County profile
Alexandria city, Virginia Community Health Profile
Environmental risk, disease burden, provider access, and SDOH scores for community health needs assessment and service line planning. Fused from EPA, CDC, CMS, and Census data into a single free view.
Opportunity Score
Env
40
−10 vs scale midpoint
Disease
8
−42 vs scale midpoint
Provider
14
−36 vs scale midpoint
SDOH
39
−12 vs scale midpoint
Specific health risk patterns
No specific risk patterns triggered in Alexandria city
We evaluated 8 specific patterns for this county. None scored above the elevated threshold or close to it. More on how these patterns are defined.
Where Alexandria city stands
Fewer than two displayed scores reach the screening threshold
Alexandria city, Virginia has these published scores: Environmental Risk 39.8/100; Disease Burden 7.8/100; Provider Gap 14.2/100; SDOH Composite 38.5/100. None of the published scores reach the screening threshold of 70. Environmental Risk combines the available air, industrial, soil, heat and Superfund proximity indicators. Source coverage and reporting years matter when interpreting it; it does not measure an individual’s exposure. These weighted scores support screening and comparison; a score of 70 does not mean that 70% of counties have lower scores.
Methodology: when three or more of the four major health-risk areas (pollution, chronic disease, doctor access, social and economic conditions) have displayed scores of at least 70/100, we call the pattern “multi-pillar convergence.” The scoring approach and citations live on the methodology page.
Risk profile
Alexandria city compared to Virginia
Four scores on a 0–100 scale. Higher values indicate greater relative burden or need within each measure. The reference line at 50 marks the scale midpoint.
Environmental Risk (40), Disease Burden (8), Provider Gap (14), and SDOH Composite (39) are at or below the scale midpoint of 50/100.
- Alexandria city
- Virginia state mean
- Scale midpoint (50)
- Signal threshold (70)
Current Conditions
Today's air quality, fires, and weather alerts
Live operational data for Alexandria city: real-time AQI from EPA AirNow, active fires from NIFC, and any National Weather Service advisories. Updated daily.
Environmental Factors
Air, water, and exposure indicators
Top environmental indicators for Alexandria city with state and national benchmarks. Full profile covers 40+ metrics on the platform.
These indicators describe environmental conditions and potential exposure. They are not a complete record of environmental incidents in Alexandria city and do not establish the cause of an individual illness. Check each measure's source and reporting period in the data-source reference and review the scoring methods.
| Indicator | Alexandria city | VA avg | US avg |
|---|---|---|---|
PM2.5 (annual mean) EPA AQS / EJSCREEN | 7.2 µg/m³ ▲ +9.7% vs VA | 6.6 | 7.4 |
Ozone EPA AQS / EJSCREEN | 58.1 ppb ▲ +11% vs VA | 52.5 | 57.1 |
Traffic Proximity EJSCREEN | 4,000,295 index ▲ +887% vs VA | 405,269 | 291,320 |
Days Above 95°F NOAA ACIS | 27 days/yr ▲ +210% vs VA | 9 | 25 |
Superfund Proximity EPA EJSCREEN | 0.07 score ▼ -38% vs VA | 0.11 | 0.16 |
Drinking Water Violations EPA EJSCREEN | 0.00 score ▼ -100% vs VA | 1.09 | 3.39 |
PFAS in sampled water systems
EPA UCMR5 observations for systems associated with these counties through reported service ZIP codes. These results are displayed separately and do not contribute to the Environmental Risk score.
Loading sampled-system observations…
How Superfund proximity contributes
The 2024 EJSCREEN proximity indicator is 0.0672. It uses distances to proposed/final National Priorities List and Superfund Alternative Approach sites within 10 km. This is proximity context, not a measurement of heavy-metal exposure or illness.
The score without this component is 39.7; with it, 39.8. Its effective weight is 6.56%. The difference reflects methodology, not changed local conditions.
Component weights, scaling and limitationsWildfire-Attributable Air Quality
Smoke PM2.5 the EPA doesn't count
Stanford peer-reviewed wildfire-attributable PM2.5 for Alexandria city. The EPA classifies wildfire smoke as "exceptional events" and excludes it from official AQS monitoring; Childs/Burke fills that gap with daily county-level data.
Source: Childs et al, Environmental Science & Technology 2022 (Harvard Dataverse 10.7910/DVN/DJVMTV). Latest year shipped: 2020. Burke et al, Nature 2023 estimate that the EPA AQS network undercounts wildfire-attributable PM2.5 by 10–30% in fire-affected counties. Coverage is CONUS only. Full methodology →
Outage Burden
When the grid goes dark
DOE/ORNL EAGLE-I customer-hours-out for Alexandria city in 2024. The fraction is population-normalized via the Maximum Customer Count denominator (Brelsford et al, Sci Data 2024) so it's directly comparable across counties of any size.
Source: DOE/ORNL EAGLE-I (figshare 10.6084/m9.figshare.24237376). Latest year shipped: 2024. Coverage: 3,050 of 3,222 US counties; AK and some sparsely-served rural counties may have no data. Full methodology →
Severe Weather History
Recorded storm events and damages
NOAA NCEI Storm Events Database for Alexandria city, 2010–2026. Cumulative + last 5 years of recorded weather events with deaths, injuries, and damages.
Source: NOAA NCEI Storm Events Database (full history rollup). NOAA buckets ~50 raw event_type strings into 8 health-relevant categories. Coverage: 3,107 of 3,222 US counties; the absent are typically Alaska boroughs and territories where NOAA codes events as forecast zones rather than counties. Full methodology →
Health Outcomes
Chronic disease prevalence
CDC PLACES model-based prevalence estimates for adults in Alexandria city. Full profile covers 15+ health outcomes plus mortality on the platform.
| Condition | Alexandria city | VA avg | US avg |
|---|---|---|---|
Current Asthma % of adults with current asthma | 9.9% ▼ -9.8% vs VA | 11.0% | 10.6% |
COPD % of adults with diagnosed COPD | 4.1% ▼ -50% vs VA | 8.1% | 8.6% |
Diabetes % of adults with diagnosed diabetes | 9.9% ▼ -31% vs VA | 14.3% | 13.7% |
Coronary Heart Disease % of adults with CHD | 4.4% ▼ -42% vs VA | 7.5% | 7.9% |
Depression % of adults ever diagnosed with depression | 20.9% ▼ -9.8% vs VA | 23.2% | 23.1% |
Frequent Mental Distress % of adults with 14+ poor mental health days/month | 14.5% ▼ -15% vs VA | 17.1% | 17.2% |
Vulnerable Medicare Population
Who needs the grid to stay alive
Medicare beneficiaries in Alexandria city who depend on electricity for dialysis, oxygen, or other powered medical equipment. From the HHS emPOWER program, which CMS publishes monthly so emergency managers know who to find first when the power goes out.
| Population | Count | Per 1,000 Medicare |
|---|---|---|
Total Medicare beneficiaries Denominator | 20,838 | — |
Electricity-dependent (any DME) Ventilators, oxygen concentrators, IV pumps, motorized wheelchairs | 500 | 24.0 ▼ -55% vs VA |
Dialysis-dependent ESRD beneficiaries needing in-center or home dialysis | 55 | 2.64 ▼ -38% vs VA |
Oxygen-dependent Home oxygen concentrators (outage-vulnerable) | 95 | 4.6 ▼ -74% vs VA |
Source: HHS emPOWER Map (ArcGIS county layer), September 2026. Counts of 1–10 are masked as “≤10” per HHS privacy rules; per-1,000 rates are derived and still respect the privacy floor. Full methodology →
Provider Supply
Specialty physician density per 100,000 residents
Active providers in Alexandria city from the CMS National Plan and Provider Enumeration System (NPPES). Compared to the U.S. average for each specialty. Adjacency adjustment is applied separately in the Provider Gap pillar score.
| Specialty | Alexandria city | US avg |
|---|---|---|
Primary Care Family medicine, internal medicine, general practice, pediatrics. | 121.8 per 100k ▼ -6.6% vs US | 130.4 |
Cardiology Cardiovascular disease, electrophysiology, interventional cardiology. | 12.1 per 100k +0.4% vs US | 12.1 |
Pulmonology Respiratory disease specialists — relevant to PM2.5 and wildfire smoke exposure. | 5.7 per 100k ▼ -4.8% vs US | 6.0 |
Psychiatry Mental health prescribers; complements behavioral health access. | 20.4 per 100k ▲ +9.3% vs US | 18.7 |
Oncology / Hematology Cancer specialists. | 5.1 per 100k ▼ -20% vs US | 6.4 |
Neurology Neurological disease specialists. | 7.0 per 100k ▼ -11% vs US | 7.9 |
Source: CMS National Plan and Provider Enumeration System (NPPES). Counts reflect providers with a primary practice address in Alexandria city; specialty is taken from the provider's primary NUCC taxonomy code.
Pro analytical view
What drives this county's scores
The flagged signals and service-line opportunities for Alexandria city, plus the methodology decomposition behind each score. Visible to Pro, Consultant Studio, and Enterprise tiers.
Where to focus
Pro feature
Top flagged signals + service lines are a Pro feature
See how each signal's components blend into its final score, and which signals + service lines this county should prioritize. Available on Professional, Consultant Studio, and Enterprise.
Score decomposition
Each named signal's component breakdown with weights. The bar length is the component's percentile rank; the parenthetical is its weight in the final blend.
Pro feature
Score decomposition is a Pro feature
See how each signal's components blend into its final score, and which signals + service lines this county should prioritize. Available on Professional, Consultant Studio, and Enterprise.
Tract drill-down
Census tracts inside Alexandria city
Pro feature
Tract-level drill-down is a Pro feature
See how each signal's components blend into its final score, and which signals + service lines this county should prioritize. Available on Professional, Consultant Studio, and Enterprise.
On the full platform
What else is available for Alexandria city
The page above is a subset. The free Community account unlocks the full single-county profile: every indicator, every data source, demographics, historical trends, and mortality data. Professional unlocks multi-county comparison, compound signal analysis, service line rankings, and consultant-ready PDF reports.
Full Environmental Profile
All 40+ environmental metrics including toxic releases, hazardous site proximity, PFAS detection, pesticide exposure, and climate stress indicators.
Service Line Opportunities
See how Alexandria city ranks for respiratory, oncology, cardiovascular, renal, endocrine, and behavioral health service line opportunity.
Multi-County Comparison
Compare Alexandria city side-by-side with neighboring counties across every dimension.
Trend Analysis
5-year sparklines for health outcomes, SDOH measures, and mortality rates so you can see where the county is heading, not just where it is today.
PDF Report Export
Generate a consultant-ready environmental health briefing for Alexandria city with methodology citations. Drops straight into a CHNA or grant application.
Nearby Counties
Counties bordering Alexandria city
Adjacent county profiles with their own scores and environmental health data. Source: Census Bureau County Adjacency File.
Data sources: EPA AQS, EPA EJSCREEN, EPA TRI, CDC PLACES, CDC WONDER, CMS NPPES, Census ACS, County Health Rankings, NOAA ACIS, NCI State Cancer Profiles. Every score on this page is derived from publicly available federal data, fused by the Banana Analytics pipeline.
Methodology: See the full scoring methodology (v1.2.0) for weights, sensitivity analysis, and validation against county-level mortality data.
Last refreshed: September 9, 2026