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Roanoke County, Virginia: environmental and disease records

Cancer mortality in Roanoke County is 139.8 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 343 regulated facilities, sites and hazards inside the county, led by NPDES wastewater discharge permit (122), Air permit holder (minor source) (71), Rail grade crossing (37). 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: 37.2657, -80.1512.

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 Roanoke County compared with the United States
CancerMeasureCounty rateU.S. rateTimes U.S.95% intervalYears
Melanoma of the skinDeaths2.521.25x1.5 to 4.12020-2024
Melanoma of the skinNew cases29.223.81.23xSignificant25 to 342019-2023
Brain & nervous systemDeaths5.14.41.16x3.5 to 7.32020-2024
EsophagusNew cases5.24.61.13x3.7 to 7.22019-2023
LeukemiaDeaths6.45.71.12x4.7 to 8.72020-2024
Non-Hodgkin lymphomaDeaths5.34.81.1x3.8 to 7.42020-2024
Liver & bile ductDeaths7.26.61.09x5.4 to 9.52020-2024
BladderNew cases19.718.71.05x16.6 to 23.22019-2023
Lung & bronchusNew cases51.851.81x46.8 to 57.32019-2023
ThyroidNew cases13131x10 to 16.72019-2023
All cancerDeaths139.8143.20.98x131.4 to 148.82020-2024
PancreasDeaths1111.30.97x8.7 to 13.82020-2024
Kidney & renal pelvisDeaths3.33.40.97x2.1 to 5.12020-2024
Lung & bronchusDeaths28.830.20.95x25.2 to 32.92020-2024
All cancerNew cases425.3453.40.94x409.6 to 441.52019-2023
Brain & nervous systemNew cases5.56.20.89x3.7 to 82019-2023
Non-Hodgkin lymphomaNew cases16.118.50.87x13.2 to 19.52019-2023
PancreasNew cases11.913.90.86x9.5 to 14.92019-2023
Liver & bile ductNew cases7.38.70.84x5.5 to 9.72019-2023
BladderDeaths3.44.10.83x2.2 to 5.12020-2024
EsophagusDeaths33.70.81x1.9 to 4.72020-2024
Kidney & renal pelvisNew cases12.417.90.69x9.8 to 15.52019-2023
LeukemiaNew cases9.614.50.66x7.2 to 12.52019-2023
StomachNew cases3.66.60.55x2.4 to 5.42019-2023

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 Roanoke County
MeasureCountyU.S. medianDifferenceUnit
Premature death7,603.89,842.6-23%years of life lost before age 75 per 100,000
Life expectancy77.575.3+3%years
Child mortality45.759.8-23%deaths under age 18 per 100,000
Infant mortality8.96.2+42%deaths under age 1 per 1,000 live births
Injury deaths89.296.9-8%deaths per 100,000
Drug overdose deaths29.928.6+4%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.

  • Formaldehyde18.16 per million
  • Carbon Tetrachloride2.85 per million
  • Acetaldehyde1.71 per million
  • Benzene1.03 per million

EPA Air Quality Index 2025

Monitored on 365 days: 306 good, 0 unhealthy for sensitive groups or worse. Median AQI 37, peak 80.

Regulated facilities, sites and hazards by type

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

  • NPDES wastewater discharge permit122
  • Air permit holder (minor source)71
  • Rail grade crossing37
  • Gas station (mapped facility)35
  • Small hazardous waste generator27
  • Brownfield property14
  • TRI reporting facility8
  • Toxic chemical release facility (TRI)8
  • Auto repair or body shop (mapped facility)7
  • Large hazardous waste generator6
  • Landfill (mapped facility)2
  • EPA air quality monitor1
  • Dry cleaner (mapped facility)1
  • Large greenhouse gas emitter1
  • Heliport1
  • Hydroelectric plant1
  • 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.

  1. Trivium Packaging Usa Inc, Roanoke

    TRI reporting facility. Penalties $37,500.

    EPA FRS registry ID 110056299349 (U.S. EPA ECHO) Agency record

    Severity 9.2

  2. Trivium Packaging Usa Inc, Roanoke

    Toxic chemical release facility (TRI). Chemicals: n-Butyl alcohol, Certain glycol ethers, Copper, Chromium and 4 more. Reports carcinogens. 106,191 lbs released over 5 years.

    TRI facility ID 2401WRDGHM522HL (U.S. EPA Toxics Release Inventory)

    Severity 8.4

  3. Koppers Inc (Roanoke), Salem

    Toxic chemical release facility (TRI). Chemicals: Creosote, Polycyclic aromatic compounds, Benzo[g,h,i]perylene. Reports carcinogens. 14,723 lbs released over 5 years.

    TRI facility ID 24153KPPRSRT460 (U.S. EPA Toxics Release Inventory)

    Severity 7.7

  4. Marvin Composites, Salem

    Toxic chemical release facility (TRI). Chemicals: Styrene. Reports carcinogens. 4,653 lbs released over 5 years.

    TRI facility ID 24153TCTNP5415C (U.S. EPA Toxics Release Inventory)

    Severity 7.3

  5. Trivium Packaging Usa Inc, Roanoke

    Large hazardous waste generator. Penalties $37,500.

    EPA FRS registry ID 110056299349 (U.S. EPA ECHO) Agency record

    Severity 6.3

  6. Koppers Incorporated Salem Plant, Salem

    TRI reporting facility.

    EPA FRS registry ID 110042053675 (U.S. EPA ECHO) Agency record

    Severity 5.8

  7. Medeco Security Locks Inc., Salem

    Toxic chemical release facility (TRI). Chemicals: Copper, Nickel, Lead, Zinc (fume or dust). Reports carcinogens. 43 lbs released over 5 years.

    TRI facility ID 24153MDCSCUS11A (U.S. EPA Toxics Release Inventory)

    Severity 5.8

  8. Tecton Products Llc, Salem

    TRI reporting facility.

    EPA FRS registry ID 110023157402 (U.S. EPA ECHO) Agency record

    Severity 5.4

  9. Mennel Milling Co Of Virginia, Roanoke

    TRI reporting facility.

    EPA FRS registry ID 110031222530 (U.S. EPA ECHO) Agency record

    Severity 5

  10. Trivium Packaging Usa Inc, Roanoke

    NPDES wastewater discharge permit. Penalties $37,500.

    EPA FRS registry ID 110056299349 (U.S. EPA ECHO) Agency record

    Severity 4.8

  11. Medeco Security Locks Inc, Salem

    TRI reporting facility.

    EPA FRS registry ID 110000343281 (U.S. EPA ECHO) Agency record

    Severity 4.6

  12. Elbit Systems Of America - Night Vision Llc, Roanoke

    TRI reporting facility.

    EPA FRS registry ID 110000869579 (U.S. EPA ECHO) Agency record

    Severity 4.5

  13. Cardinal Glass, Vinton

    Toxic chemical release facility (TRI). Chemicals: Nickel, Chromium, Manganese. Reports carcinogens.

    TRI facility ID 2417WCRDNL2132C (U.S. EPA Toxics Release Inventory)

    Severity 4.5

  14. Con-Way Freight - Nro, Roanoke

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110044832580 (U.S. EPA ECHO) Agency record

    Severity 4.3

  15. Trivium Packaging Usa Inc, Roanoke

    Air permit holder (minor source). Penalties $37,500.

    EPA FRS registry ID 110056299349 (U.S. EPA ECHO) Agency record

    Severity 4.3

  16. East Vinton Elementary School, Vinton

    EPA air quality monitor.

    Record ID 511611004 (U.S. EPA AirData)

    Severity 4.1

  17. Cargill Feed And Nutrition, Vinton

    TRI reporting facility.

    EPA FRS registry ID 110020572174 (U.S. EPA ECHO) Agency record

    Severity 4

  18. Cardinal Glass, Vinton

    TRI reporting facility.

    EPA FRS registry ID 110070557759 (U.S. EPA ECHO) Agency record

    Severity 4

  19. Smith Gap Regional Landfill, Salem

    Large greenhouse gas emitter.

    EPA FRS registry ID 110007326848 (U.S. EPA ECHO) Agency record

    Severity 3.8

  20. Elbit Systems Of America - Night Vision Llc, Roanoke

    Large hazardous waste generator.

    EPA FRS registry ID 110000869579 (U.S. EPA ECHO) Agency record

    Severity 3.5

  21. Roanoke Gurudwara, Salem

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070599233 (U.S. EPA ECHO) Agency record

    Severity 3.5

  22. Catawba Grocery, Catawba

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110070709690 (U.S. EPA ECHO) Agency record

    Severity 3.5

  23. Koppers Incorporated Salem Plant, Salem

    Large hazardous waste generator.

    EPA FRS registry ID 110042053675 (U.S. EPA ECHO) Agency record

    Severity 3.3

  24. Koppers Incorporated Salem Plant, Salem

    NPDES wastewater discharge permit.

    EPA FRS registry ID 110042053675 (U.S. EPA ECHO) Agency record

    Severity 3.3

  25. Vinton Dry Cleaners Inc, Vinton

    Brownfield property.

    EPA FRS registry ID 110001899063 (U.S. EPA Brownfields (ACRES)) Agency record

    Severity 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 Roanoke 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 Roanoke 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.

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