median AQI 32, peak 134.

Regulated facilities, sites and hazards by type

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

Air permit holder (minor source)172
Gas station (mapped facility)72
Rail grade crossing46
Auto repair or body shop (mapped facility)34
Small hazardous waste generator28
NPDES wastewater discharge permit18
Toxic chemical release facility (TRI)8
Large hazardous waste generator7
Major air pollution source6
TRI reporting facility6
Brownfield property4
Landfill (mapped facility)3
Public airport2
Dry cleaner (mapped facility)2
Hazardous waste transporter2
Scrapyard (mapped facility)2
EPA air quality monitor1
Commercial airport1
Large greenhouse gas emitter1
Biomass power plant1
Gas power plant1
Superfund (NPL) site1

Highest-severity records

The 25 records with the highest Envyrofax severity in the county, with the agency identifier to cite in a records request.

PCE - Carriage Cleaners, Bellevue
Superfund (NPL) site. Hazard Ranking System score 50. NPL Site.
EPA site ID NEN000710226 (U.S. EPA Superfund (SEMS/NPL)) Agency record
Severity 10
Concrete Supply, Gretna
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 12,334 lbs released over 5 years.
TRI facility ID 6820WCNCRT2382P (U.S. EPA Toxics Release Inventory)
Severity 7.6
Papillion Foods Llc, Omaha
Toxic chemical release facility (TRI). Chemicals: Ammonia. 14,884 lbs released over 5 years.
TRI facility ID 6813WPPLLN188S1 (U.S. EPA Toxics Release Inventory)
Severity 6.2
Crushin-It Inc, Gretna
TRI reporting facility.
EPA FRS registry ID 110015713129 (U.S. EPA ECHO) Agency record
Severity 5.5
Us Air Force Offutt Afb Ne, Offutt Afb
Toxic chemical release facility (TRI). Chemicals: Naphthalene. Reports carcinogens. 11 lbs released over 5 years.
TRI facility ID 68113SRFRC16PEA (U.S. EPA Toxics Release Inventory)
Severity 5.3
Papillion Creek Wastewater Treatment Plant, Bellevue
Major air pollution source.
EPA FRS registry ID 110000576145 (U.S. EPA ECHO) Agency record
Severity 5.3
Pvs Dx Inc., Bellevue
Toxic chemical release facility (TRI). Chemicals: Chlorine. 725 lbs released over 5 years.
TRI facility ID 68005DXPTR11202 (U.S. EPA Toxics Release Inventory)
Severity 5.2
Pvs Dx Inc., Bellevue
TRI reporting facility.
EPA FRS registry ID 110000447348 (U.S. EPA ECHO) Agency record
Severity 5
Papillion Creek Wastewater Treatment Plant, Bellevue
NPDES wastewater discharge permit.
EPA FRS registry ID 110000576145 (U.S. EPA ECHO) Agency record
Severity 4.8
Ready Mixed Concrete Co Bellevue Plant, Bellevue
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 1 lbs released over 5 years.
TRI facility ID 68005RDYMX182HW (U.S. EPA Toxics Release Inventory)
Severity 4.7
ON GOLDEN HILLS ELEMENTARY ROOF, Bellevue
EPA air quality monitor.
Record ID 311530007 (U.S. EPA AirData)
Severity 4.5
Watkins Concrete Block, Omaha
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens.
TRI facility ID 68138CNCRT14306 (U.S. EPA Toxics Release Inventory)
Severity 4.5
Oppd Sarpy County Station, Bellevue
Toxic chemical release facility (TRI). Chemicals: Naphthalene. Reports carcinogens.
TRI facility ID 6814WPPDSR896S3 (U.S. EPA Toxics Release Inventory)
Severity 4.5
Us Air Force Offutt Afb Ne, Offutt A F B
TRI reporting facility.
EPA FRS registry ID 110001512603 (U.S. EPA ECHO) Agency record
Severity 4.5
Hanson Lake Burn Site, Bellevue
NPDES wastewater discharge permit.
EPA FRS registry ID 110008939818 (U.S. EPA ECHO) Agency record
Severity 4.3
Watkins Concrete Block Co, Omaha
TRI reporting facility.
EPA FRS registry ID 110001512710 (U.S. EPA ECHO) Agency record
Severity 4
Ready Mixed Concrete - Bellevue Plant, Bellevue
TRI reporting facility.
EPA FRS registry ID 110006579434 (U.S. EPA ECHO) Agency record
Severity 4
Claas Omaha, Inc., Omaha
TRI reporting facility.
EPA FRS registry ID 110057216187 (U.S. EPA ECHO) Agency record
Severity 4
Fireball Group Llc Data Center, Omaha
Air permit holder (minor source).
EPA FRS registry ID 110064734202 (U.S. EPA ECHO) Agency record
Severity 4
Hanson Lake Burn Site, Bellevue
Air permit holder (minor source).
EPA FRS registry ID 110008939818 (U.S. EPA ECHO) Agency record
Severity 3.8
Raven Northbrook Llc, Springfield
Major air pollution source.
EPA FRS registry ID 110071150094 (U.S. EPA ECHO) Agency record
Severity 3.8
Pcs Nitrogen Fertilizer L.P., Bellevue
Major air pollution source.
EPA FRS registry ID 110000447598 (U.S. EPA ECHO) Agency record
Severity 3.5
Oppd Sarpy County Station, Bellevue
Major air pollution source.
EPA FRS registry ID 110001512612 (U.S. EPA ECHO) Agency record
Severity 3.5
Sarpy County Sanitary Landfill, Springfield
Major air pollution source.
EPA FRS registry ID 110001512621 (U.S. EPA ECHO) Agency record
Severity 3.5
Bimbo Bakeries Usa Inc, Bellevue
Major air pollution source.
EPA FRS registry ID 110001512738 (U.S. EPA ECHO) Agency record
Severity 3.5

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 Sarpy 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 Sarpy 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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