ZIP code
64445
in Elmo, MissouriPopulation 301
44.78/ 100
Ranked #22,641 of 32,066 US ZIPs (bottom 29%)
Ranked #439 of 993 Missouri ZIPs (top 44%)
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.
Fiber broadband
100%
at the national maximum
Higher is healthier
ST99thUS99thDefinition & source ›
The share of homes where fiber-optic internet service is available.
Full methodology ›Radon
3.8 pCi/L
in the top 3.0% nationally
Lower is healthier
ST99thUS97thDefinition & source ›
The modeled typical indoor radon level for this area, in picocuries per liter — the EPA recommends fixing a home at 4 pCi/L or above.
Modeled from indoor-radon measurements. In Alaska and Hawaii, where those measurements are not published, a US Geological Survey geologic radon-potential category stands in — a coarser input, disclosed rather than hidden.
Full methodology ›Transportation noise
0.00%
at the national minimum
Lower is healthier
ST1stUS1stDefinition & 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 ›PFAS in drinking water
100%
at the national maximum
Lower is healthier
ST99thUS99thDefinition & source ›
The share of residents served by public water systems where PFAS — man-made “forever chemicals” that build up in the body and environment instead of breaking down — were detected in EPA testing.
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 ›Nitrate in drinking water
1.2%
in the top 6.2% nationally
Lower is healthier
ST99thUS94thDefinition & source ›
The modeled share of this area’s domestic-well groundwater at or above the federal nitrate limit of 10 milligrams 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 ›Distance to a community health center
17.8 mi
in the top 9.7% nationally
Lower is healthier
ST99thUS90thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest federally funded community health center, which serves patients regardless of ability to pay.
Full methodology ›Distance to a nursing home
10.6 mi
in the top 9.9% nationally
Lower is healthier
ST97thUS90thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›Short sleep
41.6%
in the top 10.5% nationally
Lower is healthier
ST94thUS90thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›Floodplain exposure
1.6%
in the bottom 16% nationally
Lower is healthier
ST6thUS16thDefinition & 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 ›Air-toxics cancer risk
20 per million
in the bottom 25% nationally
Lower is healthier
ST1stUS25thDefinition & 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 ›The read
Overall, Elmo, Missouri (ZIP 64445) lands in the bottom 29% nationally (22,641st) and the top 44% of Missouri (439th).
A number of measures mark where this area is under strain: modeled radon sits in the top 3.0% nationally, and PFAS in drinking water is at the national maximum. Modeled nitrate settles in the top 6.2% nationally, and distance to a community health center resides in the top 9.7% nationally. Distance to a nursing home registers in the top 9.9% nationally, and modeled short sleep rests in the top 10.5% nationally. On the brighter side, fiber broadband stands at the national maximum, and modeled transportation noise lies at the national minimum. Households without a vehicle lands at the national minimum, shared with about 16% of ZIPs. Modeled loud transportation noise sits at the national minimum, shared with about 22% of ZIPs.
A note on the terms: radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. PFAS in drinking water is the family of man-made "forever chemicals" that build up in the body and environment instead of breaking down. Nitrate is a groundwater compound from fertilizer, manure, and sewage, here a modeled estimate of the chance private-well levels exceed a benchmark. For a healthier nearby comparison, ZIP 51630, just across the boundary, ranks better 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.
Nothing measured is lifting this score.
About typical
Social Need / SDOH
healthier than 43%
16%
Preventive Care
healthier than 56%
13%
Mental Health
healthier than 40%
8%
Climate / Disaster Risk
healthier than 59%
5%
Holding it back
Chronic Disease Burden
healthier than 25%
21%
Environmental Hazard
healthier than 29%
14%
Risk Behavior
healthier than 16%
11%
Disability
healthier than 33%
7%
Healthcare Access
healthier than 7%
5%
Lifting this score
Preventive Care
healthier than 79%
13%
Mental Health
healthier than 73%
8%
Disability
healthier than 61%
7%
Climate / Disaster Risk
in the top 0.5%
5%
About typical
Social Need / SDOH
healthier than 48%
16%
Holding it back
Chronic Disease Burden
healthier than 38%
21%
Environmental Hazard
healthier than 21%
14%
Risk Behavior
healthier than 36%
11%
Healthcare Access
in the bottom 0.00%
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
51630
Iowashares a border
Score 52.32
Closest healthier
51631
Iowaless than 0.1 mi away
Score 51.94
Similar health profile
17729
Pennsylvania97% similar profile
Score 40.97
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 | 34.0% | 30.2–37.6 |
| High blood pressure among adults | 40.7% | 36.4–45.0 |
| Cancer (non-skin) or melanoma among adults | 10.8% | 9.7–11.9 |
| Current asthma among adults | 10.4% | 9.2–11.8 |
| Coronary heart disease among adults | 8.4% | 7.5–9.4 |
| Chronic obstructive pulmonary disease among adults | 9.8% | 8.4–11.2 |
| Depression among adults | 24.6% | 21.0–28.4 |
| Diagnosed diabetes among adults | 13.4% | 11.5–15.4 |
| High cholesterol among adults who have ever been screened | 41.4% | 37.0–45.9 |
| Obesity among adults | 39.0% | 31.6–46.6 |
| Stroke among adults | 4.2% | 3.7–4.6 |
| All teeth lost among adults aged >=65 years | 19.0% | 15.6–22.8 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 7.8% | 6.4–9.6 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 80.7% | 77.9–83.2 |
| Visits to doctor for routine checkup within the past year among adults | 80.5% | 77.2–83.6 |
| Cholesterol screening among adults | 86.3% | 84.4–88.1 |
| Colorectal cancer screening among adults aged 45–75 years | 65.4% | 59.9–70.5 |
| Visited dentist or dental clinic in the past year among adults | 57.7% | 53.9–61.4 |
| Mammography use among women aged 50-74 years | 75.2% | 67.4–82.0 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 15.5% | 12.8–18.5 |
| Current cigarette smoking among adults | 17.5% | 14.9–20.6 |
| No leisure-time physical activity among adults | 30.6% | 25.8–35.7 |
| Short sleep duration among adults | 41.6% | 35.1–48.3 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 21.6% | 18.6–24.9 |
| Frequent mental distress among adults | 16.8% | 14.8–19.0 |
| Frequent physical distress among adults | 15.8% | 13.8–18.0 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 16.8% | 14.8–19.0 |
| Any disability among adults | 38.4% | 33.7–43.4 |
| Hearing disability among adults | 10.2% | 9.0–11.4 |
| Independent living disability among adults | 9.2% | 8.1–10.5 |
| Mobility disability among adults | 17.7% | 15.2–20.4 |
| Self-care disability among adults | 4.1% | 3.6–4.6 |
| Vision disability among adults | 5.0% | 4.4–5.6 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 19.4% | 16.3–22.8 |
| Food insecurity in the past 12 months among adults | 11.6% | 9.3–14.1 |
| Received food stamps in the past 12 months among adults | 9.0% | 7.2–11.0 |
| Housing insecurity in the past 12 months among adults | 9.9% | 8.2–11.7 |
| Lack of reliable transportation in the past 12 months among adults | 6.9% | 5.9–8.0 |
| Loneliness among adults | 29.8% | 25.2–34.9 |
| Utility services shut-off threat in the past 12 months among adults | 7.1% | 6.1–8.4 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 10.3% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 7.3% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 9.1% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 13.6% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 1.3% | 3.9% (0.0–9.8%) n=32,274 | 2.9% (0.0–8.5%) n=1,003 |
| Households without a vehicle | 0.0% | 3.9% (0.0–12.5%) n=32,322 | 4.1% (0.0–11.9%) n=1,009 |
| Broadband subscription | 91.8% | 89.3% (75.1–97.1%) n=32,322 | 86.3% (72.7–95.2%) n=1,009 |
| Housing cost burden (≥30% income) | 11.9% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 69.4% | 78.7% (51.7–94.0%) n=32,322 | 79.4% (56.0–94.3%) n=1,009 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–5.1%) n=1,009 |
| Foreign-born population | 0.0% | 2.6% (0.0–18.6%) n=32,553 | 0.8% (0.0–6.4%) n=1,010 |
| Single-parent households | 36.4% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 13.0% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 34.0 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $66,667 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | $98,100 | $222,200 ($100,300–$579,820) n=30,049 | $174,150 ($91,880–$309,500) n=930 |
| Median gross rent | $620 | $1,021 ($677–$1,912) n=25,670 | $813 ($553–$1,265) n=786 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 77.4 yr ± 1.62 | 78.9 yr (74.7–82.8) n=31,308 | 77.6 yr (74.6–81.0) n=995 |
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 1.62 years of 77.4, 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