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ZipVitals

ZIP code

98649

in Toutle, WashingtonPopulation 929

53.38/ 100

Ranked #11,526 of 32,066 US ZIPs (top 36%)

Ranked #300 of 581 Washington ZIPs (bottom 48%)

Ranked #3 of 10 Longview-Kelso, WA ZIPs (top 30%)

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.

Natural-disaster risk

in the top 3.6% nationally

Lower is healthier

ST87th
US96th
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 ›

Humid extreme heat

11 days/year

in the bottom 8.1% nationally

Lower is healthier

ST55th
US8th
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 ›

Tree cover

71.2%

in the top 8.6% nationally

Higher is healthier

ST90th
US91st
Definition & source ›

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

Full methodology ›

Colon-cancer screening

72.3%

in the top 9.5% nationally

Higher is healthier

ST91st
US91st
Definition & source ›

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

Full methodology ›

The read

On the composite measure, Toutle, Washington (ZIP 98649) stands in the top 36% healthiest ZIPs nationally (11,526th) and the bottom 48% of Washington (300th).

continue reading

The bright spots in the data define much of the story here: modeled humid heat lies in the bottom 8.1% nationally, and tree cover is in the top 8.6% nationally. Modeled extreme heat registers at the national minimum, shared with about 19% of ZIPs. Modeled loud transportation noise lies at the national minimum, shared with about 22% of ZIPs. Modeled colon screening is in the top 9.5% nationally, and energy burden registers in the bottom 11.9% nationally. Crowded housing lies at the national minimum, shared with about 29% of ZIPs. Distance to a hazardous-chemical facility is in the top 16% nationally. On the other side, modeled disaster risk registers in the top 3.6% nationally, and distance to a nursing home lies in the top 16% nationally.

For clarity, disaster risk is the area's national rank on its highest non-flood peril in FEMA's modeled Risk Index, like wildfire or quake. 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. Humid heat is a modeled heat-stress measure combining temperature, humidity, sun, and wind to gauge heat on the body outdoors. ZIP 98625, about 1.8 miles away, ranks better overall among the ZIPs nearby.

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 Longview-Kelso, WA metro area.

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 63%

16%

Environmental Hazard

healthier than 98%

14%

Risk Behavior

healthier than 71%

11%

Disability

healthier than 66%

7%

Climate / Disaster Risk

healthier than 83%

5%

About typical

Chronic Disease Burden

healthier than 56%

21%

Holding it back

Preventive Care

healthier than 40%

13%

Mental Health

healthier than 22%

8%

Healthcare Access

healthier than 24%

5%

Lifting this score

Environmental Hazard

healthier than 92%

14%

Preventive Care

healthier than 66%

13%

About typical

Disability

healthier than 46%

7%

Climate / Disaster Risk

healthier than 49%

5%

Holding it back

Chronic Disease Burden

healthier than 29%

21%

Social Need / SDOH

healthier than 22%

16%

Risk Behavior

healthier than 22%

11%

Mental Health

healthier than 31%

8%

Healthcare Access

healthier than 21%

5%

Lifting this score

Chronic Disease Burden

in the top 0.00%

21%

Environmental Hazard

healthier than 78%

14%

Disability

healthier than 89%

7%

About typical

Preventive Care

healthier than 56%

13%

Risk Behavior

healthier than 44%

11%

Mental Health

healthier than 44%

8%

Holding it back

Social Need / SDOH

in the bottom 0.00%

16%

Climate / Disaster Risk

healthier than 33%

5%

Healthcare Access

healthier than 33%

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 adults32.9%30.2–35.7
High blood pressure among adults34.3%31.3–37.4
Cancer (non-skin) or melanoma among adults9.8%8.8–10.7
Current asthma among adults12.2%10.9–13.6
Coronary heart disease among adults6.4%5.7–7.3
Chronic obstructive pulmonary disease among adults6.6%5.6–7.8
Depression among adults26.7%23.8–29.9
Diagnosed diabetes among adults10.4%9.0–11.9
High cholesterol among adults who have ever been screened34.2%31.3–37.5
Obesity among adults39.2%34.8–43.9
Stroke among adults3.4%3.0–3.9
All teeth lost among adults aged >=65 years10.6%8.8–12.7
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years7.4%5.8–9.3
Taking medicine to control high blood pressure among adults with high blood pressure72.1%68.8–75.1
Visits to doctor for routine checkup within the past year among adults72.0%68.8–75.1
Cholesterol screening among adults85.1%83.0–87.2
Colorectal cancer screening among adults aged 45–75 years72.3%69.1–75.4
Visited dentist or dental clinic in the past year among adults62.2%59.3–65.1
Mammography use among women aged 50-74 years76.5%71.1–81.4
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults16.9%14.6–19.4
Current cigarette smoking among adults12.5%10.4–15.3
No leisure-time physical activity among adults19.9%16.9–23.6
Short sleep duration among adults35.6%31.9–39.6
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults18.2%15.6–21.4
Frequent mental distress among adults17.7%15.7–19.9
Frequent physical distress among adults14.6%12.8–16.8
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults14.4%12.5–16.6
Any disability among adults30.9%27.3–35.0
Hearing disability among adults7.6%6.8–8.6
Independent living disability among adults7.7%6.6–8.9
Mobility disability among adults13.1%11.3–15.4
Self-care disability among adults3.5%3.1–4.1
Vision disability among adults4.2%3.7–4.9
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)WA median (p10–p90)
Poverty rate14.2%10.6% (3.1–25.8%) n=32,3649.6% (3.5–22.3%) n=583
Uninsured 18–6419.1%9.0% (1.5–24.3%) n=32,2868.2% (1.8–22.7%) n=582
No HS diploma (25+)8.4%7.9% (1.8–20.7%) n=32,5057.0% (1.5–16.5%) n=588
Bachelor's or higher (25+)14.6%23.3% (9.2–53.6%) n=32,50527.4% (12.3–59.7%) n=588
Unemployment rate (16+)2.6%3.9% (0.0–9.8%) n=32,2744.5% (0.0–9.7%) n=584
Households without a vehicle4.9%3.9% (0.0–12.5%) n=32,3223.7% (0.0–10.2%) n=580
Broadband subscription81.3%89.3% (75.1–97.1%) n=32,32292.7% (81.1–97.4%) n=580
Housing cost burden (≥30% income)32.9%23.7% (10.6–40.0%) n=32,32228.9% (14.6–40.6%) n=580
Homeownership rate80.7%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 population4.2%2.6% (0.0–18.6%) n=32,5536.7% (0.3–27.6%) n=588
Single-parent households48.4%53.6% (37.3–74.1%) n=32,08754.3% (40.5–76.0%) n=574
Population 65+22.1%19.4% (10.8–33.6%) n=32,55318.9% (10.3–36.9%) n=588
Median age46.8 yr42.2 yr (33.0–56.3) n=32,29241.0 yr (32.9–58.8) n=584
Median household income$73,750$72,070 ($46,039–$118,707) n=30,318$84,646 ($56,217–$132,145) n=547
Median home value$393,800$222,200 ($100,300–$579,820) n=30,049$452,750 ($241,540–$826,380) n=542
Median gross rent$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 birth79.0 yr ± 2.6878.9 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 2.68 years of 79.0, 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