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DHealth Grade
Health in Nanawale Estates · CDC PLACES 2025

Among U.S. towns with similar household incomes, Nanawale Estates is healthier than 82%

Nanawale Estates differs from Hawaii on 25 of 32 measures CDC estimates: 1 better, 24 worse.

Modeled estimates for adults 18+, CDC’s own estimate for Nanawale Estates. How CDC estimates town health

What stands out · In brief

What stands out about health in Nanawale Estates

COPD, stroke and heart disease run high in Nanawale Estates

1 in 9 adults have COPD (11.2%), about twice the Hawaii rate. 1 in 17 adults have had a stroke (5.9%), vs 3.7% across Hawaii. Heart disease is also above the state: 9.7%, vs 6.2% across Hawaii. In all, Nanawale Estates runs above Hawaii on eight of 11 chronic conditions. Conditions ↓

Smoking is more common in Nanawale Estates

1 in 4 adults smoke cigarettes (22.5%), about twice the Hawaii rate. Habits ↓

Making ends meet is harder in Nanawale Estates

1 in 7 adults were threatened with a utility shut-off (13.7%), more than twice the Hawaii rate. Food insecurity (34.1% vs 17.3%) and no reliable transportation (15.7% vs 7.5%) are higher too. 35.3% of adults receive SNAP, vs 12.2% statewide. Everyday needs ↓

Nanawale Estates is healthier than its income would predict

Against all U.S. towns, Nanawale Estates is healthier than 12%. Against the 304 towns with similar household incomes ($20K–$33K), it’s healthier than 82%. Health Grade ↓

Written from the CDC, Medicare and HRSA data on this page. CDC PLACES 2025 release: modeled estimates for adults, not counts; “higher” and “lower” mean the Hawaii figure falls outside Nanawale Estates’ likely range; at the ends of CDC’s ranges the grade could be anywhere from D− to C.

Health Grade

What’s behind Nanawale Estates’ grade

On seven CDC estimates for adults, Nanawale Estates is healthier than 12% of U.S. towns. Obesity holds the grade up (fewer adults with obesity than 64% of U.S. towns); physical distress pulls it down (better than 3%).

DSelf-rated health30.2% · HI 18.4% · U.S. 19.4%
D−Physical distress19.4% · HI 12.3% · U.S. 13%
C−Mental distress19.2% · HI 14.5% · U.S. 15.9%
BObesity34.2% · HI 25.6% · U.S. 32.9%
DDiabetes16.5% · HI 12.4% · U.S. 12%
D−Smoking22.5% smoke · HI 11% · U.S. 11.8%
C−Exercise30.3% · HI 23% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 12%
Less healthyHealthier
U.S. towns with similar incomes, $20K–$33K (304)Healthier than 82%

Health estimates follow income closely across the country: towns with higher household incomes usually score higher (a correlation of 0.77 across 21,157 graded towns). Nanawale Estates’ median household income is $26,683; among the 304 U.S. towns within 25% of that ($20K–$33K), it’s healthier than 82%, more than its income alone would suggest.

A fairly firm grade. With every estimate at the unfavorable or the favorable end of CDC’s likely range, Nanawale Estates could be anywhere from D− to C.

How TownRatings grades health →

★ What stands out · Chronic conditions

Out of every 100 Nanawale Estates adults…

Nanawale Estates runs above HI on 11 of 12 conditions. Tap one to see it as people.

11 of every 100 Nanawale Estates adults have COPD
Hawaii: 5 in 100 · worse · likely 9.8–12.8%
Better than HIWorseAbout the sameHawaii
Habits

Everyday habits, side by side with Hawaii

Share of adults, with the Hawaii figure marked.

Get no exercise 30.3%HI 23%
Sleep under 7 hours 40.9%HI 45.7%
Binge drink 16.6%HI 17.4%
Smoke cigarettes 22.5%HI 11%
0%10%20%30%40%50%
Nanawale Estates, betterNanawale Estates, worseAbout the sameHawaii
Where Nanawale Estates gets moving

1 mile of trails across 1 park or preserve

Parks & trails →
Everyday needs

Making ends meet

Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.

1 in 3
Nanawale Estates adults worry about having enough food
34.1% · HI 17.3%
Worse than HI
1 in 5
Nanawale Estates adults worry about keeping their housing
19.9% · HI 10.9%
Worse than HI
1 in 7
Nanawale Estates adults were threatened with a utility shut-off
13.7% · HI 5.8%
Worse than HI
1 in 6
Nanawale Estates adults lack reliable transportation
15.7% · HI 7.5%
Worse than HI

35.3% of Nanawale Estates adults receive SNAP (food stamps), compared with 12.2% across Hawaii.

Getting care

Care in and near Nanawale Estates

No hospital or community health center in Nanawale Estates itself. These are the nearest.

HNearest ERHilo Benioff Medical CenterHilo · 19.8 miDirections →
★Best rated nearbyHilo Benioff Medical Center★★★★★ · 19.8 miDirections →
+Low-cost careWest Hawaii Community Health CenterPahoa · 2.6 mi · sliding-scale feesDirections →
2.6 mi
West Hawaii Community Health Center
8 sites · nearest in Pahoa
Sliding-scale fees
Directions to nearest
19.8 mi
Hilo Benioff Medical Center
Hilo · ★★★★★
ER
42.4 mi
Kau Hospital
Pahala · not rated
ERRural critical access
53.8 mi
Honoka'a Hospital and Skilled Nursing
Honokaa · not rated
ERRural critical access
57 mi
North Hawaii Community Hospital
Kamuela · ★★★★★
ER
✓ Primary careNo HRSA shortage area covers Nanawale Estates itself
✓ Dental careNo HRSA shortage area covers Nanawale Estates itself
✓ Mental healthNo HRSA shortage area covers Nanawale Estates itself

Hospitals: Medicare overall star ratings, 1–5. Community health centers charge on a sliding scale by income. Distances are straight-line from the center of Nanawale Estates; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

Checkups & screenings

Keeping up with care

Share of Nanawale Estates adults getting routine care. The full ring is 100%; the dark tick marks Hawaii.

74%Yearly checkupHI 77%
55%Dentist visitHI 68%
77%Cholesterol checkHI 83%
59%Colon screeningHI 63%
70%MammogramHI 78%
77%Taking BP medsHI 77%
1 in 11
working-age adults has no health insurance
Nanawale Estates 9.5% · Hawaii 1 in 18 (5.6%)
Mind & connection

How Nanawale Estates adults are doing

On 2 of 4 measures, Nanawale Estates runs above Hawaii.

1 in 3Nanawale Estates adults feel lonely
31.8% · HI 32% · About the same as HI
3 in 10Nanawale Estates adults lack social or emotional support
30.7% · HI 30.1% · About the same as HI
1 in 4Nanawale Estates adults have been diagnosed with depression
22.9% · HI 16% · Worse than HI
1 in 5Nanawale Estates adults are in frequent mental distress
19.2% · HI 14.5% · Worse than HI
The one neighbors can help with

1 in 3 Nanawale Estates adults feel lonely. A hello is a start.

Groups are the easiest way in: a walking group, a book club, your street.

Find a group →

If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.

Around town

Nanawale Estates and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
Nanawale EstatesD34.2%16.5%22.5%CDC place
PahoaC−30.5%17.9%20.3%CDC place

Same-state neighbors only, ordered by length of shared border.

Disability

Living with a disability

Shown without a better/worse judgment.

40.7%

of Nanawale Estates adults live with a disability (Hawaii 28.7%). Walking or climbing stairs is the most common.

Walking or climbing stairs20.9%
Thinking or memory19.6%
Hearing10.4%
Errands alone13.3%
Vision10%
Dressing or bathing7.3%
Hawaii

Every CDC estimate for Nanawale Estates

Share of adults, 40 measures, with CDC’s likely range.

On the 32 measures below that have a better and a worse direction, Nanawale Estates is better than Hawaii on 1 and worse on 24; on the rest, the Hawaii figure falls inside Nanawale Estates’ likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…Nanawale EstatesHIU.S.vs HI
Overall health
Fair or poor health30.2%27.2–33.618.4%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)19.4%17.4–21.712.3%13%Worse
Frequent mental distress (mental health not good 14+ days a month)19.2%17.2–21.314.5%15.9%Worse
Conditions
Obesity34.2%29.1–39.725.6%32.9%Worse
Diabetes16.5%14.6–18.512.4%12%Worse
High blood pressure35.8%32.6–39.131.5%34.4%Worse
High cholesterol (adults screened in 5 years)36.1%32.9–39.636.1%37.1%About the same
Arthritis30.8%28–33.723.2%25.3%Worse
Asthma12.2%11–13.79.8%9.9%Worse
Cancer, other than skin cancer7.7%7–8.56.7%7.9%Worse
Coronary heart disease9.7%8.8–10.96.2%6.4%Worse
COPD11.2%9.8–12.85.3%6.3%Worse
Stroke5.9%5.3–6.53.7%3.4%Worse
Lost all teeth (ages 65+)16.5%13.6–19.58.5%12.3%Worse
Habits
Smoke cigarettes22.5%19.7–25.711%11.8%Worse
No exercise outside work30.3%26.4–34.823%24.7%Worse
Binge drinking16.6%14.4–19.117.4%15.4%About the same
Sleep under 7 hours40.9%36.2–45.645.7%36%Better
Checkups and coverage
No health insurance (ages 18–64)9.5%7.9–11.45.6%11%Worse
Checkup in the past year74.4%71.2–77.577.3%77.4%About the same
Dentist visit in the past year54.6%51–57.968.3%63.2%Worse
Cholesterol check in 5 years77%74.6–79.282.8%87.1%Worse
Taking blood pressure medicine (adults with high blood pressure)76.9%74.1–79.676.9%76.5%About the same
Colorectal cancer screening (ages 45–75)59.2%54.9–63.362.6%65.5%About the same
Mammogram in 2 years (women 50–74)69.6%63.4–75.478.3%76.4%Worse
Mind and connection
Ever told they have depression22.9%20–2616%20.6%Worse
Feel lonely31.8%28.6–35.632%32.5%About the same
Lack social and emotional support30.7%27.5–34.230.1%23.6%About the same
Everyday needs
Worried about having enough food34.1%30.7–37.917.3%15%Worse
Worried about keeping housing19.9%17.7–22.510.9%12%Worse
Threatened with a utility shut-off13.7%12.1–15.55.8%7.6%Worse
Lack reliable transportation15.7%14–17.67.5%7.9%Worse
Received SNAP (food stamps)35.3%31.5–39.412.2%11.6%Higher
Disability
Any disability40.7%36.9–4528.7%30.1%Higher
Difficulty walking or climbing stairs20.9%18.5–23.513.2%13.6%Higher
Difficulty concentrating or remembering19.6%17.6–2212.5%13.9%Higher
Hearing difficulty10.4%9.2–11.77.2%6.7%Higher
Vision difficulty10%9.1–11.15.2%5.4%Higher
Difficulty doing errands alone13.3%11.9–14.97.1%7.9%Higher
Difficulty dressing or bathing7.3%6.6–8.13.4%3.8%Higher

Each figure is the share of adults 18+ unless the label says otherwise; small numbers after it are CDC’s likely range (95% interval). “About the same” means the Hawaii figure falls inside that range.

Questions about health in Nanawale Estates

Is Nanawale Estates a healthy place to live?

On seven CDC estimates for adults, Nanawale Estates is healthier than 12% of U.S. towns: D for health. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Nanawale Estates?

CDC estimates 34.2% of adults have obesity, likely between 29.1% and 39.7%, against 25.6% across Hawaii and 32.9% nationally.

What hospital is closest to Nanawale Estates?

Hilo Benioff Medical Center in Hilo, 19.8 miles in a straight line from Nanawale Estates’ center point, is the nearest general hospital with an emergency room; Medicare rates it 3 of 5 stars.

How many people in Nanawale Estates have no health insurance?

CDC estimates 9.5% of adults ages 18–64 have no health insurance (likely 7.9–11.4%), against 5.6% across Hawaii.

How accurate are these numbers?

They’re modeled estimates: CDC applies national survey answers to each area’s age, sex, race and education mix, so they describe who lives in Nanawale Estates more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D− to C.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Nanawale Estates.

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The Hawaii figure combines its counties, weighted by adult population. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. The Health Grade is our own summary of CDC’s estimates, not an official rating. Ages: U.S. Census Bureau, American Community Survey. Town boundaries: U.S. Census Bureau. This page isn’t medical advice. In an emergency, call 911.