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≈ C−Health Grade
Health in Alto · CDC PLACES 2025

On CDC estimates, Alto is healthier than 23% of U.S. towns

Alto differs from Texas on 16 of 31 measures CDC estimates: 1 better, 15 worse.

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

What stands out · In brief

What stands out about health in Alto

COPD, stroke and arthritis run high in Alto

1 in 13 adults have COPD (7.8%), vs 5.7% across Texas. 1 in 24 adults have had a stroke (4.2%), vs 3.2% across Texas. Arthritis is also above the state: 26.6%, vs 21.6% across Texas. In all, Alto runs above Texas on seven of 11 chronic conditions. Conditions ↓

Making ends meet is harder in Alto

1 in 4 adults worry about having enough food (23.7%), vs 19.3% across Texas. Utility shut-off threats (13.6% vs 10.7%) and housing insecurity (19.9% vs 16.4%) are higher too. 19.6% of adults receive SNAP, vs 14.6% statewide. Everyday needs ↓

The nearest ER is 22 miles from Alto

The closest emergency room is Christus Mother Frances Hospital- Jacksonville in Jacksonville, 22.4 miles away in a straight line. For everyday care, Health Opportunities for the People of East Texas is closer (12.6 mi) and charges on a sliding scale. Getting care ↓

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

39% of adults have high blood pressure (Texas 33.1%), but 77.4% of them take medicine for it, vs 74.1% statewide. Checkups ↓

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 Texas figure falls outside Alto’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D− to B.

Health Grade

What’s behind Alto’s grade

On seven CDC estimates for adults, Alto is healthier than 23% of U.S. towns. Obesity holds the grade up (fewer adults with obesity than 44% of U.S. towns); fair or poor health pulls it down (better than 13%).

DSelf-rated health25.8% · TX 21.8% · U.S. 19.4%
CPhysical distress15.3% · TX 13.2% · U.S. 13%
CMental distress18.3% · TX 16.9% · U.S. 15.9%
C+Obesity37% · TX 35.6% · U.S. 32.9%
DDiabetes15.1% · TX 12.7% · U.S. 12%
C+Smoking15.6% smoke · TX 12.5% · U.S. 11.8%
C−Exercise31.5% · TX 27.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 23%
Less healthyHealthier
U.S. towns with similar incomes, $46K–$77K (9,330)Healthier than 32%

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). Alto’s median household income is $61,688; among the 9,330 U.S. towns within 25% of that ($46K–$77K), it’s healthier than 32%, so it sits below most towns with similar incomes, too.

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

How TownRatings grades health →

★ What stands out · Chronic conditions

Out of every 100 Alto adults…

Alto runs above TX on 7 of 12 conditions. Tap one to see it as people.

8 of every 100 Alto adults have COPD
Texas: 6 in 100 · worse · likely 6.6–9.1%
Better than TXWorseAbout the sameTexas
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 4
Alto adults worry about having enough food
23.7% · TX 19.3%
Worse than TX
1 in 5
Alto adults worry about keeping their housing
19.9% · TX 16.4%
Worse than TX
1 in 7
Alto adults were threatened with a utility shut-off
13.6% · TX 10.7%
Worse than TX
1 in 8
Alto adults lack reliable transportation
12.5% · TX 10.5%
Worse than TX

19.6% of Alto adults receive SNAP (food stamps), compared with 14.6% across Texas.

Getting care

Care in and near Alto

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

HNearest ERChristus Mother Frances Hospital- JacksonvilleJacksonville · 22.4 miDirections →
+Low-cost careHealth Opportunities for the People of East TexasRusk · 12.6 mi · sliding-scale feesDirections →
12.6 mi
Health Opportunities for the People of East Texas
2 sites · nearest in Rusk
Sliding-scale fees
Directions to nearest
22.4 mi
Christus Mother Frances Hospital- Jacksonville
Jacksonville · not rated
ERRural critical access
23.9 mi
East Texas Community Health Services
5 sites · nearest in Nacogdoches
Sliding-scale fees
Directions to nearest
24.4 mi
UT Health East Texas Jacksonville Hospital
Jacksonville · not rated
ER
24.5 mi
Nacogdoches Medical Center
Nacogdoches · ★★★★★
ER
24.9 mi
Nacogdoches Memorial Hospital
Nacogdoches · ★★★★★
ER
✓ Primary careNo HRSA shortage area covers Alto itself
✓ Dental careNo HRSA shortage area covers Alto itself
✓ Mental healthNo HRSA shortage area covers Alto 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 Alto; ≈ 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 Alto adults getting routine care. The full ring is 100%; the dark tick marks Texas.

76%Yearly checkupTX 74%
48%Dentist visitTX 55%
85%Cholesterol checkTX 85%
57%Colon screeningTX 58%
71%MammogramTX 74%
77%Taking BP medsTX 74%
1 in 5
working-age adults has no health insurance
Alto 18.3% · Texas 1 in 5 (19.1%)
Habits

Everyday habits, side by side with Texas

Share of adults, with the Texas figure marked.

Get no exercise 31.5%TX 27.8%
Sleep under 7 hours 41.8%TX 38.2%
Binge drink 15.3%TX 17%
Smoke cigarettes 15.6%TX 12.5%
0%10%20%30%40%50%
Alto, betterAlto, worseAbout the sameTexas
Where Alto gets moving

Walk with neighbors

The easiest exercise habit to keep is one with company.

Mind & connection

How Alto adults are doing

About the same as Texas on each measure.

3 in 10Alto adults lack social or emotional support
30.4% · TX 28.4% · About the same as TX
1 in 4Alto adults have been diagnosed with depression
22.4% · TX 21.2% · About the same as TX
1 in 5Alto adults are in frequent mental distress
18.3% · TX 16.9% · About the same as TX
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

Alto and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
AltoC−37%15.1%15.6%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

36.1%

of Alto adults live with a disability (Texas 30.9%). Walking or climbing stairs is the most common.

Walking or climbing stairs18%
Thinking or memory16.9%
Hearing6.8%
Errands alone10.2%
Vision7.1%
Dressing or bathing5.3%
Texas

Every CDC estimate for Alto

Share of adults, 39 measures, with CDC’s likely range.

On the 31 measures below that have a better and a worse direction, Alto is better than Texas on 1 and worse on 15; on the rest, the Texas figure falls inside Alto’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…AltoTXU.S.vs TX
Overall health
Fair or poor health25.8%22.3–29.821.8%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)15.3%13.4–17.513.2%13%Worse
Frequent mental distress (mental health not good 14+ days a month)18.3%16.1–20.716.9%15.9%About the same
Conditions
Obesity37%28.9–45.635.6%32.9%About the same
Diabetes15.1%13.1–17.312.7%12%Worse
High blood pressure39%34.6–43.433.1%34.4%Worse
High cholesterol (adults screened in 5 years)36.5%32.1–4135.1%37.1%About the same
Arthritis26.6%23.3–3021.6%25.3%Worse
Asthma11%9.7–12.49.5%9.9%Worse
Cancer, other than skin cancer6.8%6.1–7.66.1%7.9%About the same
Coronary heart disease6.7%5.9–7.65.6%6.4%Worse
COPD7.8%6.6–9.15.7%6.3%Worse
Stroke4.2%3.7–4.73.2%3.4%Worse
Lost all teeth (ages 65+)11.9%9.6–14.312.5%12.3%About the same
Habits
Smoke cigarettes15.6%13–18.512.5%11.8%Worse
No exercise outside work31.5%26.5–3727.8%24.7%About the same
Binge drinking15.3%12.5–18.517%15.4%About the same
Sleep under 7 hours41.8%34.7–49.238.2%36%About the same
Checkups and coverage
No health insurance (ages 18–64)18.3%14.9–21.919.1%11%About the same
Checkup in the past year76.3%72.3–79.973.8%77.4%About the same
Dentist visit in the past year47.8%43.9–51.454.6%63.2%Worse
Cholesterol check in 5 years85.4%83.2–87.384.6%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)77.4%74.4–80.174.1%76.5%Better
Colorectal cancer screening (ages 45–75)57.4%52–62.657.9%65.5%About the same
Mammogram in 2 years (women 50–74)71.1%62.4–78.874.1%76.4%About the same
Mind and connection
Ever told they have depression22.4%18.9–26.221.2%20.6%About the same
Lack social and emotional support30.4%26.6–34.428.4%23.6%About the same
Everyday needs
Worried about having enough food23.7%21.5–2619.3%15%Worse
Worried about keeping housing19.9%17.9–22.116.4%12%Worse
Threatened with a utility shut-off13.6%12–15.210.7%7.6%Worse
Lack reliable transportation12.5%11.3–13.710.5%7.9%Worse
Received SNAP (food stamps)19.6%17.6–21.814.6%11.6%Higher
Disability
Any disability36.1%31.4–4130.9%30.1%Higher
Difficulty walking or climbing stairs18%15.4–20.714%13.6%Higher
Difficulty concentrating or remembering16.9%14.9–19.415.1%13.9%About the same
Hearing difficulty6.8%6–7.76.3%6.7%About the same
Vision difficulty7.1%6.2–86.1%5.4%Higher
Difficulty doing errands alone10.2%8.9–11.78.2%7.9%Higher
Difficulty dressing or bathing5.3%4.6–6.14%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 Texas figure falls inside that range.

Questions about health in Alto

Is Alto a healthy place to live?

On seven CDC estimates for adults, Alto is healthier than 23% of U.S. towns: ≈ C− for health. Among U.S. towns with similar household incomes it’s healthier than 32%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Alto?

CDC estimates 37% of adults have obesity, likely between 28.9% and 45.6%, against 35.6% across Texas and 32.9% nationally.

What hospital is closest to Alto?

Christus Mother Frances Hospital- Jacksonville in Jacksonville, 22.4 miles in a straight line from Alto’s center point, is the nearest general hospital with an emergency room; it has no Medicare star rating.

How many people in Alto have no health insurance?

CDC estimates 18.3% of adults ages 18–64 have no health insurance (likely 14.9–21.9%), against 19.1% across Texas.

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 Alto more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D− to B.

Neighbors talk health

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

Town Square →
Ask your neighbors

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