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County profile Georgia Metropolitan HRSA MUA/P

Black health in Fulton County, Georgia

473,246

Black residents (ACS)

44.42%

Of county population

$58,400

Median household income, Black

13.20%

Uninsured, Black residents

Fulton County is home to roughly 473,000 Black residents, nearly 44% of the county, and anchors the largest Black professional class in the American South. Atlanta's Auburn Avenue corridor was the commercial and medical centre of Black America for most of the twentieth century; Morehouse School of Medicine still graduates more Black physicians than any other private medical school in the country. Grady Memorial Hospital, the county's level-I trauma centre, handles more than half of all obstetric emergencies for uninsured Black women in metro Atlanta.

The county's Black maternal mortality rate is roughly three times the white rate, a gap the Fulton County Board of Health's Center for Health Equity has been publishing since 2019. Georgia's refusal to adopt Medicaid expansion leaves an estimated 60,000 low-income adults in Fulton without a coverage pathway, disproportionately Black residents in south Fulton.

Headline outcomes

Race-stratified county-level figures pulled from CDC WONDER small-area estimates, the annual County Health Rankings, and the CDC NVSS state/county life tables. County values with cell counts below CDC suppression thresholds are marked as data pending.

Life expectancy (Black)

75.20 yrs

At birth, CDC NVSS Small-Area LE

Infant mortality (Black)

11.40

Per 1,000 live births, CDC WONDER

CVD mortality (Black)

367.50

Age-adjusted per 100k, CDC WONDER I00-I99

County Health Rankings

#27

Overall rank in Georgia (lower = better)

HRSA Medically Underserved Area / Population HPSA: Primary Care

Policy context in Fulton

Georgia has not adopted Medicaid expansion. Low-income Black adults in this county without dependent children and without employer coverage typically fall into the coverage gap — uninsured by default. Medicaid does not cover doula services in this state. Postpartum Medicaid coverage extends for 12 months after delivery — the federal recommended standard, in place here.

Where to get help in Fulton

References & primary sources

  1. Demographics: US Census ACS 5-year 2019–2023, Tables B03002 (race), B01003 (total population), S1903 (median income), B27010B (uninsured by race).
  2. Mortality and life expectancy: CDC WONDER county-level Multiple Cause of Death and Underlying Cause of Death, pooled 2020–2022; CDC NVSS Small-Area Life Expectancy Estimates, 2016–2020 release.
  3. County Health Rankings: University of Wisconsin Population Health Institute & Robert Wood Johnson Foundation, 2024 release.
  4. HRSA shortage-area designations: HRSA HPSA Find and MUA/P Find, current as of 2025.
  5. Rural-Urban Continuum Codes: USDA Economic Research Service, 2023 release.

Data refreshed:

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