State index

Texas

Environmental and community health profiles for all 254 counties in Texas. Sorted by opportunity score (highest need first).

254

Counties

Avg opportunity score

Converging-risk counties

What the data shows in Texas

Across Texas's 254 counties, 33 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 Texas.

The most widespread specific risk pattern is Field Burden, triggered in 222 counties, followed by Heat Vulnerability in 199 counties.

San Augustine County carries the highest overall need in the state, with an opportunity score of 80 out of 100 (high). Higher scores mean more burden relative to the rest of the country.

County	Opportunity	Env	Disease	Provider	Social	Pop
San Augustine County 48405	80	45	88	91	78	7,833
Marion County 48315	79	59	81	84	74	9,571
Foard County 48155	76	45	82	84	80	1,079
Real County 48385	76	45	77	96	67	2,854
Cottle County 48101	75	44	73	98	71	1,294
Aransas County 48007	75	69	65	82	73	25,374
Red River County 48387	75	52	78	79	78	11,678
Sabine County 48403	75	52	81	82	65	10,106
Briscoe County 48045	75	42	71	98	74	1,445
Refugio County 48391	74	75	50	95	68	6,666
Jasper County 48241	73	61	73	80	62	32,694
Dickens County 48125	73	42	68	100	68	1,711
Throckmorton County 48447	72	49	70	98	57	1,526
Menard County 48327	72	42	70	99	62	1,958
Jim Hogg County 48247	72	70	50	95	65	4,720
Llano County 48299	72	59	69	84	62	22,875
Cass County 48067	72	65	70	70	67	28,659
Hall County 48191	71	46	63	99	65	2,818
Trinity County 48455	71	47	77	76	70	14,228
Kimble County 48267	71	43	73	97	57	4,442
Houston County 48225	71	55	65	83	68	22,066
Leon County 48289	71	63	65	79	64	16,538
Hamilton County 48193	71	55	65	85	65	8,619
Tyler County 48457	71	44	68	88	70	20,382
Edwards County 48137	71	45	65	96	64	1,393
Robertson County 48395	71	70	55	83	65	17,267
Coke County 48081	70	43	71	94	58	3,352
Coleman County 48083	70	45	66	91	64	7,842
Newton County 48351	70	47	83	57	75	12,039
Jeff Davis County 48243	70	33	77	99	54	1,856
Bandera County 48019	69	53	66	84	61	22,637
Baylor County 48023	69	51	66	89	60	3,463
Goliad County 48175	69	70	54	96	53	7,144
San Jacinto County 48407	69	50	68	78	69	28,936
Shelby County 48419	69	55	65	79	65	24,179
Limestone County 48293	69	54	60	85	67	22,250
McCulloch County 48307	69	51	57	92	65	7,452
Cochran County 48079	69	41	56	97	74	2,509
Palo Pinto County 48363	68	56	56	85	69	29,747
Milam County 48331	68	70	51	83	61	25,951
Swisher County 48437	68	51	48	96	75	6,955
Montague County 48337	68	54	55	86	67	21,598
Stonewall County 48433	68	44	68	95	53	1,218
Falls County 48145	67	64	59	76	60	17,286
Collingsworth County 48087	67	48	57	97	58	2,563
Wheeler County 48483	67	46	57	96	60	4,804
Donley County 48129	67	46	60	97	56	3,214
Crosby County 48107	67	48	48	97	71	4,917
Willacy County 48489	67	78	36	88	62	20,037
Dimmit County 48127	66	53	54	77	78	8,257
McMullen County 48311	66	64	57	N/A	69	568
Henderson County 48213	66	49	61	80	63	86,158
Angelina County 48005	66	59	54	83	60	87,319
Duval County 48131	66	68	37	89	70	9,604
Nolan County 48353	66	53	57	84	62	14,306
Live Oak County 48297	66	71	48	82	58	11,584
Delta County 48119	66	63	54	94	48	5,520
DeWitt County 48123	66	59	49	89	60	19,929
Eastland County 48133	66	49	57	82	68	18,037
Freestone County 48161	66	58	53	87	58	20,441
Morris County 48343	66	62	66	62	61	12,066
Motley County 48345	66	41	64	98	52	1,020
Navarro County 48349	66	66	50	82	60	55,635
Wilbarger County 48487	66	60	60	69	62	12,522
Clay County 48077	66	63	52	85	56	10,738
Gonzales County 48177	65	62	45	87	63	19,930
Wood County 48499	65	49	66	74	60	47,921
Brooks County 48047	65	55	38	95	74	6,848
Hardeman County 48197	65	49	61	88	55	3,490
Zavala County 48507	65	53	49	91	62	9,312
Camp County 48063	65	61	60	66	62	13,000
Lamar County 48277	65	59	58	71	62	51,127
Lee County 48287	65	61	55	78	58	18,240
Polk County 48373	65	41	60	80	68	54,186
Grimes County 48185	65	63	43	86	63	32,384
King County 48269	65	40	77	N/A	61	217
Knox County 48275	65	49	53	97	54	3,302
Jackson County 48239	65	65	46	86	58	15,221
Zapata County 48505	65	65	44	76	69	13,736
Matagorda County 48321	64	64	45	74	68	36,359
Mills County 48333	64	49	57	97	49	4,548
Starr County 48427	64	71	39	76	68	65,934
Presidio County 48377	64	37	49	98	65	5,795
Bosque County 48035	64	54	58	82	53	18,996
Mason County 48319	64	50	56	96	48	3,931
Lavaca County 48285	63	60	58	89	43	20,571
Cherokee County 48073	63	52	52	80	62	52,217
Colorado County 48089	63	63	46	87	54	21,117
Gray County 48179	63	58	39	97	57	20,916
Upshur County 48459	63	54	56	75	58	43,281
Hill County 48217	62	60	50	76	58	38,101
Floyd County 48153	62	50	45	95	56	5,090
Potter County 48375	62	51	42	84	70	114,647
San Patricio County 48409	62	81	29	79	61	70,660
Haskell County 48207	62	46	52	95	52	5,385
Lipscomb County 48295	62	50	47	98	51	2,906
San Saba County 48411	62	50	47	94	54	5,845
Jack County 48237	62	49	46	81	66	8,875
Stephens County 48429	62	43	43	91	65	9,343
Brown County 48049	61	57	49	84	52	38,709
Jefferson County 48245	61	54	44	79	64	251,496
Kenedy County 48261	61	70	39	N/A	92	343
Austin County 48015	61	59	48	83	53	31,677
Rains County 48379	61	46	60	68	61	12,986
Young County 48503	61	53	44	87	57	18,124
Bowie County 48037	61	66	46	71	57	91,687
Comanche County 48093	61	50	55	76	55	14,050
Culberson County 48109	61	38	44	98	59	2,196
Lynn County 48305	61	47	41	92	60	5,761
Titus County 48449	61	62	45	72	60	31,357
Nacogdoches County 48347	61	55	41	80	63	65,375
Panola County 48365	61	57	51	68	59	22,838
Kerr County 48265	60	43	58	83	52	53,915
Runnels County 48399	60	52	43	89	55	9,868
Burleson County 48051	60	65	43	80	51	19,475
Upton County 48461	60	48	42	93	55	3,109
Concho County 48095	60	50	34	95	60	3,297
Liberty County 48291	60	54	38	79	66	108,272
Hutchinson County 48233	60	64	36	93	49	20,033
Jim Wells County 48249	60	63	33	75	67	38,662
Calhoun County 48057	59	80	31	88	46	19,696
Wharton County 48481	59	64	37	76	59	41,739
Fayette County 48149	59	66	49	81	43	25,474
Terry County 48445	59	44	42	77	73	11,547
Fisher County 48151	59	48	47	91	49	3,612
Oldham County 48359	59	39	37	99	59	1,783
Van Zandt County 48467	59	46	52	76	55	64,000
Gregg County 48183	59	56	40	80	57	126,243
Sutton County 48435	59	43	40	96	54	3,221
Hopkins County 48223	58	52	46	76	55	38,172
Rusk County 48401	58	61	41	79	52	53,079
Fannin County 48147	58	55	45	75	55	37,571
Hale County 48189	58	59	33	82	60	31,761
Karnes County 48255	58	64	24	86	62	15,018
Harrison County 48203	58	55	45	71	57	70,895
Kleberg County 48273	58	71	20	83	63	30,069
Victoria County 48469	58	64	30	90	52	91,664
Madison County 48313	58	61	32	73	64	13,742
Anderson County 48001	57	49	34	80	65	57,736
Lampasas County 48281	57	46	47	85	49	23,262
Armstrong County 48011	57	45	43	99	44	1,832
Atascosa County 48013	57	68	25	79	59	51,784
Lamb County 48279	57	59	41	73	54	12,711
La Salle County 48283	57	56	28	95	53	6,537
Hidalgo County 48215	57	58	27	80	65	898,471
Kinney County 48271	57	51	44	97	40	3,148
Dallam County 48111	57	51	31	95	54	7,237
Nueces County 48355	57	67	25	78	61	352,289
Uvalde County 48463	57	52	28	84	64	24,960
Howard County 48227	57	61	24	86	59	30,554
Irion County 48235	57	44	38	96	51	1,549
Shackelford County 48417	57	48	37	98	48	3,229
Burnet County 48053	56	55	45	78	49	53,991
Hockley County 48219	56	57	29	85	58	21,460
Jones County 48253	56	56	26	88	59	20,381
Cooke County 48097	56	61	42	74	50	43,782
Cameron County 48061	56	56	29	79	62	426,710
McLennan County 48309	56	63	29	78	57	268,583
Archer County 48009	56	55	46	83	42	9,029
Callahan County 48059	56	41	49	74	55	14,374
Hudspeth County 48229	56	41	23	94	71	3,451
Frio County 48163	56	57	23	85	62	17,987
Maverick County 48323	56	55	27	81	62	57,762
Hardin County 48199	55	53	41	77	51	58,261
Castro County 48069	55	56	29	91	50	7,227
Franklin County 48159	55	50	44	74	51	10,735
Moore County 48341	55	53	28	90	54	21,190
Caldwell County 48055	55	61	27	78	58	49,859
Washington County 48477	55	63	38	76	46	37,007
Gillespie County 48171	55	41	51	77	48	27,733
Bee County 48025	55	62	18	86	60	30,850
Grayson County 48181	55	61	36	76	49	146,907
Orange County 48361	55	51	38	72	57	85,722
Val Verde County 48465	55	47	22	96	58	47,720
Hood County 48221	54	53	42	78	47	67,774
Hunt County 48231	54	55	31	81	55	113,347
Brewster County 48043	54	51	22	94	57	9,513
Deaf Smith County 48117	54	56	33	77	54	18,347
Ochiltree County 48357	54	55	28	90	50	9,704
Garza County 48169	54	46	31	91	53	4,517
Walker County 48471	54	52	31	74	62	81,268
Childress County 48075	54	43	21	98	59	6,788
Dawson County 48115	54	48	33	69	66	12,004
Carson County 48065	54	58	32	93	42	5,878
Wichita County 48485	54	60	28	81	53	130,180
Schleicher County 48413	54	47	32	98	46	2,391
Webb County 48479	54	54	20	85	61	269,148
Pecos County 48371	54	43	27	90	57	14,623
Bailey County 48017	53	45	32	93	49	6,672
Bell County 48027	53	59	27	79	54	393,193
Erath County 48143	53	55	24	80	59	44,195
Sherman County 48421	53	51	21	98	51	2,678
Dallas County 48113	53	64	15	78	61	2,606,358
Somervell County 48425	53	55	33	90	41	9,888
Bastrop County 48021	52	58	25	79	54	110,778
Blanco County 48031	52	59	42	61	48	13,048
Harris County 48201	52	59	15	78	64	4,835,125
Martin County 48317	52	60	17	93	50	5,216
Bexar County 48029	52	61	17	79	58	2,087,679
Glasscock County 48173	52	52	12	100	56	1,141
Johnson County 48251	52	65	24	80	48	202,906
Winkler County 48495	52	56	21	85	54	7,414
Crockett County 48105	52	44	37	97	38	2,858
Ector County 48135	52	61	16	81	57	164,494
Smith County 48423	52	48	35	79	49	245,209
Tom Green County 48451	51	50	24	93	47	119,057
Hansford County 48195	51	51	27	95	42	5,071
Reeves County 48389	50	54	29	67	55	11,770
Wise County 48497	50	57	29	80	44	78,097
Reagan County 48383	50	49	18	94	50	3,141
Ward County 48475	50	46	25	79	55	10,966
Mitchell County 48335	50	42	24	88	52	9,075
Tarrant County 48439	50	65	17	79	50	2,182,947
Crane County 48103	50	43	24	94	47	4,574
Hemphill County 48211	49	47	23	97	43	3,189
Parmer County 48369	49	57	25	81	45	9,617
Scurry County 48415	49	47	28	86	46	16,212
El Paso County 48141	49	63	20	59	60	869,880
Medina County 48325	49	57	24	80	45	54,797
Waller County 48473	49	60	17	75	52	63,553
Brazos County 48041	49	57	13	81	54	244,703
Lubbock County 48303	48	45	16	85	55	320,940
Taylor County 48441	48	48	20	86	49	146,836
Coryell County 48099	48	54	18	78	51	84,878
Wilson County 48493	48	56	21	78	47	54,183
Andrews County 48003	47	53	18	76	51	18,664
Parker County 48367	47	58	24	78	40	173,494
Ellis County 48139	47	65	18	78	41	222,829
Guadalupe County 48187	47	69	17	79	37	188,454
Kaufman County 48257	47	58	18	77	46	185,690
Chambers County 48071	46	62	16	82	41	53,876
Gaines County 48165	46	51	22	69	51	22,523
Galveston County 48167	46	43	20	79	52	361,744
Yoakum County 48501	46	40	19	81	52	7,468
Montgomery County 48339	46	60	14	78	45	711,354
Loving County 48301	45	56	N/A	N/A	39	43
Randall County 48381	44	57	18	85	35	148,255
Terrell County 48443	44	45	37	N/A	52	687
Hays County 48209	44	59	9	79	45	280,486
Hartley County 48205	44	44	18	97	33	5,145
Sterling County 48431	43	42	10	96	42	1,397
Comal County 48091	43	58	16	80	35	193,928
Midland County 48329	43	54	9	82	43	177,108
Travis County 48453	42	59	6	78	44	1,334,961
Borden County 48033	42	43	47	N/A	40	572
Kendall County 48259	41	49	21	76	34	50,537
Fort Bend County 48157	41	65	7	78	34	916,778
Kent County 48263	40	40	46	N/A	40	734
Brazoria County 48039	39	48	11	78	39	398,938
Williamson County 48491	39	64	6	79	32	697,191
Denton County 48121	38	58	7	79	32	1,007,703
Collin County 48085	38	64	4	78	30	1,195,359
Rockwall County 48397	37	54	9	77	28	131,307
Roberts County 48393	33	44	34	N/A	33	840

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.

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