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ZipVitals

ZIP code

98590

in Tokeland, WashingtonPopulation 509

45.70/ 100

Ranked #21,652 of 32,066 US ZIPs (bottom 32%)

Ranked #507 of 581 Washington ZIPs (bottom 12.8%)

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.

Dental provider access

2.7 per 1,000 residents

in the top 0.5% nationally

Higher is healthier

ST99th
US99th
Definition & source ›

The number of dental offices located inside this ZIP’s boundary, per 1,000 residents.

Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.

Full methodology ›

Humid extreme heat

2 days/year

in the bottom 1.3% nationally

Lower is healthier

ST5th
US1st
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 ›

Floodplain exposure

65.3%

in the top 2.1% nationally

Lower is healthier

ST99th
US98th
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 ›

Slow internet speeds

5.0%

in the top 2.4% nationally

Lower is healthier

ST98th
US98th
Definition & source ›

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

Full methodology ›

Air-toxics cancer risk

10 per million

in the bottom 2.8% nationally

Lower is healthier

ST1st
US3rd
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 ›

Physician access

2.7 per 1,000 residents

in the top 4.3% nationally

Higher is healthier

ST97th
US96th
Definition & source ›

The number of physicians’ offices located inside this ZIP’s boundary, per 1,000 residents.

Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.

Full methodology ›

Distance to a hazardous-chemical facility

18 mi

in the top 5.9% nationally

Higher is healthier

ST93rd
US94th
Definition & 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 ›

Natural-disaster risk

in the top 7.8% nationally

Lower is healthier

ST72nd
US92nd
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 ›

Housing-cost burden

9.5%

in the bottom 8.8% nationally

Lower is healthier

ST6th
US9th
Definition & source ›

The share of households spending 30% or more of their income on housing.

Full methodology ›

Hearing disability

11.1%

in the top 8.7% nationally

Lower is healthier

ST95th
US91st
Definition & source ›

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

Full methodology ›

The read

By its overall health score, Tokeland, Washington (ZIP 98590) lands in the bottom 32% nationally (21,652nd) and the bottom 12.8% of Washington (507th).

continue reading

The burdens that read clearest in the data come first: floodplain exposure is in the top 2.1% nationally, and slow internet speeds stands in the top 2.4% nationally. Modeled disaster risk settles in the top 7.8% nationally, and hearing disability lies in the top 8.7% nationally. Better still, dental providers resides in the top 0.5% nationally, modeled humid heat lands in the bottom 1.3% nationally, and modeled air-toxics cancer risk registers in the bottom 2.8% nationally. Physicians sits in the top 4.3% nationally, distance to a hazardous-chemical facility rests in the top 5.9% nationally, and housing-cost burden is in the bottom 8.8% nationally.

Weighed against the ZIPs nearby, dental providers runs far higher than the surrounding ZIPs on this measure. To translate a couple of terms, air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. 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. Disaster risk is the area's national rank on its highest non-flood peril in FEMA's modeled Risk Index, like wildfire or quake. Overall, the nearest healthier neighbor is ZIP 98547, 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 / SDOH

healthier than 81%

16%

Environmental Hazard

in the top 0.3%

14%

Risk Behavior

healthier than 73%

11%

Holding it back

Chronic Disease Burden

healthier than 13%

21%

Preventive Care

healthier than 33%

13%

Mental Health

healthier than 34%

8%

Disability

healthier than 23%

7%

Climate / Disaster Risk

healthier than 11%

5%

Healthcare Access

healthier than 17%

5%

Lifting this score

Environmental Hazard

healthier than 99%

14%

About typical

Social Need / SDOH

healthier than 51%

16%

Preventive Care

healthier than 58%

13%

Mental Health

healthier than 47%

8%

Holding it back

Chronic Disease Burden

healthier than 3%

21%

Risk Behavior

healthier than 28%

11%

Disability

healthier than 6%

7%

Climate / Disaster Risk

in the bottom 0.8%

5%

Healthcare Access

healthier than 14%

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 adults37.7%34.2–41.1
High blood pressure among adults43.3%39.4–47.3
Cancer (non-skin) or melanoma among adults11.8%10.7–13.0
Current asthma among adults11.9%10.6–13.3
Coronary heart disease among adults9.7%8.5–10.9
Chronic obstructive pulmonary disease among adults9.3%7.9–10.9
Depression among adults25.4%22.0–28.8
Diagnosed diabetes among adults16.4%14.3–18.6
High cholesterol among adults who have ever been screened42.6%38.7–46.7
Obesity among adults37.8%32.0–43.8
Stroke among adults5.1%4.5–5.7
All teeth lost among adults aged >=65 years13.7%11.3–16.5
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years8.1%6.5–9.9
Taking medicine to control high blood pressure among adults with high blood pressure79.1%76.2–81.8
Visits to doctor for routine checkup within the past year among adults74.5%70.9–77.8
Cholesterol screening among adults85.7%83.9–87.5
Colorectal cancer screening among adults aged 45–75 years64.5%59.7–69.0
Visited dentist or dental clinic in the past year among adults61.2%57.7–64.6
Mammography use among women aged 50-74 years72.1%64.5–78.6
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults13.5%11.1–16.1
Current cigarette smoking among adults15.2%13.0–17.9
No leisure-time physical activity among adults23.1%19.4–27.1
Short sleep duration among adults35.4%30.4–40.8
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults24.1%20.9–27.7
Frequent mental distress among adults17.0%15.1–19.0
Frequent physical distress among adults17.4%15.3–19.6
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults15.6%13.7–17.7
Any disability among adults37.8%33.6–42.2
Hearing disability among adults11.1%9.9–12.4
Independent living disability among adults9.7%8.5–11.1
Mobility disability among adults19.3%16.7–22.1
Self-care disability among adults5.0%4.4–5.8
Vision disability among adults6.3%5.6–7.2
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)WA median (p10–p90)
Poverty rate11.8%10.6% (3.1–25.8%) n=32,3649.6% (3.5–22.3%) n=583
Uninsured 18–642.5%9.0% (1.5–24.3%) n=32,2868.2% (1.8–22.7%) n=582
No HS diploma (25+)6.5%7.9% (1.8–20.7%) n=32,5057.0% (1.5–16.5%) n=588
Bachelor's or higher (25+)8.8%23.3% (9.2–53.6%) n=32,50527.4% (12.3–59.7%) n=588
Unemployment rate (16+)2.0%3.9% (0.0–9.8%) n=32,2744.5% (0.0–9.7%) n=584
Households without a vehicle2.7%3.9% (0.0–12.5%) n=32,3223.7% (0.0–10.2%) n=580
Broadband subscription95.9%89.3% (75.1–97.1%) n=32,32292.7% (81.1–97.4%) n=580
Housing cost burden (≥30% income)9.5%23.7% (10.6–40.0%) n=32,32228.9% (14.6–40.6%) n=580
Homeownership rate77.4%78.7% (51.7–94.0%) n=32,32275.2% (48.2–91.7%) n=580
Crowded housing (>1 per room)0.0%1.3% (0.0–6.3%) n=32,3222.6% (0.0–7.9%) n=580
Foreign-born population3.3%2.6% (0.0–18.6%) n=32,5536.7% (0.3–27.6%) n=588
Single-parent households71.7%53.6% (37.3–74.1%) n=32,08754.3% (40.5–76.0%) n=574
Population 65+12.2%19.4% (10.8–33.6%) n=32,55318.9% (10.3–36.9%) n=588
Median age50.7 yr42.2 yr (33.0–56.3) n=32,29241.0 yr (32.9–58.8) n=584
Median household income$110,706$72,070 ($46,039–$118,707) n=30,318$84,646 ($56,217–$132,145) n=547
Median home value$550,200$222,200 ($100,300–$579,820) n=30,049$452,750 ($241,540–$826,380) n=542
Median gross rent$878$1,021 ($677–$1,912) n=25,670$1,416 ($840–$2,197) n=476
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)WA median (p10–p90)
Life expectancy at birth82.4 yr ± 1.5078.9 yr (74.7–82.8) n=31,30880.2 yr (77.3–83.1) n=584

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 1.50 years of 82.4, 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