VA / county FIPS 51119 / county research

Middlesex County, Virginia: environmental and disease records

Cancer mortality in Middlesex County is 162.4 deaths per 100,000 people per year against a U.S. rate of 143.2. The strongest disease signals are Lung & bronchus deaths at 1.5 times the U.S. rate. Federal databases place 57 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (34), Gas station (mapped facility) (8), Air permit holder (minor source) (7). 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: 37.6405, -76.6325.

How this county ranks in Virginia

View on the heat map Scan an address in this county

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 Middlesex County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Melanoma of the skin	New cases	45.8	23.8	1.92xSignificant	31.9 to 65.1	2019-2023
Lung & bronchus	Deaths	46.2	30.2	1.53xSignificant	34.5 to 62.7	2020-2024
Lung & bronchus	New cases	73	51.8	1.41xSignificant	57.4 to 93.3	2019-2023
All cancer	Deaths	162.4	143.2	1.13x	139 to 190.2	2020-2024
All cancer	New cases	475.2	453.4	1.05x	428.8 to 526.4	2019-2023
Pancreas	Deaths	11.7	11.3	1.04x	6.6 to 22.2	2020-2024
Bladder	New cases	18.9	18.7	1.01x	10.9 to 32.8	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 Middlesex County
Measure	County	U.S. median	Difference	Unit
Premature death	13,582.4	9,842.6	+38%	years of life lost before age 75 per 100,000
Life expectancy	73.5	75.3	-2%	years
Child mortality	n/a	59.8	n/a	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	123	96.9	+27%	deaths per 100,000
Drug overdose deaths	n/a	28.6	n/a	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.

Formaldehyde17.98 per million
Carbon Tetrachloride2.98 per million
Acetaldehyde1.59 per million
Benzene0.88 per million

EPA Air Quality Index

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

Regulated facilities, sites and hazards by type

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

NPDES wastewater discharge permit34
Gas station (mapped facility)8
Air permit holder (minor source)7
Public airport3
Auto repair or body shop (mapped facility)3
Small hazardous waste generator1
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.

Dockside Health And Rehab Center Wwtp, Locust Hill
NPDES wastewater discharge permit.
EPA FRS registry ID 110009116027 (U.S. EPA ECHO) Agency record
Severity 4
Rappahannock River Oysters Llc, Topping
NPDES wastewater discharge permit.
EPA FRS registry ID 110070547506 (U.S. EPA ECHO) Agency record
Severity 2.8
Zimmerman Marine Inc - Deagles, Deltaville
NPDES wastewater discharge permit.
EPA FRS registry ID 110071545178 (U.S. EPA ECHO) Agency record
Severity 2.8
Carlton And Edwards Lumber Co, Llc, Saluda
NPDES wastewater discharge permit.
EPA FRS registry ID 110020682297 (U.S. EPA ECHO) Agency record
Severity 2.5
Shores And Ruark Seafood Inc, Urbanna
NPDES wastewater discharge permit.
EPA FRS registry ID 110070547249 (U.S. EPA ECHO) Agency record
Severity 2.5
Vppsa Vehicle Maintenance Facility, Shacklefords
NPDES wastewater discharge permit. Penalties $4,113.
EPA FRS registry ID 110071659771 (U.S. EPA ECHO) Agency record
Severity 2.5
Pitts Lumber Company Incorporated, Saluda
NPDES wastewater discharge permit.
EPA FRS registry ID 110070877448 (U.S. EPA ECHO) Agency record
Severity 2.3
Norview Marina, Deltaville
NPDES wastewater discharge permit.
EPA FRS registry ID 110009116973 (U.S. EPA ECHO) Agency record
Severity 2
Carlton And Edwards Lumber Co, Llc, Saluda
Air permit holder (minor source).
EPA FRS registry ID 110020682297 (U.S. EPA ECHO) Agency record
Severity 2
Hummel Fld, Saluda
Public airport. O.
Record ID W75 (FAA / U.S. DOT)
Severity 2
Hrsd Central Middlesex Stp, Saluda
NPDES wastewater discharge permit.
EPA FRS registry ID 110009116599 (U.S. EPA ECHO) Agency record
Severity 1.8
Regatta Point Yachting Center, Deltaville
NPDES wastewater discharge permit.
EPA FRS registry ID 110012714287 (U.S. EPA ECHO) Agency record
Severity 1.8
Christchurch School, Christchurch
NPDES wastewater discharge permit.
EPA FRS registry ID 110008201070 (U.S. EPA ECHO) Agency record
Severity 1.5
Hrsd Urbanna Sewage Treatment Plant, Urbanna
NPDES wastewater discharge permit.
EPA FRS registry ID 110009768493 (U.S. EPA ECHO) Agency record
Severity 1.5
Pitts Lumber Co. Inc., Saluda
Small hazardous waste generator.
EPA FRS registry ID 110020674046 (U.S. EPA ECHO) Agency record
Severity 1.5
Pitts Lumber Co. Inc., Saluda
NPDES wastewater discharge permit.
EPA FRS registry ID 110020674046 (U.S. EPA ECHO) Agency record
Severity 1.5
Hpp Of Virginia Llc, Topping
NPDES wastewater discharge permit.
EPA FRS registry ID 110070546626 (U.S. EPA ECHO) Agency record
Severity 1.5
Middlesex Metals Inc, Urbanna
NPDES wastewater discharge permit.
EPA FRS registry ID 110070875523 (U.S. EPA ECHO) Agency record
Severity 1.5
Doc Jones Auto Parts Sales, Hartfield
NPDES wastewater discharge permit.
EPA FRS registry ID 110070876173 (U.S. EPA ECHO) Agency record
Severity 1.5
Bethpage Camp Resort, Urbanna
NPDES wastewater discharge permit.
EPA FRS registry ID 110071499798 (U.S. EPA ECHO) Agency record
Severity 1.5
The Residences At Rawley Park, Saluda
NPDES wastewater discharge permit.
EPA FRS registry ID 110071500097 (U.S. EPA ECHO) Agency record
Severity 1.5
Tractor Supply Company Saluda, Saluda
NPDES wastewater discharge permit.
EPA FRS registry ID 110071502538 (U.S. EPA ECHO) Agency record
Severity 1.5
Middlesex High School Solar, Saluda
NPDES wastewater discharge permit.
EPA FRS registry ID 110071507230 (U.S. EPA ECHO) Agency record
Severity 1.5
Khp Llc Mini Storage, Middlesex
NPDES wastewater discharge permit.
EPA FRS registry ID 110071508314 (U.S. EPA ECHO) Agency record
Severity 1.5
Bayport Luxury Rv Camp Offsite Roadway Improvement, Jamaica
NPDES wastewater discharge permit.
EPA FRS registry ID 110071508567 (U.S. EPA ECHO) Agency record
Severity 1.5

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 Middlesex County

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 Middlesex County, 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.

Scan an address in Middlesex County View on the heat map All Virginia counties