County profile
Kalawao County, Hawaii Community Health Profile
Environmental risk, disease burden, provider access, and SDOH scores for community health needs assessment and service line planning. Fused from EPA, CDC, CMS, and Census data into a single free view.
Opportunity Score
Env
5
−45 vs U.S. mean
Disease
65
+15 vs U.S. mean
Provider
N/A
SDOH
23
−28 vs U.S. mean
Specific health risk patterns
No specific risk patterns triggered in Kalawao County; 2 are close to the threshold
2 signals near threshold: Respiratory Burden (57) · Smoke Burden (57)
7 signals evaluated. See all signal methodologies →
Where Kalawao County stands
Health risks here sit near national averages
Kalawao County, Hawaii has elevated chronic disease rates — respiratory disease, cardiovascular disease, cancer, and behavioral health conditions rank worse than 65% of U.S. counties. Pollution exposure, doctor access, and social and economic conditions all sit closer to the middle of the national distribution. The pattern here is concentrated disease burden rather than multiple risks piling up — typically this points to legacy disease patterns or an older population rather than emerging environmental or access drivers.
Methodology: when three or more of the four major health-risk areas (pollution, chronic disease, doctor access, social and economic conditions) score above the 70th national percentile, we call the pattern “multi-pillar convergence.” The scoring approach and citations live on the methodology page.
Risk profile
Kalawao County compared to Hawaii and the U.S. average
Four health-risk scores on a 0-100 scale, where 50 is the U.S. average. A higher score means that area is a stronger contributor to community health risk.
Disease Burden (65) is moderately worse than the U.S. average of 50.
Environmental Risk (5) and SDOH Stress (23) are at or better than the U.S. average.
- Kalawao County
- Hawaii state mean
- U.S. mean (50)
- Signal threshold (70)
Current Conditions
Today's air quality, fires, and weather alerts
Live operational data for Kalawao County: real-time AQI from EPA AirNow, active fires from NIFC, and any National Weather Service advisories. Updated daily.
Environmental Factors
Air, water, and exposure indicators
Top environmental indicators for Kalawao County with state and national benchmarks. Full profile covers 40+ metrics on the platform.
| Indicator | Kalawao County | HI avg | US avg |
|---|---|---|---|
Traffic Proximity EJSCREEN | 88,350 index ▼ -89% vs HI | 790,714 | 291,320 |
Superfund Proximity EPA EJSCREEN | 0.00 score ▼ -100% vs HI | 0.20 | 0.16 |
Drinking Water Violations EPA EJSCREEN | 0.00 score | 0.00 | 3.39 |
Outage Burden
When the grid goes dark
DOE/ORNL EAGLE-I customer-hours-out for Kalawao County in 2024. The fraction is population-normalized via the Maximum Customer Count denominator (Brelsford et al, Sci Data 2024) so it's directly comparable across counties of any size.
Source: DOE/ORNL EAGLE-I (figshare 10.6084/m9.figshare.24237376). Latest year shipped: 2024. Coverage: 3,050 of 3,222 US counties; AK and some sparsely-served rural counties may have no data. Full methodology →
Health Outcomes
Chronic disease prevalence
CDC PLACES model-based prevalence estimates for adults in Kalawao County. Full profile covers 15+ health outcomes plus mortality on the platform.
| Condition | Kalawao County | HI avg | US avg |
|---|---|---|---|
Current Asthma % of adults with current asthma | 10.2% +0.0% vs HI | 10.2% | 10.6% |
COPD % of adults with diagnosed COPD | 9.8% ▲ +46% vs HI | 6.7% | 8.6% |
Diabetes % of adults with diagnosed diabetes | 22.1% ▲ +55% vs HI | 14.2% | 13.7% |
Coronary Heart Disease % of adults with CHD | 12.8% ▲ +62% vs HI | 7.9% | 7.9% |
Depression % of adults ever diagnosed with depression | 14.3% ▼ -12% vs HI | 16.3% | 23.1% |
Frequent Mental Distress % of adults with 14+ poor mental health days/month | 13.6% ▼ -6.7% vs HI | 14.6% | 17.2% |
Vulnerable Medicare Population
Who needs the grid to stay alive
Medicare beneficiaries in Kalawao County who depend on electricity for dialysis, oxygen, or other powered medical equipment. From the HHS emPOWER program, which CMS publishes monthly so emergency managers know who to find first when the power goes out.
| Population | Count | Per 1,000 Medicare |
|---|---|---|
Total Medicare beneficiaries Denominator | 11 | — |
Electricity-dependent (any DME) Ventilators, oxygen concentrators, IV pumps, motorized wheelchairs | 0 | 0.0 ▼ -100% vs HI |
Dialysis-dependent ESRD beneficiaries needing in-center or home dialysis | 0 | 0.00 ▼ -100% vs HI |
Oxygen-dependent Home oxygen concentrators (outage-vulnerable) | 0 | 0.0 ▼ -100% vs HI |
Source: HHS emPOWER Map (ArcGIS county layer), May 2026. Counts of 1–10 are masked as “≤10” per HHS privacy rules; per-1,000 rates are derived and still respect the privacy floor. Full methodology →
Pro analytical view
What drives this county's scores
The flagged signals and service-line opportunities for Kalawao County, plus the methodology decomposition behind each score. Visible to Pro, Consultant Studio, and Enterprise tiers.
Where to focus
Pro feature
Top flagged signals + service lines are a Pro feature
See how each signal's components blend into its final score, and which signals + service lines this county should prioritize. Available on Professional, Consultant Studio, and Enterprise.
Score decomposition
Each named signal's component breakdown with weights. The bar length is the component's percentile rank; the parenthetical is its weight in the final blend.
Pro feature
Score decomposition is a Pro feature
See how each signal's components blend into its final score, and which signals + service lines this county should prioritize. Available on Professional, Consultant Studio, and Enterprise.
Tract drill-down
Census tracts inside Kalawao County
Pro feature
Tract-level drill-down is a Pro feature
See how each signal's components blend into its final score, and which signals + service lines this county should prioritize. Available on Professional, Consultant Studio, and Enterprise.
On the full platform
What else is available for Kalawao County
The page above is a subset. The free Community account unlocks the full single-county profile: every indicator, every data source, demographics, historical trends, and mortality data. Professional unlocks multi-county comparison, compound signal analysis, service line rankings, and consultant-ready PDF reports.
Full Environmental Profile
All 40+ environmental metrics including toxic releases, hazardous site proximity, PFAS detection, pesticide exposure, and climate stress indicators.
Service Line Opportunities
See how Kalawao County ranks for respiratory, oncology, cardiovascular, renal, endocrine, and behavioral health service line opportunity.
Multi-County Comparison
Compare Kalawao County side-by-side with neighboring counties across every dimension.
Trend Analysis
5-year sparklines for health outcomes, SDOH measures, and mortality rates so you can see where the county is heading, not just where it is today.
PDF Report Export
Generate a consultant-ready environmental health briefing for Kalawao County with methodology citations. Drops straight into a CHNA or grant application.
Nearby Counties
Counties bordering Kalawao County
Adjacent county profiles with their own scores and environmental health data. Source: Census Bureau County Adjacency File.
Data sources: EPA AQS, EPA EJSCREEN, EPA TRI, CDC PLACES, CDC WONDER, CMS NPPES, Census ACS, County Health Rankings, NOAA ACIS, NCI State Cancer Profiles. Every score on this page is derived from publicly available federal data, fused by the Banana Analytics pipeline.
Methodology: See the full scoring methodology (v1.2.0) for weights, sensitivity analysis, and validation against county-level mortality data.
Last refreshed: May 28, 2026