State index
Missouri
Environmental and community health profiles for all 115 counties in Missouri. Sorted by opportunity score (highest need first).
115
Counties
50
Avg opportunity score
11
Converging-risk counties
What the data shows in Missouri
Across Missouri's 115 counties, 11 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 disease burden, the leading driver of community health need in Missouri.
The most widespread specific risk pattern is Respiratory Burden, triggered in 56 counties, followed by Runoff Burden in 40 counties.
Worth County carries the highest overall need in the state, with an opportunity score of 69 out of 100 (elevated). Higher scores mean more burden relative to the rest of the country.
| County | Opportunity | Env | Disease | Provider | Social | Pop |
|---|---|---|---|---|---|---|
| Worth County 29227 | 69 | 41 | 80 | 84 | 53 | 1,907 |
| Knox County 29103 | 68 | 46 | 80 | 68 | 58 | 3,723 |
| Pemiscot County 29155 | 67 | 60 | 81 | 37 | 78 | 14,613 |
| Carter County 29035 | 66 | 44 | 83 | 48 | 72 | 5,303 |
| Mercer County 29129 | 66 | 41 | 80 | 73 | 54 | 3,469 |
| Wayne County 29223 | 65 | 51 | 90 | 23 | 77 | 10,811 |
| Ozark County 29153 | 65 | 47 | 92 | 24 | 80 | 8,970 |
| Shannon County 29203 | 64 | 46 | 79 | 42 | 74 | 7,238 |
| Dunklin County 29069 | 64 | 61 | 78 | 33 | 66 | 27,032 |
| Oregon County 29149 | 63 | 46 | 86 | 33 | 68 | 8,720 |
| New Madrid County 29143 | 63 | 63 | 78 | 28 | 66 | 15,424 |
| Mississippi County 29133 | 63 | 56 | 76 | 31 | 76 | 11,822 |
| Reynolds County 29179 | 63 | 46 | 83 | 37 | 66 | 5,950 |
| McDonald County 29119 | 63 | 62 | 73 | 34 | 67 | 23,903 |
| Hickory County 29085 | 62 | 41 | 92 | 22 | 74 | 8,718 |
| Clark County 29045 | 61 | 44 | 78 | 58 | 51 | 6,641 |
| Iron County 29093 | 61 | 61 | 78 | 20 | 67 | 9,440 |
| Barton County 29011 | 61 | 58 | 80 | 22 | 65 | 11,731 |
| Ripley County 29181 | 61 | 43 | 82 | 30 | 69 | 10,806 |
| Barry County 29009 | 59 | 62 | 73 | 36 | 53 | 35,265 |
| Morgan County 29141 | 59 | 40 | 83 | 27 | 65 | 21,970 |
| Atchison County 29005 | 58 | 47 | 75 | 62 | 41 | 5,107 |
| Butler County 29023 | 58 | 51 | 78 | 24 | 62 | 41,948 |
| Douglas County 29067 | 58 | 45 | 82 | 21 | 65 | 12,228 |
| Benton County 29015 | 58 | 36 | 83 | 26 | 67 | 20,552 |
| Vernon County 29217 | 58 | 57 | 75 | 30 | 55 | 19,710 |
| Texas County 29215 | 58 | 44 | 78 | 23 | 68 | 25,619 |
| Wright County 29229 | 58 | 47 | 80 | 23 | 61 | 19,403 |
| St. Clair County 29185 | 57 | 42 | 84 | 21 | 62 | 9,752 |
| Washington County 29221 | 57 | 51 | 73 | 21 | 71 | 23,534 |
| Dade County 29057 | 57 | 45 | 84 | 21 | 58 | 7,716 |
| Henry County 29083 | 57 | 52 | 75 | 26 | 58 | 22,485 |
| Dent County 29065 | 56 | 48 | 75 | 25 | 61 | 14,647 |
| Stone County 29209 | 56 | 53 | 78 | 24 | 54 | 32,658 |
| Crawford County 29055 | 56 | 53 | 71 | 21 | 64 | 22,719 |
| Cedar County 29039 | 56 | 36 | 82 | 24 | 62 | 14,672 |
| Grundy County 29079 | 56 | 43 | 76 | 24 | 63 | 9,815 |
| Bollinger County 29017 | 55 | 53 | 72 | 21 | 60 | 10,544 |
| Howell County 29091 | 55 | 47 | 77 | 24 | 58 | 40,735 |
| Shelby County 29205 | 55 | 43 | 78 | 30 | 54 | 5,931 |
| Putnam County 29171 | 55 | 42 | 66 | 58 | 47 | 4,638 |
| Scotland County 29199 | 55 | 48 | 64 | 59 | 44 | 4,676 |
| Dallas County 29059 | 55 | 37 | 76 | 23 | 65 | 17,768 |
| Harrison County 29081 | 54 | 37 | 77 | 37 | 52 | 8,220 |
| Daviess County 29061 | 54 | 43 | 75 | 22 | 61 | 8,551 |
| Sullivan County 29211 | 54 | 45 | 66 | 30 | 62 | 5,797 |
| Montgomery County 29139 | 54 | 49 | 68 | 21 | 62 | 11,459 |
| Holt County 29087 | 53 | 53 | 70 | 45 | 39 | 4,248 |
| Stoddard County 29207 | 53 | 59 | 72 | 20 | 49 | 28,397 |
| Bates County 29013 | 52 | 39 | 68 | 27 | 61 | 16,242 |
| Laclede County 29105 | 52 | 47 | 70 | 22 | 57 | 36,680 |
| Monroe County 29137 | 52 | 37 | 78 | 23 | 55 | 8,698 |
| Audrain County 29007 | 52 | 56 | 69 | 22 | 50 | 24,394 |
| St. Louis city 29510 | 52 | 71 | 40 | 21 | 76 | 281,754 |
| Schuyler County 29197 | 51 | 43 | 51 | 55 | 53 | 4,053 |
| Lawrence County 29109 | 50 | 54 | 64 | 20 | 53 | 38,872 |
| Maries County 29125 | 50 | 46 | 67 | 21 | 56 | 8,430 |
| Scott County 29201 | 50 | 64 | 59 | 21 | 50 | 37,889 |
| Jasper County 29097 | 50 | 72 | 49 | 24 | 51 | 125,056 |
| Taney County 29213 | 50 | 45 | 62 | 28 | 55 | 56,775 |
| Carroll County 29033 | 50 | 46 | 68 | 22 | 52 | 8,391 |
| Gentry County 29075 | 49 | 39 | 61 | 36 | 54 | 6,287 |
| Buchanan County 29021 | 49 | 59 | 52 | 24 | 55 | 82,956 |
| Pike County 29163 | 49 | 57 | 60 | 22 | 49 | 17,935 |
| Gasconade County 29073 | 48 | 40 | 67 | 23 | 53 | 14,705 |
| Ralls County 29173 | 48 | 49 | 71 | 21 | 45 | 10,489 |
| St. Francois County 29187 | 48 | 53 | 55 | 22 | 55 | 67,058 |
| Madison County 29123 | 48 | 54 | 59 | 21 | 51 | 12,698 |
| Lewis County 29111 | 48 | 49 | 58 | 21 | 55 | 9,818 |
| Newton County 29145 | 48 | 66 | 58 | 22 | 42 | 60,677 |
| Camden County 29029 | 48 | 40 | 71 | 22 | 47 | 44,044 |
| Chariton County 29041 | 48 | 39 | 71 | 37 | 39 | 7,399 |
| Caldwell County 29025 | 47 | 36 | 61 | 21 | 60 | 8,955 |
| Linn County 29115 | 47 | 35 | 67 | 22 | 53 | 11,791 |
| Polk County 29167 | 47 | 42 | 60 | 23 | 54 | 32,780 |
| Ste. Genevieve County 29186 | 46 | 65 | 53 | 23 | 43 | 18,642 |
| Miller County 29131 | 46 | 41 | 61 | 23 | 51 | 25,590 |
| Macon County 29121 | 46 | 48 | 58 | 26 | 46 | 15,161 |
| Ray County 29177 | 46 | 44 | 59 | 21 | 52 | 23,182 |
| Livingston County 29117 | 45 | 45 | 59 | 24 | 47 | 14,557 |
| Jackson County 29095 | 45 | 60 | 33 | 29 | 59 | 718,560 |
| Franklin County 29071 | 44 | 65 | 47 | 22 | 44 | 106,404 |
| Warren County 29219 | 44 | 57 | 47 | 22 | 48 | 37,806 |
| Marion County 29127 | 43 | 55 | 52 | 19 | 46 | 28,336 |
| Nodaway County 29147 | 43 | 57 | 34 | 38 | 48 | 20,695 |
| Webster County 29225 | 43 | 51 | 49 | 21 | 49 | 41,472 |
| Perry County 29157 | 43 | 64 | 51 | 21 | 37 | 18,950 |
| Randolph County 29175 | 42 | 49 | 54 | 23 | 43 | 24,109 |
| Pettis County 29159 | 42 | 51 | 49 | 23 | 45 | 43,530 |
| Cape Girardeau County 29031 | 41 | 73 | 35 | 22 | 43 | 82,984 |
| Howard County 29089 | 41 | 44 | 46 | 22 | 50 | 10,101 |
| Clinton County 29049 | 40 | 48 | 47 | 25 | 42 | 21,548 |
| Cooper County 29053 | 39 | 50 | 46 | 26 | 41 | 16,947 |
| Moniteau County 29135 | 39 | 45 | 42 | 24 | 47 | 15,256 |
| DeKalb County 29063 | 39 | 42 | 52 | 23 | 41 | 9,899 |
| Greene County 29077 | 39 | 48 | 35 | 22 | 52 | 304,611 |
| Jefferson County 29099 | 38 | 54 | 36 | 22 | 45 | 231,230 |
| Lafayette County 29107 | 38 | 43 | 45 | 23 | 43 | 33,196 |
| Phelps County 29161 | 37 | 34 | 40 | 22 | 53 | 45,284 |
| Osage County 29151 | 37 | 47 | 39 | 21 | 46 | 13,468 |
| Lincoln County 29113 | 36 | 54 | 34 | 23 | 42 | 64,699 |
| Saline County 29195 | 36 | 46 | 41 | 22 | 42 | 23,049 |
| Callaway County 29027 | 36 | 44 | 42 | 21 | 41 | 44,731 |
| Andrew County 29003 | 35 | 49 | 43 | 24 | 33 | 18,127 |
| St. Louis County 29189 | 35 | 55 | 29 | 21 | 44 | 987,059 |
| Adair County 29001 | 34 | 38 | 31 | 28 | 45 | 25,122 |
| Cass County 29037 | 33 | 46 | 33 | 28 | 36 | 111,732 |
| Christian County 29043 | 32 | 47 | 32 | 22 | 37 | 94,422 |
| Platte County 29165 | 31 | 65 | 19 | 28 | 31 | 111,940 |
| St. Charles County 29183 | 30 | 67 | 22 | 21 | 25 | 416,659 |
| Johnson County 29101 | 29 | 42 | 24 | 22 | 40 | 54,962 |
| Clay County 29047 | 29 | 52 | 23 | 23 | 32 | 259,772 |
| Cole County 29051 | 29 | 45 | 29 | 23 | 31 | 77,278 |
| Boone County 29019 | 28 | 44 | 18 | 23 | 42 | 189,463 |
| Pulaski County 29169 | 28 | 40 | 15 | 22 | 47 | 53,812 |
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.