The 2018 County Health Rankings, released Wednesday, again showed affluent suburban counties as Georgia's healthiest.
Ranked against Indiana's 92 counties, Allen improved on one primary indicator - health factors - but slipped further on the other - health outcomes.
The annual report comes from the Robert Wood Johnson Foundation and the University of Wisconsin Public Health Institute.
"I think that overall, Douglas County is still in good shape", said Dr. Gianfranco Pezzino, senior fellow and strategy team leader with KHI.
Elsewhere in the region, Chesterfield County ranked 30th, Henrico County 33rd and Hanover County 16th. "Look at the median income in the upper (ranked) counties and the lower (ranked) counties and see how that translates to health". Health issues are also factored in, things like smoking, obesity rates, and use of Alcohol - she says our state is high in chronic and binge drinking.
The Buncombe County Family Justice Center (FJC) is an example of a community partnership that has been instrumental in The Rankings.
Lake County ranked dead last in the survey of 57 counties, down one spot from previous year. These health gaps are largely influenced by differences in opportunities that disproportionately affect people of color, such as access to quality education, jobs, and safe, affordable housing.
The lowest-ranking counties, in descending order, are Monroe, Carbon, Schuylkill, Luzerne, Susquehanna, Lawrence, Cambria, Fulton, Fayette and Philadelphia.
That figure is compared the United States average of 20 percent. Broome County experiences a high rate of childhood poverty at 24%, while NYS is at 21%.
Sonoma County's overall health ranking has fallen to No. 7 in the state, down two places from previous year in an annual survey of health in California.
Oakman also says that the childhood poverty rate is a major factor in Washington County's ranking; there, the rate is 28 percent. "Our vision is a North Carolina that optimizes health and well-being for all people by effectively stewarding resources that bridge our communities and our healthcare system". However, an expert with the Kansas Health Institute said it's still impressive to be in the top quartile. "By focusing on the unique needs of our area, we are starting to see meaningful change".
Just like we get yearly check-ups.