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 55 counties, followed by Runoff Burden in 40 counties.
Worth County carries the highest overall need in the state, with an opportunity score of 71 out of 100 (high). Higher scores mean more burden relative to the rest of the country.
| County | Opportunity | Env | Disease | Provider | Social | Pop |
|---|---|---|---|---|---|---|
| Worth County 29227 | 71 | 41 | 80 | 93 | 53 | 1,907 |
| Mercer County 29129 | 70 | 40 | 80 | 89 | 54 | 3,469 |
| Pemiscot County 29155 | 68 | 59 | 81 | 42 | 78 | 14,613 |
| Ozark County 29153 | 66 | 47 | 92 | 29 | 80 | 8,970 |
| Wayne County 29223 | 66 | 51 | 90 | 28 | 77 | 10,811 |
| Carter County 29035 | 66 | 44 | 83 | 46 | 72 | 5,303 |
| Dunklin County 29069 | 65 | 61 | 78 | 39 | 66 | 27,032 |
| Reynolds County 29179 | 65 | 46 | 83 | 46 | 66 | 5,950 |
| Oregon County 29149 | 65 | 46 | 86 | 39 | 68 | 8,720 |
| Hickory County 29085 | 64 | 41 | 92 | 29 | 74 | 8,718 |
| McDonald County 29119 | 64 | 62 | 73 | 37 | 67 | 23,903 |
| New Madrid County 29143 | 64 | 63 | 78 | 29 | 66 | 15,424 |
| Shannon County 29203 | 63 | 45 | 79 | 39 | 74 | 7,238 |
| Mississippi County 29133 | 63 | 56 | 76 | 31 | 76 | 11,822 |
| Barton County 29011 | 62 | 57 | 80 | 28 | 65 | 11,731 |
| Knox County 29103 | 62 | 45 | 80 | 47 | 58 | 3,723 |
| Iron County 29093 | 62 | 61 | 78 | 24 | 67 | 9,440 |
| Ripley County 29181 | 62 | 43 | 82 | 35 | 69 | 10,806 |
| Clark County 29045 | 61 | 44 | 78 | 57 | 51 | 6,641 |
| Douglas County 29067 | 60 | 45 | 82 | 28 | 65 | 12,228 |
| Barry County 29009 | 60 | 61 | 73 | 38 | 53 | 35,265 |
| Vernon County 29217 | 60 | 56 | 75 | 37 | 55 | 19,710 |
| Butler County 29023 | 59 | 51 | 78 | 27 | 62 | 41,948 |
| Morgan County 29141 | 59 | 40 | 83 | 27 | 65 | 21,970 |
| St. Clair County 29185 | 59 | 42 | 84 | 26 | 62 | 9,752 |
| Wright County 29229 | 58 | 47 | 80 | 26 | 61 | 19,403 |
| Texas County 29215 | 58 | 44 | 78 | 25 | 68 | 25,619 |
| Benton County 29015 | 58 | 36 | 83 | 26 | 67 | 20,552 |
| Shelby County 29205 | 58 | 43 | 78 | 41 | 54 | 5,931 |
| Washington County 29221 | 58 | 51 | 73 | 22 | 71 | 23,534 |
| Putnam County 29171 | 58 | 41 | 66 | 69 | 47 | 4,638 |
| Atchison County 29005 | 58 | 47 | 75 | 60 | 41 | 5,107 |
| Sullivan County 29211 | 58 | 44 | 66 | 43 | 62 | 5,797 |
| Dade County 29057 | 57 | 45 | 84 | 23 | 58 | 7,716 |
| Howell County 29091 | 57 | 47 | 77 | 30 | 58 | 40,735 |
| Grundy County 29079 | 57 | 43 | 76 | 29 | 63 | 9,815 |
| Crawford County 29055 | 57 | 53 | 71 | 24 | 64 | 22,719 |
| Dent County 29065 | 57 | 48 | 75 | 27 | 61 | 14,647 |
| Stone County 29209 | 56 | 53 | 78 | 25 | 54 | 32,658 |
| Cedar County 29039 | 56 | 35 | 82 | 26 | 62 | 14,672 |
| Bollinger County 29017 | 56 | 53 | 72 | 23 | 60 | 10,544 |
| Henry County 29083 | 56 | 52 | 75 | 23 | 58 | 22,485 |
| Daviess County 29061 | 56 | 43 | 75 | 27 | 61 | 8,551 |
| Holt County 29087 | 56 | 53 | 70 | 56 | 39 | 4,248 |
| Harrison County 29081 | 56 | 37 | 77 | 42 | 52 | 8,220 |
| Dallas County 29059 | 55 | 37 | 76 | 25 | 65 | 17,768 |
| Montgomery County 29139 | 54 | 49 | 68 | 24 | 62 | 11,459 |
| Scotland County 29199 | 54 | 48 | 64 | 56 | 44 | 4,676 |
| Stoddard County 29207 | 54 | 59 | 72 | 25 | 49 | 28,397 |
| Bates County 29013 | 53 | 39 | 68 | 30 | 61 | 16,242 |
| Gentry County 29075 | 53 | 39 | 61 | 49 | 54 | 6,287 |
| Monroe County 29137 | 53 | 37 | 78 | 26 | 55 | 8,698 |
| Laclede County 29105 | 52 | 47 | 70 | 23 | 57 | 36,680 |
| Maries County 29125 | 52 | 46 | 67 | 28 | 56 | 8,430 |
| St. Louis city 29510 | 52 | 71 | 40 | 22 | 76 | 281,754 |
| Audrain County 29007 | 52 | 56 | 69 | 23 | 50 | 24,394 |
| Lawrence County 29109 | 51 | 54 | 64 | 24 | 53 | 38,872 |
| Jasper County 29097 | 51 | 71 | 49 | 27 | 51 | 125,056 |
| Scott County 29201 | 51 | 64 | 59 | 23 | 50 | 37,889 |
| Carroll County 29033 | 50 | 46 | 68 | 25 | 52 | 8,391 |
| Schuyler County 29197 | 50 | 42 | 51 | 51 | 53 | 4,053 |
| Taney County 29213 | 50 | 45 | 62 | 30 | 55 | 56,775 |
| Buchanan County 29021 | 50 | 59 | 52 | 27 | 55 | 82,956 |
| Pike County 29163 | 50 | 57 | 60 | 26 | 49 | 17,935 |
| Gasconade County 29073 | 49 | 40 | 67 | 27 | 53 | 14,705 |
| Linn County 29115 | 49 | 35 | 67 | 29 | 53 | 11,791 |
| Newton County 29145 | 49 | 66 | 58 | 26 | 42 | 60,677 |
| Ralls County 29173 | 49 | 49 | 71 | 22 | 45 | 10,489 |
| St. Francois County 29187 | 48 | 53 | 55 | 23 | 55 | 67,058 |
| Madison County 29123 | 48 | 54 | 59 | 22 | 51 | 12,698 |
| Lewis County 29111 | 48 | 49 | 58 | 23 | 55 | 9,818 |
| Camden County 29029 | 48 | 40 | 71 | 24 | 47 | 44,044 |
| Polk County 29167 | 47 | 42 | 60 | 25 | 54 | 32,780 |
| Caldwell County 29025 | 47 | 36 | 61 | 21 | 60 | 8,955 |
| Macon County 29121 | 46 | 48 | 58 | 29 | 46 | 15,161 |
| Miller County 29131 | 46 | 41 | 61 | 25 | 51 | 25,590 |
| Ste. Genevieve County 29186 | 46 | 65 | 53 | 23 | 43 | 18,642 |
| Ray County 29177 | 46 | 44 | 59 | 22 | 52 | 23,182 |
| Nodaway County 29147 | 46 | 57 | 34 | 49 | 48 | 20,695 |
| Jackson County 29095 | 45 | 59 | 33 | 30 | 59 | 718,560 |
| Livingston County 29117 | 45 | 45 | 59 | 24 | 47 | 14,557 |
| Franklin County 29071 | 45 | 65 | 47 | 25 | 44 | 106,404 |
| Marion County 29127 | 44 | 55 | 52 | 22 | 46 | 28,336 |
| Webster County 29225 | 44 | 50 | 49 | 26 | 49 | 41,472 |
| Chariton County 29041 | 44 | 39 | 71 | 21 | 39 | 7,399 |
| Warren County 29219 | 44 | 56 | 47 | 22 | 48 | 37,806 |
| Perry County 29157 | 43 | 63 | 51 | 24 | 37 | 18,950 |
| Randolph County 29175 | 42 | 49 | 54 | 24 | 43 | 24,109 |
| Pettis County 29159 | 42 | 51 | 49 | 24 | 45 | 43,530 |
| Cape Girardeau County 29031 | 41 | 73 | 35 | 24 | 43 | 82,984 |
| Clinton County 29049 | 41 | 48 | 47 | 30 | 42 | 21,548 |
| Howard County 29089 | 41 | 44 | 46 | 23 | 50 | 10,101 |
| Moniteau County 29135 | 40 | 45 | 42 | 29 | 47 | 15,256 |
| Cooper County 29053 | 39 | 50 | 46 | 25 | 41 | 16,947 |
| DeKalb County 29063 | 39 | 42 | 52 | 23 | 41 | 9,899 |
| Greene County 29077 | 39 | 48 | 35 | 25 | 52 | 304,611 |
| Jefferson County 29099 | 39 | 54 | 36 | 24 | 45 | 231,230 |
| Osage County 29151 | 39 | 47 | 39 | 27 | 46 | 13,468 |
| Phelps County 29161 | 38 | 34 | 40 | 25 | 53 | 45,284 |
| Lafayette County 29107 | 38 | 43 | 45 | 23 | 43 | 33,196 |
| Andrew County 29003 | 37 | 49 | 43 | 33 | 33 | 18,127 |
| Callaway County 29027 | 37 | 44 | 42 | 25 | 41 | 44,731 |
| Lincoln County 29113 | 37 | 54 | 34 | 25 | 42 | 64,699 |
| Saline County 29195 | 36 | 46 | 41 | 22 | 42 | 23,049 |
| Adair County 29001 | 35 | 38 | 31 | 35 | 45 | 25,122 |
| St. Louis County 29189 | 35 | 54 | 29 | 22 | 44 | 987,059 |
| Cass County 29037 | 33 | 45 | 33 | 27 | 36 | 111,732 |
| Christian County 29043 | 32 | 47 | 32 | 24 | 37 | 94,422 |
| Platte County 29165 | 31 | 65 | 19 | 28 | 31 | 111,940 |
| St. Charles County 29183 | 31 | 67 | 22 | 23 | 25 | 416,659 |
| Johnson County 29101 | 30 | 42 | 24 | 25 | 40 | 54,962 |
| Clay County 29047 | 29 | 52 | 23 | 26 | 32 | 259,772 |
| Cole County 29051 | 29 | 45 | 29 | 25 | 31 | 77,278 |
| Boone County 29019 | 28 | 44 | 18 | 25 | 42 | 189,463 |
| Pulaski County 29169 | 28 | 39 | 15 | 23 | 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.