New York State Department of Health
Community Health Indicator Reports — Latest Data
County values, counts, denominators, reporting periods, and source descriptions used by the standardized comparison system.
Open official source ↗Founding edition · 2026
Public Health Atlas · Community conditions
Social determinants of health
Poverty, food access, household income, and social vulnerability measures that shape health opportunity.
Read the geography and period first
These measures describe community conditions. They are not individual traits and should not be used to stigmatize places or residents.
Western New York
Circles show approximate county centers and are sized by the selected value. They are not patient locations.
Eight-county comparison
Highest reported value to lowest
Placement is descriptive. “Highest” is not automatically “worst,” particularly for access, income, screening, and protective measures.
Historical trend
Orleans County and the NYS-excluding-NYC reference
Bars use the source's annual values. Definition changes and gaps remain attached to the official series.
Orleans CountyNYS excluding NYC
201215.9
201315.7
201415.5
201514.2
201615.2
201715.2
201812.6
201913.2
202013.2
202116.1
All New York counties
Sortable-source audit view
62 counties have a reported value for this indicator. Suppressed or unavailable values are not assigned a rank.
| Rank | County | Value | Period | Events | Denominator |
|---|---|---|---|---|---|
| 1 | Bronx | 26.4% | 2021 | — | — |
| 2 | Kings | 19.2% | 2021 | — | — |
| 3 | New York | 17.4% | 2021 | — | — |
| 4 | Chautauqua | 17.2% | 2021 | — | — |
| 5 | Sullivan | 17.1% | 2021 | — | — |
| 6 | Franklin | 16.7% | 2021 | — | — |
| 7 | Tompkins | 16.2% | 2021 | — | — |
| 8 | Cattaraugus | 16.1% | 2021 | — | — |
| 9 | Orleans | 16.1% | 2021 | — | — |
| 10 | Delaware | 15.9% | 2021 | — | — |
| 11 | Oswego | 15.7% | 2021 | — | — |
| 12 | Rockland | 15.2% | 2021 | — | — |
| 13 | Clinton | 15.1% | 2021 | — | — |
| 14 | Montgomery | 15.0% | 2021 | — | — |
| 15 | St. Lawrence | 15.0% | 2021 | — | — |
| 16 | Chemung | 14.9% | 2021 | — | — |
| 17 | Cayuga | 14.8% | 2021 | — | — |
| 18 | Allegany | 14.6% | 2021 | — | — |
| 19 | Oneida | 14.2% | 2021 | — | — |
| 20 | Onondaga | 14.2% | 2021 | — | — |
| 21 | Broome | 14.1% | 2021 | — | — |
| 22 | Otsego | 13.8% | 2021 | — | — |
| 23 | Erie | 13.7% | 2021 | — | — |
| 24 | Steuben | 13.7% | 2021 | — | — |
| 25 | Fulton | 13.6% | 2021 | — | — |
| 26 | Queens | 13.6% | 2021 | — | — |
| 27 | Schuyler | 13.6% | 2021 | — | — |
| 28 | Seneca | 13.4% | 2021 | — | — |
| 29 | Chenango | 13.3% | 2021 | — | — |
| 30 | Herkimer | 13.3% | 2021 | — | — |
| 31 | Monroe | 13.3% | 2021 | — | — |
| 32 | Niagara | 13.0% | 2021 | — | — |
| 33 | Schenectady | 12.9% | 2021 | — | — |
| 34 | Schoharie | 12.9% | 2021 | — | — |
| 35 | Lewis | 12.6% | 2021 | — | — |
| 36 | Jefferson | 12.4% | 2021 | — | — |
| 37 | Rensselaer | 12.3% | 2021 | — | — |
| 38 | Washington | 12.3% | 2021 | — | — |
| 39 | Orange | 12.2% | 2021 | — | — |
| 40 | Livingston | 12.0% | 2021 | — | — |
| 41 | Albany | 11.9% | 2021 | — | — |
| 42 | Richmond | 11.9% | 2021 | — | — |
| 43 | Greene | 11.7% | 2021 | — | — |
| 44 | Tioga | 11.7% | 2021 | — | — |
| 45 | Essex | 11.3% | 2021 | — | — |
| 46 | Ulster | 11.3% | 2021 | — | — |
| 47 | Cortland | 11.0% | 2021 | — | — |
| 48 | Yates | 10.6% | 2021 | — | — |
| 49 | Columbia | 10.5% | 2021 | — | — |
| 50 | Madison | 10.4% | 2021 | — | — |
| 51 | Warren | 10.2% | 2021 | — | — |
| 52 | Wayne | 10.0% | 2021 | — | — |
| 53 | Dutchess | 9.7% | 2021 | — | — |
| 54 | Genesee | 9.6% | 2021 | — | — |
| 55 | Hamilton | 9.6% | 2021 | — | — |
| 56 | Westchester | 9.4% | 2021 | — | — |
| 57 | Wyoming | 9.4% | 2021 | — | — |
| 58 | Ontario | 7.8% | 2021 | — | — |
| 59 | Saratoga | 7.7% | 2021 | — | — |
| 60 | Putnam | 6.6% | 2021 | — | — |
| 61 | Suffolk | 6.4% | 2021 | — | — |
| 62 | Nassau | 6.1% | 2021 | — | — |
Optional environmental context
Open the documentary record without implying causation.
Health statistics and environmental history remain separate by default. These links preserve that distinction while making related records easy to inspect.
Main environmental mapIndustry, cleanup sites, landfills, PFAS, and documented waste locations →Radiological legacyFUSRAP, LOOW, Linde, uranium-processing history, and survey records →Changed waterways and fillFilled wetlands, altered channels, shoreline expansion, and aerial evidence →Documented airborne risksOfficial plumes, dates, geographic limits, and source records →
Methodology and sources
Every value keeps its source period and geography.
County ranks include only New York counties with a published numeric value for the selected measure.
New York State Department of Health
Community Health Indicator Reports dashboard
Official visualization, definitions, and interpretation context.
Open official source ↗New York State Department of Health
Prevention Agenda subcounty data
Official ZIP and other subcounty records where the source supports local geography.
Open official source ↗New York State Department of Health
New York State Opioid Data Dashboard
Separate annual and provisional opioid surveillance; not silently merged with CHIRS periods.
Open official source ↗