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County profile

Real County, Texas

Environmental & community health profile. Fused from EPA, CDC, CMS, and Census data into a single free view.

Opportunity Score

72High

out of 100

Env

29

Disease

77

Provider

96

SDOH

70

FIPS: 48385Population: 2,854Signal: Strong (3 of 4 dimensions elevated)

Compound Signal Status

Strong compound signal detected

Real County, Texas shows a strong compound signal: disease burden (77th percentile), provider gap (96th percentile), and SDOH stress (70th percentile) all exceed the 70th percentile. Environmental risk is the one dimension below threshold, which means the primary drivers here are chronic disease prevalence across respiratory, cardiovascular, oncology, and behavioral health conditions, healthcare specialist shortages relative to population need, and social vulnerability including poverty, housing instability, transportation barriers, and insurance gaps rather than environmental exposure. This is a pattern more commonly seen in non-industrial communities facing deep systemic health and access challenges.

Environmental Factors

Air, water, and exposure indicators

Top environmental indicators for Real County with state and national benchmarks. Full profile covers 40+ metrics on the platform.

IndicatorReal CountyTX avgUS avg
PM2.5 (annual mean)
EPA AQS / EJSCREEN
6.9
µg/m³
-9.0% vs TX
7.67.4
Ozone
EPA AQS / EJSCREEN
57.5
ppb
-2.9% vs TX
59.257.1
Traffic Proximity
EJSCREEN
0
index
-100% vs TX
167,061291,320
Days Above 95°F
NOAA ACIS
64
days/yr
-19% vs TX
7925
Superfund Proximity
EPA EJSCREEN
0.00
score
-100% vs TX
0.040.16
Drinking Water Violations
EPA EJSCREEN
0.89
score
-90% vs TX
9.093.39

Health Outcomes

Chronic disease prevalence

CDC PLACES model-based prevalence estimates for adults in Real County. Full profile covers 15+ health outcomes plus mortality on the platform.

ConditionReal CountyTX avgUS avg
Current Asthma
% of adults with current asthma
10.2%
+3.7% vs TX
9.8%10.6%
COPD
% of adults with diagnosed COPD
11.0%
+43% vs TX
7.7%8.5%
Diabetes
% of adults with diagnosed diabetes
18.3%
+25% vs TX
14.6%13.6%
Coronary Heart Disease
% of adults with CHD
10.5%
+41% vs TX
7.4%7.8%
Depression
% of adults ever diagnosed with depression
22.7%
+2.7% vs TX
22.1%22.9%
Frequent Mental Distress
% of adults with 14+ poor mental health days/month
16.6%
-4.6% vs TX
17.4%17.1%

On the full platform

What else is available for Real County

The page above is a subset. The free Community account unlocks the full single-county profile — every indicator, every data source, demographics, historical trends, and mortality data. Professional unlocks multi-county comparison, compound signal analysis, service line rankings, and consultant-ready PDF reports.

Full Environmental Profile

All 40+ environmental metrics including toxic releases, hazardous site proximity, PFAS detection, pesticide exposure, and climate stress indicators.

Service Line Opportunities

See how Real County ranks for respiratory, oncology, cardiovascular, renal, endocrine, and behavioral health service line opportunity.

Multi-County Comparison

Compare Real County side-by-side with neighboring counties across every dimension.

Trend Analysis

5-year sparklines for health outcomes, SDOH measures, and mortality rates so you can see where the county is heading, not just where it is today.

PDF Report Export

Generate a consultant-ready environmental health briefing for Real County with methodology citations — drops straight into a CHNA or grant application.

See pricing →

Nearby Counties

Counties bordering Real County

Adjacent county profiles with their own scores and environmental health data. Source: Census Bureau County Adjacency File.

Data sources: EPA AQS, EPA EJSCREEN, EPA TRI, CDC PLACES, CDC WONDER, CMS NPPES, Census ACS, County Health Rankings, NOAA ACIS, NCI State Cancer Profiles. Every score on this page is derived from publicly available federal data, fused by the Banana Analytics pipeline.

Methodology: See the full scoring methodology (v1.2.0) for weights, sensitivity analysis, and validation against county-level mortality data.

Last refreshed: April 17, 2026