Orange County, which was among the top five healthiest counties last year, dropped to No. 7 this year.
Labette County, which ranked second from the bottom last year, was deemed the least healthy in this year's report. "We have slipped to 44 out of 92 counties in our overall health ranking!" While the measure wasn't included in the overall rankings, 19 percent of teens and young adults in Philly are neither working nor in school, something that the report says can be addressed with the increasing of opportunities for this population.
Though Wyandotte County scored worse on health behaviors, poverty and residents' educational attainment, Labette County's higher rate of premature deaths pulled it down.
Bob Elmore, chairman of the Monroe County Board, said the economy in Monroe County is expanding.
Dr. Ellie Ragsdale of University Hospitals Cleveland Medical Center said it has been a struggle to reach people most affected by opioid addiction, many of whom live in rural areas with fewer resources.
About 38 percent of children in Madison County live in single-parent households, which are taken into account with the ranking. It compares counties within each state based on more than 30 factors.
Wergin noted of the rankings, "Healthiest Manitowoc County uses the annual information used by the County Health Rankings to watch Manitowoc County's health status from year to year, to identify what we can do to improve the health of Manitowoc County and where we are falling short".
Thousands of Yemenis rally in Sanaa on war's second anniversary
A US-backed campaign to seize the port of Hodeida would serve to tighten this deadly stranglehold. US involvement in Yemen fits into the broader picture of the regional power struggle.
"A dramatic leap from 33rd to 15th in such a short period of time has only been possible because of extraordinary communitywide efforts and an overarching commitment to public health that permeates nearly every decision we make", he said in a prepared statement. The healthiest county in the state is ranked #1.
Promoting active and healthy lifestyles is at the heart of our public health programs and quality of life initiatives, said Patterson. Iowa ranks well in access to primary care physicians and dentists and has a relatively low uninsured rate. Accidental drug overdoses are increasing at a much more significant rate than other causes of premature death, the authors said.
Ross County's highest individual rank was 27th in physical environment, which looks at such factors as air pollution, drinking water, severe housing problems, percentage of the population driving alone to work and percent driving alone on long commutes.
In exploring West Virginia's premature death trends from 1997 to 2014, the Foundation found seven counties (Berkeley, Gilmer, Jefferson, Mineral, Monongalia, Morgan and Ohio) have seen improvements in premature death rates, while 21 have seen worsening rates and the rest saw no change.
The full nationwide county health rankings for 2017 can be found here.
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"Improving public health informs virtually every public decision we make", Hein said in an interview Wednesday.