Environmental Health Intelligence: From the Field
Analysis, methodology, and perspective on how environmental factors are reshaping health outcomes, and what organizations can do about it.
Watch: Building a CHNA in 5 Minutes (Walkthrough)
A 5-minute video walkthrough showing how Banana Analytics turns a hospital service area into a scored cohort, AI-drafted CHNA narrative, and exportable report. With full transcript, chapter markers, and the workflow notes that didn't make it into the video.
Read articleBuilding CHNAs That Don't Break When Datasets Do
PRAMS suspended. EJScreen removed. HRSA UDS SOGI variables stripped. The federal datasets your last CHNA relied on are more fragile than they were three years ago, and the IRS clock has not paused for any of it. A practitioner playbook for the 2026 cycle.
Read articleTexas CHNA Data: Four Regions, Four Different Health Stories
129 Texas counties carry compound signal flags, more than any other state, and they spread across four geographically distinct regions with different drivers. CHNA strategies that work for the Piney Woods do not work for the Lower Rio Grande Valley.
Read article568 US Counties Are at Elevated Heat Health Risk. They Have Fewer Cardiologists Than Similar-Sized Peers.
Population-stratified analysis of cardiologist supply in the 568 counties scoring 70+ on our Heat Health Risk signal. The gap holds at every population class above 5,000, and the largest shortfall is in the metros, not the rural counties.
Read article33.5 Million Children Breathe Unhealthy Air. 1.5 Million of Them Live Where the Health System Can't Help.
We cross-referenced the ALA's 2026 State of the Air report against our compound signal scoring. Of 860 air-quality-failing counties, 59 converge with elevated disease burden, provider shortage, or SDOH stress, concentrating the most acute and most underserved environmental health risk.
Read articleCDC PLACES Is Missing Disease Data for 187 Counties. The Acknowledgement Is Buried in a Footnote.
Kentucky and Pennsylvania have zero disease prevalence data in the current CDC PLACES release. CDC documented it once, in release notes. A structural vulnerability in how federal health data flows to downstream consumers.
Read articleWest Virginia's Health Crisis Isn't About Access. It's About How Sick the Population Already Is.
73% of West Virginia counties face converging health crises. Providers are present, environment is clean, but Disease Burden runs 37 points above the national mean.
Read articleMississippi Has the Highest Rate of Converging Health Risks in America, and Not One Is Environmental
74% of Mississippi counties have multiple health dimensions simultaneously elevated. The driver isn't pollution: it's SDOH and provider access at a scale unlike any other state.
Read articleHow We Score Every US County for Environmental Health Risk (and Why It Matters for Community Health)
Full methodology behind the compound signal scoring system: four dimensions, validation against CDC mortality data, and why we publish everything.
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