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Pu'ukohola Heiau National Historic SitePu'ukohola Heiau National Historic Site · Photo: Bamse · CC BY-SA 4.0
–Not graded
Health in Puako · CDC PLACES 2025

Where Puako residents get care

CDC publishes only some of its health estimates for Puako, not the seven a Health Grade needs; here is what we do have.

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

What stands out · In brief

What stands out about health in Puako

Cancer and depression run high in Puako

1 in 9 adults have had cancer (11%), vs 6.7% across Hawaii. 1 in 5 adults have been diagnosed with depression (19.2%), vs 16% across Hawaii. In all, Puako runs above Hawaii on three of 11 chronic conditions. Age is part of it: 54% of residents are 65 or older (Hawaii 21%), and cancer is more common later in life. Conditions ↓

Puako is an active town

Only 14.9% of adults get no exercise outside work, vs 23% across Hawaii. Habits ↓

Puako keeps up with checkups

It beats Hawaii on three of five routine checkups and screenings, including dentist visits (72% vs 68.3%) and cholesterol checks (87.4% vs 82.8%). Checkups ↓

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 Puako’s likely range.

★ What stands out · Chronic conditions

Out of every 100 Puako adults…

Puako runs below HI on 2 of 12 conditions and above it on 3. Tap one to see it as people.

11 of every 100 Puako adults have had cancer
Hawaii: 7 in 100 · worse · likely 9.9–12.2%
Better than HIWorseAbout the sameHawaii
Why age matters here

Puako is an older town: 54% of residents are 65 or older, vs 21% across Hawaii. Arthritis and cancer rise with age, so higher rates here say as much about who lives in Puako as about how healthy they are.

Residents 65 and older

Puako54%
Hawaii21%
Habits

Everyday habits, side by side with Hawaii

Share of adults, with the Hawaii figure marked.

Get no exercise 14.9%HI 23%
Sleep under 7 hours 33.3%HI 45.7%
Binge drink 19.2%HI 17.4%
Smoke cigarettes 10.1%HI 11%
0%10%20%30%40%50%
Puako, betterPuako, worseAbout the sameHawaii
Checkups & screenings

Keeping up with care

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

78%Yearly checkupHI 77%
72%Dentist visitHI 68%
87%Cholesterol checkHI 83%
75%Colon screeningHI 63%
79%MammogramHI 78%
78%Taking BP medsHI 77%
1 in 22
working-age adults has no health insurance
Puako 4.5% · Hawaii 1 in 18 (5.6%)
Getting care

Care in and near Puako

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

HNearest ERNorth Hawaii Community HospitalKamuela · 11.8 miDirections →
★Best rated nearbyNorth Hawaii Community Hospital★★★★★ · 11.8 miDirections →
+Low-cost careWest Hawaii Community Health CenterWaikoloa · 4.6 mi · sliding-scale feesDirections →
4.6 mi
West Hawaii Community Health Center
4 sites · nearest in Waikoloa
Sliding-scale fees
Directions to nearest
11.8 mi
North Hawaii Community Hospital
Kamuela · ★★★★★
ER
12.5 mi
Hamakua Health Center
4 sites · nearest in Kamuela
Sliding-scale fees
Directions to nearest
19.1 mi
Kohala Hospital
Kapaau · not rated
ERRural critical access
25.9 mi
Honoka'a Hospital and Skilled Nursing
Honokaa · not rated
ERRural critical access
30.7 mi
Kona Community Hospital
Kealakekua · ★★★★★
ER
✓ Primary careNo HRSA shortage area covers Puako itself
✓ Dental careNo HRSA shortage area covers Puako itself
✓ Mental healthNo HRSA shortage area covers Puako 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 Puako; ≈ 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).

Mind & connection

How Puako adults are doing

On 1 of 4 measures, Puako runs above Hawaii.

1 in 4Puako adults feel lonely
26.1% · HI 32% · Better than HI
1 in 4Puako adults lack social or emotional support
23.3% · HI 30.1% · Better than HI
1 in 5Puako adults have been diagnosed with depression
19.2% · HI 16% · Worse than HI
1 in 8Puako adults are in frequent mental distress
12.3% · HI 14.5% · Better than HI
The one neighbors can help with

1 in 4 Puako 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.

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 10
Puako adults worry about having enough food
9.8% · HI 17.3%
Better than HI
1 in 14
Puako adults worry about keeping their housing
7% · HI 10.9%
Better than HI
1 in 24
Puako adults were threatened with a utility shut-off
4.1% · HI 5.8%
Better than HI
1 in 20
Puako adults lack reliable transportation
5.1% · HI 7.5%
Better than HI

7.8% of Puako adults receive SNAP (food stamps), compared with 12.2% across Hawaii.

Around town

Puako and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
Waikoloa Beach Resort————
Waikoloa VillageA−27%10.1%13.3%CDC place

Waikoloa Beach Resort: fewer than 1,000 residents. Same-state neighbors only, ordered by length of shared border.

Disability

Living with a disability

Shown without a better/worse judgment.

24.9%

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

Walking or climbing stairs10.4%
Thinking or memory9.9%
Hearing7.6%
Errands alone5.5%
Vision3.5%
Dressing or bathing2.7%
Hawaii

Questions about health in Puako

Why doesn’t Puako have a Health Grade?

Every Health Grade is built from seven of CDC’s PLACES estimates, and CDC doesn’t publish all seven for Puako.

What hospital is closest to Puako?

North Hawaii Community Hospital in Kamuela, 11.8 miles in a straight line from Puako’s center point, is the nearest general hospital with an emergency room. Medicare rates it 3 of 5 stars.

Where can I get low-cost care near Puako?

2 community health center sites are within 10 miles; the nearest is Whchc -- Waikoloa Family Dental in Waikoloa, 4.6 miles away. They charge on a sliding scale by income.

Neighbors talk health

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

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. 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.