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Monroe County, Pennsylvania: environmental and disease records

Cancer mortality in Monroe County is 150 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 651 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (269), Auto repair or body shop (mapped facility) (116), Gas station (mapped facility) (80). One correctional facility operates 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 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: 41.033, -75.2925.

How this county ranks in Pennsylvania

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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 Monroe County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Childhood cancer (under 15)New cases2616.41.59xSignificant18 to 36.52019-2023
ThyroidNew cases18.3131.41xSignificant15.4 to 21.52019-2023
BladderNew cases23.818.71.27xSignificant21.1 to 26.92019-2023
EsophagusDeaths4.63.71.24x3.4 to 62020-2024
EsophagusNew cases5.64.61.22x4.3 to 7.22019-2023
Lung & bronchusNew cases61.151.81.18xSignificant56.7 to 65.82019-2023
Melanoma of the skinDeaths2.321.15x1.5 to 3.52020-2024
Kidney & renal pelvisDeaths3.93.41.15x2.8 to 5.32020-2024
BladderDeaths4.74.11.15x3.4 to 6.32020-2024
LeukemiaNew cases16.314.51.12x13.8 to 19.22019-2023
Brain & nervous systemNew cases6.96.21.11x5.3 to 92019-2023
All cancerNew cases501.4453.41.11xSignificant487.9 to 515.22019-2023
Non-Hodgkin lymphomaNew cases20.218.51.09x17.5 to 23.22019-2023
StomachNew cases7.26.61.09x5.6 to 9.12019-2023
Liver & bile ductDeaths76.61.06x5.5 to 8.72020-2024
All cancerDeaths150143.21.05x142.8 to 157.52020-2024
Kidney & renal pelvisNew cases18.617.91.04x16.1 to 21.52019-2023
Lung & bronchusDeaths3130.21.03x27.9 to 34.42020-2024
PancreasNew cases1413.91.01x11.9 to 16.52019-2023
Liver & bile ductNew cases8.58.70.98x7 to 10.42019-2023
LeukemiaDeaths5.55.70.96x4.2 to 7.12020-2024
Brain & nervous systemDeaths4.14.40.93x2.9 to 5.62020-2024
PancreasDeaths10.311.30.91x8.5 to 12.42020-2024
Non-Hodgkin lymphomaDeaths4.14.80.85x2.9 to 5.52020-2024
StomachDeaths2.32.70.85x1.5 to 3.42020-2024
Melanoma of the skinNew cases20.223.80.85x17.4 to 23.22019-2023

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 Monroe County
MeasureCountyU.S. medianDifferenceUnit
Premature death8,5679,842.6-13%years of life lost before age 75 per 100,000
Life expectancy76.875.3+2%years
Child mortality46.259.8-23%deaths under age 18 per 100,000
Infant mortality6.16.2-2%deaths under age 1 per 1,000 live births
Injury deaths93.896.9-3%deaths per 100,000
Drug overdose deaths44.428.6+55%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.

  • Formaldehyde15.64 per million
  • Carbon Tetrachloride2.92 per million
  • Benzene1.66 per million
  • Acetaldehyde1.59 per million

EPA Air Quality Index 2025

Monitored on 360 days: 318 good, 2 unhealthy for sensitive groups or worse. Median AQI 36, peak 124.

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit269
  • Auto repair or body shop (mapped facility)116
  • Gas station (mapped facility)80
  • Air permit holder (minor source)48
  • Small hazardous waste generator42
  • Wastewater plant (mapped facility)17
  • Rail grade crossing13
  • Large hazardous waste generator12
  • Dry cleaner (mapped facility)9
  • TRI reporting facility9
  • Toxic chemical release facility (TRI)9
  • Heliport7
  • Hazardous waste transporter3
  • Major air pollution source2
  • Public airport2
  • Large greenhouse gas emitter2
  • Scrapyard (mapped facility)2
  • Superfund (NPL) site2
  • EPA air quality monitor1
  • Airfield1
  • Commercial airport1
  • Brownfield property1
  • Correctional facility (prison or jail)1
  • 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.

  1. Tobyhanna Army Depot, Tobyhanna

    Superfund (NPL) site. Hazard Ranking System score 37.9. NPL Site.

    EPA site ID PA5213820892 (U.S. EPA Superfund (SEMS/NPL)) Agency record

    Severity 10

  2. Butz Landfill, Stroudsburg

    Superfund (NPL) site. Hazard Ranking System score 32. NPL Site.

    EPA site ID PAD981034705 (U.S. EPA Superfund (SEMS/NPL)) Agency record

    Severity 10

  3. Us Army Tobyhanna Army Depot, Tobyhanna

    TRI reporting facility.

    EPA FRS registry ID 110011575189 (U.S. EPA ECHO) Agency record

    Severity 7.8

  4. National Electrical Carbon Products Inc, East Stroudsburg

    Toxic chemical release facility (TRI). Chemicals: Polycyclic aromatic compounds, Benzo[g,h,i]perylene, Copper. Reports carcinogens. 3,948 lbs released over 5 years.

    TRI facility ID 18301GNRLL100ST (U.S. EPA Toxics Release Inventory)

    Severity 7.3

  5. Aurorium Dwg Llc, Delaware Water Gap

    Toxic chemical release facility (TRI). Chemicals: Ammonia, Maleic anhydride, Formic acid. 8,969 lbs released over 5 years.

    TRI facility ID 18327HCDVSROUTE (U.S. EPA Toxics Release Inventory)

    Severity 6

  6. Sanofi Pasteur/Swiftwater Fac, Swiftwater

    TRI reporting facility. Penalties $125,973.

    EPA FRS registry ID 110006522735 (U.S. EPA ECHO) Agency record

    Severity 6

  7. Us Army Tobyhanna Army Depot, Tobyhanna

    Large hazardous waste generator.

    EPA FRS registry ID 110011575189 (U.S. EPA ECHO) Agency record

    Severity 6

  8. Us Army Tobyhanna Army Depot, Tobyhanna

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110011575189 (U.S. EPA ECHO) Agency record

    Severity 6

  9. U.S. Army Tobyhanna Army Depot, Tobyhanna

    Toxic chemical release facility (TRI). Chemicals: Lead. Reports carcinogens. 60 lbs released over 5 years.

    TRI facility ID 18466TBYHNMAILS (U.S. EPA Toxics Release Inventory)

    Severity 5.9

  10. Royal Chemical, East Stroudsburg

    TRI reporting facility.

    EPA FRS registry ID 110055107851 (U.S. EPA ECHO) Agency record

    Severity 5.7

  11. Royal Chemical Co, East Stroudsburg

    Toxic chemical release facility (TRI). Chemicals: Ethylene glycol, Nitric acid, Zinc compounds, Certain glycol ethers and 3 more. 2,037 lbs released over 5 years.

    TRI facility ID 18301DVRSY880CR (U.S. EPA Toxics Release Inventory)

    Severity 5.5

  12. Sanofi Pasteur/Swiftwater Fac, Swiftwater

    Major air pollution source. Penalties $125,973.

    EPA FRS registry ID 110006522735 (U.S. EPA ECHO) Agency record

    Severity 5.5

  13. Vertellus Dwg Llc, Delaware Water Gap

    TRI reporting facility.

    EPA FRS registry ID 110011537088 (U.S. EPA ECHO) Agency record

    Severity 5.5

  14. National Electrical Carbon Prods Inc, East Stroudsburg

    TRI reporting facility.

    EPA FRS registry ID 110000701928 (U.S. EPA ECHO) Agency record

    Severity 5.3

  15. East Stroudsburg Wastewater Plant, East Stroudsburg

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110000720596 (U.S. EPA ECHO) Agency record

    Severity 5.3

  16. Bestway Lumber Treatment Center, Cresco

    TRI reporting facility.

    EPA FRS registry ID 110006537970 (U.S. EPA ECHO) Agency record

    Severity 5.3

  17. Sky Top Lodge, Skytop

    NPDES wastewater discharge permit. Penalties $15,000.

    EPA FRS registry ID 110064244036 (U.S. EPA ECHO) Agency record

    Severity 5.3

  18. Sanofi Pasteur/Swiftwater Fac, Swiftwater

    Large hazardous waste generator. Penalties $125,973.

    EPA FRS registry ID 110006522735 (U.S. EPA ECHO) Agency record

    Severity 5

  19. Sanofi Pasteur/Swiftwater Fac, Swiftwater

    NPDES wastewater discharge permit. Penalties $125,973.

    EPA FRS registry ID 110006522735 (U.S. EPA ECHO) Agency record

    Severity 5

  20. Rock-Tenn Co Stroudsburg Mill, Delaware Water Gap

    TRI reporting facility.

    EPA FRS registry ID 110000584476 (U.S. EPA ECHO) Agency record

    Severity 4.8

  21. Camelback Resort Stp, Tannersville

    NPDES wastewater discharge permit. Penalties $32,263.

    EPA FRS registry ID 110001127860 (U.S. EPA ECHO) Agency record

    Severity 4.8

  22. Biospectra, Inc., Stroudsburg

    TRI reporting facility.

    EPA FRS registry ID 110028056190 (U.S. EPA ECHO) Agency record

    Severity 4.8

  23. Barton Park Mhc Llc, Bartonsville

    NPDES wastewater discharge permit. Penalties $4,279.

    EPA FRS registry ID 110060148237 (U.S. EPA ECHO) Agency record

    Severity 4.8

  24. Pa Amer Water Pocono Country Place Wwtp, Tobyhanna

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110064636452 (U.S. EPA ECHO) Agency record

    Severity 4.8

  25. Ski Side Village, Tannersville

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110010128405 (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.

  • Monroe County Correctional Fac-Manor Boiler Room, Stroudsburg

    EPA FRS registry ID
    110000943409
    Water system
    PA2450105
    Health-based violations
    2 all time, 0 in 5 years
    All violations
    72
    Contaminants cited
    Groundwater Rule
    Wastewater permit
    None on record

    EPA detailed facility report

Discovery / public records

Records to request for Monroe 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 Monroe 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.

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