State index

Iowa

Environmental and community health profiles for all 99 counties in Iowa. Sorted by opportunity score (highest need first).

Counties

Avg opportunity score

Converging-risk counties

What the data shows in Iowa

Across Iowa's 99 counties, 1 have two or more of the four health-risk areas (environmental, disease, provider access, and social conditions) above the national threshold at the same time. These are the places where several pressures land together rather than one at a time.

Statewide, the health-risk area scoring highest on average is gaps in provider access, the leading driver of community health need in Iowa.

The most widespread specific risk pattern is Runoff Burden, triggered in 70 counties, followed by Industrial Burden in 31 counties.

Appanoose County carries the highest overall need in the state, with an opportunity score of 64 out of 100 (elevated). Higher scores mean more burden relative to the rest of the country.

County	Opportunity	Env	Disease	Provider	Social	Pop
Appanoose County 19007	64	46	75	72	52	12,119
Wayne County 19185	62	43	58	90	50	6,557
Van Buren County 19177	59	36	65	87	44	7,266
Audubon County 19009	58	38	59	91	43	5,534
Clarke County 19039	58	43	54	66	60	9,588
Osceola County 19143	58	43	59	84	43	5,978
Cass County 19029	57	56	61	63	43	13,130
Clayton County 19043	57	53	62	67	41	16,969
Pocahontas County 19151	57	50	55	86	37	6,976
Keokuk County 19107	56	46	55	68	50	9,914
Decatur County 19053	55	42	45	86	46	7,665
Lucas County 19117	54	38	61	66	47	8,747
Adair County 19001	54	44	53	83	38	7,389
Wapello County 19179	54	57	44	68	47	35,166
Fremont County 19071	54	50	48	86	35	6,458
Taylor County 19173	54	47	47	82	42	5,924
Davis County 19051	53	50	44	66	52	9,169
Fayette County 19065	53	55	51	67	41	19,210
Page County 19145	53	52	55	65	39	15,014
Jefferson County 19101	52	59	48	63	42	15,440
Franklin County 19069	52	56	56	68	31	9,875
Ida County 19093	52	52	46	90	26	6,833
Cherokee County 19035	52	49	59	68	34	11,605
Lee County 19111	52	64	50	59	39	32,565
Allamakee County 19005	52	58	52	61	38	14,074
Des Moines County 19057	51	65	41	57	45	38,253
Hardin County 19083	51	57	49	67	37	16,463
Greene County 19073	51	53	54	63	35	8,584
Montgomery County 19137	50	45	52	72	35	10,139
Floyd County 19067	50	61	49	64	33	15,326
Delaware County 19055	49	64	46	65	30	17,600
Humboldt County 19091	49	44	53	71	32	9,500
Monona County 19133	49	41	54	64	38	8,493
Tama County 19171	49	46	52	68	34	16,833
Adams County 19003	49	43	53	72	31	3,544
Jackson County 19097	49	60	49	60	32	19,342
Wright County 19197	49	52	54	65	26	12,656
Union County 19175	49	48	40	76	37	11,906
Ringgold County 19159	49	44	43	86	28	4,642
Clinton County 19045	48	61	47	50	40	46,158
Cerro Gordo County 19033	48	58	47	63	31	42,406
Harrison County 19085	47	49	41	66	40	14,670
Kossuth County 19109	47	49	52	61	32	14,396
Worth County 19195	47	51	43	75	29	7,297
Cedar County 19031	47	66	38	66	29	18,302
Chickasaw County 19037	47	54	45	70	24	11,658
Butler County 19023	47	55	48	62	28	14,172
Crawford County 19047	47	49	42	70	34	16,013
Hancock County 19081	47	51	46	65	32	10,615
Pottawattamie County 19155	47	67	37	57	35	93,179
Monroe County 19135	47	40	36	84	35	7,504
Emmet County 19063	47	46	47	60	39	9,229
Calhoun County 19025	46	49	43	69	32	9,763
Guthrie County 19077	46	50	42	64	36	10,722
Sac County 19161	46	43	47	71	29	9,686
Henry County 19087	46	57	38	65	34	19,547
Jones County 19105	45	57	37	69	30	20,900
O'Brien County 19141	45	44	46	68	31	14,012
Webster County 19187	45	53	35	65	37	36,485
Carroll County 19027	45	51	39	73	23	20,522
Shelby County 19165	45	40	47	71	25	11,806
Hamilton County 19079	44	53	36	68	31	14,729
Clay County 19041	44	40	42	73	30	16,511
Poweshiek County 19157	44	52	34	69	33	18,453
Howard County 19089	44	50	44	58	32	9,376
Iowa County 19095	43	58	35	64	26	16,381
Louisa County 19115	43	60	36	54	33	10,513
Washington County 19183	43	56	36	60	30	22,560
Palo Alto County 19147	43	46	42	63	28	8,810
Mahaska County 19123	43	52	36	65	27	21,874
Marshall County 19127	42	54	29	64	35	40,014
Mitchell County 19131	42	49	43	59	26	10,518
Jasper County 19099	42	54	35	62	28	37,919
Winnebago County 19189	42	52	35	58	33	10,571
Buchanan County 19019	42	55	30	67	27	20,691
Dickinson County 19059	41	39	43	64	24	18,056
Grundy County 19075	41	49	32	70	22	12,384
Black Hawk County 19013	41	49	27	61	38	130,471
Buena Vista County 19021	41	50	26	74	26	20,567
Woodbury County 19193	41	57	24	61	35	105,951
Lyon County 19119	40	36	40	66	29	12,324
Dubuque County 19061	40	65	26	57	28	98,887
Mills County 19129	40	52	30	61	28	14,633
Muscatine County 19139	39	53	30	55	31	42,218
Benton County 19011	39	48	32	58	29	25,796
Marion County 19125	39	54	27	61	25	33,770
Linn County 19113	38	49	27	62	27	228,972
Winneshiek County 19191	38	49	30	60	19	19,815
Plymouth County 19149	37	53	27	58	23	25,722
Madison County 19121	36	41	23	65	29	16,971
Boone County 19015	36	44	28	58	25	26,590
Bremer County 19017	34	47	23	58	18	25,307
Polk County 19153	34	47	15	61	33	505,255
Sioux County 19167	34	50	17	61	16	36,246
Warren County 19181	33	44	18	61	26	55,205
Johnson County 19103	33	50	9	60	33	157,528
Scott County 19163	33	44	28	44	29	174,270
Story County 19169	31	45	9	60	33	98,566
Dallas County 19049	30	48	7	62	19	111,092

Scores are national percentile ranks (0–100) from the Banana Analytics methodology (v1.2.0). Higher scores indicate more burden. Click any county for its full environmental and community health profile.