County profile
San Francisco County, California 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
50
at the U.S. mean
Disease
4
−46 vs U.S. mean
Provider
39
−11 vs U.S. mean
SDOH
27
−23 vs U.S. mean
Specific health risk patterns
San Francisco County, CA: 1 specific risk pattern 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 San Francisco 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.
Summer max temperatures averaging 89.8°F.
Pesticide + heat exposure × Farmworker population
Defend this finding — full lineage to source data3 sources cited
Field Burdenneeds reviewSan Francisco County: 74/100 (elevated above the 70th-percentile threshold)
San Francisco County: 74/100 (elevated above the 70th-percentile threshold)
Pesticide intensity × summer heat × farmworker population proxy. Surfaces counties where outdoor agricultural workers face simultaneous heat-illness and pesticide-exposure risk.
Methodology. Demographic identifies the population HRSA 330(g) migrant/seasonal worker centers were created to serve. v1 weights are pending finalization — see ticket #90 — and the score is published with medium confidence pending the curation pass.
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)
National percentile rank of pesticide application intensity per square mile, conservative-against-undercounting (EPest_HIGH) basis.
USGS — Pesticide National Synthesis Project (PNSP)
Vintage: PNSP 2019 (preliminary) · Refresh: Annual when published · Lag: 2–3 years
How it's measured. Total kg / county land area in sq mi, then rank-percentile against all PNSP-covered US counties. EPest_HIGH is the regional-pool imputation that errs against undercounting.
Caveat. PNSP is on medium-low update reliability — see pesticide_total_kg caveat.
Coverage. 3,054 of 3,222 US counties
89.8 °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
Composite proxy for outdoor agricultural worker exposure, derived from USDA NASS livestock counts and crop acreage indicators.
USDA — NASS — National Agricultural Statistics Service
Vintage: NASS Quick Stats current vintage · Refresh: Annual · Lag: 1–2 years
How it's measured. Weighted blend of farmworker-intensive crop acreage and livestock operations, used as a proxy for the population that HRSA 330(g) migrant/seasonal worker centers were created to serve. Direct farmworker counts are unreliable below state level; this proxy is the structural-pattern stand-in.
Coverage. Counties with non-zero ag activity
2 signals near threshold: Smoke Burden (52) · Heat-Dialysis Vulnerability (50)
8 signals evaluated. See all signal methodologies →
Where San Francisco County stands
Health risks here sit near national averages
San Francisco County, California sits near the middle of the national distribution on all four major health-risk areas. Pollution exposure, chronic disease rates, doctor access, and social and economic conditions are all within a typical range for U.S. counties — none stand out as the dominant concern. For comparison and trend purposes, this is the kind of community that helps anchor what a typical national profile looks like across all four dimensions.
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
San Francisco County compared to California 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 (4), Provider Gap (39), and SDOH Stress (27) are at or better than the U.S. average.
- San Francisco County
- California state mean
- U.S. mean (50)
- Signal threshold (70)
Current Conditions
Today's air quality, fires, and weather alerts
Live operational data for San Francisco 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 San Francisco County with state and national benchmarks. Full profile covers 40+ metrics on the platform.
| Indicator | San Francisco County | CA avg | US avg |
|---|---|---|---|
PM2.5 (annual mean) EPA AQS / EJSCREEN | 10.1 µg/m³ ▼ -18% vs CA | 12.3 | 7.4 |
Ozone EPA AQS / EJSCREEN | 44.9 ppb ▼ -33% vs CA | 66.7 | 57.1 |
Traffic Proximity EJSCREEN | 4,740,514 index ▲ +248% vs CA | 1,363,105 | 291,320 |
Superfund Proximity EPA EJSCREEN | 0.30 score ▲ +35% vs CA | 0.22 | 0.16 |
Drinking Water Violations EPA EJSCREEN | 0.00 score ▼ -100% vs CA | 0.92 | 3.39 |
Wildfire-Attributable Air Quality
Smoke PM2.5 the EPA doesn't count
Stanford peer-reviewed wildfire-attributable PM2.5 for San Francisco 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 San Francisco 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 San Francisco 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 →
Health Outcomes
Chronic disease prevalence
CDC PLACES model-based prevalence estimates for adults in San Francisco County. Full profile covers 15+ health outcomes plus mortality on the platform.
| Condition | San Francisco County | CA avg | US avg |
|---|---|---|---|
Current Asthma % of adults with current asthma | 8.4% ▼ -15% vs CA | 9.9% | 10.6% |
COPD % of adults with diagnosed COPD | 3.9% ▼ -39% vs CA | 6.4% | 8.6% |
Diabetes % of adults with diagnosed diabetes | 10.2% ▼ -15% vs CA | 12.1% | 13.7% |
Coronary Heart Disease % of adults with CHD | 4.9% ▼ -28% vs CA | 6.8% | 7.9% |
Depression % of adults ever diagnosed with depression | 19.4% ▼ -11% vs CA | 21.9% | 23.1% |
Frequent Mental Distress % of adults with 14+ poor mental health days/month | 13.8% ▼ -19% vs CA | 17.1% | 17.2% |
Vulnerable Medicare Population
Who needs the grid to stay alive
Medicare beneficiaries in San Francisco 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 | 158,173 | — |
Electricity-dependent (any DME) Ventilators, oxygen concentrators, IV pumps, motorized wheelchairs | 3,948 | 25.0 ▼ -46% vs CA |
Dialysis-dependent ESRD beneficiaries needing in-center or home dialysis | 258 | 1.63 ▼ -50% vs CA |
Oxygen-dependent Home oxygen concentrators (outage-vulnerable) | 625 | 4.0 ▼ -71% vs CA |
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 San Francisco 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 | San Francisco County | US avg |
|---|---|---|
Primary Care Family medicine, internal medicine, general practice, pediatrics. | 122.3 per 100k ▼ -6.2% vs US | 130.4 |
Cardiology Cardiovascular disease, electrophysiology, interventional cardiology. | 10.8 per 100k ▼ -11% vs US | 12.1 |
Pulmonology Respiratory disease specialists — relevant to PM2.5 and wildfire smoke exposure. | 5.3 per 100k ▼ -13% vs US | 6.0 |
Psychiatry Mental health prescribers; complements behavioral health access. | 25.2 per 100k ▲ +35% vs US | 18.7 |
Oncology / Hematology Cancer specialists. | 5.6 per 100k ▼ -12% vs US | 6.4 |
Neurology Neurological disease specialists. | 7.5 per 100k ▼ -4.8% vs US | 7.9 |
Source: CMS National Plan and Provider Enumeration System (NPPES). Counts reflect providers with a primary practice address in San Francisco 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 San Francisco 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 San Francisco 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 San Francisco 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 San Francisco County ranks for respiratory, oncology, cardiovascular, renal, endocrine, and behavioral health service line opportunity.
Multi-County Comparison
Compare San Francisco 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 San Francisco County with methodology citations. Drops straight into a CHNA or grant application.
Nearby Counties
Counties bordering San Francisco 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