1. Hawaii
Strengths: few mental health days, low prevalence of obesity, low rate of preventable hospitalizations
Challenges: high prevalence of excessive drinking, high incidence of salmonella, low immunization for adolescents for tetanus, diphtheria, and pertussis
The Aloha state topped the list for the fourth consecutive year, thanks to a low prevalence of obesity, low rates of preventable hospitalizations and few poor mental health days. The state has consistently been in the top six states since the launch of the report in 1990.
