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W. H. Langley HouseW. H. Langley House · Photo: JERRYE & ROY KLOTZ MD · CC0
DHealth Grade
Health in Elm City · CDC PLACES 2025

On CDC estimates, Elm City is healthier than 5% of U.S. towns

Elm City differs from North Carolina on 22 of 32 measures CDC estimates: 3 better, 19 worse.

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

What stands out · In brief

What stands out about health in Elm City

Stroke, diabetes and COPD run high in Elm City

1 in 15 adults have had a stroke (6.8%), about twice the North Carolina rate. 1 in 5 adults have diabetes (21.2%), vs 12% across North Carolina. COPD is also above the state: 12.2%, vs 7.1% across North Carolina. In all, Elm City runs above North Carolina on seven of 11 chronic conditions. Age is part of it: 27% of residents are 65 or older (North Carolina 17%), and stroke, diabetes and COPD are more common later in life. Conditions ↓

More Elm City adults get no exercise

36.5% of adults get no exercise outside work, vs 23.8% across North Carolina. Habits ↓

Dental care lags in Elm City

51.3% of adults saw a dentist this year, vs 63.6% across North Carolina. Among those 65 and older, 29% have lost all their teeth (North Carolina 13.9%). Checkups ↓

Elm City is healthier than its income would predict

Against all U.S. towns, Elm City is healthier than 5%. Against the 1,455 towns with similar household incomes ($27K–$45K), it’s healthier than 39%. 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 North Carolina figure falls outside Elm City’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D− to C.

Health Grade

What’s behind Elm City’s grade

On seven CDC estimates for adults, Elm City is healthier than 5% of U.S. towns. Mental distress holds the grade up (fewer adults with frequent mental distress than 27% of U.S. towns); diabetes pulls it down (near the bottom of U.S. towns).

D−Self-rated health31.5% · NC 19% · U.S. 19.4%
DPhysical distress18% · NC 12.7% · U.S. 13%
CMental distress18.4% · NC 16.5% · U.S. 15.9%
DObesity41.8% · NC 35.1% · U.S. 32.9%
D−Diabetes21.2% · NC 12% · U.S. 12%
DSmoking20.2% smoke · NC 13.5% · U.S. 11.8%
DExercise36.5% · NC 23.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 5%
Less healthyHealthier
U.S. towns with similar incomes, $27K–$45K (1,455)Healthier than 39%

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). Elm City’s median household income is $36,150; among the 1,455 U.S. towns within 25% of that ($27K–$45K), it’s healthier than 39%, so it sits below most towns with similar incomes, too.

Where Elm City compares well: binge drinking, 10.2% (U.S. 15.4%); checkup in the past year, 84.1% (U.S. 77.4%); taking blood pressure medicine (adults with high blood pressure), 82.5% (U.S. 76.5%).

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

How TownRatings grades health →

★ What stands out · Chronic conditions

Out of every 100 Elm City adults…

Elm City runs above NC on 8 of 12 conditions. Tap one to see it as people.

7 of every 100 Elm City adults have had a stroke
North Carolina: 4 in 100 · worse · likely 6.1–7.5%
Better than NCWorseAbout the sameNorth Carolina
Why age matters here

Elm City is an older town: 27% of residents are 65 or older, vs 17% across North Carolina. Heart disease, COPD and arthritis rise with age, so higher rates here say as much about who lives in Elm City as about how healthy they are.

Residents 65 and older

Elm City27%
North Carolina17%
Habits

Everyday habits, side by side with North Carolina

Share of adults, with the North Carolina figure marked.

Get no exercise 36.5%NC 23.8%
Sleep under 7 hours 38.4%NC 34.2%
Binge drink 10.2%NC 14.7%
Smoke cigarettes 20.2%NC 13.5%
0%10%20%30%40%
Elm City, betterElm City, worseAbout the sameNorth Carolina
Where Elm City gets moving

Walk with neighbors

The easiest exercise habit to keep is one with company.

Checkups & screenings

Keeping up with care

Share of Elm City adults getting routine care. The full ring is 100%; the dark tick marks North Carolina.

84%Yearly checkupNC 80%
51%Dentist visitNC 64%
88%Cholesterol checkNC 88%
65%Colon screeningNC 66%
79%MammogramNC 79%
83%Taking BP medsNC 77%
1 in 7
working-age adults has no health insurance
Elm City 14.1% · North Carolina 1 in 10 (10.4%)
Getting care

Care in and near Elm City

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

HNearest ERWilson Medical CenterWilson · 7.5 miDirections →
★Best rated nearbyUNC Health Nash★★★★★ · 11.7 miDirections →
+Low-cost careCarolina Family Health CentersWilson · 6.1 mi · sliding-scale feesDirections →
6.1 mi
Carolina Family Health Centers
7 sites · nearest in Wilson
Sliding-scale fees
Directions to nearest
7.5 mi
Wilson Medical Center
Wilson · ★★★★★
ER
9.8 mi
Oic Family Medical Center
Rocky Mount · community health center
Sliding-scale fees
11.7 mi
UNC Health Nash
Rocky Mount · ★★★★★
ER
18.7 mi
Vidant Edgecombe Hospital
Tarboro · ★★★★★
ER
29 mi
Ecu Health Medical Center
Greenville · ★★★★★
ER
✓ Primary careNo HRSA shortage area covers Elm City itself
✓ Dental careNo HRSA shortage area covers Elm City itself
✓ Mental healthNo HRSA shortage area covers Elm City 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 Elm City; ≈ 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 Elm City adults are doing

On 1 of 4 measures, Elm City runs above North Carolina.

1 in 3Elm City adults feel lonely
33.6% · NC 32.5% · About the same as NC
1 in 4Elm City adults lack social or emotional support
27.2% · NC 22.5% · Worse than NC
1 in 4Elm City adults have been diagnosed with depression
23.2% · NC 24.2% · About the same as NC
1 in 5Elm City adults are in frequent mental distress
18.4% · NC 16.5% · About the same as NC
The one neighbors can help with

1 in 3 Elm City 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.

3 in 10
Elm City adults worry about having enough food
30% · NC 15.2%
Worse than NC
1 in 5
Elm City adults worry about keeping their housing
21.2% · NC 12.2%
Worse than NC
1 in 6
Elm City adults were threatened with a utility shut-off
15.9% · NC 8.1%
Worse than NC
1 in 7
Elm City adults lack reliable transportation
14.8% · NC 8.4%
Worse than NC

29.7% of Elm City adults receive SNAP (food stamps), compared with 12.3% across North Carolina.

Around town

Elm City and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
Elm CityD41.8%21.2%20.2%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

45.2%

of Elm City adults live with a disability (North Carolina 32%). Walking or climbing stairs is the most common.

Walking or climbing stairs26%
Thinking or memory19.1%
Hearing9.5%
Errands alone13.7%
Vision10.4%
Dressing or bathing8.2%
North Carolina

Every CDC estimate for Elm City

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

On the 32 measures below that have a better and a worse direction, Elm City is better than North Carolina on 3 and worse on 19; on the rest, the North Carolina figure falls inside Elm City’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…Elm CityNCU.S.vs NC
Overall health
Fair or poor health31.5%27.4–35.519%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)18%15.8–20.312.7%13%Worse
Frequent mental distress (mental health not good 14+ days a month)18.4%16.2–20.716.5%15.9%About the same
Conditions
Obesity41.8%33.4–50.535.1%32.9%About the same
Diabetes21.2%18.6–23.912%12%Worse
High blood pressure51.3%46.9–55.636.8%34.4%Worse
High cholesterol (adults screened in 5 years)39.9%35.3–44.635.6%37.1%About the same
Arthritis36.2%32.5–40.126.9%25.3%Worse
Asthma12.7%11.3–14.410.8%9.9%Worse
Cancer, other than skin cancer8%7.2–8.97.9%7.9%About the same
Coronary heart disease10.4%9.2–11.66.6%6.4%Worse
COPD12.2%10.6–13.97.1%6.3%Worse
Stroke6.8%6.1–7.53.6%3.4%Worse
Lost all teeth (ages 65+)29%24.5–33.913.9%12.3%Worse
Habits
Smoke cigarettes20.2%17–23.413.5%11.8%Worse
No exercise outside work36.5%30.9–42.123.8%24.7%Worse
Binge drinking10.2%8.2–12.514.7%15.4%Better
Sleep under 7 hours38.4%31.8–45.434.2%36%About the same
Checkups and coverage
No health insurance (ages 18–64)14.1%11.5–16.910.4%11%Worse
Checkup in the past year84.1%81.1–86.980%77.4%Better
Dentist visit in the past year51.3%47.5–55.263.6%63.2%Worse
Cholesterol check in 5 years87.7%85.8–89.487.5%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)82.5%80.1–84.876.7%76.5%Better
Colorectal cancer screening (ages 45–75)65.4%60.1–70.465.7%65.5%About the same
Mammogram in 2 years (women 50–74)78.5%71.3–84.778.7%76.4%About the same
Mind and connection
Ever told they have depression23.2%19.8–27.124.2%20.6%About the same
Feel lonely33.6%28.3–38.432.5%32.5%About the same
Lack social and emotional support27.2%23.1–3122.5%23.6%Worse
Everyday needs
Worried about having enough food30%25.5–34.415.2%15%Worse
Worried about keeping housing21.2%18.1–24.312.2%12%Worse
Threatened with a utility shut-off15.9%13.7–18.18.1%7.6%Worse
Lack reliable transportation14.8%12.8–16.88.4%7.9%Worse
Received SNAP (food stamps)29.7%25.3–3412.3%11.6%Higher
Disability
Any disability45.2%40–50.332%30.1%Higher
Difficulty walking or climbing stairs26%22.8–29.314.2%13.6%Higher
Difficulty concentrating or remembering19.1%16.7–21.514.8%13.9%Higher
Hearing difficulty9.5%8.4–10.67.3%6.7%Higher
Vision difficulty10.4%9.2–11.75.3%5.4%Higher
Difficulty doing errands alone13.7%12–15.48.2%7.9%Higher
Difficulty dressing or bathing8.2%7.2–9.34%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 North Carolina figure falls inside that range.

Questions about health in Elm City

Is Elm City a healthy place to live?

On seven CDC estimates for adults, Elm City is healthier than 5% of U.S. towns: D for health. Among U.S. towns with similar household incomes it’s healthier than 39%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Elm City?

CDC estimates 41.8% of adults have obesity, likely between 33.4% and 50.5%, against 35.1% across North Carolina and 32.9% nationally.

What hospital is closest to Elm City?

Wilson Medical Center in Wilson, 7.5 miles in a straight line from Elm City’s center point, is the nearest general hospital with an emergency room; Medicare rates it 1 of 5 stars.

How many people in Elm City have no health insurance?

CDC estimates 14.1% of adults ages 18–64 have no health insurance (likely 11.5–16.9%), against 10.4% across North Carolina.

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 Elm City 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 Elm City.

Town Square →
Ask your neighbors

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