Island County, a small, rural county in Washington, consists of two main populated islands, Whidbey and Camano, and seven smaller islands located in Puget Sound approximately 30 miles north of Seattle and 50 miles from the Canadian border.
Whidbey Island is made up of three distinct areas: north, central, and south. North Whidbey is the most populous with 39,639 people in the greater Oak Harbor area, which is also home to a naval hospital and Naval Air Station Whidbey Island employing over 7,700 military personnel. Central Whidbey has a population of 8,525 and includes the town of Coupeville, the county seat and historic farming community, and the small, unincorporated town of Greenbank. Most medical services, including a small critical access hospital, are located in town. South Whidbey, made up of the small communities of Freeland and Clinton, and the town of Langley, has a total population of 16,030.
Due to it being geographically isolated from the county seat, Camano Island continues to remain fairly rural. Camano has a population of 15,106 residents. Most educational and medical facilities are located in the nearest town of Stanwood. While close to urban areas, Whidbey and Camano are quite rural in their provision of health services and programs.
Island County has the unique challenge of adapting effective, community-based health programs modeled for urban populations to its relatively small, rural community. A lack of physical exercise and poor nutrition are contributing to the increasing prevalence of obesity and overweight individuals in Island County. Although the county is doing better than the state and nation for most health measures, the area is still not meeting Healthy People 2010 guidelines.