State index
North Dakota
Environmental and community health profiles for all 53 counties in North Dakota. Sorted by opportunity score (highest need first).
53
Counties
45
Avg opportunity score
4
Converging-risk counties
What the data shows in North Dakota
Across North Dakota's 53 counties, 4 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 North Dakota.
The most widespread specific risk pattern is Industrial Burden, triggered in 10 counties, followed by Respiratory Burden in 3 counties.
Benson County carries the highest overall need in the state, with an opportunity score of 70 out of 100 (elevated). Higher scores mean more burden relative to the rest of the country.
| County | Opportunity | Env | Disease | Provider | Social | Pop |
|---|---|---|---|---|---|---|
| Benson County 38005 | 70 | 37 | 66 | 91 | 74 | 5,745 |
| Rolette County 38079 | 65 | 30 | 66 | 85 | 68 | 11,728 |
| Grant County 38037 | 63 | 25 | 73 | 97 | 47 | 2,215 |
| Sioux County 38085 | 63 | 26 | 74 | 62 | 86 | 3,643 |
| Adams County 38001 | 61 | 27 | 64 | 100 | 46 | 2,163 |
| McIntosh County 38051 | 60 | 27 | 68 | 100 | 39 | 2,488 |
| Towner County 38095 | 59 | 30 | 71 | 97 | 34 | 2,030 |
| Sheridan County 38083 | 56 | 26 | 63 | 94 | 37 | 1,266 |
| Logan County 38047 | 56 | 28 | 61 | 95 | 37 | 1,869 |
| Slope County 38087 | 55 | 25 | 65 | 98 | 32 | 674 |
| Eddy County 38027 | 55 | 27 | 58 | 99 | 37 | 2,263 |
| Kidder County 38043 | 55 | 27 | 53 | 97 | 43 | 2,342 |
| Golden Valley County 38033 | 54 | 23 | 62 | 90 | 38 | 1,743 |
| Hettinger County 38041 | 51 | 26 | 43 | 98 | 40 | 2,415 |
| Emmons County 38029 | 50 | 29 | 61 | 76 | 35 | 3,224 |
| Griggs County 38039 | 50 | 30 | 50 | 98 | 28 | 2,248 |
| Billings County 38007 | 49 | 34 | 41 | 98 | 32 | 1,034 |
| McHenry County 38049 | 49 | 37 | 40 | 89 | 38 | 5,131 |
| LaMoure County 38045 | 49 | 33 | 51 | 81 | 35 | 4,096 |
| Wells County 38103 | 49 | 29 | 62 | 74 | 30 | 3,876 |
| Divide County 38023 | 48 | 25 | 50 | 96 | 24 | 2,135 |
| Bottineau County 38009 | 48 | 30 | 43 | 94 | 33 | 6,349 |
| Pembina County 38067 | 47 | 46 | 48 | 61 | 36 | 6,661 |
| Steele County 38091 | 47 | 33 | 50 | 83 | 25 | 1,782 |
| Pierce County 38069 | 46 | 28 | 44 | 85 | 35 | 3,902 |
| Ramsey County 38071 | 45 | 37 | 45 | 67 | 38 | 11,463 |
| Oliver County 38065 | 45 | 33 | 40 | 88 | 28 | 1,879 |
| Bowman County 38011 | 45 | 27 | 40 | 95 | 27 | 2,867 |
| Ransom County 38073 | 45 | 38 | 39 | 80 | 33 | 5,603 |
| Burke County 38013 | 44 | 32 | 33 | 96 | 28 | 2,134 |
| Renville County 38075 | 43 | 26 | 31 | 97 | 30 | 2,279 |
| Dickey County 38021 | 43 | 31 | 32 | 91 | 28 | 4,900 |
| Mercer County 38057 | 42 | 41 | 46 | 54 | 32 | 8,309 |
| McLean County 38055 | 42 | 45 | 44 | 54 | 30 | 9,832 |
| Nelson County 38063 | 41 | 31 | 46 | 65 | 30 | 2,991 |
| Stutsman County 38093 | 41 | 35 | 34 | 68 | 38 | 21,392 |
| Mountrail County 38061 | 41 | 31 | 35 | 51 | 51 | 9,383 |
| Foster County 38031 | 39 | 29 | 41 | 67 | 28 | 3,309 |
| Cavalier County 38019 | 39 | 32 | 44 | 60 | 28 | 3,596 |
| Barnes County 38003 | 39 | 41 | 34 | 56 | 34 | 10,726 |
| McKenzie County 38053 | 38 | 47 | 13 | 50 | 52 | 14,252 |
| Walsh County 38099 | 37 | 32 | 44 | 51 | 28 | 10,305 |
| Sargent County 38081 | 37 | 32 | 36 | 64 | 24 | 3,776 |
| Dunn County 38025 | 37 | 38 | 29 | 62 | 31 | 4,019 |
| Richland County 38077 | 36 | 44 | 27 | 51 | 36 | 16,558 |
| Traill County 38097 | 34 | 41 | 25 | 52 | 32 | 7,908 |
| Morton County 38059 | 32 | 43 | 21 | 51 | 27 | 33,895 |
| Ward County 38101 | 30 | 38 | 11 | 61 | 30 | 68,332 |
| Stark County 38089 | 29 | 33 | 14 | 57 | 31 | 33,001 |
| Burleigh County 38015 | 29 | 35 | 17 | 55 | 21 | 100,012 |
| Grand Forks County 38035 | 28 | 39 | 15 | 44 | 35 | 72,708 |
| Williams County 38105 | 28 | 32 | 12 | 53 | 36 | 39,113 |
| Cass County 38017 | 26 | 42 | 9 | 45 | 30 | 196,362 |
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.