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.

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

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.