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C+Health Grade
Health in Pahala · CDC PLACES 2025

On CDC estimates, Pahala is healthier than 43% of U.S. towns

Pahala differs from Hawaii on 21 of 32 measures CDC estimates: 1 better, 20 worse.

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

What stands out · In brief

What stands out about health in Pahala

Dental care lags in Pahala

53.2% of adults saw a dentist this year, vs 68.3% across Hawaii. Among those 65 and older, 13.8% have lost all their teeth (Hawaii 8.5%). Checkups ↓

Making ends meet is harder in Pahala

1 in 4 adults worry about having enough food (25.8%), vs 17.3% across Hawaii. No reliable transportation (11.1% vs 7.5%) and utility shut-off threats (8.1% vs 5.8%) are higher too. 20.5% of adults receive SNAP, vs 12.2% statewide. Everyday needs ↓

COPD, stroke and heart disease run high in Pahala

1 in 13 adults have COPD (7.5%), vs 5.3% across Hawaii. 1 in 21 adults have had a stroke (4.8%), vs 3.7% across Hawaii. Heart disease is also above the state: 7.8%, vs 6.2% across Hawaii. In all, Pahala runs above Hawaii on four of 11 chronic conditions. Conditions ↓

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 Pahala’s likely range; at the ends of CDC’s ranges the grade could be anywhere from C− to B.

Health Grade

What’s behind Pahala’s grade

On seven CDC estimates for adults, Pahala is healthier than 43% of U.S. towns. Obesity holds the grade up (fewer adults with obesity than 95% of U.S. towns); diabetes pulls it down (better than 14%).

C−Self-rated health23.8% · HI 18.4% · U.S. 19.4%
CPhysical distress15.5% · HI 12.3% · U.S. 13%
B+Mental distress15.7% · HI 14.5% · U.S. 15.9%
A+Obesity25.1% · HI 25.6% · U.S. 32.9%
DDiabetes15.1% · HI 12.4% · U.S. 12%
C+Smoking15.9% smoke · HI 11% · U.S. 11.8%
C+Exercise27.5% · HI 23% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 43%
Less healthyHealthier
U.S. towns with similar incomes, $54K–$89K (10,631)Healthier than 50%

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). Pahala’s median household income is $71,518; among the 10,631 U.S. towns within 25% of that ($54K–$89K), it’s healthier than 50%, about where its income would put it.

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

How TownRatings grades health →

★ What stands out · Checkups & screenings

Keeping up with care

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

75%Yearly checkupHI 77%
53%Dentist visitHI 68%
80%Cholesterol checkHI 83%
58%Colon screeningHI 63%
70%MammogramHI 78%
78%Taking BP medsHI 77%
1 in 13
working-age adults has no health insurance
Pahala 7.5% · Hawaii 1 in 18 (5.6%)
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 4
Pahala adults worry about having enough food
25.8% · HI 17.3%
Worse than HI
1 in 7
Pahala adults worry about keeping their housing
14.5% · HI 10.9%
Worse than HI
1 in 12
Pahala adults were threatened with a utility shut-off
8.1% · HI 5.8%
Worse than HI
1 in 9
Pahala adults lack reliable transportation
11.1% · HI 7.5%
Worse than HI

20.5% of Pahala adults receive SNAP (food stamps), compared with 12.2% across Hawaii.

Chronic conditions

Out of every 100 Pahala adults…

Pahala runs above HI on 6 of 12 conditions. Tap one to see it as people.

8 of every 100 Pahala adults have COPD
Hawaii: 5 in 100 · worse · likely 6.5–8.5%
Better than HIWorseAbout the sameHawaii
Getting care

Care in and near Pahala

1 hospital in Pahala, plus the nearest just outside it.

HNearest ERKau HospitalPahala · 0.2 miDirections →
+Low-cost careWest Hawaii Community Health CenterNaalehu · 11.8 mi · sliding-scale feesDirections →
0.2 mi
Kau Hospital
Pahala · not rated
ERRural critical accessIn Pahala
11.8 mi
West Hawaii Community Health Center
8 sites · nearest in Naalehu
Sliding-scale fees
Directions to nearest
36.4 mi
Kona Community Hospital
Kealakekua · ★★★★★
ER
43 mi
Hilo Benioff Medical Center
Hilo · ★★★★★
ER
48 mi
North Hawaii Community Hospital
Kamuela · ★★★★★
ER
✓ Primary careNo HRSA shortage area covers Pahala itself
✓ Dental careNo HRSA shortage area covers Pahala itself
✓ Mental healthNo HRSA shortage area covers Pahala 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 Pahala; ≈ 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).

Habits

Everyday habits, side by side with Hawaii

Share of adults, with the Hawaii figure marked.

Get no exercise 27.5%HI 23%
Sleep under 7 hours 42.1%HI 45.7%
Binge drink 14.6%HI 17.4%
Smoke cigarettes 15.9%HI 11%
0%10%20%30%40%50%
Pahala, betterPahala, worseAbout the sameHawaii
Where Pahala gets moving

Walk with neighbors

The easiest exercise habit to keep is one with company.

Mind & connection

How Pahala adults are doing

On 1 of 4 measures, Pahala runs above Hawaii.

1 in 3Pahala adults feel lonely
33.8% · HI 32% · About the same as HI
1 in 3Pahala adults lack social or emotional support
35.2% · HI 30.1% · Worse than HI
1 in 6Pahala adults have been diagnosed with depression
17.6% · HI 16% · About the same as HI
1 in 6Pahala adults are in frequent mental distress
15.7% · HI 14.5% · About the same as HI
The one neighbors can help with

1 in 3 Pahala 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

Pahala and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
PahalaC+25.1%15.1%15.9%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

34.2%

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

Walking or climbing stairs16.4%
Thinking or memory15.3%
Hearing8.6%
Errands alone9.4%
Vision7.3%
Dressing or bathing4.8%
Hawaii

Every CDC estimate for Pahala

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

On the 32 measures below that have a better and a worse direction, Pahala is better than Hawaii on 1 and worse on 20; on the rest, the Hawaii figure falls inside Pahala’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…PahalaHIU.S.vs HI
Overall health
Fair or poor health23.8%21.1–26.918.4%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)15.5%13.9–17.412.3%13%Worse
Frequent mental distress (mental health not good 14+ days a month)15.7%14.1–17.514.5%15.9%About the same
Conditions
Obesity25.1%21–29.625.6%32.9%About the same
Diabetes15.1%13.4–1712.4%12%Worse
High blood pressure32%28.9–35.231.5%34.4%About the same
High cholesterol (adults screened in 5 years)36.8%33.6–40.136.1%37.1%About the same
Arthritis26%23.5–28.723.2%25.3%Worse
Asthma10.4%9.3–11.69.8%9.9%About the same
Cancer, other than skin cancer6.3%5.7–6.96.7%7.9%About the same
Coronary heart disease7.8%7–8.76.2%6.4%Worse
COPD7.5%6.5–8.55.3%6.3%Worse
Stroke4.8%4.4–5.33.7%3.4%Worse
Lost all teeth (ages 65+)13.8%11.4–16.38.5%12.3%Worse
Habits
Smoke cigarettes15.9%13.7–18.411%11.8%Worse
No exercise outside work27.5%23.7–31.823%24.7%Worse
Binge drinking14.6%12.7–16.817.4%15.4%Better
Sleep under 7 hours42.1%37.3–4745.7%36%About the same
Checkups and coverage
No health insurance (ages 18–64)7.5%6.2–9.15.6%11%Worse
Checkup in the past year75.2%72–78.277.3%77.4%About the same
Dentist visit in the past year53.2%49.6–56.768.3%63.2%Worse
Cholesterol check in 5 years80%77.9–82.282.8%87.1%Worse
Taking blood pressure medicine (adults with high blood pressure)77.9%75.2–80.376.9%76.5%About the same
Colorectal cancer screening (ages 45–75)58.4%54–62.562.6%65.5%Worse
Mammogram in 2 years (women 50–74)69.6%63.2–75.578.3%76.4%Worse
Mind and connection
Ever told they have depression17.6%15.3–20.116%20.6%About the same
Feel lonely33.8%30.3–37.832%32.5%About the same
Lack social and emotional support35.2%31.6–39.230.1%23.6%Worse
Everyday needs
Worried about having enough food25.8%22.6–29.417.3%15%Worse
Worried about keeping housing14.5%12.6–16.710.9%12%Worse
Threatened with a utility shut-off8.1%7–9.35.8%7.6%Worse
Lack reliable transportation11.1%9.8–12.77.5%7.9%Worse
Received SNAP (food stamps)20.5%17.6–23.812.2%11.6%Higher
Disability
Any disability34.2%30.6–38.128.7%30.1%Higher
Difficulty walking or climbing stairs16.4%14.5–18.613.2%13.6%Higher
Difficulty concentrating or remembering15.3%13.5–17.212.5%13.9%Higher
Hearing difficulty8.6%7.6–9.67.2%6.7%Higher
Vision difficulty7.3%6.5–8.25.2%5.4%Higher
Difficulty doing errands alone9.4%8.3–10.67.1%7.9%Higher
Difficulty dressing or bathing4.8%4.3–5.43.4%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 Pahala

Is Pahala a healthy place to live?

On seven CDC estimates for adults, Pahala is healthier than 43% of U.S. towns: C+ for health. Among U.S. towns with similar household incomes it’s healthier than 50%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Pahala?

CDC estimates 25.1% of adults have obesity, likely between 21% and 29.6%, against 25.6% across Hawaii and 32.9% nationally.

What hospital is closest to Pahala?

Kau Hospital in Pahala, 0.2 miles in a straight line from Pahala’s center point, is the nearest general hospital with an emergency room; it has no Medicare star rating.

How many people in Pahala have no health insurance?

CDC estimates 7.5% of adults ages 18–64 have no health insurance (likely 6.2–9.1%), 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 Pahala more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from C− to B.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Pahala.

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.