County profile
Sutter County, California 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
56
+6 vs scale midpoint
Disease
27
−23 vs scale midpoint
Provider
39
−11 vs scale midpoint
SDOH
50
at the scale midpoint
Specific health risk patterns
Sutter County, CA: 1 specific risk pattern triggered
Each pattern below combines a specific environmental exposure with a population that is more vulnerable to that exposure. When both are present at meaningful levels in Sutter County, the pattern triggers. These are the most concrete data points for documenting a significant health need in a Community Health Needs Assessment and for planning where services or community investment would land hardest.
Internally, we call these “Compound Signals.” Each is a versioned, weighted composite scored against the national distribution. The full formula and citations live on the methodology page.
Pesticide intensity at 267.0 kg per sq mi, summer max temperatures averaging 89.8°F.
Pesticide + heat exposure × Farmworker population
Defend this finding — full lineage to source data3 sources cited
Field Burdenneeds reviewSutter County: 72/100 (elevated above the 70th-percentile threshold)
Sutter County: 72/100 (elevated above the 70th-percentile threshold)
Pesticide intensity × summer heat × farmworker population proxy. Surfaces counties where outdoor agricultural workers face simultaneous heat-illness and pesticide-exposure risk.
Methodology. Demographic identifies the population HRSA 330(g) migrant/seasonal worker centers were created to serve. v1 weights are pending finalization — see ticket #90 — and the score is published with medium confidence pending the curation pass.
Threshold. Elevated when score ≥ 70th national percentile across all US counties evaluated for this signal
Peer set. All US counties evaluated for the signal (~3,222, less coverage gaps)
Components (3)
75th percentile
National percentile rank of pesticide application intensity per square mile, conservative-against-undercounting (EPest_HIGH) basis.
USGS — Pesticide National Synthesis Project (PNSP)
Vintage: PNSP 2019 (preliminary) · Refresh: Annual when published · Lag: 2–3 years
How it's measured. Total kg / county land area in sq mi, then rank-percentile against all PNSP-covered US counties. EPest_HIGH is the regional-pool imputation that errs against undercounting.
Caveat. PNSP is on medium-low update reliability — see pesticide_total_kg caveat.
Coverage. 3,054 of 3,222 US counties
89.8 °F
Mean of the daily maximum temperature across the meteorological summer (June–August).
NOAA — Applied Climate Information System (ACIS) — RCC-ACIS
Vintage: Multi-year mean (2018–2023 typical) · Refresh: Monthly · Lag: Current year
How it's measured. NOAA ACIS aggregates GHCN-Daily station observations to county-level summer (JJA) daily-max means using inverse-distance weighting. Smooths year-to-year noise; captures the structural heat profile.
Coverage. All 3,222 US counties
Composite proxy for outdoor agricultural worker exposure, derived from USDA NASS livestock counts and crop acreage indicators.
USDA — NASS — National Agricultural Statistics Service
Vintage: NASS Quick Stats current vintage · Refresh: Annual · Lag: 1–2 years
How it's measured. Weighted blend of farmworker-intensive crop acreage and livestock operations, used as a proxy for the population that HRSA 330(g) migrant/seasonal worker centers were created to serve. Direct farmworker counts are unreliable below state level; this proxy is the structural-pattern stand-in.
Coverage. Counties with non-zero ag activity
5 signals near threshold: Respiratory Burden (66) · Smoke Burden (65) · Heat-Dialysis Vulnerability (58) · Outage Vulnerability (58) · Heat Vulnerability (57)
8 signals evaluated. See all signal methodologies →
Where Sutter County stands
Fewer than two displayed scores reach the screening threshold
Sutter County, California has these published scores: Environmental Risk 55.9/100; Disease Burden 27.4/100; Provider Gap 39.4/100; SDOH Composite 50.2/100. 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
Sutter County compared to California
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 (56) and SDOH Composite (50) are above the scale midpoint and below the screening threshold of 70/100.
Disease Burden (27) and Provider Gap (39) are at or below the scale midpoint of 50/100.
- Sutter County
- California state mean
- Scale midpoint (50)
- Signal threshold (70)
Current Conditions
Today's air quality, fires, and weather alerts
Live operational data for Sutter County: 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 Sutter County 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 Sutter County 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 | Sutter County | CA avg | US avg |
|---|---|---|---|
PM2.5 (annual mean) EPA AQS / EJSCREEN | 15.8 µg/m³ ▲ +28% vs CA | 12.3 | 7.4 |
Ozone EPA AQS / EJSCREEN | 67.4 ppb +1.1% vs CA | 66.7 | 57.1 |
Traffic Proximity EJSCREEN | 1,001,485 index ▼ -27% vs CA | 1,363,105 | 291,320 |
Days Above 95°F NOAA ACIS | 56 days/yr ▲ +20% vs CA | 47 | 25 |
Superfund Proximity EPA EJSCREEN | 0.00 score ▼ -100% vs CA | 0.22 | 0.16 |
Drinking Water Violations EPA EJSCREEN | 0.45 score ▼ -51% vs CA | 0.92 | 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 0.0006. 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 59.7; with it, 55.9. 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 Sutter County. 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 Sutter County 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 Sutter County, 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 →
Concentrated Animal Feeding Operations
Livestock density and federal-permit confidence
USDA Census of Agriculture (vintage 2022) animal-unit totals for Sutter County, normalized to land area and ranked nationally. Animal Units (AU) follow the EPA federal definition under 40 CFR §122.23.
Source: USDA Census of Agriculture 2022 (head counts) + EPA 40 CFR §122.23 (animal-unit conversion). The CAFO composite deliberately omits NPDES facility counts because federal coverage averages ~32% nationally per EPA-IG and is heavily state-skewed — adding it as a numerator would systematically bias the index toward delegated states. Full methodology →
Pesticide Use
USGS Pesticide National Synthesis
Annual pesticide application rollup for Sutter County from the USGS Pesticide National Synthesis Project. Most recent year on file: 2019. Mass figures use the EPest_HIGH estimate (the conservative-against-undercounting framing); EPest_LOW is also retained on the underlying data.
- 1.THIOBENCARB57.4K kg
- 2.GLYPHOSATE52.4K kg
- 3.TRICLOPYR7.6K kg
- 4.METOLACHLOR & METOLACHLOR-S6.9K kg
- 5.AZOXYSTROBIN4.8K kg
Source: USGS Pesticide National Synthesis Project (2019). USGS PNSP nationally; year 2019 is preliminary; 2018 unavailable; 2020+ not released. Update reliability medium-low. Full methodology →
Health Outcomes
Chronic disease prevalence
CDC PLACES model-based prevalence estimates for adults in Sutter County. Full profile covers 15+ health outcomes plus mortality on the platform.
| Condition | Sutter County | CA avg | US avg |
|---|---|---|---|
Current Asthma % of adults with current asthma | 10.0% +0.7% vs CA | 9.9% | 10.6% |
COPD % of adults with diagnosed COPD | 6.8% ▲ +5.5% vs CA | 6.4% | 8.6% |
Diabetes % of adults with diagnosed diabetes | 12.8% ▲ +6.1% vs CA | 12.1% | 13.7% |
Coronary Heart Disease % of adults with CHD | 6.8% +0.4% vs CA | 6.8% | 7.9% |
Depression % of adults ever diagnosed with depression | 21.5% -1.7% vs CA | 21.9% | 23.1% |
Frequent Mental Distress % of adults with 14+ poor mental health days/month | 17.9% ▲ +4.7% vs CA | 17.1% | 17.2% |
Vulnerable Medicare Population
Who needs the grid to stay alive
Medicare beneficiaries in Sutter County 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 | 18,566 | — |
Electricity-dependent (any DME) Ventilators, oxygen concentrators, IV pumps, motorized wheelchairs | 1,000 | 53.9 ▲ +16% vs CA |
Dialysis-dependent ESRD beneficiaries needing in-center or home dialysis | 55 | 2.96 ▲ +21% vs CA |
Oxygen-dependent Home oxygen concentrators (outage-vulnerable) | 216 | 11.6 ▼ -17% vs CA |
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 Sutter County 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 | Sutter County | US avg |
|---|---|---|
Primary Care Family medicine, internal medicine, general practice, pediatrics. | 121.2 per 100k ▼ -7.0% vs US | 130.4 |
Cardiology Cardiovascular disease, electrophysiology, interventional cardiology. | 11.1 per 100k ▼ -8.0% vs US | 12.1 |
Pulmonology Respiratory disease specialists — relevant to PM2.5 and wildfire smoke exposure. | 5.0 per 100k ▼ -16% vs US | 6.0 |
Psychiatry Mental health prescribers; complements behavioral health access. | 25.3 per 100k ▲ +35% vs US | 18.7 |
Oncology / Hematology Cancer specialists. | 6.1 per 100k ▼ -5.5% vs US | 6.4 |
Neurology Neurological disease specialists. | 7.1 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 Sutter County; 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 Sutter County, 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 Sutter County
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 Sutter County
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 Sutter County ranks for respiratory, oncology, cardiovascular, renal, endocrine, and behavioral health service line opportunity.
Multi-County Comparison
Compare Sutter County 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 Sutter County with methodology citations. Drops straight into a CHNA or grant application.
Nearby Counties
Counties bordering Sutter County
Adjacent county profiles with their own scores and environmental health data. Source: Census Bureau County Adjacency File.
Yuba County
California
45
Moderate
Butte County
California
43
Moderate
Colusa County
California
41
Moderate
Sacramento County
California
34
Below Avg
Yolo County
California
31
Below Avg
Placer County
California
29
Below Avg
Related analysis
Deeper reads from our research that connect to the data on this page.
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