East St. Louis’s lowest grade is for health: on CDC estimates, its residents' health ranks in the bottom 2% nationally. Taken together, its subjects give East St. Louis a D overall, better than 13% of U.S. towns. In the ranking it comes 695th of 767 in Illinois. Cost of living is where it shines (A): a typical home costs about $35K, less than a year of the St. Louis metro’s $80K median household income. It also trails on schools: its schools rank behind 89% of the state's. A third of residents live below the poverty line in the town, above both Illinois’ towns (8.4%) and U.S. towns (9.6%). Only 32 of Illinois’ 1,285 towns score lower on hazard risk. History is its standout character grade: an A, better than 93% of U.S. towns, with 7 places on the National Register.
Figures: home values, Zillow · incomes, Census ACS, 2020–24 · health, CDC PLACES · schools, state test and graduation results · FEMA National Risk Index.
Pennsylvania Avenue Historic District · National Register of Historic Places
East St. Louis’s story
229 years in pictures
Its founding year, 1797, comes before those of 99% of the Illinois towns we grade with a known year.
Census counts: 5,044 in 1870, a peak of 82,366 in 1950, 18,469 in 2020. The archive holds 6 old photos and papers going back to 1876 and 6 maps from 1934 on.
7 places on the National Register of Historic Places.
East St. Louis sends many workers across the state line and has homes that are cheap against local pay, but it carries more natural-hazard risk than most of Illinois (mostly inland flooding).
At 0.4 years of the St. Louis metro’s $80K median household income, the typical home (about $35K) costs less against local pay than in any other Illinois town; that ratio is one input to that grade. Values fell 2.8% in the past year while the Illinois typical home rose 5.3%.
Values fell 2.8% in the year to September 2026. East St. Louis’ going rate for rent comes in at $847 a month. The share of households in East St. Louis who live in a home they own: 61%.
Among adults in East St. Louis, 18% have been diagnosed with depression. No town among the 767 in Illinois we compare has a higher share of adults who smoke cigarettes than East St. Louis. CDC measures, 32 in all: East St. Louis beats Illinois on 4 and trails on 23.
1%healthier than U.S. townsD−Health Grade
East St. Louis
Illinois towns
U.S. towns
Fair or poor health (CDC PLACES)
36%
18%
19%
Smoke cigarettes (CDC PLACES)
22%
13%
14%
Obesity (CDC PLACES)
52%
37%
35%
Diabetes (CDC PLACES)
24%
11%
12%
32 measures vs. Illinois
4 better5 too close to call23 worse
What stands out
East St. Louis
IL
Fewer binge drinkers
11%
17.8%
Fewer adults who have had cancer
5.4%
7.6%
More adults facing a utility shut-off
25.1%
7.8%
Touchette Regional Hospital
3.3 mi away · emergency room
3 of 3
care shortages: primary care, dental, mental health
FEMA rates its natural-hazard risk higher than 96% of Illinois towns, with expected losses of about $906 per resident a year; that rating is what its D for hazard risk is built on. 388 flood insurance claims have been filed here, and 35 properties have flooded more than once.
Flood insurance has paid out on 388 claims in East St. Louis since 1978. East St. Louis’ FEMA hazard score stands at 86 of 100. Expected losses in East St. Louis break down as 45% from inland flooding and 32% from earthquakes. Federal disaster aid has reached households in East St. Louis after 4 declared disasters, most recently in 2024.
29% of working residents cross a state line to work. Jobs based here fell from 5,645 in 2013 to 4,466.
Employers in East St. Louis shed 1,179 jobs between 2013 and 2023, to 4,466. In East St. Louis, the middle household income is $36,000. The top destinations are St. Louis (16%), Belleville (7%) and Fairview Heights (4%). For workers in the town, the share who work remotely from home is 7.6%.
9%work in town
East St. Louis
Illinois towns
U.S. towns
Below the poverty line
33%
8.4%
9.6%
Median household income
$36,000
$83,000
$80,000
Work from home
7.6%
11%
11%
Average trip to work
23 minutes
26 minutes
25 minutes
Where working residents work
In East St. Louis9%
St. Louis16%
Belleville7%
Fairview Heights4%
Edwardsville4%
10 mi
median commute distance
4,466
jobs based in East St. Louis
A commuter town
jobs vs. working residents
A
Walkability grade: more walkable than 87% of U.S. towns
Count the trails in 10 parks and preserves and they come to 3.5 miles. The biggest park or preserve is Jones Park, at 60 acres. The density of trails for East St. Louis comes to 0.3 miles per square mile.
East St. Louis or East Saint Louis, also known as ESTL, is a city in St. Clair County, Illinois, United States. It is across the Mississippi River from downtown St. Louis, Missouri, and the Gateway Arch National Park. East St. Louis is in the Metro East region of Southern Illinois. East St. Louis was Illinois's fourth-largest city in 1950, when its population peaked at 82,366. As of the 2020 census, the city had a population of 18,469, less than one-quarter of the 1950 census and a decline of almost one-third since 2010.
Fairview Heights next door grades higher for schools (B− to East St. Louis’s D) and lower for cost of living (B to A).
East St. Louis TownshipCentreville TownshipCanteen TownshipCahokia HeightsBellevilleWashington ParkFairmont CityFairview HeightsStites TownshipSaugetEast St. Louis
Washington Park and Fairmont City have fewer than 2,500 residents, so they get subject grades but no overall grade. East St. Louis, Centreville Township, Canteen Township, Cahokia Heights and Washington Park report no FBI crime data of their own. Cahokia Heights isn’t graded (fewer than 1,000 residents, or not enough data). East St. Louis Township and East St. Louis are one community, graded once. Compare East St. Louis with a neighbor →
Questions about East St. Louis
Short answers, built from the data on this page.
Is East St. Louis, IL a good place to live?
East St. Louis grades D overall, better than 13% of U.S. towns and #695 of 767 in Illinois. It grades D− for health and D for schools. Health is its weak spot, with a D−.
Is East St. Louis, IL expensive?
Not for the area. That is 0.4 years of the area's median household income ($80,196 across the St. Louis, MO-IL metro area). Cost of living, which also weighs rents, property taxes and how many households pay 30% or more of their income for housing, grades A.
What is East St. Louis, IL known for?
53 notable people were born here, including Jimmy Connors and Jackie Joyner-Kersee.