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ZipVitals

ZIP code

28749

in Little Switzerland, North CarolinaPopulation 0

52.60/ 100

Ranked #12,635 of 32,066 US ZIPs (top 39%)

Ranked #286 of 793 North Carolina ZIPs (top 36%)

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

Broad coverage across health domains

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.

Floodplain exposure

0.00%

at the national minimum

Lower is healthier

ST1st
US1st
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 ›

PFAS in drinking water

7.5%

in the bottom 4.2% nationally

Lower is healthier

ST1st
US4th
Definition & source ›

The modeled probability that PFAS “forever chemicals” would be detected in untreated groundwater in this area, the source private wells draw on.

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 ›

Hearing disability

11.4%

in the top 7.0% nationally

Lower is healthier

ST96th
US93rd
Definition & source ›

The estimated share of adults who are deaf or have serious difficulty hearing.

Full methodology ›

Tree cover

74.4%

in the top 7.2% nationally

Higher is healthier

ST91st
US93rd
Definition & source ›

The share of this ZIP’s land area covered by forest.

Full methodology ›

Expected annual disaster loss

$0

in the bottom 8.6% nationally

Lower is healthier

ST6th
US9th
Definition & source ›

FEMA’s modeled estimate, in dollars per year, of the average harm to people expected from natural hazards — an annualized average, not a forecast for any single year.

Full methodology ›

Slow internet speeds

1.3%

in the top 9.1% nationally

Lower is healthier

ST95th
US91st
Definition & source ›

The share of homes whose fastest available download speed is under 10 Mbps.

Full methodology ›

Colon-cancer screening

72.9%

in the top 7.6% nationally

Higher is healthier

ST93rd
US92nd
Definition & source ›

The estimated share of adults aged 45–75 who are up to date on colorectal-cancer screening.

Full methodology ›

Coronary heart disease

10.0%

in the top 9.7% nationally

Lower is healthier

ST90th
US90th
Definition & source ›

The estimated share of adults who have been told by a health professional that they have coronary heart disease or angina.

Full methodology ›

Natural-disaster risk

in the bottom 13.5% nationally

Lower is healthier

ST7th
US13th
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 ›

High cholesterol

42.4%

in the top 13.6% nationally

Lower is healthier

ST93rd
US86th
Definition & source ›

The estimated share of adults with high cholesterol, among those who have ever been screened for it.

Full methodology ›

The read

In overall standing, Little Switzerland, North Carolina (ZIP 28749) comes out in the top 39% healthiest ZIPs nationally (12,635th) and the top 36% of North Carolina (286th), based on limited data; treat as directional.

continue reading

The data is generous to this ZIP in several places worth naming: floodplain exposure stands at the national minimum, modeled pfas lands in the bottom 4.2% nationally, and modeled tree cover is in the top 7.2% nationally. Modeled expected annual loss resides in the bottom 8.6% nationally. Modeled extreme heat rests at the national minimum, shared with about 19% of ZIPs. Modeled colon screening lies in the top 7.6% nationally. Modeled loud transportation noise sits at the national minimum, shared with about 22% of ZIPs. Working the other way, modeled hearing disability settles in the top 7.0% nationally, and slow internet speeds registers in the top 9.1% nationally. Modeled coronary heart disease stands in the top 9.7% nationally.

In plain terms, 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. Expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. Floodplain exposure is land with about a 1-in-100 chance of flooding each year, nicknamed the "100-year floodplain". The nearest healthier ZIP overall is ZIP 28777, 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.

Compare within

Lifting this score

Social Need / SDOHPartial

healthier than 90%

16%

Environmental Hazard

healthier than 96%

14%

Preventive Care

healthier than 70%

13%

Risk Behavior

healthier than 79%

11%

Climate / Disaster Risk

healthier than 79%

5%

About typical

Mental Health

healthier than 50%

8%

Healthcare Access

healthier than 49%

5%

Holding it back

Chronic Disease Burden

healthier than 21%

21%

Disability

healthier than 30%

7%

Lifting this score

Social Need / SDOHPartial

healthier than 89%

16%

Environmental Hazard

healthier than 88%

14%

Risk Behavior

healthier than 72%

11%

Mental Health

healthier than 73%

8%

Climate / Disaster Risk

healthier than 95%

5%

About typical

Preventive Care

healthier than 60%

13%

Disability

healthier than 42%

7%

Holding it back

Chronic Disease Burden

healthier than 31%

21%

Healthcare Access

healthier than 37%

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.

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
MeasureCrude prevalence95% CI
Arthritis among adults34.8%31.8–38.0
High blood pressure among adults42.5%39.1–46.3
Cancer (non-skin) or melanoma among adults12.2%11.0–13.4
Current asthma among adults10.4%9.3–11.6
Coronary heart disease among adults10.0%8.8–11.4
Chronic obstructive pulmonary disease among adults10.2%8.5–12.3
Depression among adults24.3%21.4–27.7
Diagnosed diabetes among adults13.7%12.0–15.8
High cholesterol among adults who have ever been screened42.4%38.8–46.2
Obesity among adults33.0%27.3–39.4
Stroke among adults4.8%4.1–5.5
All teeth lost among adults aged >=65 years15.1%12.6–17.8
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years10.9%8.3–14.0
Taking medicine to control high blood pressure among adults with high blood pressure81.7%79.7–83.8
Visits to doctor for routine checkup within the past year among adults81.2%78.5–84.0
Cholesterol screening among adults87.6%85.5–89.6
Colorectal cancer screening among adults aged 45–75 years72.9%69.1–76.4
Visited dentist or dental clinic in the past year among adults60.8%57.5–64.0
Mammography use among women aged 50-74 years73.5%67.2–79.2
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults13.8%11.7–16.2
Current cigarette smoking among adults14.5%12.0–17.4
No leisure-time physical activity among adults25.5%21.3–30.4
Short sleep duration among adults31.9%26.8–37.3
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults20.8%17.5–24.6
Frequent mental distress among adults15.9%14.1–17.9
Frequent physical distress among adults14.9%12.9–17.0
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults15.6%13.4–18.0
Any disability among adults38.0%33.4–43.1
Hearing disability among adults11.4%10.0–12.9
Independent living disability among adults9.0%7.7–10.5
Mobility disability among adults17.9%15.2–21.1
Self-care disability among adults4.3%3.7–5.1
Vision disability among adults5.5%4.7–6.5
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults21.2%18.0–24.6
Food insecurity in the past 12 months among adults11.8%9.3–14.5
Received food stamps in the past 12 months among adults9.0%7.0–11.2
Housing insecurity in the past 12 months among adults8.4%7.0–10.0
Lack of reliable transportation in the past 12 months among adults6.9%5.8–8.1
Loneliness among adults31.8%27.4–36.3
Utility services shut-off threat in the past 12 months among adults5.4%4.6–6.3
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)NC median (p10–p90)
Poverty rate10.6% (3.1–25.8%) n=32,36413.0% (4.4–25.0%) n=793
Uninsured 18–649.0% (1.5–24.3%) n=32,28614.5% (5.7–24.9%) n=794
No HS diploma (25+)7.9% (1.8–20.7%) n=32,50510.4% (3.1–19.8%) n=798
Bachelor's or higher (25+)23.3% (9.2–53.6%) n=32,50522.8% (10.7–53.4%) n=798
Unemployment rate (16+)3.9% (0.0–9.8%) n=32,2744.2% (0.0–9.1%) n=796
Households without a vehicle3.9% (0.0–12.5%) n=32,3223.9% (0.0–10.2%) n=793
Broadband subscription89.3% (75.1–97.1%) n=32,32287.6% (76.2–96.3%) n=793
Housing cost burden (≥30% income)23.7% (10.6–40.0%) n=32,32224.7% (14.1–36.5%) n=793
Homeownership rate78.7% (51.7–94.0%) n=32,32275.0% (52.7–89.7%) n=793
Crowded housing (>1 per room)1.3% (0.0–6.3%) n=32,3221.4% (0.0–4.5%) n=793
Foreign-born population2.6% (0.0–18.6%) n=32,5534.2% (0.0–12.9%) n=799
Single-parent households53.6% (37.3–74.1%) n=32,08751.8% (39.2–70.1%) n=790
Population 65+19.4% (10.8–33.6%) n=32,55319.7% (11.1–31.9%) n=799
Median age42.2 yr (33.0–56.3) n=32,29242.5 yr (33.3–55.7) n=797
Median household income$72,070 ($46,039–$118,707) n=30,318$65,030 ($44,419–$97,111) n=749
Median home value$222,200 ($100,300–$579,820) n=30,049$223,850 ($113,970–$452,990) n=758
Median gross rent$1,021 ($677–$1,912) n=25,670$957 ($715–$1,575) n=687
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)NC median (p10–p90)
Life expectancy at birth78.1 yr ± 0.9578.9 yr (74.7–82.8) n=31,30877.3 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 0.95 years of 78.1, 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