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–Not graded
Health in Smith Island · CDC PLACES 2025

Where Smith Island residents get care

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

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

What stands out · In brief

What stands out about health in Smith Island

COPD, heart disease and cancer run high in Smith Island

1 in 9 adults have COPD (11.5%), about twice the Maryland rate. 1 in 10 adults have heart disease (10%), vs 5.8% across Maryland. Cancer is also above the state: 12.8%, vs 7.6% across Maryland. In all, Smith Island runs above Maryland on nine of 11 chronic conditions. Age is part of it: 28% of residents are 65 or older (Maryland 17%), and COPD, heart disease and cancer are more common later in life. Conditions ↓

More Smith Island adults get no exercise

1 in 3 adults get no exercise outside work (32.2%), vs 23.6% across Maryland. Habits ↓

Smoking is more common in Smith Island

1 in 6 adults smoke cigarettes (16.4%), vs 10.9% across Maryland. Habits ↓

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 Maryland figure falls outside Smith Island’s likely range.

★ What stands out · Chronic conditions

Out of every 100 Smith Island adults…

Smith Island runs above MD on 9 of 12 conditions. Tap one to see it as people.

12 of every 100 Smith Island adults have COPD
Maryland: 6 in 100 · worse · likely 9.5–13.8%
Better than MDWorseAbout the sameMaryland
Why age matters here

Smith Island is an older town: 28% of residents are 65 or older, vs 17% across Maryland. Heart disease, COPD and arthritis rise with age, so higher rates here say as much about who lives in Smith Island as about how healthy they are.

Residents 65 and older

Smith Island28%
Maryland17%
Habits

Everyday habits, side by side with Maryland

Share of adults, with the Maryland figure marked.

Get no exercise 32.2%MD 23.6%
Sleep under 7 hours 36.3%MD 37.7%
Binge drink 12.9%MD 14.1%
Smoke cigarettes 16.4%MD 10.9%
0%10%20%30%40%
Smith Island, betterSmith Island, worseAbout the sameMaryland
Where Smith Island gets moving

0.1 miles of trails across 1 park or preserve

Parks & trails →
Getting care

Care in and near Smith Island

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

HNearest ERRappahannock General HospitalKilmarnock · 24 miDirections →
+Low-cost careThree Lower Counties Community ServicesPrincess Anne · 24.3 mi · sliding-scale feesDirections →
24 mi
Rappahannock General Hospital
Kilmarnock · ★★★★★
ERRural critical access
24.3 mi
Three Lower Counties Community Services
4 sites · nearest in Princess Anne
Sliding-scale fees
Directions to nearest
25.5 mi
Riverside Shore Memorial Hospital
Onancock · ★★★★★
ER
25.6 mi
Eastern Shore Rural Health System, Incorporated
3 sites · nearest in Onley
Sliding-scale fees
Directions to nearest
35.5 mi
Tidalhealth Peninsula Regional
Salisbury · ★★★★★
ER
39.7 mi
Medstar Saint Mary's Hospital
Leonardtown · ★★★★★
ER
✓ Primary careNo HRSA shortage area covers Smith Island itself
✓ Dental careNo HRSA shortage area covers Smith Island itself
✓ Mental healthNo HRSA shortage area covers Smith Island 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 Smith Island; ≈ 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 Smith Island adults getting routine care. The full ring is 100%; the dark tick marks Maryland.

82%Yearly checkupMD 79%
58%Dentist visitMD 64%
90%Cholesterol checkMD 90%
69%Colon screeningMD 68%
76%MammogramMD 81%
82%Taking BP medsMD 77%
1 in 10
working-age adults has no health insurance
Smith Island 9.9% · Maryland 1 in 11 (8.7%)
Mind & connection

How Smith Island adults are doing

On 1 of 4 measures, Smith Island runs above Maryland.

1 in 3Smith Island adults feel lonely
32.1% · MD 34.3% · About the same as MD
1 in 4Smith Island adults lack social or emotional support
23.1% · MD 24.2% · About the same as MD
1 in 4Smith Island adults have been diagnosed with depression
23.6% · MD 19.4% · Worse than MD
1 in 6Smith Island adults are in frequent mental distress
16.8% · MD 15% · About the same as MD
The one neighbors can help with

1 in 3 Smith Island 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 7
Smith Island adults worry about having enough food
14.7% · MD 15.4%
About the same as MD
1 in 9
Smith Island adults worry about keeping their housing
11.1% · MD 13.5%
Better than MD
1 in 14
Smith Island adults were threatened with a utility shut-off
6.9% · MD 8.4%
Better than MD
1 in 14
Smith Island adults lack reliable transportation
7.2% · MD 7.8%
About the same as MD

12.9% of Smith Island adults receive SNAP (food stamps), compared with 11.8% across Maryland.

Around town

Smith Island and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from

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

Disability

Living with a disability

Shown without a better/worse judgment.

36.4%

of Smith Island adults live with a disability (Maryland 26.4%). Walking or climbing stairs is the most common.

Walking or climbing stairs20%
Thinking or memory15.2%
Hearing10.2%
Errands alone10%
Vision5.8%
Dressing or bathing4.8%
Maryland

Questions about health in Smith Island

Why doesn’t Smith Island have a Health Grade?

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

What hospital is closest to Smith Island?

Rappahannock General Hospital in Kilmarnock, 24.0 miles in a straight line from Smith Island’s center point, is the nearest general hospital with an emergency room. Medicare rates it 4 of 5 stars.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Smith Island.

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The Maryland 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.