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 · Behavioral health
Substance use
Smoking, binge-drinking, and alcohol-related injury measures, with the NYSDOH opioid dashboard linked for deeper overdose surveillance.
Read the geography and period first
This first release does not merge provisional overdose records with final annual measures. They remain separately labeled.
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.
All New York counties
Sortable-source audit view
61 counties have a reported value for this indicator. Suppressed or unavailable values are not assigned a rank.
| Rank | County | Value | Period | Events | Denominator |
|---|---|---|---|---|---|
| 1 | Chenango | 28.8% | 2022 | — | — |
| 2 | Allegany | 27.9% | 2022 | — | — |
| 3 | Chemung | 26.8% | 2022 | — | — |
| 4 | Lewis | 26.7% | 2022 | — | — |
| 5 | Warren | 25.3% | 2022 | — | — |
| 6 | Washington | 25.1% | 2022 | — | — |
| 7 | Chautauqua | 24.5% | 2022 | — | — |
| 8 | Oswego | 24.5% | 2022 | — | — |
| 9 | Niagara | 23.8% | 2022 | — | — |
| 10 | Fulton | 23.7% | 2022 | — | — |
| 11 | Wyoming | 23.4% | 2022 | — | — |
| 12 | Tioga | 23.3% | 2022 | — | — |
| 13 | Schoharie | 23.2% | 2022 | — | — |
| 14 | Oneida | 22.8% | 2022 | — | — |
| 15 | Franklin | 22.3% | 2022 | — | — |
| 16 | Livingston | 21.7% | 2022 | — | — |
| 17 | Genesee | 21.6% | 2022 | — | — |
| 18 | Jefferson | 21.4% | 2022 | — | — |
| 19 | Seneca | 21.4% | 2022 | — | — |
| 20 | St. Lawrence | 21.1% | 2022 | — | — |
| 21 | Wayne | 20.7% | 2022 | — | — |
| 22 | Cayuga | 20.2% | 2022 | — | — |
| 23 | Madison | 20.1% | 2022 | — | — |
| 24 | Otsego | 19.8% | 2022 | — | — |
| 25 | Montgomery | 19.7% | 2022 | — | — |
| 26 | Clinton | 19.0% | 2022 | — | — |
| 27 | Herkimer | 18.2% | 2022 | — | — |
| 28 | Dutchess | 17.4% | 2022 | — | — |
| 29 | Delaware | 17.3% | 2022 | — | — |
| 30 | Onondaga | 17.3% | 2022 | — | — |
| 31 | Cattaraugus | 17.1% | 2022 | — | — |
| 32 | Broome | 17.0% | 2022 | — | — |
| 33 | Putnam | 16.7% | 2022 | — | — |
| 34 | Steuben | 16.6% | 2022 | — | — |
| 35 | Greene | 16.5% | 2022 | — | — |
| 36 | Essex | 16.0% | 2022 | — | — |
| 37 | Erie | 15.5% | 2022 | — | — |
| 38 | Ontario | 15.5% | 2022 | — | — |
| 39 | Schenectady | 15.4% | 2022 | — | — |
| 40 | Rensselaer | 15.2% | 2022 | — | — |
| 41 | Saratoga | 14.9% | 2022 | — | — |
| 42 | Cortland | 14.6% | 2022 | — | — |
| 43 | Rockland | 14.0% | 2022 | — | — |
| 44 | Richmond | 13.6% | 2022 | — | — |
| 45 | Orleans | 13.4% | 2022 | — | — |
| 46 | Sullivan | 13.3% | 2022 | — | — |
| 47 | Albany | 12.7% | 2022 | — | — |
| 48 | Ulster | 12.7% | 2022 | — | — |
| 49 | Schuyler | 12.5% | 2022 | — | — |
| 50 | Monroe | 12.4% | 2022 | — | — |
| 51 | Yates | 12.3% | 2022 | — | — |
| 52 | Columbia | 12.1% | 2022 | — | — |
| 53 | Orange | 12.0% | 2022 | — | — |
| 54 | Bronx | 11.9% | 2022 | — | — |
| 55 | Tompkins | 11.5% | 2022 | — | — |
| 56 | Kings | 10.9% | 2022 | — | — |
| 57 | New York | 10.7% | 2022 | — | — |
| 58 | Suffolk | 9.7% | 2022 | — | — |
| 59 | Queens | 9.5% | 2022 | — | — |
| 60 | Nassau | 7.5% | 2022 | — | — |
| 61 | Westchester | 6.3% | 2022 | — | — |
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.
Dedicated opioid and overdose measures remain a high-priority second-source integration because their update schedules and provisional status differ from CHIRS.
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 ↗