State index

Iowa

Environmental and community health profiles for all 99 counties in Iowa. Sorted by opportunity score (highest need first).

Counties

Avg opportunity score

Converging-risk counties

What the data shows in Iowa

Across Iowa's 99 counties, 1 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 Iowa.

The most widespread specific risk pattern is Runoff Burden, triggered in 70 counties, followed by Industrial Burden in 31 counties.

Van Buren County carries the highest overall need in the state, with an opportunity score of 61 out of 100 (elevated). Higher scores mean more burden relative to the rest of the country.

County	Opportunity	Env	Disease	Provider	Social	Pop
Van Buren County 19177	61	41	65	87	44	7,266
Appanoose County 19007	60	28	75	72	52	12,119
Wayne County 19185	57	26	58	90	50	6,557
Audubon County 19009	55	27	59	91	43	5,534
Osceola County 19143	54	26	59	84	43	5,978
Clarke County 19039	53	26	54	66	60	9,588
Keokuk County 19107	51	27	55	68	50	9,914
Lucas County 19117	51	26	61	66	47	8,747
Clayton County 19043	51	29	62	67	41	16,969
Pocahontas County 19151	51	27	55	86	37	6,976
Decatur County 19053	51	26	45	86	46	7,665
Harrison County 19085	51	61	41	66	40	14,670
Montgomery County 19137	50	45	52	72	35	10,139
Adair County 19001	49	26	53	83	38	7,389
Cass County 19029	49	27	61	63	43	13,130
Taylor County 19173	49	27	47	82	42	5,924
Fremont County 19071	48	29	48	86	35	6,458
Clinton County 19045	48	59	47	50	40	46,158
Davis County 19051	48	29	44	66	52	9,169
Cherokee County 19035	47	29	59	68	34	11,605
Page County 19145	47	28	55	65	39	15,014
Pottawattamie County 19155	47	66	37	57	35	93,179
Fayette County 19065	46	29	51	67	41	19,210
Ida County 19093	46	29	46	90	26	6,833
Wapello County 19179	46	28	44	68	47	35,166
Monona County 19133	46	29	54	64	38	8,493
Franklin County 19069	45	29	56	68	31	9,875
Greene County 19073	45	30	54	63	35	8,584
Adams County 19003	45	26	53	72	31	3,544
Humboldt County 19091	45	26	53	71	32	9,500
Allamakee County 19005	44	29	52	61	38	14,074
Hardin County 19083	44	29	49	67	36	16,463
Jefferson County 19101	44	27	48	63	42	15,440
Ringgold County 19159	44	27	43	86	28	4,642
Tama County 19171	44	26	52	68	34	16,833
Lee County 19111	43	29	50	59	39	32,565
Palo Alto County 19147	43	48	42	63	28	8,810
Union County 19175	43	26	40	76	37	11,906
Monroe County 19135	43	26	36	84	35	7,504
Sac County 19161	42	28	47	71	29	9,686
Des Moines County 19057	42	29	41	57	45	38,253
Floyd County 19067	42	29	49	64	33	15,326
Worth County 19195	42	29	43	75	29	7,297
Wright County 19197	42	26	54	65	26	12,656
Emmet County 19063	42	26	47	60	39	9,229
Kossuth County 19109	41	26	52	61	32	14,396
Crawford County 19047	41	27	42	70	34	16,013
Shelby County 19165	41	27	47	71	25	11,806
Woodbury County 19193	41	60	24	61	35	105,951
Cerro Gordo County 19033	41	29	47	63	31	42,406
Hancock County 19081	41	29	46	65	31	10,615
Jackson County 19097	41	29	49	60	32	19,342
O'Brien County 19141	41	27	46	68	31	14,012
Chickasaw County 19037	41	29	45	70	24	11,658
Delaware County 19055	41	29	46	65	30	17,600
Guthrie County 19077	41	28	42	64	36	10,722
Calhoun County 19025	41	27	43	69	32	9,763
Clay County 19041	41	26	42	73	30	16,511
Butler County 19023	40	29	48	62	28	14,172
Black Hawk County 19013	39	44	27	61	38	130,471
Muscatine County 19139	39	54	30	55	31	42,218
Carroll County 19027	39	29	39	73	23	20,522
Howard County 19089	39	29	44	58	32	9,376
Linn County 19113	39	52	27	62	27	228,972
Jones County 19105	39	29	37	69	30	20,900
Henry County 19087	38	27	38	65	34	19,547
Webster County 19187	38	27	35	65	37	36,485
Lyon County 19119	38	27	40	66	29	12,324
Dickinson County 19059	38	26	43	64	24	18,056
Poweshiek County 19157	38	26	34	69	33	18,453
Hamilton County 19079	38	26	36	68	31	14,729
Mitchell County 19131	38	29	43	59	26	10,518
Cedar County 19031	37	27	38	66	29	18,302
Mahaska County 19123	36	27	36	65	27	21,874
Winnebago County 19189	36	29	35	58	33	10,571
Grundy County 19075	36	29	32	70	22	12,384
Marshall County 19127	36	29	29	64	35	40,014
Washington County 19183	36	27	36	60	30	22,560
Bremer County 19017	35	52	23	58	18	25,307
Iowa County 19095	35	27	35	64	26	16,381
Louisa County 19115	35	29	36	54	33	10,513
Buchanan County 19019	35	29	30	67	27	20,691
Jasper County 19099	35	26	35	62	28	37,919
Buena Vista County 19021	35	28	26	74	26	20,567
Johnson County 19103	34	55	9	60	33	157,528
Polk County 19153	34	48	15	61	33	505,255
Mills County 19129	34	30	30	61	28	14,633
Benton County 19011	33	26	32	58	29	25,796
Scott County 19163	33	46	28	44	29	174,270
Winneshiek County 19191	33	29	30	60	19	19,815
Madison County 19121	32	27	23	65	29	16,971
Marion County 19125	32	27	27	61	25	33,770
Dubuque County 19061	31	29	26	57	28	98,887
Plymouth County 19149	31	29	27	58	23	25,722
Boone County 19015	31	26	28	58	25	26,590
Warren County 19181	29	29	18	61	26	55,205
Sioux County 19167	28	27	17	61	16	36,246
Story County 19169	27	26	9	60	33	98,566
Dallas County 19049	25	27	7	62	18	111,092

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.