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Aerial view of downtown Sylva, North Carolina, in Jackson County 03Photo: Harrison Keely · CC BY 4.0
≈ C+Health Grade
Health in Sylva · CDC PLACES 2025

Among U.S. towns with similar household incomes, Sylva is healthier than 87%

Sylva trails North Carolina on 3 of 32 measures CDC estimates, and leads on none.

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

What stands out · In brief

What stands out about health in Sylva

COPD runs high in Sylva

1 in 12 adults have COPD (8.5%), vs 7.1% across North Carolina. Conditions ↓

Sylva is healthier than its income would predict

Against all U.S. towns, Sylva is healthier than 41%. Against the 3,702 towns with similar household incomes ($33K–$55K), it’s healthier than 87%. 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 Sylva’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D to A−.

Health Grade

What’s behind Sylva’s grade

On seven CDC estimates for adults, Sylva is healthier than 41% of U.S. towns, #181 of 289 in North Carolina. Physical distress holds the grade up (fewer adults with frequent physical distress than 51% of U.S. towns); mental distress pulls it down (better than 30%).

C+Self-rated health21.1% · NC 19% · U.S. 19.4%
B−Physical distress14.1% · NC 12.7% · U.S. 13%
CMental distress18.2% · NC 16.5% · U.S. 15.9%
B−Obesity36.3% · NC 35.1% · U.S. 32.9%
B−Diabetes12.3% · NC 12% · U.S. 12%
C+Smoking15.6% smoke · NC 13.5% · U.S. 11.8%
C+Exercise26.8% · NC 23.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 41%
Less healthyHealthier
North Carolina towns we grade (289)Healthier than 37%
U.S. towns with similar incomes, $33K–$55K (3,702)Healthier than 87%

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). Sylva’s median household income is $44,086; among the 3,702 U.S. towns within 25% of that ($33K–$55K), it’s healthier than 87%, more than its income alone would suggest.

A rough placement. CDC’s likely ranges are wide here: with every estimate at one end or the other, Sylva could be anywhere from D to A−. The letter shows with “≈”.

How TownRatings grades health →

Chronic conditions

Out of every 100 Sylva adults…

Sylva runs above NC on 1 of 12 conditions. Tap one to see it as people.

9 of every 100 Sylva adults have COPD
North Carolina: 7 in 100 · worse · likely 7.3–9.9%
Better than NCWorseAbout the sameNorth Carolina
Getting care

Care in and near Sylva

1 hospital and 2 community health centers in Sylva, plus the nearest just outside it.

HNearest ERHarris Regional HospitalSylva · 1.1 miDirections →
★Best rated nearbyHarris Regional Hospital★★★★★ · 1.1 miDirections →
+Low-cost careBlue Ridge Community Health ServicesSylva · 1 mi · sliding-scale feesDirections →
1 mi
Blue Ridge Community Health Services
4 sites · nearest in Sylva
Sliding-scale feesIn Sylva
Directions to nearest
1.1 mi
Harris Regional Hospital
Sylva · ★★★★★
ERIn Sylva
1.3 mi
Appalachian Mountain Health at Sylva
Sylva · community health center
Sliding-scale feesIn Sylva
11.8 mi
Cherokee Indian Hospital Authority
Cherokee · not rated
ER
13.4 mi
DLP Swain County Hospital
Bryson City · not rated
ERRural critical access
17 mi
Angel Medical Center
Franklin · ★★★★★
ERRural critical access
✓ Primary careNo HRSA shortage area covers Sylva itself
✓ Dental careNo HRSA shortage area covers Sylva itself
✓ Mental healthNo HRSA shortage area covers Sylva 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 Sylva; ≈ 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 North Carolina

Share of adults, with the North Carolina figure marked.

Get no exercise 26.8%NC 23.8%
Sleep under 7 hours 33.9%NC 34.2%
Binge drink 15.2%NC 14.7%
Smoke cigarettes 15.6%NC 13.5%
0%10%20%30%40%
Sylva, betterSylva, worseAbout the sameNorth Carolina
Where Sylva gets moving

0.2 miles of trails across 6 parks and preserves

Parks & trails →
Checkups & screenings

Keeping up with care

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

78%Yearly checkupNC 80%
57%Dentist visitNC 64%
85%Cholesterol checkNC 88%
62%Colon screeningNC 66%
77%MammogramNC 79%
76%Taking BP medsNC 77%
1 in 8
working-age adults has no health insurance
Sylva 12.4% · North Carolina 1 in 10 (10.4%)
Mind & connection

How Sylva adults are doing

About the same as North Carolina on each measure.

1 in 3Sylva adults feel lonely
34.1% · NC 32.5% · About the same as NC
1 in 5Sylva adults lack social or emotional support
21.8% · NC 22.5% · About the same as NC
1 in 4Sylva adults have been diagnosed with depression
26.7% · NC 24.2% · About the same as NC
1 in 5Sylva adults are in frequent mental distress
18.2% · NC 16.5% · About the same as NC
The one neighbors can help with

1 in 3 Sylva 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 6
Sylva adults worry about having enough food
17% · NC 15.2%
About the same as NC
1 in 8
Sylva adults worry about keeping their housing
12.9% · NC 12.2%
About the same as NC
1 in 11
Sylva adults were threatened with a utility shut-off
8.8% · NC 8.1%
About the same as NC
1 in 11
Sylva adults lack reliable transportation
9.5% · NC 8.4%
About the same as NC

14.5% of Sylva adults receive SNAP (food stamps), compared with 12.3% across North Carolina.

Around town

Sylva and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
SylvaC+36.3%12.3%15.6%CDC place
Dillsboro————

Dillsboro: 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.

36.3%

of Sylva adults live with a disability (North Carolina 32%). Thinking or memory is the most common.

Walking or climbing stairs16.2%
Thinking or memory17.1%
Hearing8.9%
Errands alone9.9%
Vision6.2%
Dressing or bathing4.5%
North Carolina

Every CDC estimate for Sylva

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

On the 32 measures below that have a better and a worse direction, Sylva is better than North Carolina on 0 and worse on 3; on the rest, the North Carolina figure falls inside Sylva’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…SylvaNCU.S.vs NC
Overall health
Fair or poor health21.1%17.9–24.319%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)14.1%12.3–16.112.7%13%About the same
Frequent mental distress (mental health not good 14+ days a month)18.2%16–20.516.5%15.9%About the same
Conditions
Obesity36.3%28.8–44.135.1%32.9%About the same
Diabetes12.3%10.5–14.212%12%About the same
High blood pressure36.3%32–40.436.8%34.4%About the same
High cholesterol (adults screened in 5 years)35.7%31.5–4035.6%37.1%About the same
Arthritis28.3%24.9–31.526.9%25.3%About the same
Asthma10.9%9.5–12.310.8%9.9%About the same
Cancer, other than skin cancer8.5%7.6–9.47.9%7.9%About the same
Coronary heart disease7.4%6.5–8.36.6%6.4%About the same
COPD8.5%7.3–9.97.1%6.3%Worse
Stroke3.9%3.5–4.43.6%3.4%About the same
Lost all teeth (ages 65+)16.7%13.7–19.813.9%12.3%About the same
Habits
Smoke cigarettes15.6%13–18.313.5%11.8%About the same
No exercise outside work26.8%22–31.623.8%24.7%About the same
Binge drinking15.2%12.3–18.514.7%15.4%About the same
Sleep under 7 hours33.9%27.2–40.834.2%36%About the same
Checkups and coverage
No health insurance (ages 18–64)12.4%10–14.910.4%11%About the same
Checkup in the past year78.2%74.2–81.980%77.4%About the same
Dentist visit in the past year57.3%53.4–60.963.6%63.2%Worse
Cholesterol check in 5 years85%82.5–87.387.5%87.1%Worse
Taking blood pressure medicine (adults with high blood pressure)75.7%72.6–78.476.7%76.5%About the same
Colorectal cancer screening (ages 45–75)62.2%56.8–67.265.7%65.5%About the same
Mammogram in 2 years (women 50–74)77.3%69.5–83.778.7%76.4%About the same
Mind and connection
Ever told they have depression26.7%22.7–30.824.2%20.6%About the same
Feel lonely34.1%28.6–39.732.5%32.5%About the same
Lack social and emotional support21.8%18.2–25.622.5%23.6%About the same
Everyday needs
Worried about having enough food17%14.1–19.915.2%15%About the same
Worried about keeping housing12.9%10.7–14.912.2%12%About the same
Threatened with a utility shut-off8.8%7.4–10.28.1%7.6%About the same
Lack reliable transportation9.5%8.1–10.98.4%7.9%About the same
Received SNAP (food stamps)14.5%11.8–17.312.3%11.6%About the same
Disability
Any disability36.3%31.6–41.132%30.1%About the same
Difficulty walking or climbing stairs16.2%13.8–18.614.2%13.6%About the same
Difficulty concentrating or remembering17.1%14.8–19.514.8%13.9%About the same
Hearing difficulty8.9%7.7–10.17.3%6.7%Higher
Vision difficulty6.2%5.4–75.3%5.4%Higher
Difficulty doing errands alone9.9%8.6–11.48.2%7.9%Higher
Difficulty dressing or bathing4.5%3.9–5.14%3.8%About the same

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 Sylva

Is Sylva a healthy place to live?

On seven CDC estimates for adults, Sylva is healthier than 41% of U.S. towns: ≈ C+ for health, #181 of 289 in North Carolina. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Sylva?

CDC estimates 36.3% of adults have obesity, likely between 28.8% and 44.1%, against 35.1% across North Carolina and 32.9% nationally.

What hospital is closest to Sylva?

Harris Regional Hospital in Sylva, 1.1 miles in a straight line from Sylva’s center point, is the nearest general hospital with an emergency room; Medicare rates it 3 of 5 stars.

How many people in Sylva have no health insurance?

CDC estimates 12.4% of adults ages 18–64 have no health insurance (likely 10–14.9%), 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 Sylva more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D to A−.

Neighbors talk health

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

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.