ZIP code
93605
in Big Creek, CaliforniaPopulation 69
46.87/ 100
Ranked #20,315 of 32,066 US ZIPs (bottom 37%)
Ranked #1,238 of 1,719 California ZIPs (bottom 28%)
Ranked #27 of 65 Fresno, CA ZIPs (top 42%)
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.
Air-toxics cancer risk
49.6 per million
in the top 1.1% nationally
Lower is healthier
ST92ndUS99thDefinition & 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 ›Distance to an emergency room
33.7 mi
in the top 1.5% nationally
Lower is healthier
ST99thUS99thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
Full methodology ›Fine-particle (PM2.5) exceedance
3.8%
in the top 1.6% nationally
Lower is healthier
ST82ndUS98thDefinition & source ›
The share of days in the year when modeled fine-particle (PM2.5) pollution was above the EPA’s daily limit of 35 micrograms per cubic meter.
Full methodology ›Distance to a hazardous-chemical facility
29.7 mi
in the top 2.0% nationally
Higher is healthier
ST98thUS98thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest facility that handles enough hazardous chemicals to require an EPA risk-management plan for accidental releases.
Full methodology ›Distance to a nursing home
22.3 mi
in the top 2.8% nationally
Lower is healthier
ST98thUS97thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›Floodplain exposure
0.00%
at the national minimum
Lower is healthier
ST1stUS1stDefinition & 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 ›Transportation noise
0.01%
in the bottom 5.8% nationally
Lower is healthier
ST4thUS6thDefinition & 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 ›Humid extreme heat
9 days/year
in the bottom 6.1% nationally
Lower is healthier
ST14thUS6thDefinition & 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 ›Lead in tap water
6.7 ppb
in the top 6.5% nationally
Lower is healthier
US94thDefinition & 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 ›Poverty rate
30.4%
in the top 6.6% nationally
Lower is healthier
ST94thUS93rdDefinition & source ›
The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.
Full methodology ›The read
In its overall standing, Big Creek, California (ZIP 93605) lands in the bottom 37% nationally (20,315th) and the bottom 28% of California (1,238th).
Several serious readings shape the profile and deserve first mention: modeled air-toxics cancer risk registers in the top 1.1% nationally, distance to an emergency room resides in the top 1.5% nationally, and modeled fine-particle settles in the top 1.6% nationally. Distance to a nursing home is in the top 2.8% nationally, lead in tap water sits in the top 6.5% nationally, and poverty lands in the top 6.6% nationally. On the better side, distance to a hazardous-chemical facility lies in the top 2.0% nationally, and floodplain exposure stands at the national minimum. Modeled transportation noise rests in the bottom 5.8% nationally, and humid heat registers in the bottom 6.1% nationally.
Put simply, air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. Fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. Distance to a hazardous-chemical facility is a plant handling large amounts of hazardous chemicals that must file an EPA risk-management plan for accidental releases. On the overall standing, ZIP 93664, just across the boundary, ranks healthier.
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 Fresno, CA metro area.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Risk Behavior
healthier than 75%
11%
Climate / Disaster Risk
healthier than 95%
5%
About typical
Chronic Disease Burden
healthier than 51%
21%
Social Need / SDOH
healthier than 42%
16%
Holding it back
Environmental Hazard
healthier than 3%
14%
Preventive Care
healthier than 39%
13%
Mental Health
healthier than 22%
8%
Disability
healthier than 37%
7%
Healthcare Access
healthier than 2%
5%
Lifting this score
Preventive Care
healthier than 61%
13%
Climate / Disaster Risk
healthier than 91%
5%
About typical
Social Need / SDOH
healthier than 43%
16%
Risk Behavior
healthier than 53%
11%
Holding it back
Chronic Disease Burden
healthier than 20%
21%
Environmental Hazard
healthier than 15%
14%
Mental Health
healthier than 12%
8%
Disability
healthier than 35%
7%
Healthcare Access
healthier than 1%
5%
Lifting this score
Social Need / SDOH
healthier than 70%
16%
Preventive Care
healthier than 69%
13%
Risk Behavior
healthier than 67%
11%
Disability
healthier than 64%
7%
Climate / Disaster Risk
in the top 0.00%
5%
Holding it back
Chronic Disease Burden
healthier than 20%
21%
Environmental Hazard
healthier than 31%
14%
Mental Health
healthier than 31%
8%
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
93664
Californiashares a border
Score 50.91
Closest healthier
93643
Californiaabout 2.0 mi away
Score 50.42
Similar health profile
97342
Oregon95% similar profile
Score 44.13
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 | 29.9% | 26.9–33.3 |
| High blood pressure among adults | 36.2% | 32.7–40.0 |
| Cancer (non-skin) or melanoma among adults | 9.9% | 9.0–11.0 |
| Current asthma among adults | 11.4% | 10.2–13.0 |
| Coronary heart disease among adults | 7.6% | 6.7–8.6 |
| Chronic obstructive pulmonary disease among adults | 7.9% | 6.7–9.4 |
| Depression among adults | 25.3% | 22.1–29.0 |
| Diagnosed diabetes among adults | 11.7% | 10.0–13.5 |
| High cholesterol among adults who have ever been screened | 35.4% | 31.9–39.4 |
| Obesity among adults | 35.6% | 30.4–41.5 |
| Stroke among adults | 4.1% | 3.6–4.7 |
| All teeth lost among adults aged >=65 years | 11.5% | 9.4–14.1 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 5.1% | 3.9–6.7 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 75.7% | 72.7–78.7 |
| Visits to doctor for routine checkup within the past year among adults | 74.9% | 71.5–78.2 |
| Cholesterol screening among adults | 86.1% | 84.0–88.2 |
| Colorectal cancer screening among adults aged 45–75 years | 65.9% | 61.5–70.0 |
| Visited dentist or dental clinic in the past year among adults | 64.9% | 61.7–68.1 |
| Mammography use among women aged 50-74 years | 71.2% | 63.9–77.7 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 15.1% | 12.7–18.0 |
| Current cigarette smoking among adults | 13.9% | 11.1–16.9 |
| No leisure-time physical activity among adults | 23.7% | 19.9–27.9 |
| Short sleep duration among adults | 33.1% | 28.6–37.7 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 22.1% | 19.1–25.6 |
| Frequent mental distress among adults | 18.7% | 16.4–21.3 |
| Frequent physical distress among adults | 15.0% | 13.1–17.2 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 15.4% | 13.2–17.8 |
| Any disability among adults | 35.6% | 31.2–40.2 |
| Hearing disability among adults | 8.2% | 7.3–9.3 |
| Independent living disability among adults | 9.8% | 8.4–11.3 |
| Mobility disability among adults | 17.4% | 14.9–20.0 |
| Self-care disability among adults | 4.5% | 3.8–5.2 |
| Vision disability among adults | 5.5% | 4.8–6.3 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 23.8% | 20.4–27.6 |
| Food insecurity in the past 12 months among adults | 13.5% | 10.8–16.5 |
| Received food stamps in the past 12 months among adults | 14.2% | 11.2–17.5 |
| Housing insecurity in the past 12 months among adults | 10.7% | 8.8–12.8 |
| Lack of reliable transportation in the past 12 months among adults | 8.2% | 6.9–9.6 |
| Loneliness among adults | 33.8% | 29.5–38.5 |
| Utility services shut-off threat in the past 12 months among adults | 7.0% | 5.8–8.4 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | CA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 30.4% | 10.6% (3.1–25.8%) n=32,364 | 10.6% (4.1–24.9%) n=1,714 |
| Uninsured 18–64 | 0.0% | 9.0% (1.5–24.3%) n=32,286 | 7.7% (1.7–17.9%) n=1,704 |
| No HS diploma (25+) | 0.0% | 7.9% (1.8–20.7%) n=32,505 | 9.8% (1.4–30.9%) n=1,729 |
| Bachelor's or higher (25+) | 41.2% | 23.3% (9.2–53.6%) n=32,505 | 31.3% (9.9–68.2%) n=1,729 |
| Unemployment rate (16+) | 0.0% | 3.9% (0.0–9.8%) n=32,274 | 6.1% (0.8–12.0%) n=1,714 |
| Households without a vehicle | 0.0% | 3.9% (0.0–12.5%) n=32,322 | 4.5% (0.0–12.2%) n=1,708 |
| Broadband subscription | 90.0% | 89.3% (75.1–97.1%) n=32,322 | 93.4% (82.1–98.4%) n=1,708 |
| Housing cost burden (≥30% income) | 36.7% | 23.7% (10.6–40.0%) n=32,322 | 38.6% (24.4–50.5%) n=1,708 |
| Homeownership rate | 70.0% | 78.7% (51.7–94.0%) n=32,322 | 64.1% (31.9–86.4%) n=1,708 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 4.8% (0.0–15.9%) n=1,708 |
| Foreign-born population | 8.7% | 2.6% (0.0–18.6%) n=32,553 | 18.9% (3.0–40.4%) n=1,730 |
| Single-parent households | 73.9% | 53.6% (37.3–74.1%) n=32,087 | 48.4% (35.1–72.3%) n=1,692 |
| Population 65+ | 24.6% | 19.4% (10.8–33.6%) n=32,553 | 17.0% (9.7–35.7%) n=1,730 |
| Median age | 39.8 yr | 42.2 yr (33.0–56.3) n=32,292 | 40.1 yr (31.8–57.0) n=1,712 |
| Median household income | — | $72,070 ($46,039–$118,707) n=30,318 | $93,448 ($54,188–$159,562) n=1,584 |
| Median home value | $361,800 | $222,200 ($100,300–$579,820) n=30,049 | $659,800 ($300,520–$1,493,340) n=1,593 |
| Median gross rent | — | $1,021 ($677–$1,912) n=25,670 | $1,912 ($1,113–$2,923) n=1,461 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | CA median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 80.0 yr ± 1.69 | 78.9 yr (74.7–82.8) n=31,308 | 80.5 yr (76.7–83.8) n=1,665 |
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 1.69 years of 80.0, 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