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Half of Georgia Counties—Mostly Rural—Have Poor Health Outcomes – Flagpole

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Half of Georgia Counties—Mostly Rural—Have Poor Health Outcomes – Flagpole


One of my objectives with Trouble in God’s Country has been to put Georgia’s performance across a range of socio-economic measures into a national context. As regular readers may recall, I’ve reported that Georgia has hugely disproportionate shares of its geography and population mired at the bottom of the national ladder for various measures.  

In 2020, for example, Georgia had more people living in counties that were in the bottom national quartile for per capita income than any other state in the nation. Likewise, I found in analyzing educational attainment data that the 147 counties outside my 12-county Metro Atlanta region would constitute the second-worst educated state in the nation, behind Mississippi and just a little better than West Virginia. The Atlanta region would constitute the second-best educated state in the country, behind Colorado and ahead of Massachusetts.

Doing the same thing with health data has always been a little trickier, but a couple of months ago the nonprofit organization County Health Rankings & Roadmaps (CHRR) came to the rescue.   

As a little background, CHRR has, for more than a decade now, been collecting and reporting key population health metrics on the vast majority of counties in the nation (there are always some counties you can’t get data for). The program is run by the University of Wisconsin’s Population Health Institute and funded, at least in part, by the Robert Wood Johnson Foundation. 

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As part of its annual report, it has historically included in-state rankings; with this year’s report, it includes data that makes it possible to rank all counties nationally. Which is just what I needed.

So, the question I’d been waiting to get an answer to was simply: Would the same thing hold true with health? The answer, sadly, is… absolutely.

CHRR gauges county-level health outcomes by stirring together local data for the following measures: premature death rates, the percentage of live births reported with low birthweight, the percentage of adults reporting fair or poor health, and the average number of physically and mentally unhealthy days reported in the past 30 days.

Eighty-three of Georgia’s 159 counties are in the bottom national quartile for health outcomes, based on the CHRR rankings—more than any other state. This includes all but 20 of the counties south of the Gnat Line.

According to the Census Bureau’s latest population estimates, those 83 counties are home to 2.43 million Georgians. I’m still stitching together the national population analysis, but I’ll go out on a limb and say I’ll be more than a little surprised if we don’t also lead the nation in the number of people living in bottom-quartile counties.

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The counties at the top and bottom of the Georgia list won’t come as a surprise to anybody.  The top five Georgia counties for health outcomes, per the CHRR report, are (in order): Forsyth County, Oconee County, Cherokee County, Cobb County and Columbia County. The bottom five are: Early County at 155th; Crisp at 156th; Randolph County at 157th; Hancock County at 158th and Miller County at 159th.

One other factoid I can include here is that the Georgia-North Carolina contrast I’ve found with other measures holds true with health outcomes as well. Generally regarded as perhaps Georgia’s closest peer state, North Carolina has somehow managed to do a much better job than Georgia of limiting the number of its citizens who fall into the nation’s bottom tier for economic performance and educational attainment.

The same is true with CHRR’s health outcomes. Only 19 of North Carolina’s 100 counties and 6.7% of its population fell into the bottom national quartile for health outcomes in the latest study. In contrast, 22% of Georgia’s population live in the 83 counties that landed in the bottom quartile for health outcomes. 

With both per capita income and educational attainment, I’ve been able to demonstrate that the gap between Georgia and North Carolina developed over time. With both those measures, there was a time when the two states had very comparable data profiles. But over time, North Carolina has done a better job of pulling its citizens out of the bottom national quartile for economic performance and educational attainment. I’ll be surprised if the same pattern doesn’t hold true with health outcomes.

Charles Hayslett is the author of the long-running troubleingodscountry.com blog. He is also the Scholar in Residence at the Center for Middle Georgia Studies at Middle Georgia State University. The views expressed in his columns are his own and are not necessarily those of the Center or the University.

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Middle Georgia DSA condemns U.S.-Israel strikes on Iran, calls escalation ‘illegal’

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Middle Georgia DSA condemns U.S.-Israel strikes on Iran, calls escalation ‘illegal’


Middle Georgia Democratic Socialists of America (DSA) has issued a statement regarding the U.S. and Israel’s joint strikes on Iran over the weekend.

According to other WGXA articles, based on reports as of early March 2026, the United States and Israel have launched major, coordinated military operations against Iran, labeled in reports as “Operation Epic Fury” and “Operation Midnight Hammer”. This follows months of failed nuclear negotiations and escalating regional tensions.

RELATED | Hegseth insists US-Israel strikes on Iran are ‘not Iraq, not endless’

WGXA asked Middle Georgia DSA, the largest activist organization in Middle Georgia, for their opinions on the strikes, and they responded with this:

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The strikes on Iran, carried out by the United States and Israel, mark a catastrophic escalation in an illegal act of aggression. The Iranian people do not deserve to live in fear of American bombs and of the instability of regime change. Americans do not want our tax dollars and the lives of our people to be wasted on opening up a new war in the Middle East, or on bombing girls’ elementary schools. We want relief from the affordability crisis. We want peace. Middle Georgia DSA unequivocally condemns these attacks and any politicians who cannot do the same. We do not want this, we do not deserve this.

DSA added that they are not currently planning any protests at this time, and that they “remain focused on improving the conditions of people who live within our communities directly, and do not feel a protest is the best strategy to deliver on that.”

Middle Georgia DSA condemns U.S.-Israel strikes on Iran, calls escalation ‘illegal’, March 2, 2026 (Image is meant to say 2026 instead of 2025, Courtesy of GCSU Mutual Aid)

However, GCSU Mutual Aid, a grassroots, community-led initiative focused on collective care and resource sharing within the Milledgeville and broader Middle Georgia area. While not an official department of Georgia College & State University (GCSU), it frequently operates in coordination with student-led groups and local residents to address gaps in traditional social safety nets.

RELATED | GCSU encourages peaceful expression ahead of national ICE walkout

GCSU Mutual Aid is planning a protest for Wednesday, where they will be “Marching for Democracy” in retaliation to recent events in the U.S.

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Florida Continues Push to Beat Out Georgia for Top LB Recruit

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Florida Continues Push to Beat Out Georgia for Top LB Recruit


After a huge ratings boost in the updated Rivals300 rankings that now has Joakim Gouda as a top-30 prospect in the 2027 class, the Florida Gators remain in contention for the elite Georgia linebacker despite an apparent leader in his recruitment.

Gouda, once unranked by Rivals, is now the second-highest-rated linebacker in his class. He has seen multiple expert predictions to land with Kirby Smart and the in-state Georgia Bulldogs recently. However, the Gators have consistently been in the mix for the athletic backer under Jon Sumrall, with both schools making his top five, as well as Texas, Auburn and Alabama, and official visits scheduled to all remaining contenders. 

Despite the smoke around Georgia, Florida will still have a strong shot at the 6-foot-2, 225-pound defender with plenty of time left before his decision is officially made. 

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“Florida is definitely still strongly in the race,” Gouda told Florida Gators on SI. “I’m just focused on building relationships and taking my time. I’m not rushing a commitment — I want to make the best decision for me and my future.”

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Though the Gators offered Gouda only just over two months ago, Florida has wasted no time in aggressively pursuing the talented athlete, who is expected back on campus for a visit this spring on top of his scheduled official visit from June 4 to June 6. While still somewhat early in the building of a relationship, the new staff member has stood out. 

“Florida sits in my top 5 because I really like the program and the energy around it right now. Even with a lot of competition, I believe in my ability to compete and contribute.” Gouda said. “I think I could fit in well with Sumrall and the new staff because I’m coachable, hardworking, and focused on team success. I like their energy and vision for the program, and that’s earned them a real chance in my recruitment.”

Florida’s chances will rely heavily on the next few months, however, as Gouda goes through his visits looking for the best program fit amongst multiple premier options. With a long way to go till signing day, the Gators will have plenty of time to prove to the elite prospect that they meet his criteria.

“From Florida, I’m looking for a staff that truly believes in me, a system where I can develop, and a culture that feels like family,” Gouda said. “A program will earn my commitment by showing consistency, developing players, and giving me the best opportunity to grow on and off the field.”

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After making 100 tackles during junior season at South Pauling High School (Ga.), Gouda is expected to surge up recruiting rankings as he heads toward a decision next year. While becoming one of the largest risers in his class as of late, the four-star is not getting complacent.

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“The attention on Rivals feels good because it shows people are noticing my work,” Gouda said. “…I think it’s just a result of staying consistent and improving every day, but I’m still keeping my head down and grinding.”

The Gators will likely be in it till the end for the potential future five-star Gouda, with Sumrall and staff looking to fight off Smart in his home state and land one of the more exciting prospects at his position in 2027.

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South Georgia honors Officer Caleb Abney

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South Georgia honors Officer Caleb Abney


VALDOSTA Ga. (WALB) – Family, friends, and law enforcement agencies from across South Georgia gathered at Martin Stadium to remember Officer Caleb Abney.

First responders from across the region stood alongside Abney’s family as Lowndes County opened the stadium for the service.

Lowndes County Board member Chris Buescher said community attendance was important.

“Obviously, these first responders give their all to our community. It is important to come out and support them. We are all heartbroken as a community as one Lowndes family,” Buescher said.

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South Georgia honors Officer Caleb Abney(WALB NEWS 10)

Abney’s ties to the community

Buescher noted Abney’s deep roots in Lowndes County, describing his connection to the area beyond his role in law enforcement.

“Caleb was not only a first responder in terms of the fire department, a police officer. He was a former Lowndes County High graduate. He was a former Georgia Bridgeman. So he marched on this very field that these last respects were paid to. So his mom and dad were big volunteers within the school system. So it is important to recognize the sacrifices these first responders make for all of us in the community,” Buescher said.

Procession travels through Lowndes County

The procession exited Lowndes High School and traveled through several roadways across the area. Family members, guests, and first responders made their way to Fellowship Baptist Church.

Have a news tip or see an error that needs correction? Let us know. Please include the article’s headline in your message.

To stay up to date on all the latest news as it develops, follow WALB on Facebook and X (Twitter). For more South Georgia news, download the WALB News app from the Apple Store or Google Play.

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