State index

North Carolina

Environmental and community health profiles for all 100 counties in North Carolina. Sorted by opportunity score (highest need first).

100

Counties

Avg opportunity score

Converging-risk counties

What the data shows in North Carolina

Across North Carolina's 100 counties, 8 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 disease burden, the leading driver of community health need in North Carolina.

The most widespread specific risk pattern is Respiratory Burden, triggered in 37 counties, followed by Industrial Burden in 22 counties.

Rockingham 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
Rockingham County 37157	61	69	67	36	60	92,518
Yancey County 37199	61	68	72	38	54	18,938
Cherokee County 37039	60	36	80	52	56	29,959
Alleghany County 37005	60	36	82	41	62	11,342
Graham County 37075	60	69	66	42	53	8,052
Washington County 37187	59	15	84	49	68	10,713
Swain County 37173	58	35	74	38	69	13,916
Northampton County 37131	57	29	81	37	62	16,715
Hyde County 37095	57	13	73	54	79	4,607
Tyrrell County 37177	57	13	72	61	65	3,461
Warren County 37185	57	25	78	38	68	18,836
Clay County 37043	57	27	74	53	58	11,864
Beaufort County 37013	56	39	75	37	58	44,481
Lenoir County 37107	56	26	76	35	71	54,895
Mitchell County 37121	55	49	62	47	53	14,999
Richmond County 37153	54	22	72	35	75	42,324
Edgecombe County 37065	54	26	69	35	74	48,832
Bladen County 37017	54	17	73	37	75	29,484
Scotland County 37165	54	21	72	34	77	34,376
Martin County 37117	53	18	78	35	63	21,447
Montgomery County 37123	53	40	68	34	57	26,085
Robeson County 37155	53	20	72	33	78	117,365
Chowan County 37041	53	16	78	39	61	13,891
Jones County 37103	53	17	77	37	62	9,401
Bertie County 37015	53	15	73	37	71	16,922
Halifax County 37083	53	14	75	34	73	47,298
Anson County 37007	53	22	70	33	75	21,897
Macon County 37113	52	33	74	34	54	38,412
Rutherford County 37161	52	27	74	34	57	65,507
Hertford County 37091	52	15	71	39	67	19,453
Vance County 37181	52	23	65	36	71	42,301
Haywood County 37087	51	58	59	37	46	62,969
Caswell County 37033	51	42	66	29	56	22,807
Columbus County 37047	51	17	70	32	69	50,121
Perquimans County 37143	51	13	75	37	60	13,377
Caldwell County 37027	50	43	64	35	51	80,574
Person County 37145	50	32	64	36	56	39,737
Ashe County 37009	50	27	72	37	51	27,063
Pamlico County 37137	50	13	73	40	58	12,423
Wilkes County 37193	50	27	73	33	52	66,013
Davidson County 37057	48	50	53	35	51	174,804
Wilson County 37195	48	15	68	35	61	78,970
Polk County 37149	48	25	70	32	53	20,060
Gates County 37073	48	14	70	43	52	10,343
Greene County 37079	47	16	60	37	64	20,530
Rowan County 37159	47	44	47	36	57	151,661
Avery County 37011	47	45	59	38	43	17,561
Alexander County 37003	47	52	56	36	42	36,473
Surry County 37171	47	20	70	34	51	71,462
Duplin County 37061	46	17	63	35	60	49,520
Sampson County 37163	46	17	61	36	61	59,601
Stokes County 37169	46	20	65	37	52	45,532
Transylvania County 37175	46	36	61	33	47	33,549
McDowell County 37111	46	27	62	37	50	44,893
Burke County 37023	46	20	65	35	53	88,338
Cleveland County 37045	46	26	60	33	55	101,378
Cumberland County 37051	45	51	32	34	62	337,890
Yadkin County 37197	44	21	63	34	51	37,774
Granville County 37077	44	47	48	36	46	62,192
Catawba County 37035	43	59	42	34	43	164,645
Madison County 37115	43	27	50	37	55	22,071
Forsyth County 37067	43	51	35	35	52	392,921
Jackson County 37099	42	27	48	34	55	44,574
Henderson County 37089	42	36	54	33	44	119,230
Randolph County 37151	42	14	56	34	57	147,458
Buncombe County 37021	42	57	35	35	45	275,901
Wayne County 37191	41	16	52	36	56	118,686
Nash County 37127	41	15	54	35	54	96,551
Carteret County 37031	40	26	54	36	43	69,615
Lee County 37105	40	17	45	34	59	67,059
Guilford County 37081	40	47	32	35	50	549,866
Hoke County 37093	39	23	39	34	60	54,446
Brunswick County 37019	39	17	63	33	40	159,964
Gaston County 37071	39	27	40	34	54	237,242
Lincoln County 37109	39	45	40	34	41	95,675
Craven County 37049	39	14	46	35	56	102,391
Stanly County 37167	39	19	51	36	47	65,699
Pasquotank County 37139	37	13	42	40	54	41,444
Pitt County 37147	37	26	33	35	55	175,119
Franklin County 37069	36	24	41	34	48	77,001
Watauga County 37189	36	36	30	37	48	54,748
Davie County 37059	35	15	48	36	42	44,599
Johnston County 37101	35	45	27	35	42	241,955
Dare County 37055	34	18	40	39	43	38,110
Harnett County 37085	33	17	32	34	53	141,477
Pender County 37141	33	18	37	36	46	68,521
New Hanover County 37129	33	27	30	35	47	238,852
Alamance County 37001	33	14	37	34	48	179,165
Durham County 37063	32	46	17	35	43	336,892
Chatham County 37037	31	14	48	34	33	81,624
Mecklenburg County 37119	31	49	14	33	42	1,163,701
Moore County 37125	30	16	41	34	38	106,898
Camden County 37029	29	13	29	51	35	11,137
Union County 37179	29	50	19	34	29	256,452
Currituck County 37053	27	13	30	41	36	31,593
Iredell County 37097	27	24	28	34	33	199,710
Onslow County 37133	26	17	15	35	48	213,676
Wake County 37183	26	47	11	35	29	1,190,275
Cabarrus County 37025	23	19	19	35	35	240,016
Orange County 37135	20	14	16	35	33	150,626

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.