Ranking very last in such categories as drug deaths, obesity and smoking, West Virginia is listed as 46th overall in a national survey of healthiest states.

The 2017 America's Health Rankings Annual Report ranks West Virginia in the bottom five states with Mississippi, No. 50: Louisiana, No. 49; Arkansas, No. 48; and Alabama, No. 47.

The states ranked as the healthiest are Massachusetts, No. 1; Hawaii, No. 2; Vermont, No. 3; Utah, No. 4; and Connecticut, No. 5.

The study used 35 core measures for evaluation.

West Virginia ranked 48th in child poverty and 41st in physical inactivity.

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