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ZipVitals

ZIP code

57759

in Nemo, South DakotaPopulation 398

46.11/ 100

Ranked #21,230 of 32,066 US ZIPs (bottom 34%)

Ranked #297 of 360 South Dakota ZIPs (bottom 18%)

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

Robust across all 9 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.

Park land

85.3%

in the top 0.5% nationally

Higher is healthier

ST99th
US99th
Definition & source ›

The share of this ZIP’s land area that is public parkland.

Full methodology ›

Tree cover

86.9%

in the top 2.4% nationally

Higher is healthier

ST99th
US98th
Definition & source ›

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

Full methodology ›

Hearing disability

12.3%

in the top 3.5% nationally

Lower is healthier

ST91st
US97th
Definition & source ›

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

Full methodology ›

Coronary heart disease

11.2%

in the top 3.6% nationally

Lower is healthier

ST96th
US96th
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 ›

Humid extreme heat

6 days/year

in the bottom 3.8% nationally

Lower is healthier

ST1st
US4th
Definition & source ›

The average number of days per year when modeled heat stress — temperature, humidity, sun, and wind combined — reaches levels hard on the body outdoors.

Full methodology ›

Tooth loss

26.2%

in the top 5.9% nationally

Lower is healthier

ST91st
US94th
Definition & source ›

The estimated share of adults aged 65 and older who have lost all of their natural teeth.

Full methodology ›

Walkability

1.6 intersections/sq mi

in the bottom 5.0% nationally

Higher is healthier

ST46th
US5th
Definition & source ›

The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.

Full methodology ›

Air-toxics cancer risk

10.6 per million

in the bottom 5.4% nationally

Lower is healthier

ST15th
US5th
Definition & source ›

The EPA’s modeled estimate of added lifetime cancer risk from breathing outdoor air toxics, in cases per million people exposed over a lifetime.

Full methodology ›

PFAS in drinking water

8.5%

in the bottom 5.7% nationally

Lower is healthier

ST6th
US6th
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 ›

Homeownership rate

96.3%

in the top 7.1% nationally

Higher is healthier

ST93rd
US93rd
Definition & source ›

The share of occupied homes that are owned, rather than rented, by the people living in them.

Full methodology ›

The read

By the composite measure, Nemo, South Dakota (ZIP 57759) sits in the bottom 34% nationally (21,230th) and the bottom 18% of South Dakota (297th).

continue reading

What the numbers press hardest on defines much of the story here: modeled hearing disability lands in the top 3.5% nationally, coronary heart disease resides in the top 3.6% nationally, and tooth loss lies in the top 5.9% nationally. Walkability settles in the bottom 5.0% nationally. On the encouraging side, park land stands in the top 0.5% nationally, and modeled tree cover is in the top 2.4% nationally. Modeled humid heat rests in the bottom 3.8% nationally, and air-toxics cancer risk sits in the bottom 5.4% nationally. Modeled pfas registers in the bottom 5.7% nationally, and homeownership lands in the top 7.1% nationally.

Compared with the ZIPs that surround it, park land runs far higher than the surrounding ZIPs on this measure. In plain language, air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. 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. Humid heat is a modeled heat-stress measure combining temperature, humidity, sun, and wind to gauge heat on the body outdoors. ZIP 57718, just across the boundary, ranks healthier overall.

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

Environmental Hazard

healthier than 90%

14%

Mental Health

healthier than 82%

8%

Climate / Disaster Risk

healthier than 96%

5%

About typical

Social Need / SDOH

healthier than 60%

16%

Risk Behavior

healthier than 45%

11%

Holding it back

Chronic Disease Burden

healthier than 12%

21%

Preventive Care

healthier than 28%

13%

Disability

healthier than 17%

7%

Healthcare Access

healthier than 10%

5%

Lifting this score

Social Need / SDOH

healthier than 75%

16%

Environmental Hazard

healthier than 94%

14%

Climate / Disaster Risk

healthier than 99%

5%

About typical

Mental Health

healthier than 53%

8%

Healthcare Access

healthier than 46%

5%

Holding it back

Chronic Disease Burden

healthier than 6%

21%

Preventive Care

healthier than 14%

13%

Risk Behavior

healthier than 17%

11%

Disability

healthier than 11%

7%

“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 adults34.9%31.6–38.3
High blood pressure among adults40.8%37.1–44.6
Cancer (non-skin) or melanoma among adults11.9%10.7–13.3
Current asthma among adults10.4%9.2–11.9
Coronary heart disease among adults11.2%9.6–12.8
Chronic obstructive pulmonary disease among adults11.1%9.0–13.5
Depression among adults20.0%17.3–23.2
Diagnosed diabetes among adults15.9%13.6–18.5
High cholesterol among adults who have ever been screened40.6%37.2–44.4
Obesity among adults35.9%31.0–41.2
Stroke among adults5.4%4.6–6.3
All teeth lost among adults aged >=65 years26.2%21.6–31.1
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years9.3%6.9–12.4
Taking medicine to control high blood pressure among adults with high blood pressure81.6%78.9–84.2
Visits to doctor for routine checkup within the past year among adults77.3%74.3–80.5
Cholesterol screening among adults85.1%82.8–87.2
Colorectal cancer screening among adults aged 45–75 years61.3%55.6–66.8
Visited dentist or dental clinic in the past year among adults59.2%55.2–63.1
Mammography use among women aged 50-74 years68.9%59.7–77.3
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults15.6%13.2–18.3
Current cigarette smoking among adults19.2%15.1–23.5
No leisure-time physical activity among adults30.7%25.4–36.2
Short sleep duration among adults30.9%24.9–37.7
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults23.3%19.2–27.8
Frequent mental distress among adults15.0%12.9–17.1
Frequent physical distress among adults16.3%13.8–18.9
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults15.8%13.3–18.5
Any disability among adults38.7%33.4–44.2
Hearing disability among adults12.3%10.7–14.1
Independent living disability among adults10.1%8.4–12.0
Mobility disability among adults19.8%16.4–23.6
Self-care disability among adults5.5%4.5–6.6
Vision disability among adults6.8%5.7–8.1
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)SD median (p10–p90)
Poverty rate23.1%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–640.0%9.0% (1.5–24.3%) n=32,2869.6% (0.0–33.2%) n=365
No HS diploma (25+)4.3%7.9% (1.8–20.7%) n=32,5056.0% (0.8–15.3%) n=366
Bachelor's or higher (25+)35.2%23.3% (9.2–53.6%) n=32,50524.6% (10.3–40.7%) n=366
Unemployment rate (16+)0.0%3.9% (0.0–9.8%) n=32,2741.1% (0.0–8.0%) n=365
Households without a vehicle0.0%3.9% (0.0–12.5%) n=32,3221.9% (0.0–9.6%) n=364
Broadband subscription95.6%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)11.9%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate96.3%78.7% (51.7–94.0%) n=32,32279.9% (57.2–94.8%) n=364
Crowded housing (>1 per room)0.0%1.3% (0.0–6.3%) n=32,3220.6% (0.0–10.2%) n=364
Foreign-born population0.0%2.6% (0.0–18.6%) n=32,5530.6% (0.0–5.3%) n=367
Single-parent households86.3%53.6% (37.3–74.1%) n=32,08756.7% (32.7–81.4%) n=362
Population 65+48.2%19.4% (10.8–33.6%) n=32,55320.3% (8.4–33.0%) n=367
Median age63.8 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (27.6–56.7) n=365
Median household income$75,500$72,070 ($46,039–$118,707) n=30,318$74,865 ($51,211–$102,582) n=336
Median home value$555,600$222,200 ($100,300–$579,820) n=30,049$177,400 ($79,000–$321,400) n=311
Median gross rent$1,021 ($677–$1,912) n=25,670$763 ($544–$1,089) n=243
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)SD median (p10–p90)
Life expectancy at birth78.0 yr ± 1.3478.9 yr (74.7–82.8) n=31,30880.7 yr (77.4–84.2) n=357

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 1.34 years of 78.0, 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