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