ZIP code
27019
in Germanton, North CarolinaPopulation 3,544
48.55/ 100
Ranked #18,239 of 32,066 US ZIPs (bottom 43%)
Ranked #451 of 793 North Carolina ZIPs (bottom 43%)
Ranked #24 of 39 Winston-Salem, NC ZIPs (bottom 38%)
Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.
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.
Lead in tap water
5.3 ppb
in the top 9.1% nationally
Lower is healthier
US91stDefinition & source ›
The lead level at the 90th percentile of tap-water samples reported by the public water systems serving this ZIP, in parts per billion — the EPA requires action above 15 ppb.
Measured from EPA records for the public water systems that serve this ZIP. Households on private wells — roughly 30% of the US population — are not covered by this measure, and this figure says nothing about their water.
Full methodology ›The read
In overall standing, Germanton, North Carolina (ZIP 27019) comes out in the bottom 43% nationally (18,239th) and the bottom 43% of North Carolina (451st).
The profile opens balanced, with readings on either hand: modeled tree cover registers in the top 11.9% nationally. Outer-floodplain exposure stands at the national minimum, shared with about 36% of ZIPs. Modeled short sleep lands in the bottom 19% nationally, and disaster risk is in the bottom 24% nationally. By contrast, lead in tap water resides in the top 9.1% nationally, and fatal road crashes rests in the top 19% nationally. Physicians lies at the national minimum, shared with about 38% of ZIPs. Modeled pfas sits in the top 19% nationally, and humid heat settles in the top 25% nationally. Distance to an emergency room registers in the top 25% nationally.
Relative to the ZIPs around it, park land runs far lower than the surrounding ZIPs on this measure. In plain terms, lead in tap water is the EPA trigger, 15 parts per billion in tap samples, above which a water system must act on lead. 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. Disaster risk is the area's national rank on its highest non-flood peril in FEMA's modeled Risk Index, like wildfire or quake. The nearest healthier ZIP overall is ZIP 27021, 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. Compare it against the US, this state and the Winston-Salem, NC metro area.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Environmental Hazard
healthier than 61%
14%
Preventive Care
healthier than 62%
13%
Risk Behavior
healthier than 66%
11%
About typical
Social Need / SDOH
healthier than 54%
16%
Climate / Disaster Risk
healthier than 50%
5%
Healthcare Access
healthier than 47%
5%
Holding it back
Chronic Disease Burden
healthier than 29%
21%
Mental Health
healthier than 24%
8%
Disability
healthier than 32%
7%
Lifting this score
Climate / Disaster Risk
healthier than 75%
5%
About typical
Chronic Disease Burden
healthier than 41%
21%
Social Need / SDOH
healthier than 53%
16%
Environmental Hazard
healthier than 46%
14%
Preventive Care
healthier than 49%
13%
Risk Behavior
healthier than 51%
11%
Disability
healthier than 45%
7%
Holding it back
Mental Health
healthier than 22%
8%
Healthcare Access
healthier than 35%
5%
Lifting this score
Environmental Hazard
healthier than 79%
14%
Climate / Disaster Risk
healthier than 68%
5%
About typical
Social Need / SDOH
healthier than 42%
16%
Preventive Care
healthier than 55%
13%
Risk Behavior
healthier than 47%
11%
Holding it back
Chronic Disease Burden
healthier than 21%
21%
Mental Health
healthier than 32%
8%
Disability
healthier than 39%
7%
Healthcare Access
healthier than 29%
5%
“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.
Nearby
27016
North Carolinashares a border
Score 47.55
Closest healthier
27021
North Carolinashares a border
Score 52.19
Similar health profile
27341
North Carolina97% similar profile
Score 49.11
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 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Arthritis among adults | 32.4% | 29.7–35.3 |
| High blood pressure among adults | 40.1% | 36.8–43.5 |
| Cancer (non-skin) or melanoma among adults | 9.9% | 9.2–10.8 |
| Current asthma among adults | 11.2% | 10.1–12.4 |
| Coronary heart disease among adults | 8.3% | 7.6–9.1 |
| Chronic obstructive pulmonary disease among adults | 9.7% | 8.6–10.8 |
| Depression among adults | 26.7% | 23.6–29.9 |
| Diagnosed diabetes among adults | 13.2% | 11.8–14.8 |
| High cholesterol among adults who have ever been screened | 39.4% | 36.0–43.0 |
| Obesity among adults | 38.8% | 32.8–44.9 |
| Stroke among adults | 4.3% | 3.9–4.6 |
| All teeth lost among adults aged >=65 years | 16.4% | 13.9–19.3 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 9.7% | 8.2–11.3 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 79.1% | 76.6–81.4 |
| Visits to doctor for routine checkup within the past year among adults | 80.2% | 77.5–82.7 |
| Cholesterol screening among adults | 87.7% | 86.2–89.1 |
| Colorectal cancer screening among adults aged 45–75 years | 65.3% | 61.2–69.5 |
| Visited dentist or dental clinic in the past year among adults | 62.9% | 59.9–66.0 |
| Mammography use among women aged 50-74 years | 76.8% | 71.1–82.3 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.7% | 12.5–17.0 |
| Current cigarette smoking among adults | 16.9% | 15.0–19.3 |
| No leisure-time physical activity among adults | 26.4% | 23.1–30.1 |
| Short sleep duration among adults | 31.8% | 27.3–37.1 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 21.4% | 19.2–23.8 |
| Frequent mental distress among adults | 17.4% | 15.8–19.2 |
| Frequent physical distress among adults | 15.0% | 13.6–16.6 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 16.4% | 14.8–18.2 |
| Any disability among adults | 36.0% | 32.6–39.9 |
| Hearing disability among adults | 9.4% | 8.5–10.3 |
| Independent living disability among adults | 9.4% | 8.5–10.4 |
| Mobility disability among adults | 17.0% | 15.2–19.0 |
| Self-care disability among adults | 4.6% | 4.2–5.1 |
| Vision disability among adults | 5.7% | 5.2–6.3 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 21.2% | 18.6–24.1 |
| Food insecurity in the past 12 months among adults | 13.9% | 12.1–16.0 |
| Received food stamps in the past 12 months among adults | 11.9% | 10.1–13.9 |
| Housing insecurity in the past 12 months among adults | 10.4% | 9.1–11.9 |
| Lack of reliable transportation in the past 12 months among adults | 7.8% | 6.9–8.7 |
| Loneliness among adults | 32.0% | 28.3–36.2 |
| Utility services shut-off threat in the past 12 months among adults | 7.1% | 6.3–8.1 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | NC median (p10–p90) |
|---|---|---|---|
| Poverty rate | 15.1% | 10.6% (3.1–25.8%) n=32,364 | 13.0% (4.4–25.0%) n=793 |
| Uninsured 18–64 | 13.5% | 9.0% (1.5–24.3%) n=32,286 | 14.5% (5.7–24.9%) n=794 |
| No HS diploma (25+) | 11.0% | 7.9% (1.8–20.7%) n=32,505 | 10.4% (3.1–19.8%) n=798 |
| Bachelor's or higher (25+) | 18.7% | 23.3% (9.2–53.6%) n=32,505 | 22.8% (10.7–53.4%) n=798 |
| Unemployment rate (16+) | 6.0% | 3.9% (0.0–9.8%) n=32,274 | 4.2% (0.0–9.1%) n=796 |
| Households without a vehicle | 3.8% | 3.9% (0.0–12.5%) n=32,322 | 3.9% (0.0–10.2%) n=793 |
| Broadband subscription | 88.4% | 89.3% (75.1–97.1%) n=32,322 | 87.6% (76.2–96.3%) n=793 |
| Housing cost burden (≥30% income) | 19.2% | 23.7% (10.6–40.0%) n=32,322 | 24.7% (14.1–36.5%) n=793 |
| Homeownership rate | 79.5% | 78.7% (51.7–94.0%) n=32,322 | 75.0% (52.7–89.7%) n=793 |
| Crowded housing (>1 per room) | 2.1% | 1.3% (0.0–6.3%) n=32,322 | 1.4% (0.0–4.5%) n=793 |
| Foreign-born population | 1.2% | 2.6% (0.0–18.6%) n=32,553 | 4.2% (0.0–12.9%) n=799 |
| Single-parent households | 66.7% | 53.6% (37.3–74.1%) n=32,087 | 51.8% (39.2–70.1%) n=790 |
| Population 65+ | 34.3% | 19.4% (10.8–33.6%) n=32,553 | 19.7% (11.1–31.9%) n=799 |
| Median age | 55.8 yr | 42.2 yr (33.0–56.3) n=32,292 | 42.5 yr (33.3–55.7) n=797 |
| Median household income | $59,176 | $72,070 ($46,039–$118,707) n=30,318 | $65,030 ($44,419–$97,111) n=749 |
| Median home value | $205,000 | $222,200 ($100,300–$579,820) n=30,049 | $223,850 ($113,970–$452,990) n=758 |
| Median gross rent | $777 | $1,021 ($677–$1,912) n=25,670 | $957 ($715–$1,575) n=687 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | NC median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 75.0 yr ± 0.88 | 78.9 yr (74.7–82.8) n=31,308 | 77.3 yr (74.6–80.8) n=747 |
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 0.88 years of 75.0, and it’s very unlikely to be off by more than twice that.
More ZIPs to explore ▾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