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Susquehanna County, Pennsylvania: environmental and disease records

Cancer mortality in Susquehanna County is 160.4 deaths per 100,000 people per year against a U.S. rate of 143.2, a statistically significant excess. Federal databases place 661 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (376), Air permit holder (minor source) (208), Gas station (mapped facility) (25). 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: 41.8146, -75.8006.

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 Susquehanna County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Bladder	Deaths	6.2	4.1	1.51x	3.9 to 9.9	2020-2024
Thyroid	New cases	17.9	13	1.38x	12.1 to 25.5	2019-2023
Non-Hodgkin lymphoma	Deaths	6.6	4.8	1.38x	4.2 to 10.4	2020-2024
Bladder	New cases	24.1	18.7	1.29x	18.6 to 30.9	2019-2023
Brain & nervous system	New cases	7.9	6.2	1.27x	4.3 to 13.2	2019-2023
Pancreas	Deaths	14.3	11.3	1.27x	10.4 to 19.4	2020-2024
Lung & bronchus	Deaths	34.9	30.2	1.16x	29 to 42	2020-2024
Leukemia	Deaths	6.5	5.7	1.14x	3.8 to 10.7	2020-2024
Pancreas	New cases	15.8	13.9	1.14x	11.8 to 21.2	2019-2023
All cancer	Deaths	160.4	143.2	1.12xSignificant	146.6 to 175.4	2020-2024
Brain & nervous system	Deaths	4.9	4.4	1.11x	2.8 to 8.6	2020-2024
Lung & bronchus	New cases	56	51.8	1.08x	48.3 to 64.8	2019-2023
All cancer	New cases	458	453.4	1.01x	432.8 to 484.4	2019-2023
Esophagus	New cases	4.6	4.6	1x	2.6 to 8	2019-2023
Kidney & renal pelvis	New cases	17.9	17.9	1x	13.2 to 23.9	2019-2023
Leukemia	New cases	14.3	14.5	0.99x	9.6 to 20.6	2019-2023
Stomach	New cases	6.5	6.6	0.98x	4 to 10.5	2019-2023
Non-Hodgkin lymphoma	New cases	17.7	18.5	0.96x	12.9 to 23.9	2019-2023
Liver & bile duct	Deaths	5.8	6.6	0.88x	3.6 to 9.4	2020-2024
Liver & bile duct	New cases	7.4	8.7	0.85x	4.4 to 11.8	2019-2023
Melanoma of the skin	New cases	16.8	23.8	0.71x	12.3 to 22.5	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 Susquehanna County
Measure	County	U.S. median	Difference	Unit
Premature death	8,503.8	9,842.6	-14%	years of life lost before age 75 per 100,000
Life expectancy	76.6	75.3	+2%	years
Child mortality	53.2	59.8	-11%	deaths under age 18 per 100,000
Infant mortality	n/a	6.2	n/a	deaths under age 1 per 1,000 live births
Injury deaths	97.8	96.9	+1%	deaths per 100,000
Drug overdose deaths	26.6	28.6	-7%	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.

Formaldehyde13.43 per million
Benzene8.28 per million
Carbon Tetrachloride2.9 per million
Acetaldehyde1.34 per million

EPA Air Quality Index 2025

Monitored on 311 days: 275 good, 2 unhealthy for sensitive groups or worse. Median AQI 22, peak 107.

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit376
Air permit holder (minor source)208
Gas station (mapped facility)25
Rail grade crossing19
Public airport6
Auto repair or body shop (mapped facility)6
Small hazardous waste generator5
Heliport3
Airfield2
Large greenhouse gas emitter2
Major air pollution source1
EPA air quality monitor1
Large hazardous waste generator1
Hazardous waste transporter1
Gas power plant1
Superfund (NPL) site1
TRI reporting facility1
Toxic chemical release facility (TRI)1
Wastewater plant (mapped facility)1

Highest-severity records

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

Bendix Flight Systems Division, Bridgewater Township
Superfund (NPL) site. Hazard Ranking System score 33.7. NPL Site.
EPA site ID PAD003047974 (U.S. EPA Superfund (SEMS/NPL)) Agency record
Severity 10
Sponge-Jet Inc., Montrose
Toxic chemical release facility (TRI). Chemicals: Toluene diisocyanate (mixed isomers), Toluene-2,4-diisocyanate. Reports carcinogens. 7 lbs released over 5 years.
TRI facility ID 1880WSPNGJ123BA (U.S. EPA Toxics Release Inventory)
Severity 5.2
Tennessee Gas Pipeline Co Llc/Comp Sta 321, Clifford
Major air pollution source. Penalties $6,545.
EPA FRS registry ID 110059953180 (U.S. EPA ECHO) Agency record
Severity 5
Montrose Boro - Wwtp, Montrose
NPDES wastewater discharge permit.
EPA FRS registry ID 110010970556 (U.S. EPA ECHO) Agency record
Severity 4.5
Roy And Michelle Gordon, Susquehanna
NPDES wastewater discharge permit.
EPA FRS registry ID 110017695332 (U.S. EPA ECHO) Agency record
Severity 4.5
Delaware Valley Landscape Stone, Montrose
NPDES wastewater discharge permit.
EPA FRS registry ID 110022288852 (U.S. EPA ECHO) Agency record
Severity 4.5
Camp Iroquoina, Hallstead
NPDES wastewater discharge permit.
EPA FRS registry ID 110038689862 (U.S. EPA ECHO) Agency record
Severity 4.5
Great Bend Borough Ms4, Great Bend
NPDES wastewater discharge permit.
EPA FRS registry ID 110055235053 (U.S. EPA ECHO) Agency record
Severity 4.5
Sparks Saw Shop, Great Bend
NPDES wastewater discharge permit.
EPA FRS registry ID 110022330510 (U.S. EPA ECHO) Agency record
Severity 4
Blue Ridge School District, New Milford
Air permit holder (minor source).
EPA FRS registry ID 110045319632 (U.S. EPA ECHO) Agency record
Severity 4
Elk Meadows Homeowners Assoc Stp, Uniondale
NPDES wastewater discharge permit.
EPA FRS registry ID 110064329490 (U.S. EPA ECHO) Agency record
Severity 4
Sponge Jet Inc, Montrose
TRI reporting facility.
EPA FRS registry ID 110070664423 (U.S. EPA ECHO) Agency record
Severity 4
Mack Saw Shop, Brooklyn Twp
NPDES wastewater discharge permit.
EPA FRS registry ID 110071338820 (U.S. EPA ECHO) Agency record
Severity 4
Ararat Twp Wwtp, Thompson
NPDES wastewater discharge permit.
EPA FRS registry ID 110022793468 (U.S. EPA ECHO) Agency record
Severity 3.8
Joe Squid Saw Shop, New Milford
NPDES wastewater discharge permit.
EPA FRS registry ID 110070504956 (U.S. EPA ECHO) Agency record
Severity 3.8
5k Stone, Kingsley
NPDES wastewater discharge permit.
EPA FRS registry ID 110071541873 (U.S. EPA ECHO) Agency record
Severity 3.8
New Milford, New Milford
EPA air quality monitor.
Record ID 421150215 (U.S. EPA AirData)
Severity 3.5
Harford Twp Wwtp, Harford
NPDES wastewater discharge permit.
EPA FRS registry ID 110010969354 (U.S. EPA ECHO) Agency record
Severity 3.5
Monteforte Enterprises, New Milford
NPDES wastewater discharge permit.
EPA FRS registry ID 110010969513 (U.S. EPA ECHO) Agency record
Severity 3.5
Camp Archbald, Kingsley
NPDES wastewater discharge permit.
EPA FRS registry ID 110010970618 (U.S. EPA ECHO) Agency record
Severity 3.5
Pilot Travel Centers, Llc, New Milford
NPDES wastewater discharge permit.
EPA FRS registry ID 110024462026 (U.S. EPA ECHO) Agency record
Severity 3.5
Elk Lake School District, Dimock
NPDES wastewater discharge permit.
EPA FRS registry ID 110036509873 (U.S. EPA ECHO) Agency record
Severity 3.5
Ruark Elk Lake Quarry, Montrose
NPDES wastewater discharge permit.
EPA FRS registry ID 110070050922 (U.S. EPA ECHO) Agency record
Severity 3.5
Mcclain Stone Co. Inc. Brooklyn Saw Shop, Kingsley
NPDES wastewater discharge permit. Penalties $9,900.
EPA FRS registry ID 110070105407 (U.S. EPA ECHO) Agency record
Severity 3.5
Mountain View School District, Kingsley
NPDES wastewater discharge permit.
EPA FRS registry ID 110010970048 (U.S. EPA ECHO) Agency record
Severity 3.3

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 Susquehanna 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 Susquehanna 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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