ZIP code
99118
in Curlew, WashingtonPopulation 899
43.14/ 100
Ranked #24,247 of 32,066 US ZIPs (bottom 24%)
Ranked #544 of 581 Washington ZIPs (bottom 6.4%)
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.
Distance to a nursing home
25.1 mi
in the top 2.2% nationally
Lower is healthier
ST95thUS98thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›Industrial-pollution burden
in the bottom 2.3% nationally
Lower is healthier
ST2ndUS2ndDefinition & 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 ›Civic-institution access
1.3 per 1,000 residents
in the top 2.7% nationally
Higher is healthier
ST96thUS97thDefinition & source ›
The number of civic and social organizations 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 ›Fine-particle (PM2.5) exceedance
2.7%
in the top 2.7% nationally
Lower is healthier
ST92ndUS97thDefinition & 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 ›Park land
46.1%
in the top 2.8% nationally
Higher is healthier
ST94thUS97thDefinition & source ›
The share of this ZIP’s land area that is public parkland.
Full methodology ›Distance to a community health center
26.2 mi
in the top 5.2% nationally
Lower is healthier
ST97thUS95thDefinition & 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 ›Air-toxics cancer risk
18.5 per million
in the bottom 6.9% nationally
Lower is healthier
ST9thUS7thDefinition & 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 ›Slow internet speeds
1.6%
in the top 7.3% nationally
Lower is healthier
ST91stUS93rdDefinition & source ›
The share of homes whose fastest available download speed is under 10 Mbps.
Full methodology ›Mammography
68.5%
in the bottom 8.8% nationally
Higher is healthier
ST18thUS9thDefinition & source ›
The estimated share of women aged 50–74 who had a mammogram within the past two years.
Full methodology ›Hearing disability
10.7%
in the top 11.8% nationally
Lower is healthier
ST91stUS88thDefinition & source ›
The estimated share of adults who are deaf or have serious difficulty hearing.
Full methodology ›The read
On the composite measure, Curlew, Washington (ZIP 99118) stands in the bottom 24% nationally (24,247th) and the bottom 6.4% of Washington (544th).
Several readings make the pressure on this area plain: distance to a nursing home stands in the top 2.2% nationally, and modeled fine-particle sits in the top 2.7% nationally. Distance to a community health center resides in the top 5.2% nationally, and slow internet speeds stands in the top 7.3% nationally. Modeled mammography sits in the bottom 8.8% nationally. On the encouraging side, modeled industrial-pollution burden resides in the bottom 2.3% nationally, civic stands in the top 2.7% nationally, and park land sits in the top 2.8% nationally. Modeled air-toxics cancer risk resides in the bottom 6.9% nationally, and transportation noise stands in the bottom 10.7% nationally.
Set beside the wider area around it, park land runs far higher than the surrounding ZIPs on this measure. For clarity, industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. Fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. Air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. ZIP 98859, just across the boundary, 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.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Risk Behavior
healthier than 74%
11%
Climate / Disaster Risk
healthier than 96%
5%
About typical
Social Need / SDOH
healthier than 42%
16%
Holding it back
Chronic Disease Burden
healthier than 13%
21%
Environmental Hazard
healthier than 21%
14%
Preventive Care
healthier than 29%
13%
Mental Health
healthier than 40%
8%
Disability
healthier than 25%
7%
Healthcare Access
healthier than 2%
5%
Lifting this score
Climate / Disaster Risk
healthier than 79%
5%
About typical
Preventive Care
healthier than 51%
13%
Mental Health
healthier than 58%
8%
Holding it back
Chronic Disease Burden
healthier than 3%
21%
Social Need / SDOH
healthier than 9%
16%
Environmental Hazard
healthier than 24%
14%
Risk Behavior
healthier than 28%
11%
Disability
healthier than 7%
7%
Healthcare Access
healthier than 3%
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
98859
Washingtonshares a border
Score 44.83
Closest healthier
99121
Washingtonshares a border
Score 43.98
Similar health profile
97905
Oregon97% similar profile
Score 43.70
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 | 38.9% | 35.0–42.7 |
| High blood pressure among adults | 41.3% | 36.8–45.7 |
| Cancer (non-skin) or melanoma among adults | 12.0% | 10.7–13.4 |
| Current asthma among adults | 11.9% | 10.6–13.4 |
| Coronary heart disease among adults | 9.8% | 8.6–11.1 |
| Chronic obstructive pulmonary disease among adults | 9.9% | 8.4–11.7 |
| Depression among adults | 25.0% | 21.4–28.7 |
| Diagnosed diabetes among adults | 14.5% | 12.5–16.7 |
| High cholesterol among adults who have ever been screened | 42.2% | 37.6–46.6 |
| Obesity among adults | 39.6% | 32.1–47.1 |
| Stroke among adults | 5.1% | 4.5–5.8 |
| All teeth lost among adults aged >=65 years | 15.0% | 12.3–18.1 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.1% | 6.5–9.9 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 78.0% | 74.6–81.0 |
| Visits to doctor for routine checkup within the past year among adults | 73.9% | 70.1–77.6 |
| Cholesterol screening among adults | 86.4% | 84.5–88.1 |
| Colorectal cancer screening among adults aged 45–75 years | 67.7% | 62.8–72.3 |
| Visited dentist or dental clinic in the past year among adults | 59.2% | 55.7–62.7 |
| Mammography use among women aged 50-74 years | 68.5% | 60.4–75.6 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.0% | 11.5–16.8 |
| Current cigarette smoking among adults | 15.1% | 12.5–18.1 |
| No leisure-time physical activity among adults | 23.9% | 19.5–28.8 |
| Short sleep duration among adults | 33.9% | 28.3–39.8 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 23.0% | 19.6–26.7 |
| Frequent mental distress among adults | 16.6% | 14.7–18.8 |
| Frequent physical distress among adults | 17.5% | 15.2–19.9 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 15.5% | 13.6–17.8 |
| Any disability among adults | 37.2% | 32.5–42.4 |
| Hearing disability among adults | 10.7% | 9.5–12.1 |
| Independent living disability among adults | 9.5% | 8.2–10.9 |
| Mobility disability among adults | 18.6% | 15.8–21.7 |
| Self-care disability among adults | 5.2% | 4.5–6.0 |
| Vision disability among adults | 6.0% | 5.2–6.9 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | WA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 19.8% | 10.6% (3.1–25.8%) n=32,364 | 9.6% (3.5–22.3%) n=583 |
| Uninsured 18–64 | 5.2% | 9.0% (1.5–24.3%) n=32,286 | 8.2% (1.8–22.7%) n=582 |
| No HS diploma (25+) | 6.0% | 7.9% (1.8–20.7%) n=32,505 | 7.0% (1.5–16.5%) n=588 |
| Bachelor's or higher (25+) | 14.4% | 23.3% (9.2–53.6%) n=32,505 | 27.4% (12.3–59.7%) n=588 |
| Unemployment rate (16+) | 4.4% | 3.9% (0.0–9.8%) n=32,274 | 4.5% (0.0–9.7%) n=584 |
| Households without a vehicle | 0.8% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.2%) n=580 |
| Broadband subscription | 79.5% | 89.3% (75.1–97.1%) n=32,322 | 92.7% (81.1–97.4%) n=580 |
| Housing cost burden (≥30% income) | 17.6% | 23.7% (10.6–40.0%) n=32,322 | 28.9% (14.6–40.6%) n=580 |
| Homeownership rate | 73.0% | 78.7% (51.7–94.0%) n=32,322 | 75.2% (48.2–91.7%) n=580 |
| Crowded housing (>1 per room) | 1.0% | 1.3% (0.0–6.3%) n=32,322 | 2.6% (0.0–7.9%) n=580 |
| Foreign-born population | 3.4% | 2.6% (0.0–18.6%) n=32,553 | 6.7% (0.3–27.6%) n=588 |
| Single-parent households | 74.8% | 53.6% (37.3–74.1%) n=32,087 | 54.3% (40.5–76.0%) n=574 |
| Population 65+ | 25.6% | 19.4% (10.8–33.6%) n=32,553 | 18.9% (10.3–36.9%) n=588 |
| Median age | 46.5 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.0 yr (32.9–58.8) n=584 |
| Median household income | $68,875 | $72,070 ($46,039–$118,707) n=30,318 | $84,646 ($56,217–$132,145) n=547 |
| Median home value | $323,800 | $222,200 ($100,300–$579,820) n=30,049 | $452,750 ($241,540–$826,380) n=542 |
| Median gross rent | $863 | $1,021 ($677–$1,912) n=25,670 | $1,416 ($840–$2,197) n=476 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | WA median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 80.6 yr ± 1.93 | 78.9 yr (74.7–82.8) n=31,308 | 80.2 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 1.93 years of 80.6, 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