Glossary
Plain-English explainers for every metric we surface.
Environmental health vocabulary is new to many CHNA and community-benefit teams. This page exists so you do not have to guess what PM2.5 is, what an HPSA designation means, or why a county's EPA TRI count matters.
Environmental
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CAFO density
Concentrated animal feeding operations
Large industrial-scale animal agriculture facilities (typically 1,000+ cattle equivalents).
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Drinking water compliance
EPA ECHO drinking water enforcement and compliance
EPA's record of every public water system's compliance with Safe Drinking Water Act standards, including violation history for contaminants like nitrates, lead, arsenic, and disinfection byproducts.
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EJScreen
EPA EJScreen environmental justice index
An EPA tool that combines environmental indicators (air quality, hazardous waste, traffic, lead paint risk) with demographic indicators to identify communities facing disproportionate environmental burden.
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EPA TRI
Toxics Release Inventory
An EPA-maintained record of every reportable industrial release of toxic chemicals into the air, water, or soil, reported annually by the facilities themselves.
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Flood risk
Flood exposure risk
The probability of a property in a county being damaged by flooding over the next 30 years, accounting for both FEMA flood zones and climate-adjusted projections.
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Heat exposure
Extreme heat exposure
How often and how severely a county is exposed to dangerously hot temperatures.
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Lead paint risk
Pre-1978 housing lead paint exposure risk
A proxy for childhood lead exposure risk based on the share of housing built before 1978, when residential lead paint was banned.
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Ozone
Ground-level ozone (O₃)
A gas that forms when sunlight reacts with pollution from cars, power plants, and industrial sources.
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Pesticide use
Agricultural pesticide application intensity
The total pounds of pesticide active ingredient applied to agricultural land in a county per year, including herbicides, insecticides, and fungicides.
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PFAS
Per- and polyfluoroalkyl substances
A family of thousands of human-made chemicals (sometimes called 'forever chemicals') used in non-stick cookware, firefighting foam, water-repellent fabrics, and industrial processes.
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PM2.5
Fine particulate matter
Tiny pollution particles in the air, small enough to be inhaled deep into the lungs and to cross from the lungs into the bloodstream.
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Radon
Radon gas exposure
A naturally occurring radioactive gas released from uranium in soil and rock.
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Wildfire smoke
Wildfire-attributable PM2.5
The fraction of a county's fine particulate matter exposure that comes specifically from wildfire smoke.
Healthcare access
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emPOWER
HHS emPOWER electricity-dependent Medicare population
HHS's dataset on how many Medicare beneficiaries in a given area rely on electricity-powered medical equipment at home (oxygen concentrators, ventilators, kidney dialysis, etc.).
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HPSA
Health Professional Shortage Area
A federal designation by HRSA identifying geographic areas, populations, or facilities with too few primary care, dental, or mental health providers to meet the population's need.
Federal data sources
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CDC PLACES
CDC Population Level Analysis and Community Estimates
CDC's small-area estimates of chronic disease prevalence, health outcomes, prevention, and risk factors at the county, place, and Census-tract level.
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CDC WONDER
CDC Wide-ranging ONline Data for Epidemiologic Research
CDC's online query system for mortality data — every death in the U.S. by underlying cause, age, sex, race, geography, and year. The authoritative source for U.S. mortality statistics.
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Census ACS
American Community Survey 5-Year Estimates
The Census Bureau's rolling demographic and socioeconomic survey covering every county and Census tract.
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CMS NPPES
National Plan and Provider Enumeration System
CMS's master directory of every healthcare provider with a National Provider Identifier (NPI).
Methodology concepts
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Compound signal
Compound health signal
A named, weighted combination of an environmental exposure and a population that is more vulnerable to that exposure.
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Multi-dimension convergence
Multi-pillar convergence
A pattern where a county scores worse than 70% of U.S. counties on multiple major health-risk dimensions at the same time: environmental exposure, chronic disease, healthcare access, and social and economic conditions.
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National percentile rank
National percentile rank
Where a county's score falls compared to every other U.S. county on the same measure. A score in the 80th percentile means the county is worse than 80% of U.S. counties on that measure (when the measure is one where higher = worse).