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ZipVitals

ZIP code

77545

in Fresno, TexasPopulation 26,236

53.57/ 100

Ranked #11,262 of 32,066 US ZIPs (top 35%)

Ranked #343 of 1,868 Texas ZIPs (top 18%)

Ranked #74 of 237 Houston-Pasadena-The Woodlands, TX ZIPs (top 31%)

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.

Industrial-pollution burden

in the top 1.9% nationally

Lower is healthier

ST93rd
US98th
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 ›

Air-toxics cancer risk

40.2 per million

in the top 2.2% nationally

Lower is healthier

ST96th
US98th
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 ›

Hearing disability

3.8%

in the bottom 1.8% nationally

Lower is healthier

ST2nd
US2nd
Definition & source ›

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

Full methodology ›

Humid extreme heat

151.7 days/year

in the top 4.3% nationally

Lower is healthier

ST75th
US96th
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 ›

Uninsured (under 65)

18.6%

in the top 5.8% nationally

Lower is healthier

ST62nd
US94th
Definition & source ›

The estimated share of adults aged 18–64 with no current health-insurance coverage.

Full methodology ›

Coronary heart disease

4.0%

in the bottom 3.3% nationally

Lower is healthier

ST7th
US3rd
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 ›

High cholesterol

31%

in the bottom 4.6% nationally

Lower is healthier

ST5th
US5th
Definition & source ›

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

Full methodology ›

Short sleep

42.9%

in the top 6.7% nationally

Lower is healthier

ST93rd
US93rd
Definition & source ›

The estimated share of adults who usually sleep less than seven hours in a 24-hour period.

Full methodology ›

Colon-cancer screening

56.7%

in the bottom 6.9% nationally

Higher is healthier

ST24th
US7th
Definition & source ›

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

Full methodology ›

Expected annual disaster loss

$0

in the top 8.9% nationally

Lower is healthier

ST80th
US91st
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 ›

The read

On balance, and by the composite measure, Fresno, Texas (ZIP 77545) ranks in the top 35% healthiest ZIPs nationally (11,262nd) and the top 18% of Texas (343rd).

continue reading

Neither strongly one way nor the other, the measures sit mixed: modeled hearing disability is in the bottom 1.8% nationally, and coronary heart disease stands in the bottom 3.3% nationally. Modeled high cholesterol settles in the bottom 4.6% nationally. Against that, modeled industrial-pollution burden lies in the top 1.9% nationally, air-toxics cancer risk resides in the top 2.2% nationally, and humid heat lands in the top 4.3% nationally. Modeled uninsured registers in the top 5.8% nationally, short sleep sits in the top 6.7% nationally, and colon screening rests in the bottom 6.9% nationally. Modeled expected annual loss is in the top 8.9% nationally.

Compared with the ZIPs it borders, industrial-pollution burden runs far higher than the surrounding ZIPs on this measure. In plainer terms, industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. Air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. Expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. For a healthier nearby ZIP overall, look to ZIP 77459, 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 Houston-Pasadena-The Woodlands, TX metro area.

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

Compare within

Lifting this score

Chronic Disease Burden

healthier than 88%

21%

Social Need / SDOH

healthier than 66%

16%

Mental Health

healthier than 71%

8%

Disability

healthier than 67%

7%

About typical

Healthcare Access

healthier than 59%

5%

Holding it back

Environmental Hazard

healthier than 26%

14%

Preventive Care

healthier than 16%

13%

Risk Behavior

healthier than 32%

11%

Climate / Disaster Risk

healthier than 14%

5%

Lifting this score

Chronic Disease Burden

healthier than 80%

21%

Social Need / SDOH

healthier than 66%

16%

Mental Health

healthier than 77%

8%

Disability

healthier than 75%

7%

Climate / Disaster Risk

healthier than 76%

5%

About typical

Preventive Care

healthier than 51%

13%

Risk Behavior

healthier than 47%

11%

Healthcare Access

healthier than 51%

5%

Holding it back

Environmental Hazard

healthier than 17%

14%

Lifting this score

Chronic Disease Burden

healthier than 72%

21%

Preventive Care

healthier than 62%

13%

Mental Health

healthier than 63%

8%

Disability

healthier than 66%

7%

Climate / Disaster Risk

healthier than 65%

5%

About typical

Social Need / SDOH

healthier than 58%

16%

Environmental Hazard

healthier than 46%

14%

Risk Behavior

healthier than 49%

11%

Holding it back

Healthcare Access

healthier than 22%

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 ›

Findings that name this ZIP

3 of our published findings list this ZIP code. Each finding compares one published measure against a stated benchmark, and names only the ZIP codes whose estimates are reliable enough to rank. See all surprising findings.

  • Below what income predicts

    The ZIP codes that outlive their incomes

    Estimated life expectancy is 77.3 ± 2.2 years. A median household income of $94,474 predicts 79.9 years — 2.5 years below.

    Ranked #3,502 of the 5,842 ZIP codes this finding names, ordered by years above what income predicts, highest first.

  • Heavy environment, light chronic burden

    Where the environment and chronic illness point in opposite directions

    Environmental-hazard standing 26.2; chronic-disease standing 87.6 — 61 points apart, heavier on the environment than it is on chronic illness.

    Ranked #15,555 of the 18,187 ZIP codes this finding names, ordered by the gap from cleanest environment to heaviest chronic burden, highest first.

  • Highest-risk tenth

    Air toxics and the years between the two ends of the risk scale

    Modeled air-toxics cancer risk is 40.2 cases per million — among the tenth of compared ZIP codes with the most. Estimated life expectancy is 77.3 ± 2.2 years.

    Ranked #450 of the 4,173 ZIP codes this finding names, ordered by modeled air-toxics risk, highest first.

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 adults18.5%16.1–21.2
High blood pressure among adults33.7%30.0–37.8
Cancer (non-skin) or melanoma among adults3.7%3.3–4.1
Current asthma among adults10.9%9.7–12.2
Coronary heart disease among adults4.0%3.6–4.4
Chronic obstructive pulmonary disease among adults4.3%3.8–4.8
Depression among adults18.3%15.5–21.5
Diagnosed diabetes among adults12.7%11.1–14.4
High cholesterol among adults who have ever been screened31.0%27.3–35.1
Obesity among adults38.3%31.3–46.1
Stroke among adults2.9%2.7–3.2
All teeth lost among adults aged >=65 years10.8%8.7–13.2
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years18.6%16.3–21.0
Taking medicine to control high blood pressure among adults with high blood pressure73.3%70.1–76.4
Visits to doctor for routine checkup within the past year among adults74.7%71.1–78.4
Cholesterol screening among adults85.6%83.8–87.4
Colorectal cancer screening among adults aged 45–75 years56.7%51.5–61.9
Visited dentist or dental clinic in the past year among adults56.8%53.2–60.4
Mammography use among women aged 50-74 years80.0%73.3–85.8
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults15.4%12.8–18.6
Current cigarette smoking among adults12.3%10.5–14.2
No leisure-time physical activity among adults28.7%24.5–33.2
Short sleep duration among adults42.9%36.5–49.6
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults21.9%19.3–24.7
Frequent mental distress among adults17.8%15.8–19.9
Frequent physical distress among adults12.0%10.6–13.5
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults15.2%13.5–17.0
Any disability among adults27.8%24.1–31.8
Hearing disability among adults3.8%3.4–4.3
Independent living disability among adults8.2%7.3–9.1
Mobility disability among adults12.7%11.1–14.4
Self-care disability among adults4.1%3.7–4.5
Vision disability among adults5.9%5.4–6.5
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)TX median (p10–p90)
Poverty rate8.4%10.6% (3.1–25.8%) n=32,36412.4% (3.5–26.4%) n=1,869
Uninsured 18–6423.2%9.0% (1.5–24.3%) n=32,28622.3% (8.2–41.5%) n=1,862
No HS diploma (25+)13.5%7.9% (1.8–20.7%) n=32,50512.2% (2.5–30.0%) n=1,881
Bachelor's or higher (25+)26.4%23.3% (9.2–53.6%) n=32,50521.9% (9.0–51.4%) n=1,881
Unemployment rate (16+)4.1%3.9% (0.0–9.8%) n=32,2744.2% (0.0–9.4%) n=1,865
Households without a vehicle2.2%3.9% (0.0–12.5%) n=32,3223.7% (0.0–10.8%) n=1,868
Broadband subscription95.4%89.3% (75.1–97.1%) n=32,32289.2% (75.0–97.3%) n=1,868
Housing cost burden (≥30% income)28.7%23.7% (10.6–40.0%) n=32,32226.2% (8.8–40.3%) n=1,868
Homeownership rate79.3%78.7% (51.7–94.0%) n=32,32275.0% (46.4–92.3%) n=1,868
Crowded housing (>1 per room)6.3%1.3% (0.0–6.3%) n=32,3223.1% (0.0–9.0%) n=1,868
Foreign-born population19.2%2.6% (0.0–18.6%) n=32,5538.1% (0.1–26.4%) n=1,886
Single-parent households44.0%53.6% (37.3–74.1%) n=32,08748.5% (34.3–70.6%) n=1,861
Population 65+7.9%19.4% (10.8–33.6%) n=32,55316.1% (8.6–30.1%) n=1,886
Median age36.7 yr42.2 yr (33.0–56.3) n=32,29238.3 yr (30.9–52.3) n=1,866
Median household income$94,474$72,070 ($46,039–$118,707) n=30,318$69,983 ($46,006–$112,413) n=1,737
Median home value$261,500$222,200 ($100,300–$579,820) n=30,049$210,500 ($97,060–$429,760) n=1,693
Median gross rent$1,999$1,021 ($677–$1,912) n=25,670$1,154 ($764–$1,815) n=1,508
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)TX median (p10–p90)
Life expectancy at birth77.3 yr ± 1.1278.9 yr (74.7–82.8) n=31,30878.2 yr (75.1–81.7) n=1,772

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 1.12 years of 77.3, 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