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B−Health Grade
Health in Ilwaco · CDC PLACES 2025

Ilwaco is healthier than 52% of U.S. towns

Ilwaco differs from Washington on 16 of 33 measures. It has more adults treating high blood pressure (77.4% vs 70.7%) and more adults getting cholesterol checked (86.2% vs 84%). Where it trails the state: more adults with COPD (7.7% vs 5.1%).

Modeled estimates for adults 18+, CDC’s own estimate for Ilwaco. How CDC estimates town health

What stands out about health in Ilwaco

Read from the numbers below. The page puts what stands out first.

★ What stands out · Getting care

Care in and near Ilwaco

1 hospital in Ilwaco, plus the nearest just outside it.

HNearest EROcean Beach HospitalIlwaco · 0.5 miDirections →
★Best rated nearbyProvidence Seaside Hospital★★★★★ · 22.6 miDirections →
+Low-cost careCowlitz Family Health CenterOcean Park · 10.5 mi · sliding-scale feesDirections →
0.5 mi
Ocean Beach Hospital
Ilwaco · ★★★★★
ERRural critical accessIn Ilwaco
10.5 mi
Cowlitz Family Health Center
2 sites · nearest in Ocean Park
Sliding-scale fees
Directions to nearest
13.2 mi
Columbia Memorial Hospital
Astoria · not rated
ERRural critical access
13.2 mi
Yakima Valley Farm Workers Clinic
2 sites · nearest in Astoria
Sliding-scale fees
Directions to nearest
22.6 mi
Providence Seaside Hospital
Seaside · ★★★★★
ERRural critical access
26.7 mi
Willapa Harbor Hospital
South Bend · not rated
ERRural critical access
! Primary careIlwaco’s county is a federal shortage area for some residents.Low-income residents, Pacific County · need score 16 of 25
! Dental careIlwaco’s county is a federal shortage area for some residents.Low-income residents, Pacific County · need score 12 of 25
! Mental healthIlwaco’s county is a federal shortage area.Pacific County · need score 16 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 Ilwaco; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

Habits

Everyday habits, side by side with Washington

Share of adults, with the Washington figure marked.

Get no exercise 20.5%WA 17.9%
Sleep under 7 hours 35%WA 31.8%
Binge drink 14.6%WA 16.6%
Smoke cigarettes 12.9%WA 10.1%
0%10%20%30%40%
Ilwaco, betterIlwaco, worseAbout the sameWashington
Map of trails and conserved land in Ilwaco
Where Ilwaco gets moving

2.3 miles of trails across 4 parks and preserves

Parks & trails →
Chronic conditions

Out of every 100 Ilwaco adults…

Ilwaco runs above WA on 10 of 12 conditions. Tap one to see it as people.

8 of every 100 Ilwaco adults have COPD
Washington: 5 in 100 · worse · likely 6.6–8.9%
Better than WAWorseAbout the sameWashington
Why age matters here

Ilwaco is an older town: 26% of residents are 65 or older, vs 17% across Washington. Heart disease, copd and arthritis rise with age, so higher rates here say as much about who lives in Ilwaco as about how healthy they are.

Residents 65 and older

Ilwaco26%
Washington17%
Health Grade

Ilwaco’s Health Grade: B−

On seven CDC health estimates for adults, Ilwaco is healthier than 52% of U.S. towns.

C+Self-rated health20.4% · WA 16.3%
CPhysical distress15.3% · WA 12.4%
BMental distress16.6% · WA 16.4%
B−Obesity36.4% · WA 30.6%
CDiabetes13.4% · WA 9.5%
B+Smoking12.9% smoke · WA 10.1%
A−Exercise20.5% · WA 17.9%
All U.S. towns we grade (19,420)Healthier than 52%
Less healthyHealthier
Washington towns we grade (395)Healthier than 22%
U.S. towns with similar incomes, $74K–$123K (8,163)Healthier than 31%

Wealth explains part of the grade. Ilwaco is healthier than 52% of U.S. towns overall, but against towns with similar incomes its edge is smaller.

These are estimates. At the ends of CDC’s likely ranges, Ilwaco could be anywhere from C− to 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 the Healthiest towns in Washington ranking.
  • Graded on a national curve. Every U.S. town with 1,000+ residents and all seven estimates (19,420 places): A+ is the top 5%, A the next 10%, A− the next 10%, the B range the next 30%, the C range the next 30%, D and D− the bottom 15%. There’s no F.
  • Not adjusted for income. Wealthier towns are usually healthier, and the grade shows that as it is. The similar-incomes bar compares Ilwaco 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. 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.
Checkups & screenings

Keeping up with care

Share of Ilwaco adults getting routine care. The full ring is 100%; the dark tick marks Washington.

73% Yearly checkupWA 71%
61% Dentist visitWA 67%
86% Cholesterol checkWA 84%
66% Colon screeningWA 66%
74% MammogramWA 74%
77% Taking BP medsWA 71%
1 in 13
working-age adults has no health insurance
Ilwaco 7.6% · Washington 1 in 12 (8.4%)
Mind & connection

How Ilwaco adults are doing

About the same as Washington on each measure.

1 in 4Ilwaco adults have been diagnosed with depression
26.1% · WA 25.1% · About the same as WA
1 in 6Ilwaco adults are in frequent mental distress
16.6% · WA 16.4% · About the same as WA
The one neighbors can help with

A hello is a start.

Groups are the easiest way in: a walking group, a book club, your street.

Find a group →

If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.

Disability

Living with a disability

Shown without a better/worse judgment.

33%

of Ilwaco adults live with a disability (Washington 27.1%). Walking or climbing stairs is the most common.

Walking or climbing stairs15.8%
Thinking or memory14.4%
Hearing9%
Errands alone8.3%
Vision5%
Dressing or bathing4.2%
Washington
All 33 CDC measures for Ilwaco
MeasureIlwacoLikely rangeWashington
Chronic conditions
High blood pressure39.2%35.7–43.1%30.5%worse
High cholesterol40.6%36.9–44.6%34.9%worse
Obesity36.4%31.1–42.6%30.6%worse
Arthritis34.4%31.2–37.9%24.4%worse
Depression26.1%22.9–29.7%25.1%about the same
Lost all teeth (65+)11.1%9.1–13.4%9%worse
Asthma11.4%10.2–12.7%10.7%about the same
Cancer (not skin)11.2%10.2–12.3%7.9%worse
Diabetes13.4%11.8–15.5%9.5%worse
COPD7.7%6.6–8.9%5.1%worse
Heart disease8%7.1–9%5.4%worse
Stroke4.2%3.8–4.6%2.9%worse
Habits
Smoke cigarettes12.9%10.6–15.2%10.1%worse
Binge drink14.6%12.2–17.4%16.6%about the same
Get no exercise20.5%17.2–24.4%17.9%about the same
Sleep under 7 hours35%29.9–40.5%31.8%about the same
Care & screenings
Yearly checkup73.3%69.7–76.9%70.7%about the same
Dentist visit60.9%57.5–64.3%67%worse
Cholesterol check86.2%84.4–87.8%84%better
Colon screening66.3%61.6–70.8%66.2%about the same
Mammogram73.9%66.8–80.1%74.2%about the same
Taking BP meds77.4%74.5–80.3%70.7%better
No health insurance7.6%6.3–9.3%8.4%about the same
Mind & connection
Frequent mental distress16.6%14.8–18.6%16.4%about the same
Fair or poor health20.4%17.7–23.4%16.3%worse
Frequent physical distress15.3%13.5–17.3%12.4%worse
Disability
Any disability33%29.3–37.2%27.1%
Walking or climbing stairs15.8%13.6–18.2%10.9%
Thinking or memory14.4%12.7–16.3%13.5%
Hearing9%8–10.1%6.4%
Vision5%4.4–5.7%4.1%
Dressing or bathing4.2%3.7–4.8%3.1%
Errands alone8.3%7.2–9.5%6.8%

How CDC estimates town health

Modeled estimates

CDC combines a large national health survey with each area’s age, sex, race and income mix to estimate local rates. Nobody surveyed Ilwaco door to door.

Close calls stay gray

Every figure has a likely range. When the Washington figure falls inside it, we don’t call Ilwaco better or worse.

CDC’s own town estimate

CDC publishes Ilwaco directly, so these are its own figures.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Ilwaco.

Town Square →
Weigh in
Live in Ilwaco? Is a B− for health right?

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Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The Washington figure combines its counties, weighted by adult population. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. The Health Grade is our own summary of CDC’s estimates, not an official rating. Ages: U.S. Census Bureau, American Community Survey. Town boundaries: U.S. Census Bureau. This page isn’t medical advice. In an emergency, call 911.

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