County profile
Pulaski County, Kentucky 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
59
+9 vs U.S. mean
Disease
70
+20 vs U.S. mean
Provider
53
+3 vs U.S. mean
SDOH
49
−1 vs U.S. mean
Specific health risk patterns
Pulaski County, KY: 2 specific risk patterns triggered
Each pattern below combines a specific environmental exposure with a population that is more vulnerable to that exposure. When both are present at meaningful levels in Pulaski County, the pattern triggers. These are the most concrete data points for documenting a significant health need in a Community Health Needs Assessment and for planning where services or community investment would land hardest.
Internally, we call these “Compound Signals.” Each is a versioned, weighted composite scored against the national distribution. The full formula and citations live on the methodology page.
199.9 CAFO animal-units per sq mi (83th national percentile) led by cattle.
Agricultural runoff + flood exposure × Uninsured rural population
Defend this finding — full lineage to source data3 sources cited
Runoff Burdenneeds reviewPulaski County: 75/100 (elevated above the 70th-percentile threshold)
Pulaski County: 75/100 (elevated above the 70th-percentile threshold)
CAFO density × flood exposure × rural Medicaid coverage gap. Pattern after Hurricane Florence inundated 91 NC swine + 36 poultry CAFOs in 2018.
Methodology. Surfaces counties where concentrated animal feeding operations sit in flood-exposed terrain and the local health system is least equipped to absorb the public-health spillover. v1 uses placeholder-friendly formulation until Lynch/Parks 2025 lands.
Threshold. Elevated when score ≥ 70th national percentile across all US counties evaluated for this signal
Peer set. All US counties evaluated for the signal (~3,222, less coverage gaps)
Components (3)
83th percentile
National percentile rank of animal-unit density per square mile, derived from USDA livestock head counts and EPA Animal Unit conversion factors.
USDA + EPA — USDA Census of Agriculture + EPA 40 CFR §122.23 AU formula
Vintage: USDA Census of Ag 2022 (most recent quinquennial) · Refresh: Every 5 years · Lag: 1–2 years
How it's measured. Per-county livestock head counts (hogs, cattle, dairy, broilers, layers, turkeys, sheep) from USDA Census, multiplied by EPA 40 CFR §122.23 Animal Unit conversion factors, divided by county land area in square miles, then rank-percentile against all US counties.
Caveat. USDA Census suppresses cells where disclosure would identify individual farms, biasing the AU total downward in concentrated-producer counties. Census is quinquennial — between releases the value goes stale.
Coverage. Counties with non-zero animal-unit totals
County-level flood exposure index from Lynch & Parks 2025 — combines historical flood footprints, FEMA SFHA coverage, and 100-year floodplain population overlap.
Lynch / Parks — Lynch & Parks 2025 — county flood exposure index (pending ingestion #76)
Vintage: Pending pipeline ingestion (ticket #76) · Refresh: TBD
How it's measured. Peer-reviewed flood-exposure composite combining historical inundation footprints with current FEMA Special Flood Hazard Area coverage. Pending ingestion as of methodology v1.8.0; the v1 Runoff Burden signal uses placeholder-friendly formulation until this lands.
Caveat. Not yet in production JSON. Runoff Burden score is computable from CAFO density + uninsured rural alone in the interim; this leg is reserved for the post-#76 score refresh.
Coverage. All 3,222 US counties when ingested
Composite of rural-classified census tract share and Medicaid coverage shortfall — proxy for the rural population least insured against environmental health spillover.
Census Bureau — ACS 5-Year + Census urban-rural classification
Vintage: ACS 5-Year 2019–2023; rural classification 2020 decennial · Refresh: Quarterly (ACS); decennial (rural class) · Lag: 1 year (ACS)
How it's measured. Weighted blend of rural-classified tract share (Census urban-rural classification) and Medicaid + uninsured rate (ACS). Captures the population that bears the brunt of agricultural-runoff health events without coverage to absorb the medical cost.
Coverage. All 3,222 US counties
0.11% customer-hours of outage exposure against 1,761 DME-dependent Medicare beneficiaries (95.8 per 1k).
Power outage risk × Electricity-dependent medical population
Defend this finding — full lineage to source data6 sources cited
Outage VulnerabilityPulaski County: 74/100 (elevated above the 70th-percentile threshold)
Pulaski County: 74/100 (elevated above the 70th-percentile threshold)
Summer heat × DOE/ORNL outage burden × emPOWER electricity-dependent Medicare × CHD/COPD prevalence × pre-1980 housing AC proxy. The compound that no aggregator surfaces.
Methodology. Combines structural heat exposure with an outage-burden track record AND a population uniquely harmed by outages (electricity-dependent DME) AND comorbidities that amplify outage harm (CHD/COPD) AND a housing-stock proxy for AC penetration. The pre-1980 housing leg is currently null pending Census ACS B25034 derivation; the score still computes from 4 of 5 components.
Threshold. Elevated when score ≥ 70th national percentile across all US counties evaluated for this signal
Peer set. 3,050 of 3,222 US counties (DOE EAGLE-I coverage); Alaska + sparsely-served rural may have no signal
Evidence base
- · McBrien H, Casey JA. 'Power outages and respiratory hospitalization risk in the US.' PLOS Medicine 2026 (8+ hour county outages → respiratory hospitalization RR 1.05).
- · Stone B et al. 'Compound climate and infrastructure events.' Environmental Science & Technology 2023 (heat × blackout doubles all-cause mortality in modeling; Phoenix worst-case ~13,000 deaths).
- · Brelsford C et al. 'A dataset of recorded electricity outages by US county 2014–2022.' Scientific Data 2024 (validates DOE/ORNL EAGLE-I).
Components (5)
86.9 °F
Mean of the daily maximum temperature across the meteorological summer (June–August).
NOAA — Applied Climate Information System (ACIS) — RCC-ACIS
Vintage: Multi-year mean (2018–2023 typical) · Refresh: Monthly · Lag: Current year
How it's measured. NOAA ACIS aggregates GHCN-Daily station observations to county-level summer (JJA) daily-max means using inverse-distance weighting. Smooths year-to-year noise; captures the structural heat profile.
Coverage. All 3,222 US counties
416.2K customer-hours
Total customer-hours of electrical outage in the county for the year, summed from 15-minute interval data.
DOE / ORNL — EAGLE-I — Environment for Analysis of Geo-Located Energy Information
Vintage: Annual rollup of 15-minute interval data · Refresh: Annual · Lag: 1 year
Source page →DOI: 10.6084/m9.figshare.24237376
How it's measured. DOE/ORNL aggregates utility-reported 15-minute outage counts across ~93% of US electricity customers, stitched into a continuous county-level outage timeline. Validated against utility filings in Brelsford et al, Scientific Data 2024.
Caveat. Excludes some smaller cooperatives; the 7% missing customers are concentrated in rural Alaska and parts of the rural West.
Coverage. 3,050 of 3,222 US counties (AK + sparsely-served rural may have no block)
95.8 per 1,000 Medicare benes
Rate of Medicare beneficiaries using power-dependent durable medical equipment (oxygen concentrators, ventilators, IV pumps, hospital beds) per 1,000 county beneficiaries.
HHS / ASPR — emPOWER Map — Medicare DME claims
Vintage: Current month · Refresh: Monthly · Lag: Same month
How it's measured. HHS ASPR derives power-dependent DME counts from Medicare claims for HCPCS codes covering ventilators, suction pumps, oxygen concentrators, NPWT pumps, and infusion pumps. The population most directly harmed by sustained outages.
Caveat. Same 1–10 masking as the dialysis rate. Underestimates total power-dependent population by Medicaid + commercial-insured + uninsured exclusion.
Coverage. All 3,222 US counties
Coronary heart disease + COPD blend15%
60/40 dominant/secondary percentile blend of CHD and COPD prevalence.
Methodology. Outage-vulnerability cluster — the conditions most directly harmed when a sustained outage halts both CPAP/BiPAP and rescue-medication workflows.
Components (2)
10.0%
Percent of adults age 18+ self-reporting coronary heart disease diagnosis.
CDC — PLACES — Local Data for Better Health
Vintage: PLACES 2022–2023 · Refresh: Monthly · Lag: 1–2 years
How it's measured. PLACES small-area estimation from BRFSS self-report. Self-reported CHD undercounts asymptomatic disease.
Coverage. All 3,222 US counties
13.0%
Percent of adults age 18+ self-reporting chronic obstructive pulmonary disease diagnosis.
CDC — PLACES — Local Data for Better Health
Vintage: PLACES 2022–2023 · Refresh: Monthly · Lag: 1–2 years
How it's measured. PLACES small-area estimation from BRFSS self-report. Underestimates true prevalence by an unknown factor since many cases go undiagnosed in low-access areas.
Coverage. All 3,222 US counties
21.4%
Percent of housing units built before 1980 — a proxy for central air conditioning penetration (post-1980 codes typically include central AC).
Census Bureau — American Community Survey — Table B25034 (Year Structure Built)
Vintage: ACS 5-Year 2019–2023 · Refresh: Quarterly · Lag: 1 year
How it's measured. Sum of B25034 categories for housing units built 1979 and earlier, divided by total occupied units. Used as a proxy for the share of housing without central AC; the post-1978 lead-paint ban and the post-1980 construction-code uplift roughly coincide.
Caveat. Currently null in the production JSON pending pipeline derivation (methodology v1.8.0). Outage Vulnerability score still computes from 4 of 5 components.
Coverage. All 3,222 US counties (when populated)
6 signals near threshold: Heat Vulnerability (66) · Heat-Dialysis Vulnerability (66) · Smoke Burden (63) · Industrial Burden (63) · Respiratory Burden (62) · Field Burden (57)
8 signals evaluated. See all signal methodologies →
Where Pulaski County stands
Health risks here sit near national averages
Pulaski County, Kentucky has elevated chronic disease rates — respiratory disease, cardiovascular disease, cancer, and behavioral health conditions rank worse than 70% 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
Pulaski County compared to Kentucky 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.
Environmental Risk (59), Disease Burden (70), and Provider Gap (53) are moderately worse than the U.S. average of 50.
SDOH Stress (49) is at or better than the U.S. average.
- Pulaski County
- Kentucky state mean
- U.S. mean (50)
- Signal threshold (70)
Current Conditions
Today's air quality, fires, and weather alerts
Live operational data for Pulaski 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 Pulaski County with state and national benchmarks. Full profile covers 40+ metrics on the platform.
| Indicator | Pulaski County | KY avg | US avg |
|---|---|---|---|
PM2.5 (annual mean) EPA AQS / EJSCREEN | 7.6 µg/m³ ▼ -3.1% vs KY | 7.8 | 7.4 |
Ozone EPA AQS / EJSCREEN | 55.0 ppb ▼ -3.9% vs KY | 57.2 | 57.1 |
Traffic Proximity EJSCREEN | 102,074 index ▼ -16% vs KY | 120,803 | 291,320 |
Superfund Proximity EPA EJSCREEN | 0.00 score ▼ -100% vs KY | 0.02 | 0.16 |
Drinking Water Violations EPA EJSCREEN | 0.00 score ▼ -100% vs KY | 1.04 | 3.39 |
Wildfire-Attributable Air Quality
Smoke PM2.5 the EPA doesn't count
Stanford peer-reviewed wildfire-attributable PM2.5 for Pulaski County. The EPA classifies wildfire smoke as "exceptional events" and excludes it from official AQS monitoring; Childs/Burke fills that gap with daily county-level data.
Source: Childs et al, Environmental Science & Technology 2022 (Harvard Dataverse 10.7910/DVN/DJVMTV). Latest year shipped: 2020. Burke et al, Nature 2023 estimate that the EPA AQS network undercounts wildfire-attributable PM2.5 by 10–30% in fire-affected counties. Coverage is CONUS only. Full methodology →
Outage Burden
When the grid goes dark
DOE/ORNL EAGLE-I customer-hours-out for Pulaski 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 →
Severe Weather History
Recorded storm events and damages
NOAA NCEI Storm Events Database for Pulaski County, 2010–2026. Cumulative + last 5 years of recorded weather events with deaths, injuries, and damages.
Source: NOAA NCEI Storm Events Database (full history rollup). NOAA buckets ~50 raw event_type strings into 8 health-relevant categories. Coverage: 3,107 of 3,222 US counties; the absent are typically Alaska boroughs and territories where NOAA codes events as forecast zones rather than counties. Full methodology →
Concentrated Animal Feeding Operations
Livestock density and federal-permit confidence
USDA Census of Agriculture (vintage 2022) animal-unit totals for Pulaski County, normalized to land area and ranked nationally. Animal Units (AU) follow the EPA federal definition under 40 CFR §122.23.
Source: USDA Census of Agriculture 2022 (head counts) + EPA 40 CFR §122.23 (animal-unit conversion). The CAFO composite deliberately omits NPDES facility counts because federal coverage averages ~32% nationally per EPA-IG and is heavily state-skewed — adding it as a numerator would systematically bias the index toward delegated states. Full methodology →
Pesticide Use
USGS Pesticide National Synthesis
Annual pesticide application rollup for Pulaski County from the USGS Pesticide National Synthesis Project. Most recent year on file: 2019. Mass figures use the EPest_HIGH estimate (the conservative-against-undercounting framing); EPest_LOW is also retained on the underlying data.
- 1.GLYPHOSATE43.4K kg
- 2.ATRAZINE13.4K kg
- 3.2,4-D4.6K kg
- 4.METOLACHLOR & METOLACHLOR-S4.2K kg
- 5.ACETOCHLOR3.3K kg
Source: USGS Pesticide National Synthesis Project (2019). USGS PNSP nationally; year 2019 is preliminary; 2018 unavailable; 2020+ not released. Update reliability medium-low. Full methodology →
Health Outcomes
Chronic disease prevalence
CDC PLACES model-based prevalence estimates for adults in Pulaski County. Full profile covers 15+ health outcomes plus mortality on the platform.
| Condition | Pulaski County | KY avg | US avg |
|---|---|---|---|
Current Asthma % of adults with current asthma | 11.8% ▲ +3.1% vs KY | 11.4% | 10.6% |
COPD % of adults with diagnosed COPD | 13.0% ▲ +6.8% vs KY | 12.2% | 8.6% |
Diabetes % of adults with diagnosed diabetes | 15.8% ▲ +5.2% vs KY | 15.0% | 13.7% |
Coronary Heart Disease % of adults with CHD | 10.0% ▲ +7.7% vs KY | 9.3% | 7.9% |
Depression % of adults ever diagnosed with depression | 29.1% ▲ +5.5% vs KY | 27.6% | 23.1% |
Frequent Mental Distress % of adults with 14+ poor mental health days/month | 18.8% ▲ +3.4% vs KY | 18.2% | 17.2% |
Vulnerable Medicare Population
Who needs the grid to stay alive
Medicare beneficiaries in Pulaski 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 | 18,372 | — |
Electricity-dependent (any DME) Ventilators, oxygen concentrators, IV pumps, motorized wheelchairs | 1,761 | 95.8 ▲ +14% vs KY |
Dialysis-dependent ESRD beneficiaries needing in-center or home dialysis | 77 | 4.19 -1.8% vs KY |
Oxygen-dependent Home oxygen concentrators (outage-vulnerable) | 608 | 33.1 ▲ +6.5% vs KY |
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 →
Provider Supply
Specialty physician density per 100,000 residents
Active providers in Pulaski County from the CMS National Plan and Provider Enumeration System (NPPES). Compared to the U.S. average for each specialty. Adjacency adjustment is applied separately in the Provider Gap pillar score.
| Specialty | Pulaski County | US avg |
|---|---|---|
Primary Care Family medicine, internal medicine, general practice, pediatrics. | 123.7 per 100k ▼ -5.2% vs US | 130.4 |
Cardiology Cardiovascular disease, electrophysiology, interventional cardiology. | 12.2 per 100k +1.2% vs US | 12.1 |
Pulmonology Respiratory disease specialists — relevant to PM2.5 and wildfire smoke exposure. | 6.1 per 100k +1.3% vs US | 6.0 |
Psychiatry Mental health prescribers; complements behavioral health access. | 15.3 per 100k ▼ -18% vs US | 18.7 |
Oncology / Hematology Cancer specialists. | 6.1 per 100k ▼ -4.7% vs US | 6.4 |
Neurology Neurological disease specialists. | 6.1 per 100k ▼ -23% vs US | 7.9 |
Source: CMS National Plan and Provider Enumeration System (NPPES). Counts reflect providers with a primary practice address in Pulaski County; specialty is taken from the provider's primary NUCC taxonomy code.
Pro analytical view
What drives this county's scores
The flagged signals and service-line opportunities for Pulaski 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 Pulaski 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 Pulaski 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 Pulaski County ranks for respiratory, oncology, cardiovascular, renal, endocrine, and behavioral health service line opportunity.
Multi-County Comparison
Compare Pulaski 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 Pulaski County with methodology citations. Drops straight into a CHNA or grant application.
Nearby Counties
Counties bordering Pulaski County
Adjacent county profiles with their own scores and environmental health data. Source: Census Bureau County Adjacency File.
Casey County
Kentucky
64
Elevated
McCreary County
Kentucky
62
Elevated
Wayne County
Kentucky
60
Elevated
Rockcastle County
Kentucky
59
Elevated
Russell County
Kentucky
58
Elevated
Lincoln County
Kentucky
57
Elevated
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