Health · Difficult Run

Difficult Run, VA health

Difficult Run differs from Virginia on 26 of 40 measures. It has fewer older adults who have lost all their teeth (2.6% vs 11.1%) and fewer adults facing food insecurity (4.3% vs 13.1%). Where it trails the state: more adults who have had cancer (10% vs 7.7%).

CDC PLACES 2025 · adults 18+ · CDC's estimate for Difficult Run
TownTapestry Health GradeNew

Difficult Run’s Health Grade: A+

On seven CDC health estimates for adults, Difficult Run is healthier than 99% of U.S. towns and 99% of Virginia towns.

A+Self-rated healthA+Physical distressA+Mental distressA+ObesityADiabetesA+SmokingA+Exercise
All U.S. towns we grade (19,420)Healthier than 99%
Less healthyHealthier
Virginia towns we grade (374)Healthier than 99%
Towns with similar incomes, $188K–$313K (446)Healthier than 75%

Wealth explains part of the grade. Difficult Run is healthier than 99% of U.S. towns overall, but against towns with similar incomes its edge is smaller.

High confidence. Even at the ends of CDC’s likely ranges, Difficult Run stays an A+.
How the Health Grade works
  • Seven CDC estimates. Adults in fair or poor health, frequent physical distress, frequent mental distress, obesity, diabetes, smoking and no exercise (CDC PLACES, 2025 release). On each one a town earns the share of U.S. towns doing worse, and those shares are averaged. It’s the same score as our Healthiest towns in Virginia ranking.
  • Graded on a national curve. Every U.S. town with 1,000+ residents and all seven estimates (19,420 places) is lined up by score: A+ top 5%A next 10%A- next 10%B B+ to B−, next 30%C C+ to C−, next 30%D D and D−, bottom 15%
  • Not adjusted for income. Wealthier towns are usually healthier, and the grade shows that as it is. The similar-incomes bar compares Difficult Run with U.S. towns whose median household income is within 25% of its own.
  • Modeled, not measured. CDC combines national survey answers with each area’s age, sex, race and income mix. Difficult Run uses CDC’s own estimate for it. High blood pressure is left out because it tracks age more than anything else. The confidence line recomputes the grade with every estimate at the low, then the high, end of its range.
Report card

How Difficult Run compares with Virginia

Each theme counts how many of its measures are better, worse or too close to call against the state. Tap one to jump to it.

Chronic conditions

Out of every 100 Difficult Run adults…

30 of every 100 Difficult Run adults have high blood pressure
Virginia: 35 in 100 · better · margin 27.1–33.4%

Bars show Difficult Run; the black tick is Virginia. Tap a condition to see it as people.

Habits

Everyday habits, side by side with the state

Difficult Run, betterDifficult Run, worseToo close to callVirginia
Get no exerciseshare of adults 14.2% Difficult Run
VA 23.8%
Sleep under 7 hoursshare of adults 30.2% Difficult Run
VA 36%
Binge drinkshare of adults 14.2% Difficult Run
VA 14.5%
Smoke cigarettesshare of adults 5.8% Difficult Run
VA 12.2%
0%10%20%30%40%
Care & screenings

Keeping up with care

Share of Difficult Run adults getting routine care. The full ring is 100%; the dark tick marks Virginia.

81%
Yearly checkup
VA 79%
81%
Dentist visit
VA 68%
93%
Cholesterol check
VA 88%
73%
Colon screening
VA 67%
83%
Mammogram
VA 79%
79%
Taking BP meds
VA 77%
1 in 27
working-age adults has no health insurance
Difficult Run 3.7% · Virginia 1 in 11 (8.7%)
Mind & connection

How Difficult Run adults are doing

1 in 4Difficult Run adults feel lonely
28.5% · Virginia 33.8% · better
1 in 5Difficult Run adults have been diagnosed with depression
18.5% · Virginia 21.8% · better
1 in 6Difficult Run adults lack social or emotional support
16.8% · Virginia 21.6% · better
1 in 10Difficult Run adults are in frequent mental distress
10.3% · Virginia 15.9% · better
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 23
Difficult Run adults worry about having enough food
4.3% · VA 13.1% · better
1 in 24
Difficult Run adults worry about keeping their housing
4.1% · VA 10.9% · better
1 in 38
Difficult Run adults were threatened with a utility shut-off
2.6% · VA 7.1% · better
1 in 32
Difficult Run adults lack reliable transportation
3.1% · VA 7.4% · better

2.5% of Difficult Run adults receive SNAP (food stamps), compared with 10.7% across Virginia.

Disability

Living with a disability

19.4%

of Difficult Run adults live with a disability (Virginia 30%). Walking or climbing stairs is the most common.

Walking or climbing stairs8.2%
Thinking or memory8%
Hearing5.3%
Errands alone4%
Vision2.4%
Dressing or bathing1.8%

Black tick: Virginia. Shown without a better/worse judgment.

Around Difficult Run

Difficult Run and the towns around it

Pick a measure to shade the map. Darker is worse for health. Pins are hospitals and community health centers in and near Difficult Run.

Oakton: 22.2% Reston: 24.5% Fair Oaks: 22.4% Franklin Farm: 21.6% Wolf Trap: 21.7% Navy: 19.6% Vienna: 23.2% Fairfax: 31.2% Merrifield: 21.8% Dranesville: 23% Great Falls Crossing: 21% Herndon: 26.1% McNair: 22.1% Fair Lakes: 21.6% George Mason: 23.6% Chantilly: 23% Floris: 19.8% Sully Square: 18.4% Tysons: 20.8% McLean: 21.1% Great Falls: 20.8% Difficult Run: 21.7% Difficult Run Oakton Reston Fair Oaks Franklin Farm Wolf Trap Navy Inova Fair Oaks Hospital · Fairfax · 2.2 mi · 5★ MedicareH Reston Hospital Center · Reston · 4 mi · 3★ MedicareH Inova Fairfax Hospital · Falls Church · 8.5 mi · 5★ MedicareH Loudoun Community Health Center Dba Healthworks for Northern Virginia - Sully · Herndon · 4.2 mi+ Neighborhood Health Joseph Willard Dental · Fairfax · 4.6 mi+
18.4%31.2%· darker is worse for health

Obesity

#10 of 22towns on this map, healthiest first
Navy19.6%
Franklin Farm21.6%
Difficult Run21.7%
Wolf Trap21.7%
Oakton22.2%
Fair Oaks22.4%
Reston24.5%
6 places to get careNearest ER 4 mi

Nearby towns are shaded from CDC's estimates for their ZIP codes, or CDC's own figure for cities and villages.

Getting care

Care in and near Difficult Run

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

HNearest ERReston Hospital CenterReston · 4 miDirections →
★Best rated nearbyInova Fair Oaks Hospital★★★★★ · 2.2 miDirections →
+Low-cost careLoudoun Community Health CenterHerndon · 4.2 mi · sliding-scale feesDirections →
2.2 mi
Inova Fair Oaks Hospital
Fairfax · ★★★★★
4 mi
Reston Hospital Center
Reston · ★★★★★
ER
4.2 mi
Loudoun Community Health Center
5 sites · nearest in Herndon
Sliding-scale fees
Directions to nearest
4.6 mi
Neighborhood Health
3 sites · nearest in Fairfax
Sliding-scale fees
Directions to nearest
8.5 mi
Inova Fairfax Hospital
Falls Church · ★★★★★
ER
10.8 mi
Stonesprings Hospital Center
Dulles · ★★★★★
ER
✓ Primary careDifficult Run is not a shortage area
✓ Dental careDifficult Run is not a shortage area
! Mental healthDifficult Run's county is a federal shortage area for some residents.ME - Fairfax/Falls Church MHCA · need score 7 of 25

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 Difficult Run. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 40 measures for Difficult Run
MeasureDifficult RunMarginVirginia
Chronic conditions
High blood pressure30.2%27.1–33.4%35.4%better
High cholesterol40.9%37.5–44.5%38%about the same
Obesity21.7%18.2–25.5%34.5%better
Arthritis24.5%21.9–27.2%26.2%about the same
Depression18.5%16.1–21.2%21.8%better
Lost all teeth (65+)2.6%2.1–3.3%11.1%better
Asthma9%7.9–10.1%10.4%better
Cancer (not skin)10%9.1–10.9%7.7%worse
Diabetes9.5%8.2–10.9%12.5%better
COPD3.7%3.2–4.3%6.2%better
Heart disease5.1%4.5–5.7%6.1%better
Stroke2.3%2.1–2.6%3.3%better
Habits
Smoke cigarettes5.8%4.8–7%12.2%better
Binge drink14.2%12–16.6%14.5%about the same
Get no exercise14.2%12–16.8%23.8%better
Sleep under 7 hours30.2%26.9–33.5%36%better
Care & screenings
Yearly checkup80.6%77.9–83.3%79.2%about the same
Dentist visit81.3%79.2–83.2%67.9%better
Cholesterol check92.7%91.6–93.6%87.5%better
Colon screening72.9%69.5–76.1%67.4%better
Mammogram83.1%78.4–87.1%78.6%about the same
Taking BP meds79.2%76.1–82.1%76.8%about the same
No health insurance3.7%3.1–4.4%8.7%better
Mind & connection
Feel lonely28.5%24.8–32.3%33.8%better
Lack emotional support16.8%14.4–19.4%21.6%better
Frequent mental distress10.3%9–11.6%15.9%better
Fair or poor health10.1%8.7–11.7%18.1%better
Frequent physical distress9.1%8–10.4%12.8%better
Everyday needs
Food insecurity4.3%3.5–5.2%13.1%better
Housing insecurity4.1%3.3–4.8%10.9%better
Utility shut-off threat2.6%2.2–3.1%7.1%better
No reliable transportation3.1%2.6–3.5%7.4%better
Receive SNAP2.5%2–3.1%10.7%
Disability
Any disability19.4%16.8–22.1%30%
Walking or climbing stairs8.2%7–9.5%13.5%
Thinking or memory8%7–9.2%14%
Hearing5.3%4.7–6%6.4%
Vision2.4%2.2–2.7%4.7%
Dressing or bathing1.8%1.6–2.1%3.5%
Errands alone4%3.5–4.6%7.7%
About these numbers

How CDC estimates town health

They're modeled estimatesCDC combines a large national health survey with each area's age, sex, race and income mix to estimate local rates. Nobody surveyed Difficult Run door to door.
Close calls stay grayEvery figure has a margin of error. When the Virginia figure falls inside it, we don't call Difficult Run better or worse.
CDC's own town estimateCDC publishes Difficult Run directly, so these are its own figures.

CDC PLACES: Local Data for Better Health, 2025 release. The Virginia figure combines its counties, weighted by adult population.

Health estimates: CDC PLACES. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. Town boundaries: U.S. Census Bureau.

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Boundary source: https://tigerweb.geo.census.gov/arcgis/rest/services/TIGERweb/Places_CouSub_ConCity_SubMCD/MapServer/19 · 2025-01-01