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Alexandria city, Virginia: environmental and disease records

Cancer mortality in Alexandria city is 113.5 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 337 regulated facilities, sites and hazards inside the county, led by Air permit holder (minor source) (93), NPDES wastewater discharge permit (93), Auto repair or body shop (mapped facility) (35). EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 40 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: 38.8149, -77.0904.

How this county ranks in Virginia

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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 Alexandria city compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Childhood cancer (under 15)	New cases	18.3	16.4	1.12x	11.5 to 27.7	2019-2023
Thyroid	New cases	14.5	13	1.12x	11.9 to 17.5	2019-2023
Brain & nervous system	New cases	6.8	6.2	1.1x	5 to 8.9	2019-2023
Stomach	Deaths	2.9	2.7	1.07x	1.8 to 4.4	2020-2024
Pancreas	Deaths	10.2	11.3	0.9x	8 to 12.8	2020-2024
Pancreas	New cases	12.5	13.9	0.9x	10.1 to 15.3	2019-2023
Stomach	New cases	5.9	6.6	0.89x	4.3 to 7.9	2019-2023
Brain & nervous system	Deaths	3.7	4.4	0.84x	2.4 to 5.4	2020-2024
All cancer	New cases	368.2	453.4	0.81x	354.9 to 381.9	2019-2023
Non-Hodgkin lymphoma	New cases	14.8	18.5	0.8x	12.2 to 17.8	2019-2023
All cancer	Deaths	113.5	143.2	0.79x	106 to 121.4	2020-2024
Bladder	New cases	14.4	18.7	0.77x	11.7 to 17.4	2019-2023
Leukemia	New cases	10.8	14.5	0.74x	8.5 to 13.4	2019-2023
Leukemia	Deaths	4.2	5.7	0.74x	2.9 to 5.9	2020-2024
Kidney & renal pelvis	Deaths	2.3	3.4	0.68x	1.4 to 3.7	2020-2024
Liver & bile duct	New cases	5.6	8.7	0.64x	4.1 to 7.5	2019-2023
Kidney & renal pelvis	New cases	11.4	17.9	0.64x	9.1 to 14	2019-2023
Bladder	Deaths	2.6	4.1	0.63x	1.5 to 4	2020-2024
Non-Hodgkin lymphoma	Deaths	3	4.8	0.63x	1.9 to 4.5	2020-2024
Lung & bronchus	Deaths	18.8	30.2	0.62x	15.8 to 22.2	2020-2024
Liver & bile duct	Deaths	4.1	6.6	0.62x	2.8 to 5.8	2020-2024
Lung & bronchus	New cases	31.3	51.8	0.6x	27.4 to 35.5	2019-2023
Melanoma of the skin	New cases	12.7	23.8	0.53x	10.3 to 15.5	2019-2023
Esophagus	New cases	2	4.6	0.43x	1.2 to 3.3	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 Alexandria city
Measure	County	U.S. median	Difference	Unit
Premature death	4,702	9,842.6	-52%	years of life lost before age 75 per 100,000
Life expectancy	82.2	75.3	+9%	years
Child mortality	45.1	59.8	-25%	deaths under age 18 per 100,000
Infant mortality	3.2	6.2	-49%	deaths under age 1 per 1,000 live births
Injury deaths	41.2	96.9	-58%	deaths per 100,000
Drug overdose deaths	14.3	28.6	-50%	deaths per 100,000

Air toxics and air quality

EPA AirToxScreen 2020

Lifetime cancer risk from outdoor air toxics: 40 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

Formaldehyde22.99 per million
Carbon Tetrachloride2.98 per million
Acetaldehyde2.33 per million
Naphthalene2.24 per million

EPA Air Quality Index

No EPA air quality monitor reports daily AQI for this county.

Regulated facilities, sites and hazards by type

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

Air permit holder (minor source)93
NPDES wastewater discharge permit93
Auto repair or body shop (mapped facility)35
Gas station (mapped facility)34
Dry cleaner (mapped facility)26
Small hazardous waste generator25
Rail grade crossing18
Large greenhouse gas emitter2
Large hazardous waste generator2
Hazardous waste transporter2
Major air pollution source1
Heliport1
Industrial wastewater discharge1
Biomass power plant1
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.

Virginia Paving Alexandria Plant, Alexandria
Toxic chemical release facility (TRI). Chemicals: Polycyclic aromatic compounds, Benzo[g,h,i]perylene. Reports carcinogens. 5 lbs released over 5 years.
TRI facility ID 2230WTHLNC561CU (U.S. EPA Toxics Release Inventory)
Severity 5.1
Ahdc Glebe Mount Vernon, Alexandria
NPDES wastewater discharge permit. Penalties $7,631.
EPA FRS registry ID 110071503191 (U.S. EPA ECHO) Agency record
Severity 4.5
Virginia Paving Company Alexandria Plant, Alexandria
TRI reporting facility.
EPA FRS registry ID 110060257065 (U.S. EPA ECHO) Agency record
Severity 4.4
Alexandria Renew Enterprises Wwtp, Alexandria
NPDES wastewater discharge permit.
EPA FRS registry ID 110020668981 (U.S. EPA ECHO) Agency record
Severity 3.8
Covanta Alexandria/Arlington Inc, Alexandria
Major air pollution source.
EPA FRS registry ID 110001888743 (U.S. EPA ECHO) Agency record
Severity 3.5
Covanta Alexandria/Arlington Inc, Alexandria
NPDES wastewater discharge permit.
EPA FRS registry ID 110001888743 (U.S. EPA ECHO) Agency record
Severity 3
5001 Eisenhower Ave, Alexandria
Large hazardous waste generator.
EPA FRS registry ID 110005251388 (U.S. EPA ECHO) Agency record
Severity 3
United Parcel Service, Alexandria
Small hazardous waste generator. Penalties $5,300,000.
EPA FRS registry ID 110008177837 (U.S. EPA ECHO) Agency record
Severity 3
United Parcel Service, Alexandria
NPDES wastewater discharge permit. Penalties $5,300,000.
EPA FRS registry ID 110008177837 (U.S. EPA ECHO) Agency record
Severity 3
Alexandria Transit - Dash, Alexandria
Large hazardous waste generator.
EPA FRS registry ID 110072212181 (U.S. EPA ECHO) Agency record
Severity 3
Covanta Alexandria/Arlington Energy, Alexandria
Biomass power plant.
Record ID 50663 (U.S. Energy Information Administration)
Severity 2.5
Pepco -Potomac River Generating Station, Alexandria
Large greenhouse gas emitter.
EPA FRS registry ID 110000340916 (U.S. EPA ECHO) Agency record
Severity 2.5
Covanta Alexandria/Arlington Inc, Alexandria
Large greenhouse gas emitter.
EPA FRS registry ID 110001888743 (U.S. EPA ECHO) Agency record
Severity 2.5
Alexandria Hospital, Alexandria
Small hazardous waste generator.
EPA FRS registry ID 110001891409 (U.S. EPA ECHO) Agency record
Severity 2.3
Lindsay Cadillac, Alexandria
NPDES wastewater discharge permit.
EPA FRS registry ID 110005219913 (U.S. EPA ECHO) Agency record
Severity 2.3
King Street Liberty, Alexandria
NPDES wastewater discharge permit.
EPA FRS registry ID 110070545278 (U.S. EPA ECHO) Agency record
Severity 2.3
425 Montgomery Street, Alexandria
NPDES wastewater discharge permit.
EPA FRS registry ID 110071911910 (U.S. EPA ECHO) Agency record
Severity 2.3
Southern Towers Apartments, Alexandria
Air permit holder (minor source). Penalties $3,471.
EPA FRS registry ID 110001891374 (U.S. EPA ECHO) Agency record
Severity 2
Oakville Industrial Park, Alexandria
Small hazardous waste generator.
EPA FRS registry ID 110005235334 (U.S. EPA ECHO) Agency record
Severity 2
Landmark Inova Hospital Campus, Alexandria
NPDES wastewater discharge permit.
EPA FRS registry ID 110071816702 (U.S. EPA ECHO) Agency record
Severity 2
Heritage At Old Town - Block 4, Alexandria
NPDES wastewater discharge permit.
EPA FRS registry ID 110071959676 (U.S. EPA ECHO) Agency record
Severity 2
Kim's Tailoring
Dry cleaner (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID node/10121252018 (OpenStreetMap contributors) Agency record
Severity 2
Southern Towers Cleaners
Dry cleaner (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID node/10933922033 (OpenStreetMap contributors) Agency record
Severity 2
King Dry Cleaners
Dry cleaner (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID node/13910379362 (OpenStreetMap contributors) Agency record
Severity 2
Baldwin Fabricare Center
Dry cleaner (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID node/14003662665 (OpenStreetMap contributors) Agency record
Severity 2

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 Alexandria city

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