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 42 counties.

Appanoose 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
Appanoose County 19007	67	46	75	82	52	12,119
Wayne County 19185	63	43	58	95	50	6,557
Clarke County 19039	62	43	54	81	60	9,588
Van Buren County 19177	60	36	65	90	44	7,266
Audubon County 19009	59	38	59	92	43	5,534
Pocahontas County 19151	58	50	55	93	37	6,976
Osceola County 19143	58	43	59	85	43	5,978
Cass County 19029	58	56	61	68	43	13,130
Clayton County 19043	58	53	62	70	41	16,969
Keokuk County 19107	58	46	55	74	50	9,914
Davis County 19051	57	50	44	80	52	9,169
Cherokee County 19035	56	49	59	85	34	11,605
Adair County 19001	56	44	53	92	38	7,389
Jefferson County 19101	56	59	48	78	42	15,440
Taylor County 19173	56	47	47	92	42	5,924
Lucas County 19117	56	38	61	71	47	8,747
Wapello County 19179	55	57	44	74	47	35,166
Fayette County 19065	55	55	51	75	41	19,210
Fremont County 19071	55	50	48	92	35	6,458
Decatur County 19053	54	42	45	83	46	7,665
Page County 19145	54	52	55	69	39	15,014
Franklin County 19069	53	56	56	73	31	9,875
Hardin County 19083	53	57	49	75	36	16,463
Adams County 19003	53	43	53	88	31	3,544
Lee County 19111	53	64	50	61	39	32,565
Ida County 19093	53	52	46	92	26	6,833
Allamakee County 19005	52	58	52	64	38	14,074
Des Moines County 19057	52	65	41	59	45	38,253
Floyd County 19067	52	61	49	71	33	15,326
Greene County 19073	52	53	54	67	35	8,584
Union County 19175	52	48	40	88	37	11,906
Delaware County 19055	51	64	46	73	30	17,600
Calhoun County 19025	51	49	43	86	32	9,763
Humboldt County 19091	50	44	53	76	32	9,500
Sac County 19161	50	43	47	88	29	9,686
Ringgold County 19159	50	44	43	93	28	4,642
Montgomery County 19137	50	45	52	71	35	10,139
Monona County 19133	50	41	54	68	38	8,493
Butler County 19023	50	55	48	74	28	14,172
Tama County 19171	50	46	52	71	34	16,833
Cerro Gordo County 19033	50	58	47	68	31	42,406
Jackson County 19097	49	60	49	63	32	19,342
Crawford County 19047	49	49	42	78	34	16,013
Clinton County 19045	49	61	47	52	40	46,158
Emmet County 19063	49	46	47	68	39	9,229
Harrison County 19085	49	49	41	71	40	14,670
Monroe County 19135	49	40	36	93	35	7,504
Henry County 19087	49	57	38	75	34	19,547
Wright County 19197	49	52	54	64	26	12,656
Kossuth County 19109	48	49	52	65	32	14,396
Cedar County 19031	48	66	38	70	29	18,302
Chickasaw County 19037	48	54	45	72	24	11,658
Worth County 19195	48	51	43	77	29	7,297
Hancock County 19081	48	51	46	69	31	10,615
Guthrie County 19077	48	50	42	69	36	10,722
O'Brien County 19141	48	44	46	76	31	14,012
Pottawattamie County 19155	47	67	37	58	35	93,179
Carroll County 19027	47	51	39	80	23	20,522
Webster County 19187	47	53	35	71	37	36,485
Jones County 19105	47	57	37	73	30	20,900
Clay County 19041	46	40	42	82	30	16,511
Palo Alto County 19147	46	46	42	77	28	8,810
Washington County 19183	46	56	36	73	30	22,560
Iowa County 19095	45	58	35	72	26	16,381
Poweshiek County 19157	45	52	34	73	33	18,453
Hamilton County 19079	45	53	36	71	31	14,729
Mahaska County 19123	45	52	36	74	27	21,874
Howard County 19089	44	50	44	60	32	9,376
Shelby County 19165	44	40	47	70	25	11,806
Louisa County 19115	44	60	36	56	33	10,513
Marshall County 19127	44	54	29	69	35	40,014
Buena Vista County 19021	44	50	26	86	26	20,567
Jasper County 19099	43	54	35	66	28	37,919
Dickinson County 19059	43	39	43	71	24	18,056
Buchanan County 19019	43	55	30	72	27	20,691
Mitchell County 19131	43	49	43	60	26	10,518
Winnebago County 19189	42	52	35	59	33	10,571
Woodbury County 19193	42	57	24	67	35	105,951
Black Hawk County 19013	42	49	27	66	38	130,471
Mills County 19129	42	52	30	69	28	14,633
Lyon County 19119	41	36	40	69	29	12,324
Grundy County 19075	41	49	32	70	22	12,384
Dubuque County 19061	41	65	26	59	28	98,887
Marion County 19125	40	54	27	69	25	33,770
Muscatine County 19139	40	53	30	58	31	42,218
Benton County 19011	40	48	32	63	29	25,796
Winneshiek County 19191	40	49	30	68	19	19,815
Linn County 19113	39	49	27	67	27	228,972
Plymouth County 19149	39	53	27	64	23	25,722
Madison County 19121	38	41	23	73	29	16,971
Boone County 19015	37	44	28	63	25	26,590
Sioux County 19167	36	50	17	70	16	36,246
Polk County 19153	35	47	15	66	33	505,255
Bremer County 19017	35	47	23	61	18	25,307
Warren County 19181	34	44	18	66	26	55,205
Johnson County 19103	34	50	9	66	33	157,528
Scott County 19163	34	44	28	49	29	174,270
Story County 19169	33	45	9	67	33	98,566
Dallas County 19049	31	48	7	66	18	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.