Winston-Salem, North Carolina Pollution
12 TRI facilities inside the city limits and 0 public water systems serving residents. In-city TRI releases fell meaningfully year over year (-16%). Toxic releases concentrations have fallen 30% since 2010.
FIPS 3775000 · population 249,571 · Forsyth County
Winston-Salem Pollutant Multi-Year Trends
PM2.5 annual mean (NAAQS 9 µg/m³ (annual))Health riskFine inhalable particles 2.5 micrometers or smaller. They travel deep into the lungs and into the bloodstream — linked to asthma, heart disease, stroke, and premature death.
PM2.5 annual mean (NAAQS 9 µg/m³ (annual)) concentrations have more than halved since 2010.
PM2.5 24-hour 98th percentile (NAAQS 35 µg/m³ (24-hour))Health riskFine inhalable particles 2.5 micrometers or smaller. They travel deep into the lungs and into the bloodstream — linked to asthma, heart disease, stroke, and premature death.
PM2.5 24-hour 98th percentile (NAAQS 35 µg/m³ (24-hour)) concentrations have more than halved since 2010.
Ozone 8-hour 4th-highest daily max (NAAQS 0.070 ppm (8-hour))Health riskGround-level ozone (smog) forms when vehicle and industrial emissions react in sunlight. Inflames the airways, triggers asthma attacks, and worsens heart and lung disease.
Ozone 8-hour 4th-highest daily max (NAAQS 0.070 ppm (8-hour)) concentrations have fallen 25% since 2010.
NO₂ annual mean (NAAQS 53 ppb (annual))Health riskA tailpipe and combustion gas. Concentrates near busy roads and industrial sites; raises risk of airway inflammation, asthma, and lower respiratory infections in children.
NO₂ annual mean (NAAQS 53 ppb (annual)) concentrations have more than halved since 2010.
Lifetime cancer risk all pollutants (100 in a million (EPA elevated threshold))Health riskEPA-modeled added cancer cases per million residents from a lifetime of breathing local air toxics. EPA flags 100-in-a-million as elevated.
Single-vintage exposure modeling — EPA cadence is multi-year, so no trend line yet.
Formaldehyde ambient mean (0.077 µg/m³ (1-in-a-million URE))Health riskAn air toxic emitted by refineries, wood products, and combustion. EPA classifies it as a known human carcinogen — long-term inhalation raises cancer risk.
Single-vintage exposure modeling — EPA cadence is multi-year, so no trend line yet.
Benzene ambient mean (0.13 µg/m³ (1-in-a-million URE))Health riskAn air toxic from gasoline, refineries, and tobacco smoke. A known human carcinogen — chronic exposure is linked to leukemia and other blood cancers.
Single-vintage exposure modeling — EPA cadence is multi-year, so no trend line yet.
TRI air releases (5.1 fugitive + 5.2 stack)Health riskToxic chemicals reported by industrial facilities as released into the air — fugitive leaks plus smokestack emissions. Higher pounds means more inhaled exposure for nearby residents.
TRI air releases (5.1 fugitive + 5.2 stack) concentrations have fallen 35% since 2010.
TRI water releases (5.3)Health riskToxic chemicals reported by industrial facilities as discharged to surface waters (rivers, lakes, the ocean). Affects fishing, recreation, and downstream drinking-water intakes.
TRI water releases (5.3) volumes here are too small to anchor a multi-year trend; YoY movement is still shown above.
TRI land + off-site releasesHealth riskToxic chemicals released to land on-site or transferred off-site for disposal — landfills, deep-well injection, and similar. Risks groundwater contamination over time.
TRI land + off-site releases concentrations are up 71% since 2010.
Greenhouse gases (GHGRP large emitters, through 2023)Health riskGreenhouse gases reported by large industrial emitters under EPA's GHGRP, in metric tons of CO₂ equivalent. Drives climate warming and the heat-related health effects that follow.
Greenhouse gases (GHGRP large emitters, through 2023) concentrations have more than doubled since 2010.
Largest Emitters Inside The City
| Facility | Top chemical | Total releases | YoY |
|---|---|---|---|
| Ardagh Metal Beverage USA INC Re: Winston Salem PlantArdagh Holdings USA INC | Certain glycol ethersHealth riskReproductive toxicants; some cause testicular damage and developmental harm. (EPA) | 318k lb | -15% |
| Ingredion INC - Winston Salem PlantIngredion INC | Hydrochloric acid (acid aerosols including mists, vapors, gas, fog, and other airborne forms of any particle size)Health riskAerosolized HCl is a corrosive respiratory irritant; chronic exposure damages teeth and respiratory tissue. (NIOSH) | 74k lb | +12% |
| R J Reynolds Tobacco CO Whitaker ParkReynolds American INC | Nicotine and salts | 37k lb | -21% |
| Triseal Opco LLC - Polo Road ComplexTekni-Plex INC | N-Methyl-2-pyrrolidoneHealth riskReproductive and developmental toxicant; absorbed through skin. (EPA) | 20k lb | +7% |
| Alliance One N.A. - Recon FacilityPyxus International INC | Nicotine and salts | 12k lb | — |
| American Snuff CO LLC Taylor Brothers DivReynolds American INC | Nicotine and salts | 8k lb | -75% |
| Stratford Metal Finishing INC | Nitric acidHealth riskStrong corrosive irritant to skin, eyes, and the respiratory tract. (NIOSH) | 6k lb | -79% |
| Powerlab INCPowerlab INC | Lead And Lead CompoundsHealth riskNeurotoxin. Even low childhood exposure impairs cognitive development; chronic adult exposure damages kidneys and the cardiovascular system. (EPA, ATSDR) | 197 lb | -36% |
| Dfa Dairy Brands Fluid LLC Dba Pet DairyDairy Farmers Of America INC | Nitrate compounds (water dissociable; reportable only when in aqueous solution)Health riskDrinking-water nitrate causes methemoglobinemia ('blue-baby syndrome') in infants; EPA MCL is 10 mg/L as N. (EPA) | 10 lb | 0% |
| Downtown Concrete PlantSummit Materials LLC | LeadHealth riskNeurotoxin. Even low childhood exposure impairs cognitive development; chronic adult exposure damages kidneys and the cardiovascular system. (EPA, ATSDR) | 0 lb | 0% |
Who Lives In Winston-Salem
Winston-Salem, North Carolina (Census place block groups): 249,571 residents. City disparity score for pm2.5 (fine particulate) sits below the reference (79). Why we surface this →
Low-income
People of color
Under age 5
Over age 64
- PM2.5 (fine particulate)Health riskFine inhalable particles 2.5 micrometers or smaller. They travel deep into the lungs and into the bloodstream — linked to asthma, heart disease, stroke, and premature death.41near the national median
- OzoneHealth riskGround-level ozone (smog) inflames the airways. Even short exposures trigger asthma attacks and worsen chronic lung and heart disease.27below the national median
- Nitrogen dioxide (NO₂)Health riskA tailpipe and combustion gas. Concentrates near busy roads and industrial sites; raises risk of airway inflammation, asthma, and lower respiratory infections in children.55near the national median
- Diesel particulateHealth riskSoot from diesel engines (trucks, trains, ports, construction). EPA classifies it as a likely human carcinogen and a major driver of childhood asthma near freight corridors.49near the national median
- Toxic releases (RSEI)Health riskEPA's Risk-Screening Environmental Indicators score — weights TRI chemical releases by toxicity, where they go, and how many people are nearby. Higher means greater modeled cancer and chronic-health risk.99in the highest 5% nationally
- Traffic proximityHealth riskPopulation-weighted distance to high-volume roads. Living close to heavy traffic raises exposure to PM2.5, NO₂, and diesel exhaust — and the cardiovascular and asthma risks that follow.58near the national median
- Lead-paint risk (pre-1960 housing)Health riskShare of housing built before 1960, when lead-based paint was common. Dust from deteriorating paint is the leading cause of childhood lead poisoning, which permanently impairs cognitive development.62above the national median
- Superfund site proximityHealth riskPopulation-weighted distance to NPL Superfund sites — the most contaminated waste sites in the country. Nearby groundwater, soil, and air can carry industrial solvents, metals, and other long-lived contaminants.56near the national median
- RMP-facility proximityHealth riskDistance to facilities holding chemicals at quantities large enough to require an EPA Risk Management Plan (refineries, fertilizer plants, etc.). These pose acute exposure risk during accidental releases.45near the national median
- Hazardous-waste site proximityHealth riskDistance to RCRA hazardous-waste handlers (treatment, storage, disposal facilities). Indicates potential exposure to industrial chemicals in air, soil, and groundwater.63above the national median
- Underground storage tanksHealth riskDensity of underground tanks (gasoline, heating oil, industrial fluids). Leaking tanks are a leading source of benzene and other volatile organic compounds in groundwater drinking-water supplies.89in the highest 20% nationally
- NPDES wastewater proximityHealth riskDistance to permitted industrial wastewater dischargers. Closer proximity raises exposure to pollutants released into surface waters used for fishing, recreation, and downstream drinking-water intakes.74above the national median
- Drinking-water non-complianceHealth riskEPA score for public water systems with health-based Safe Drinking Water Act violations. Higher means more residents on systems that recently exceeded safe limits for contaminants like lead, arsenic, or nitrate.76above the national median
| Indicator | Disparity score | Reading |
|---|---|---|
| PM2.5 (fine particulate) | 79 | below the reference |
| Ozone | 82 | below the reference |
| Nitrogen dioxide (NO₂) | 103 | near the reference |
| Diesel particulate | 93 | near the reference |
| Toxic releases (RSEI) | 176 | well above the reference burden |
| Traffic proximity | 106 | near the reference |
| Lead-paint risk (pre-1960 housing) | 94 | near the reference |
| Superfund site proximity | 0 | well below the reference |
| RMP-facility proximity | 81 | below the reference |
| Hazardous-waste site proximity | 116 | moderately above the reference |
| Underground storage tanks | 143 | moderately above the reference |
| NPDES wastewater proximity | 132 | moderately above the reference |
| Drinking-water non-compliance | 0 | well below the reference |
Source: Census ACS 2018-2022 (5-year) + USEPA-clone EJ blockgroup stats (raw indicators + EJ disparity mirror).
Co-Located Health Indicators
Modeled adult-prevalence estimates published by CDC PLACES, paired with this city's pollution and demographic context. Comparisons are ecological, not causal — pollution and disease prevalence covary at the area level, but the data does not attribute any individual's diagnosis to local exposure. How this section works →
Adult asthma (current)
CDC PLACES · 2025 release · BRFSS 2022-2023
COPD prevalence
CDC PLACES · 2025 release · BRFSS 2022-2023
Coronary heart disease
CDC PLACES · 2025 release · BRFSS 2022-2023
Diabetes (diagnosed)
CDC PLACES · 2025 release · BRFSS 2022-2023
Frequent mental distress
CDC PLACES · 2025 release · BRFSS 2022-2023
PLACES uses BRFSS-modeled small-area estimates, not individual records. Crude prevalence shown above is the local rate as published; comparators are age-adjusted vs the North Carolina mean and the US mean — both population-weighted across counties — so geographies with different age structures stay apples-to-apples. Sources: CDC PLACES · 2025 release · BRFSS 2022-2023.
Sources.
- EPA Toxics Release Inventory · retrieved 2026-05-07.
- EPA Safe Drinking Water Information System · retrieved 2026-05-07.