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Blair County, Pennsylvania: environmental and disease records

Cancer mortality in Blair County is 167 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. The strongest disease signals are Non-Hodgkin lymphoma deaths at 1.7 times the U.S. rate and Esophagus deaths at 1.4 times the U.S. rate. Federal databases place 681 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (284), Rail grade crossing (127), Air permit holder (minor source) (105). One correctional facility operates in the county. 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: 40.4926, -78.3484.

How this county ranks in Pennsylvania

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 Blair County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
ThyroidNew cases27.9132.15xSignificant23.8 to 32.62019-2023
Non-Hodgkin lymphomaDeaths8.34.81.73xSignificant6.5 to 10.42020-2024
EsophagusDeaths5.23.71.41xSignificant3.8 to 72020-2024
EsophagusNew cases64.61.3x4.5 to 82019-2023
LeukemiaDeaths7.45.71.3x5.6 to 9.62020-2024
Non-Hodgkin lymphomaNew cases23.718.51.28xSignificant20.4 to 27.52019-2023
Lung & bronchusNew cases62.651.81.21xSignificant57.5 to 682019-2023
Brain & nervous systemNew cases7.46.21.19x5.5 to 9.92019-2023
Lung & bronchusDeaths35.930.21.19xSignificant32.1 to 40.12020-2024
All cancerDeaths167143.21.17xSignificant158.6 to 175.92020-2024
Brain & nervous systemDeaths5.14.41.16x3.6 to 7.12020-2024
Melanoma of the skinDeaths2.321.15x1.3 to 3.62020-2024
PancreasDeaths12.811.31.13x10.6 to 15.42020-2024
Kidney & renal pelvisNew cases19.817.91.11x16.8 to 23.32019-2023
LeukemiaNew cases15.714.51.08x13 to 18.82019-2023
All cancerNew cases483.7453.41.07xSignificant468.6 to 499.32019-2023
Liver & bile ductNew cases9.18.71.05x7.3 to 11.42019-2023
Kidney & renal pelvisDeaths3.53.41.03x2.4 to 5.12020-2024
PancreasNew cases1413.91.01x11.7 to 16.82019-2023
BladderNew cases18.818.71.01x16 to 22.12019-2023
Liver & bile ductDeaths6.56.60.98x5 to 8.62020-2024
BladderDeaths3.44.10.83x2.4 to 4.92020-2024
Melanoma of the skinNew cases18.923.80.79x16 to 22.32019-2023
StomachNew cases46.60.61x2.7 to 5.62019-2023

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 Blair County
MeasureCountyU.S. medianDifferenceUnit
Premature death10,058.79,842.6+2%years of life lost before age 75 per 100,000
Life expectancy74.775.3-1%years
Child mortality45.259.8-24%deaths under age 18 per 100,000
Infant mortality5.86.2-6%deaths under age 1 per 1,000 live births
Injury deaths95.796.9-1%deaths per 100,000
Drug overdose deaths41.528.6+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.

  • Formaldehyde15.99 per million
  • Carbon Tetrachloride2.88 per million
  • Acetaldehyde1.51 per million
  • Benzene1.39 per million

EPA Air Quality Index 2025

Monitored on 363 days: 279 good, 1 unhealthy for sensitive groups or worse. Median AQI 40, peak 115.

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit284
  • Rail grade crossing127
  • Air permit holder (minor source)105
  • Gas station (mapped facility)46
  • Small hazardous waste generator43
  • Toxic chemical release facility (TRI)16
  • Large hazardous waste generator12
  • Auto repair or body shop (mapped facility)9
  • TRI reporting facility9
  • Hazardous waste transporter4
  • Wastewater plant (mapped facility)4
  • Major air pollution source3
  • Public airport3
  • Heliport3
  • Wind power plant3
  • Large greenhouse gas emitter2
  • EPA air quality monitor1
  • Commercial airport1
  • Brownfield property1
  • Correctional facility (prison or jail)1
  • Dry cleaner (mapped facility)1
  • Gas power plant1
  • Scrapyard (mapped facility)1
  • 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.

  1. Delta Quarries & Disposal, Inc./Stotler Landfill, Antis Township, Logan Township

    Superfund (NPL) site. Hazard Ranking System score 41.1. NPL Site.

    EPA site ID PAD981038052 (U.S. EPA Superfund (SEMS/NPL)) Agency record

    Severity 10
  2. Appvion Operations Inc, Roaring Spring

    Toxic chemical release facility (TRI). Chemicals: Methanol, Hydrochloric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Ammonia, Hydrogen sulfide and 4 more. Reports carcinogens. 132,425 lbs released over 5 years.

    TRI facility ID 16673PPLTN100PA (U.S. EPA Toxics Release Inventory)

    Severity 8.4
  3. W R Grace & Co, Tyrone

    Toxic chemical release facility (TRI). Chemicals: Dichloromethane, Toluene, Hydrochloric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size), Acetonitrile and 4 more. Reports carcinogens. 76,793 lbs released over 5 years.

    TRI facility ID 16686QLTYCINDUS (U.S. EPA Toxics Release Inventory)

    Severity 8.2
  4. Altoona Terminals - De Llc/Altoona Terminal, Altoona

    Toxic chemical release facility (TRI). Chemicals: n-Hexane, Toluene, Cyclohexane, Xylene (mixed isomers) and 4 more. Reports carcinogens. 12,343 lbs released over 5 years.

    TRI facility ID 1660WLTNTRBURNS (U.S. EPA Toxics Release Inventory)

    Severity 7.6
  5. Dept Of Homeland Security, Altoona

    Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 3,489 lbs released over 5 years.

    TRI facility ID 1660WDPTFH32ECH (U.S. EPA Toxics Release Inventory)

    Severity 7.2
  6. St Products Llc (Dba Wieland Small Tube Products), Duncansville

    Toxic chemical release facility (TRI). Chemicals: Copper, Nickel, Lead. Reports carcinogens. 241 lbs released over 5 years.

    TRI facility ID 16603SMLLTSPRIN (U.S. EPA Toxics Release Inventory)

    Severity 6.3
  7. Wr Grace & Co Conn/Tyrone, Tyrone

    TRI reporting facility.

    EPA FRS registry ID 110046292677 (U.S. EPA ECHO) Agency record

    Severity 6.3
  8. Appvion Inc, Roaring Spring

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110000332177 (U.S. EPA ECHO) Agency record

    Severity 5.8
  9. Cove Forge Trmt Ctr - Stp, Williamsburg

    NPDES wastewater discharge permit. Penalties $42,688.

    EPA FRS registry ID 110020689637 (U.S. EPA ECHO) Agency record

    Severity 5.3
  10. Altoona, Altoona

    EPA air quality monitor.

    Record ID 420130801 (U.S. EPA AirData)

    Severity 5.2
  11. Amerway Inc, Altoona

    Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 5 lbs released over 5 years.

    TRI facility ID 16601MRWYN3701B (U.S. EPA Toxics Release Inventory)

    Severity 5.1
  12. Altoona City Auth - Westerly Wwtf, Duncansville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006802870 (U.S. EPA ECHO) Agency record

    Severity 5
  13. Altoona/Blair County, Altoona

    Commercial airport. O.

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

    Severity 5
  14. St Prod Llc Dba Wieland Small Tube Prod/Altoona, Duncansville

    TRI reporting facility.

    EPA FRS registry ID 110064194401 (U.S. EPA ECHO) Agency record

    Severity 4.8
  15. Veeder Root Co, Duncansville

    TRI reporting facility.

    EPA FRS registry ID 110001137056 (U.S. EPA ECHO) Agency record

    Severity 4.8
  16. Team Ten Tyrone Mill, Tyrone

    TRI reporting facility.

    EPA FRS registry ID 110000332186 (U.S. EPA ECHO) Agency record

    Severity 4.5
  17. Kenneth Krater Jr, Altoona

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110001058168 (U.S. EPA ECHO) Agency record

    Severity 4.5
  18. Owen, Christi Sftf, Hollidaysburg

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110006662076 (U.S. EPA ECHO) Agency record

    Severity 4.5
  19. Hollidaysburg Regional Stp, Hollidaysburg

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110010974525 (U.S. EPA ECHO) Agency record

    Severity 4.5
  20. Snowberger Res, Freedom Twp

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110014332230 (U.S. EPA ECHO) Agency record

    Severity 4.5
  21. Mueller'S Auto Recycling & Sales, Altoona

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110022426882 (U.S. EPA ECHO) Agency record

    Severity 4.5
  22. Altoona Easterly Stp, Altoona

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110039811433 (U.S. EPA ECHO) Agency record

    Severity 4.5
  23. Penn England Cafo, Williamsburg

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110060129908 (U.S. EPA ECHO) Agency record

    Severity 4.5
  24. Sfs Clippinger, Charles & Patricia, Tyrone

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070161872 (U.S. EPA ECHO) Agency record

    Severity 4.5
  25. 140 Swinging Bridge Rd Srstp, Hollidaysburg

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070561166 (U.S. EPA ECHO) Agency record

    Severity 4.5

Correctional facilities

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

Discovery / public records

Records to request for Blair County

  • Pennsylvania 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 Blair County, and their findings.

  • Pennsylvania vital statistics office

    Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.

  • Pennsylvania health department, environmental epidemiology

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

  • Pennsylvania 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.

  • Pennsylvania 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.