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ZipVitals

ZIP code

17057

in Middletown, PennsylvaniaPopulation 23,560

47.91/ 100

Ranked #19,044 of 32,066 US ZIPs (bottom 41%)

Ranked #1,091 of 1,748 Pennsylvania ZIPs (bottom 38%)

Ranked #32 of 58 Harrisburg-Carlisle, PA ZIPs (bottom 45%)

Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.

Some domains have limited local data — read this Score as directional

What defines this ZIP

Metrics where this ZIP sits in the tails of the national distribution — the ones that most set it apart. Select any tile for its definition and methodology.

Industrial-pollution burden

in the top 5.1% nationally

Lower is healthier

ST92nd
US95th
Definition & source ›

The EPA’s modeled screening score for industrial chemical releases, weighting the amounts released by their toxicity and how many people live nearby — a relative comparison score, not a measured exposure.

Full methodology ›

Outer-floodplain exposure

4.9%

in the top 7.4% nationally

Lower is healthier

ST96th
US93rd
Definition & source ›

The share of this ZIP’s land area inside FEMA’s 0.2%-annual-chance flood band — the “500-year” zone, a lower but real 1-in-500 yearly chance.

Measured from FEMA’s mapped flood panels. Where a panel has not been mapped, no value is published for that ZIP — those ZIPs are absent from this comparison rather than counted as unexposed.

Full methodology ›

Transportation noise

9.7%

in the top 9.1% nationally

Lower is healthier

ST86th
US91st
Definition & source ›

The modeled share of residents exposed to average road, rail, and aviation noise at or above 55 decibels — a noticeable background presence.

Full methodology ›

Floodplain exposure

25.4%

in the top 12.8% nationally

Lower is healthier

ST95th
US87th
Definition & source ›

The share of this ZIP’s land area inside FEMA’s 1%-annual-chance floodplain — the “100-year” flood zone, where flooding has about a 1-in-100 chance in any given year.

Measured from FEMA’s mapped flood panels. Where a panel has not been mapped, no value is published for that ZIP — those ZIPs are absent from this comparison rather than counted as unexposed.

Full methodology ›

Subsidized affordable housing

102 units

in the top 18% nationally

Higher is healthier

ST93rd
US82nd
Definition & source ›

The number of affordable rental units in this ZIP supported by the federal Low-Income Housing Tax Credit program.

Full methodology ›

Natural-disaster risk

in the top 21% nationally

Lower is healthier

ST96th
US79th
Definition & source ›

This area’s national rank on its single highest non-flood natural hazard — such as wildfire, tornado, or earthquake — in FEMA’s modeled National Risk Index; flooding is shown separately.

Full methodology ›

Arsenic in groundwater

8.3%

in the top 21% nationally

Lower is healthier

ST90th
US79th
Definition & source ›

The modeled probability that untreated groundwater in this area — the source private wells draw on — exceeds the federal arsenic limit of 10 micrograms per liter.

A modeled likelihood for untreated groundwater, the source drawn on by private wells, which are federally unregulated. It is not a measurement of treated water delivered by a public system, and it is not a test of any individual well.

Full methodology ›

Dry extreme heat

1 days/year

in the bottom 34% nationally

Lower is healthier

ST91st
US34th
Definition & source ›

The average number of days per year with a modeled daily high of at least 95 °F.

Full methodology ›

The read

Working from the partial data available, Middletown, Pennsylvania (ZIP 17057) lands in the bottom 41% nationally (19,044th) and the bottom 38% of Pennsylvania (1,091st), based on limited data; treat as directional.

continue reading

What the available data indicates is laid out plainly: distance to a nursing home rests at the national minimum, shared with about 27% of ZIPs. Set against that, modeled industrial-pollution burden settles in the top 5.1% nationally, outer-floodplain exposure lands in the top 7.4% nationally, and modeled transportation noise rests in the top 9.1% nationally. Modeled loud transportation noise settles in the top 11.8% nationally, and floodplain exposure lands in the top 12.8% nationally. Modeled pfas rests in the top 13.3% nationally. Distance to a hazardous-chemical facility settles at the national minimum, shared with about 31% of ZIPs. Distance to a Superfund site lands in the bottom 17% nationally, and PFOA in drinking water rests in the top 17% nationally.

Set within its surrounding area, industrial-pollution burden runs far higher than the surrounding ZIPs on this measure. Defined simply, for reference, industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. Pfas is the man-made "forever chemicals" that build up in the body and environment instead of breaking down; here a modeled estimate of the chance a private well contains them. Distance to a hazardous-chemical facility is a plant handling large amounts of hazardous chemicals that must file an EPA risk-management plan for accidental releases. The closest healthier ZIP overall is ZIP 17022, just across the boundary.

What’s driving this score

Nine domains make up the ZipVitals Score — here is how this ZIP does on each, and how much each one counts.

Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.

Lifting this score

Preventive CarePartial

healthier than 76%

15%

About typical

Social Need / SDOH

healthier than 40%

19%

Healthcare Access

healthier than 60%

6%

Holding it back

Environmental Hazard

healthier than 9%

16%

Climate / Disaster Risk

healthier than 29%

6%

Not placed: Chronic Disease Burden and Risk Behavior — too little of each is measured here to compare reliably. They still count toward the score (together 38% of it); we just will not publish a standing we cannot stand behind.

No data: Mental Health and Disability — not measured in this ZIP, so it is left out of the score entirely rather than estimated.

“Share” is how much of this ZIP’s score the domain accounts for. Percentages are rounded; higher is healthier in every domain. How the score works, and who it compares you with ›

Nearby & similar ZIPs

Editorially selected — see how this ZIP compares to nearby and similar places.

How these were chosen: only ZIPs with a published Score appear — a nearby ZIP with too little data to score won’t. Nearby means closest by distance between ZIP boundaries, which can cross state lines. A similar health profile is a close match across the nine Score domains, not similar demographics. Distances are measured between ZIP boundaries — ZIPs that touch share a border. How distance is measured

Evidence

Every measure this page draws on, by source. Collapsed by default — the full data stays in the page for search engines either way.

Health OutcomesCDC PLACES 2022 · BRFSS
MeasureCrude prevalence95% CI
All teeth lost among adults aged >=65 years13.6%10.9–16.5
PreventionCDC PLACES 2022 · BRFSS
MeasureCrude prevalence95% CI
Colorectal cancer screening among adults aged 45–75 years68.8%63.6–73.4
Visited dentist or dental clinic in the past year among adults63.5%59.7–67.1
Mammography use among women aged 50-74 years77.6%70.0–83.8
Health Risk BehaviorsCDC PLACES 2022 · BRFSS
MeasureCrude prevalence95% CI
Short sleep duration among adults39.9%33.4–46.2
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)PA median (p10–p90)
Poverty rate10.4%10.6% (3.1–25.8%) n=32,3649.3% (2.1–21.6%) n=1,759
Uninsured 18–647.2%9.0% (1.5–24.3%) n=32,2866.3% (0.0–16.6%) n=1,753
No HS diploma (25+)6.8%7.9% (1.8–20.7%) n=32,5057.0% (1.5–16.1%) n=1,762
Bachelor's or higher (25+)27.2%23.3% (9.2–53.6%) n=32,50521.9% (8.9–50.4%) n=1,762
Unemployment rate (16+)2.4%3.9% (0.0–9.8%) n=32,2743.9% (0.0–9.6%) n=1,755
Households without a vehicle4.5%3.9% (0.0–12.5%) n=32,3224.8% (0.0–15.6%) n=1,758
Broadband subscription90.5%89.3% (75.1–97.1%) n=32,32288.2% (75.7–97.3%) n=1,758
Housing cost burden (≥30% income)29.1%23.7% (10.6–40.0%) n=32,32221.9% (9.9–35.3%) n=1,758
Homeownership rate66.6%78.7% (51.7–94.0%) n=32,32280.1% (57.1–94.5%) n=1,758
Crowded housing (>1 per room)1.7%1.3% (0.0–6.3%) n=32,3220.6% (0.0–3.3%) n=1,758
Foreign-born population5.4%2.6% (0.0–18.6%) n=32,5531.4% (0.0–10.2%) n=1,763
Single-parent households57.7%53.6% (37.3–74.1%) n=32,08756.3% (38.5–72.8%) n=1,744
Population 65+18.3%19.4% (10.8–33.6%) n=32,55321.1% (12.3–31.4%) n=1,763
Median age39.8 yr42.2 yr (33.0–56.3) n=32,29244.2 yr (33.9–55.5) n=1,752
Median household income$73,407$72,070 ($46,039–$118,707) n=30,318$71,250 ($50,880–$112,747) n=1,642
Median home value$201,600$222,200 ($100,300–$579,820) n=30,049$197,200 ($99,000–$382,120) n=1,649
Median gross rent$1,198$1,021 ($677–$1,912) n=25,670$983 ($701–$1,527) n=1,367
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)PA median (p10–p90)
Life expectancy at birth78.4 yr ± 0.6878.9 yr (74.7–82.8) n=31,30879.2 yr (76.0–82.0) n=1,730

About the ± — it’s this estimate’s give-or-take (statisticians call it the standard error). The true life expectancy for this ZIP most likely falls within 0.68 years of 78.4, and it’s very unlikely to be off by more than twice that.

More ZIPs to explore ▾

How these lists were built: they draw only from ZIPs that have a published Score, so ZIPs with too little data to score are not listed. Distance-based lists use distance between ZIP boundaries with no state filter, so an out-of-state ZIP can appear. Statistically similar means a close match across the nine Score domains, not a demographic match: the measure is the cosine similarity between two ZIPs’ domain scores, taken over the domains both ZIPs have data for and only where that overlap covers at least six of the nine — and where no ZIP clears that minimum-overlap floor, that list is left out rather than filled with a weak match. How distance is measured