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Trumbull County, Ohio: environmental and disease records

Cancer mortality in Trumbull County is 155.9 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 1.4 times the U.S. rate. Federal databases place 755 regulated facilities, sites and hazards inside the county, led by Rail grade crossing (135), NPDES wastewater discharge permit (118), Air permit holder (minor source) (102). 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: 41.323, -80.7612.

How this county ranks in Ohio

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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 Trumbull County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Lung & bronchus	Deaths	42.9	30.2	1.42xSignificant	39.7 to 46.4	2020-2024
Esophagus	New cases	6.4	4.6	1.39xSignificant	5.2 to 7.9	2019-2023
Esophagus	Deaths	4.7	3.7	1.27x	3.7 to 6.1	2020-2024
Lung & bronchus	New cases	64.7	51.8	1.25xSignificant	60.7 to 68.9	2019-2023
Bladder	Deaths	5.1	4.1	1.24x	4 to 6.4	2020-2024
Non-Hodgkin lymphoma	Deaths	5.5	4.8	1.15x	4.4 to 6.9	2020-2024
Bladder	New cases	21.3	18.7	1.14xSignificant	19 to 23.7	2019-2023
All cancer	Deaths	155.9	143.2	1.09xSignificant	149.6 to 162.4	2020-2024
Leukemia	Deaths	6.1	5.7	1.07x	4.9 to 7.5	2020-2024
Kidney & renal pelvis	Deaths	3.6	3.4	1.06x	2.7 to 4.8	2020-2024
Melanoma of the skin	Deaths	2.1	2	1.05x	1.4 to 3.1	2020-2024
Melanoma of the skin	New cases	24.8	23.8	1.04x	22.1 to 27.8	2019-2023
Pancreas	Deaths	11.7	11.3	1.04x	10.1 to 13.6	2020-2024
Liver & bile duct	Deaths	6.8	6.6	1.03x	5.5 to 8.3	2020-2024
Pancreas	New cases	14	13.9	1.01x	12.1 to 16.1	2019-2023
Thyroid	New cases	12.8	13	0.98x	10.6 to 15.3	2019-2023
Childhood cancer (under 15)	New cases	16	16.4	0.98x	10.5 to 23.3	2019-2023
All cancer	New cases	428.7	453.4	0.95x	417.7 to 440	2019-2023
Liver & bile duct	New cases	8.2	8.7	0.94x	6.8 to 9.8	2019-2023
Non-Hodgkin lymphoma	New cases	17	18.5	0.92x	14.8 to 19.4	2019-2023
Brain & nervous system	New cases	5.6	6.2	0.9x	4.2 to 7.2	2019-2023
Stomach	New cases	5.8	6.6	0.88x	4.5 to 7.2	2019-2023
Kidney & renal pelvis	New cases	14.8	17.9	0.83x	12.8 to 17	2019-2023
Brain & nervous system	Deaths	3.6	4.4	0.82x	2.6 to 4.7	2020-2024
Stomach	Deaths	2.1	2.7	0.78x	1.4 to 3.2	2020-2024
Leukemia	New cases	10.6	14.5	0.73x	8.9 to 12.6	2019-2023

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 Trumbull County
Measure	County	U.S. median	Difference	Unit
Premature death	11,710.5	9,842.6	+19%	years of life lost before age 75 per 100,000
Life expectancy	73.5	75.3	-2%	years
Child mortality	51.6	59.8	-14%	deaths under age 18 per 100,000
Infant mortality	7.4	6.2	+20%	deaths under age 1 per 1,000 live births
Injury deaths	113.5	96.9	+17%	deaths per 100,000
Drug overdose deaths	63.3	28.6	+121%	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.

Formaldehyde15.94 per million
Carbon Tetrachloride2.93 per million
Acetaldehyde1.65 per million
Benzene1.61 per million

EPA Air Quality Index 2025

Monitored on 365 days: 220 good, 5 unhealthy for sensitive groups or worse. Median AQI 46, peak 130.

Regulated facilities, sites and hazards by type

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

Rail grade crossing135
NPDES wastewater discharge permit118
Air permit holder (minor source)102
Gas station (mapped facility)100
Scrapyard (mapped facility)72
Auto repair or body shop (mapped facility)34
Brownfield property34
Small hazardous waste generator31
Toxic chemical release facility (TRI)22
TRI reporting facility21
Major air pollution source17
Large hazardous waste generator14
Public airport12
Wastewater plant (mapped facility)12
Large greenhouse gas emitter8
Hazardous waste transporter6
EPA air quality monitor5
Landfill (mapped facility)3
Dry cleaner (mapped facility)2
Commercial airport1
Crematorium (mapped facility)1
Heliport1
Gas power plant1
Other power plant1
Oil-fired power plant1
Solar 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.

Wheatland Tube - Warren, A Div. Of Zekelman Industries (0278080757), Warren
TRI reporting facility. Penalties $24,658.
EPA FRS registry ID 110000815315 (U.S. EPA ECHO) Agency record
Severity 9.1
Cleveland-Cliffs Cleveland Works Llc Dba Cleveland-Cliffs Wa, Warren
Toxic chemical release facility (TRI). Chemicals: Ammonia, Sulfuric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Benzene, Naphthalene and 4 more. Reports carcinogens. 399,057 lbs released over 5 years.
TRI facility ID 44482LTVST2234M (U.S. EPA Toxics Release Inventory)
Severity 8.8
Novelis Corp, Warren
Toxic chemical release facility (TRI). Chemicals: Certain glycol ethers, Ethylene glycol, n-Butyl alcohol, Methyl isobutyl ketone and 3 more. Reports carcinogens. 272,845 lbs released over 5 years.
TRI facility ID 44483LCNRL390GR (U.S. EPA Toxics Release Inventory)
Severity 8.7
Matalco Usa Llc, Warren
Toxic chemical release facility (TRI). Chemicals: Hydrochloric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Dioxin and dioxin-like compounds, Lead, Chromium and 2 more. Reports carcinogens. 133,807 lbs released over 5 years.
TRI facility ID 4448WMTLCS512TD (U.S. EPA Toxics Release Inventory)
Severity 8.4
Rmi Titanium Co (0278060189), Niles
TRI reporting facility.
EPA FRS registry ID 110000389721 (U.S. EPA ECHO) Agency record
Severity 8.4
Rmi Titanium Co Llc, Niles
Toxic chemical release facility (TRI). Chemicals: Aluminum (fume or dust), Hydrogen fluoride, Nitric acid, Chromium and 2 more. Reports carcinogens. 48,320 lbs released over 5 years.
TRI facility ID 44446RMCMP1000W (U.S. EPA Toxics Release Inventory)
Severity 8.1
Tecnocap Llc, Warren
Toxic chemical release facility (TRI). Chemicals: Certain glycol ethers, Xylene (mixed isomers), n-Butyl alcohol, Ethylbenzene and 1 more. Reports carcinogens. 27,866 lbs released over 5 years.
TRI facility ID 44483BLLNF2100G (U.S. EPA Toxics Release Inventory)
Severity 7.9
Ultium Cells Llc, Warren
Toxic chemical release facility (TRI). Chemicals: N-Methyl-2-pyrrolidone, Copper, Nickel And Nickel Compounds, Nickel compounds and 4 more. Reports carcinogens. 22,415 lbs released over 5 years.
TRI facility ID 4448WLTMCL74TDA (U.S. EPA Toxics Release Inventory)
Severity 7.8
Thomas Steel Strip Corp, Warren
Toxic chemical release facility (TRI). Chemicals: Hydrochloric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Nickel And Nickel Compounds, Zinc compounds, Cobalt compounds and 3 more. Reports carcinogens. 10,322 lbs released over 5 years.
TRI facility ID 44485THMSSDELAW (U.S. EPA Toxics Release Inventory)
Severity 7.6
Yellowstone Industrial Llc, Girard
TRI reporting facility. Penalties $15,000.
EPA FRS registry ID 110000893436 (U.S. EPA ECHO) Agency record
Severity 7.5
Ultium Cells Llc, Warren
TRI reporting facility. Penalties $13,500.
EPA FRS registry ID 110070945164 (U.S. EPA ECHO) Agency record
Severity 7.4
Camp James A. Garfield Joint Military Training Center, Newton Falls
Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 4,457 lbs released over 5 years.
TRI facility ID 4444WHRNGC1438S (U.S. EPA Toxics Release Inventory)
Severity 7.3
Ellwood Engineered Castings, Hubbard
Toxic chemical release facility (TRI). Chemicals: Manganese And Manganese Compounds, Copper, Nickel. Reports carcinogens. 2,643 lbs released over 5 years.
TRI facility ID 44425LLWDN7158M (U.S. EPA Toxics Release Inventory)
Severity 7.1
Zekelman Industries Wheatland Tube Division-Warren, Warren
Toxic chemical release facility (TRI). Chemicals: Manganese, Zinc compounds, Lead. Reports carcinogens. 1,811 lbs released over 5 years.
TRI facility ID 44483JHNMN91DIE (U.S. EPA Toxics Release Inventory)
Severity 7
Ellwood Engineered Castings, Hubbard
TRI reporting facility.
EPA FRS registry ID 110000389641 (U.S. EPA ECHO) Agency record
Severity 7
Matalco Usa, Llc, Lordstown
TRI reporting facility. Penalties $50,000.
EPA FRS registry ID 110069467552 (U.S. EPA ECHO) Agency record
Severity 7
Bull Moose Tube Co, Masury
Toxic chemical release facility (TRI). Chemicals: Certain glycol ethers. 37,600 lbs released over 5 years.
TRI facility ID 4443WBLLMS1433S (U.S. EPA Toxics Release Inventory)
Severity 6.5
Ltd Steel Coke Plant, Warren
TRI reporting facility.
EPA FRS registry ID 110012566767 (U.S. EPA ECHO) Agency record
Severity 6.3
Cleveland Steel Container - Ni Les, Niles
Toxic chemical release facility (TRI). Chemicals: Certain glycol ethers, Xylene (mixed isomers). 14,160 lbs released over 5 years.
TRI facility ID 44446CLVLN115ER (U.S. EPA Toxics Release Inventory)
Severity 6.2
Ajax - Tocco Magnethermic (0278080137), Warren
TRI reporting facility.
EPA FRS registry ID 110025316968 (U.S. EPA ECHO) Agency record
Severity 6.1
Novelis Corporation (0278080136), Warren
TRI reporting facility.
EPA FRS registry ID 110000389963 (U.S. EPA ECHO) Agency record
Severity 6
Tms International Llc, Girard
Toxic chemical release facility (TRI). Chemicals: Manganese compounds, Manganese And Manganese Compounds, Chromium compounds (except for chromite ore mined in the Transvaal Region), Chromium and Chromium Compounds(except for chromite ore mined in the Transvaal Region) and 4 more. Reports carcinogens. 92 lbs released over 5 years.
TRI facility ID 44420MSDVT952SS (U.S. EPA Toxics Release Inventory)
Severity 6
Rmi Titanium Co (0278060189), Niles
Major air pollution source.
EPA FRS registry ID 110000389721 (U.S. EPA ECHO) Agency record
Severity 6
Trumbull Co. - Mosquito Creek Pws-Trumbull Co Mosquito Creek, Warren
NPDES wastewater discharge permit.
EPA FRS registry ID 110000735483 (U.S. EPA ECHO) Agency record
Severity 6
Niles Wwtp, Niles
NPDES wastewater discharge permit.
EPA FRS registry ID 110002452122 (U.S. EPA ECHO) Agency record
Severity 6

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 Trumbull County

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