Avery, Mitchell & Yancey counties are served by the Toe River Health District. From 2010 to 2018 the department’s spending fell by 35%, when adjusted for inflation. During that same time, the population served by the Toe River Health District fell by 1%. When taking that population change into account, the per-person spending fell 34%.

In 2010, the Toe River Health District ranked 42 in per-person spending among the 53 health departments for which we have complete data. In 2018, it ranked 38.

Across the state, county-level spending on public health dropped 22% from 2010-2018 when adjusted for inflation and the change in population.