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–Not graded
Health in Howard · CDC PLACES 2025

Where Howard residents get care

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

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

What stands out · In brief

What stands out about health in Howard

Heart disease, stroke and cancer run high in Howard

1 in 11 adults have heart disease (9.1%), vs 6.8% across South Dakota. 1 in 22 adults have had a stroke (4.6%), vs 3.5% across South Dakota. Cancer is also above the state: 12%, vs 9.2% across South Dakota. In all, Howard runs above South Dakota on six of 11 chronic conditions. Age is part of it: 31% of residents are 65 or older (South Dakota 18%), and heart disease, stroke and cancer are more common later in life. Conditions ↓

The nearest ER is 20 miles from Howard

The closest emergency room is Madison Regional Health System in Madison, 20.3 miles away in a straight line. For everyday care, Horizon Health Care is closer (0.1 mi) and charges on a sliding scale. Getting care ↓

More high blood pressure in Howard, and more people treating it

38.6% of adults have high blood pressure (South Dakota 33.3%), but 81.2% of them take medicine for it, vs 75.9% statewide. Checkups ↓

Howard is short on primary care and mental health care

Howard’s county is a federal shortage area for primary care and mental health care, meaning too few providers for the people who live there. Getting care ↓

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 South Dakota figure falls outside Howard’s likely range.

★ What stands out · Chronic conditions

Out of every 100 Howard adults…

Howard runs above SD on 6 of 12 conditions. Tap one to see it as people.

9 of every 100 Howard adults have heart disease
South Dakota: 7 in 100 · worse · likely 7.9–10.5%
Better than SDWorseAbout the sameSouth Dakota
Why age matters here

Howard is an older town: 31% of residents are 65 or older, vs 18% across South Dakota. Heart disease, COPD and arthritis rise with age, so higher rates here say as much about who lives in Howard as about how healthy they are.

Residents 65 and older

Howard31%
South Dakota18%
Getting care

Care in and near Howard

1 community health center in Howard, plus the nearest just outside it.

HNearest ERMadison Regional Health SystemMadison · 20.3 miDirections →
+Low-cost careHorizon Health CareHoward · 0.1 mi · sliding-scale feesDirections →
0.1 mi
Horizon Health Care
6 sites · nearest in Howard
Sliding-scale feesIn Howard
Directions to nearest
20.3 mi
Madison Regional Health System
Madison · not rated
ERRural critical access
26 mi
Avera De Smet Memorial Hospital - Cah
De Smet · not rated
ERRural critical access
31.6 mi
Avera Queen of Peace
Mitchell · ★★★★★
ERRural critical access
33.3 mi
Rural Health Care
2 sites · nearest in Mitchell
Sliding-scale fees
Directions to nearest
41.8 mi
Huron Regional Medical Center
Huron · ★★★★★
ERRural critical access
✓ Primary careNo HRSA shortage area covers Howard itself
✓ Dental careHoward is not a shortage area
✓ Mental healthNo HRSA shortage area covers Howard 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 Howard; ≈ 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 Howard adults getting routine care. The full ring is 100%; the dark tick marks South Dakota.

79%Yearly checkupSD 77%
68%Dentist visitSD 69%
87%Cholesterol checkSD 85%
67%Colon screeningSD 66%
77%MammogramSD 77%
81%Taking BP medsSD 76%
1 in 11
working-age adults has no health insurance
Howard 8.8% · South Dakota 1 in 11 (8.8%)
Habits

Everyday habits, side by side with South Dakota

Share of adults, with the South Dakota figure marked.

Get no exercise 27.6%SD 24.1%
Sleep under 7 hours 29.3%SD 29.7%
Binge drink 15.7%SD 18.8%
Smoke cigarettes 15.3%SD 15.2%
0%10%20%30%40%
Howard, betterHoward, worseAbout the sameSouth Dakota
Where Howard gets moving

Walk with neighbors

The easiest exercise habit to keep is one with company.

Mind & connection

How Howard adults are doing

About the same as South Dakota on each measure.

1 in 5Howard adults have been diagnosed with depression
19.9% · SD 21.2% · About the same as SD
1 in 7Howard adults are in frequent mental distress
14.5% · SD 15.3% · About the same as SD
The one neighbors can help with

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.

Around town

Howard 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.

34.4%

of Howard adults live with a disability (South Dakota 30.1%). Walking or climbing stairs is the most common.

Walking or climbing stairs16.7%
Thinking or memory13.7%
Hearing11%
Errands alone8.8%
Vision5.3%
Dressing or bathing4.1%
South Dakota

Questions about health in Howard

Why doesn’t Howard have a Health Grade?

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

What hospital is closest to Howard?

Madison Regional Health System in Madison, 20.3 miles in a straight line from Howard’s center point, is the nearest general hospital with an emergency room. It has no Medicare star rating.

Where can I get low-cost care near Howard?

2 community health center sites are within 10 miles; the nearest is Horizon Health - Howard Dental in Howard, 0.1 miles away. They charge on a sliding scale by income.

Neighbors talk health

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

Town Square →
Ask your neighbors

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