The unhealthiest, healthiest county in each state

Rankings of each state's healthiest and unhealthiest county were released by the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute in Madison. 

The rankings, which examine health outcomes and more than 90 health factors at the county level, were calculated using county-level data collected between 2014 and 2022 to evaluate the health outcomes and factors.

Below is a list of the counties with the best and worst health outcomes, length and quality of life, in each state.

Click here for more methodology details. 

Alabama

Healthiest: Shelby County

Unhealthiest: Wilcox County

Alaska

Healthiest: Kodiak County

Unhealthiest: Kusilvak County

Arizona

Healthiest: Maricopa County

Unhealthiest: Apache County

Arkansas

Healthiest: Benson County

Unhealthiest: Phillips County

California

Healthiest: Marin County

Unhealthiest: Trinity County

Colorado

Healthiest: Douglas County

Unhealthiest: Otero County

Connecticut

Healthiest: Fairfield County

Unhealthiest: Windham County

Delaware

Healthiest: Sussex County

Unhealthiest: Kent County

Florida

Healthiest: Collier County

Unhealthiest: Union County

Georgia

Healthiest: Forsyth County

Unhealthiest: Hancock County

Hawaii

Healthiest: Maui County

Unhealthiest: Hawaii County

Idaho

Healthiest: Valley County

Unhealthiest: Benewah County

Illinois

Healthiest: DuPage County

Unhealthiest: Alexander County

Indiana

Healthiest: Hamilton County

Unhealthiest: Scott County

Iowa

Healthiest: Sioux County

Unhealthiest: Montgomery County

Kansas

Healthiest: Johnson County

Unhealthiest: Edwards County

Kentucky

Healthiest: Oldham County

Unhealthiest: Wolfe County

Louisiana

Healthiest: Ascension County

Unhealthiest: Bienville County

Maine

Healthiest: Cumberland County

Unhealthiest: Washington County

Maryland

Healthiest: Montgomery County

Unhealthiest: Baltimore City

Massachusetts

Healthiest: Nantucket County

Unhealthiest: Hampden County

Michigan

Healthiest: Leelanau County

Unhealthiest: Wayne County

Minnesota

Healthiest: Carver County

Unhealthiest: Mahnomen County

Mississippi

Healthiest: Madison County

Unhealthiest: Coahoma County

Missouri

Healthiest: Platte County

Unhealthiest: Pemiscot County

Montana

Healthiest: Carbon County

Unhealthiest: Roosevelt County

Nebraska

Healthiest: Wayne County

Unhealthiest: Thurston County 

Nevada

Healthiest: Douglas County

Unhealthiest: Mineral County

New Hampshire

Healthiest: Rockingham County

Unhealthiest: Coos County

New Jersey

Healthiest: Hunterdon County

Unhealthiest: Salem County

New Mexico

Healthiest: Los Alamos County

Unhealthiest: McKinley County

New York

Healthiest: Putnam County

Unhealthiest: Bronx County 

North Carolina

Healthiest: Wake County

Unhealthiest: Robeson County

North Dakota

Healthiest: Trail County

Unhealthiest: Sioux County

Ohio

Healthiest: Delaware County

Unhealthiest: Scioto County  

Oklahoma 

Healthiest: Canadian County

Unhealthiest: Harmon County 

Oregon

Healthiest: Washington County

Unhealthiest: Lake County 

Pennsylvania

Healthiest: Chester County

Unhealthiest: Philadelphia County 

Rhode Island

Healthiest: Bristol County

Unhealthiest: Providence County

South Carolina

Healthiest: Beaufort County

Unhealthiest: Allendale County

South Dakota

Healthiest: Lake County

Unhealthiest: Buffalo County 

Tennessee

Healthiest: Williamson County

Unhealthiest: Haywood County

Texas

Healthiest: Collin County

Unhealthiest: Brooks County

Utah

Healthiest: Wasatch County

Unhealthiest: San Juan County

Vermont

Healthiest: Chittenden County

Unhealthiest: Bennington County

Virginia

Healthiest: Falls Church County

Unhealthiest: Petersburg City

Washington

Healthiest: San Juan County

Unhealthiest: Ferry County

West Virginia

Healthiest: Monongalia County

Unhealthiest: McDowell County

Wisconsin

Healthiest: Ozaukee County

Unhealthiest: Menominee County

Wyoming

Healthiest: Teton County

Unhealthiest: Fremont County

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