Most working residents leave Elizabeth for work: only 5% work in town. The top destinations are Ironton (17%), Ashland (11%) and Huntington (5%). Half commute less than 16 miles.

Ironton

17%

Ashland, KY

11%

Huntington, WV

Portsmouth

5%Work in townlive and work in Elizabeth 16 miWhere do people commute?the commute map 442Jobs based herea commuter town

Census LEHD 2023 · ACSWork & commute in Elizabeth →

Health in Elizabeth

D⁻

Health Grade D−

Healthier than 4% of U.S. towns on seven CDC estimates.

Compared with Ohio

22worse than OH

of 32 measures CDC estimates. The other 10 are too close to call.

Conditions 8▼ 4 close Habits 2▼ 2 close Care 5▼ 2 close Mind 3▼ 2 close Everyday needs 4▼ 0 close

BetterToo close to callWorse

What stands out

23.3%More older adults who have lost all their teethOH 15.3% · worse 12.1%More adults with COPDOH 8% · worse 22.7%More smokersOH 15.4% · worse

Care nearby

King's Daughters' Medical CenterAshland · 11 mi · ER

Ironton-Lawrence County Community Action OrganizationIronton · 5.9 mi · sliding-scale fees

Primary careShortage · county-wide

DentalShortage · county-wide

Mental healthShortage · county-wide

CDC PLACES 2025 · modeled estimates for adults · ZIP codes 45659, 45638 · CMS · HRSAHealth in Elizabeth →

Natural hazards in Elizabeth

Moderate

Expected storm and flood damage is higher than in 51% of U.S. communities.

🌊 Inland flooding🌡️ Heat waves🌪️ Tornadoes

13Does Elizabeth flood?paid flood claims since 1978 NoneDisasters that paid out hereof 12 declared for Lawrence County MapElizabeth vs. its neighborsnearby towns shaded by rating

FEMA National Risk Index December 2025 · OpenFEMANatural hazards in Elizabeth →

Climate in Elizabeth

Full climate →

Elizabeth has chilly winters and warm summers. A typical July afternoon reaches 86°, a January night drops to 24°, and about 7 inches of snow falls in a normal winter.

44° / 26°Winter

66° / 42°Spring

85° / 62°Summer

68° / 44°Fall

How much snow does Elizabeth get?About 7 inches a winter.Rain & snow →When is the first frost?Around Oct 25, with the last in spring around Apr 17.Frost dates →Is it warmer than it used to be?+1.3° vs. the 20th century.Then & now →

NOAA U.S. Climate Normals, 1991–2020Climate in Elizabeth →

Schools in Elizabeth

All Elizabeth schools →

B⁻

School Grade B-

The public schools Elizabeth’s kids attend, from kindergarten through graduation, trail 52% of Ohio’s districts on state tests and graduation. Among towns with similar incomes, they rank near the bottom.

See how Elizabeth’s schools compare in OH →

DistrictRock Hill LocalSchools3

Rock Hill Elementary School B-Elementary · Grades PK–5 · 736 students Rock Hill Middle School CMiddle · Grades 6–8 · 284 students Rock Hill Sr High School C-High · Grades 9–12 · 325 students

School data from the U.S. Department of Education (NCES, EDFacts). The School Grade is our own summary of state test results and graduation rates, graded within OH. Ratings are from neighbors.