State index

North Carolina

Environmental and community health profiles for all 100 counties in North Carolina. Sorted by opportunity score (highest need first).

100

Counties

Avg opportunity score

Converging-risk counties

What the data shows in North Carolina

Across North Carolina's 100 counties, 8 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 North Carolina.

The most widespread specific risk pattern is Respiratory Burden, triggered in 38 counties, followed by Industrial Burden in 22 counties.

Washington County carries the highest overall need in the state, with an opportunity score of 67 out of 100 (elevated). Higher scores mean more burden relative to the rest of the country.

County	Opportunity	Env	Disease	Provider	Social	Pop
Washington County 37187	67	46	84	49	68	10,713
Alleghany County 37005	61	40	82	41	62	11,342
Cherokee County 37039	61	39	80	52	56	29,959
Richmond County 37153	61	48	72	35	75	42,324
Scotland County 37165	60	48	72	34	77	34,376
Robeson County 37155	60	48	72	33	78	117,365
Northampton County 37131	60	41	81	37	62	16,715
Halifax County 37083	60	44	75	34	73	47,298
Bladen County 37017	60	42	73	37	75	29,484
Hyde County 37095	60	24	73	54	79	4,607
Tyrrell County 37177	59	23	72	61	65	3,461
Anson County 37007	59	49	70	33	75	21,897
Bertie County 37015	59	42	73	37	71	16,922
Warren County 37185	59	33	78	38	68	18,836
Chowan County 37041	58	38	78	39	61	13,891
Hertford County 37091	58	41	71	39	67	19,453
Columbus County 37047	58	47	70	32	69	50,121
Beaufort County 37013	58	45	75	37	58	44,481
Lenoir County 37107	57	33	76	35	71	54,895
Clay County 37043	57	29	74	53	58	11,864
Martin County 37117	57	34	78	35	63	21,447
Edgecombe County 37065	57	38	69	35	74	48,832
Rutherford County 37161	56	46	74	34	57	65,507
Rockingham County 37157	56	50	67	36	60	92,518
Jones County 37103	56	29	77	37	62	9,401
Swain County 37173	56	27	74	38	69	13,916
Wilson County 37195	55	41	68	35	61	78,970
Vance County 37181	55	35	65	36	71	42,301
Wilkes County 37193	55	47	73	33	52	66,013
Cleveland County 37045	54	59	60	33	55	101,378
Graham County 37075	53	44	66	42	53	8,052
Perquimans County 37143	53	25	75	37	60	13,377
Yancey County 37199	53	36	72	38	54	18,938
Mitchell County 37121	53	41	62	47	53	14,999
Montgomery County 37123	53	39	68	34	57	26,085
Ashe County 37009	53	38	72	37	51	27,063
Person County 37145	53	43	64	36	56	39,737
Surry County 37171	53	44	70	34	51	71,462
Pamlico County 37137	52	23	73	40	58	12,423
Sampson County 37163	52	40	61	36	61	59,601
Stokes County 37169	52	44	65	37	52	45,532
Duplin County 37061	52	38	63	35	60	49,520
Gates County 37073	51	29	70	43	52	10,343
Macon County 37113	51	29	74	34	54	38,412
Greene County 37079	51	30	60	37	64	20,530
Burke County 37023	50	37	65	35	53	88,338
Randolph County 37151	50	46	56	34	57	147,458
Polk County 37149	50	32	70	32	53	20,060
Yadkin County 37197	50	43	63	34	51	37,774
Caswell County 37033	49	35	66	29	56	22,807
Caldwell County 37027	49	39	64	35	51	80,574
Haywood County 37087	49	49	59	37	46	62,969
Rowan County 37159	49	51	47	36	57	151,661
McDowell County 37111	49	38	62	37	50	44,893
Davidson County 37057	48	47	53	35	51	174,804
Wayne County 37191	47	40	52	36	56	118,686
Nash County 37127	47	38	54	35	54	96,551
Gaston County 37071	47	59	40	34	54	237,242
Stanly County 37167	47	50	51	36	47	65,699
Lee County 37105	46	43	45	34	59	67,059
Transylvania County 37175	46	38	61	33	47	33,549
Cumberland County 37051	46	54	32	34	62	337,890
Craven County 37049	45	40	46	35	56	102,391
Henderson County 37089	45	47	54	33	44	119,230
Hoke County 37093	45	43	39	34	60	54,446
Brunswick County 37019	44	39	63	33	40	159,964
Alexander County 37003	44	42	56	36	42	36,473
Jackson County 37099	43	31	48	34	55	44,574
Madison County 37115	43	27	50	37	55	22,071
Granville County 37077	43	43	48	36	46	62,192
Avery County 37011	43	28	59	38	43	17,561
Catawba County 37035	42	55	42	34	43	164,645
Davie County 37059	42	44	48	36	42	44,599
Pasquotank County 37139	42	30	42	40	54	41,444
Carteret County 37031	41	28	54	36	43	69,615
Forsyth County 37067	40	40	35	35	52	392,921
Franklin County 37069	40	38	41	34	48	77,001
Pitt County 37147	39	36	33	35	55	175,119
Buncombe County 37021	39	48	35	35	45	275,901
Lincoln County 37109	39	46	40	34	41	95,675
Harnett County 37085	39	38	32	34	53	141,477
Chatham County 37037	38	44	48	34	33	81,624
Guilford County 37081	38	41	32	35	50	549,866
Alamance County 37001	37	33	37	34	48	179,165
Moore County 37125	36	39	41	34	38	106,898
Watauga County 37189	36	36	30	37	48	54,748
Dare County 37055	35	24	40	39	43	38,110
Pender County 37141	35	26	37	36	46	68,521
Johnston County 37101	35	45	27	35	42	241,955
Iredell County 37097	34	55	28	34	33	199,710
New Hanover County 37129	34	31	30	35	47	238,852
Camden County 37029	33	28	29	51	35	11,137
Cabarrus County 37025	31	51	19	35	35	240,016
Durham County 37063	31	41	17	35	43	336,892
Onslow County 37133	30	34	15	35	48	213,676
Currituck County 37053	29	22	30	41	36	31,593
Mecklenburg County 37119	29	44	14	33	42	1,163,701
Union County 37179	29	52	19	34	29	256,452
Wake County 37183	25	43	11	35	29	1,190,275
Orange County 37135	23	29	16	35	33	150,626

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.