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Orange, Wake ranked as North Carolina's healthiest counties in recent report Erik Beene and Rebecca Ayers | Published 04/10/17 12:18am Wake and Orange counties are the healthiest counties in North Carolina, according to a recent report. The County Health Ranking report by the University of Wisconsin Population Health Institute and the Robert Wood Johnson Foundation ranked Orange County No. 1 in health factors and No. 2 in health outcomes. Orange County Commissioner Penny Rich said she was excited by the report and the health department’s progress. “I’m actually really encouraged by the reports and only because our health department has been doing such a good job thinking outside the box and challenging the norms to try and get our county healthier,” she said. The countywide ban on public smoking and focus on green spaces has contributed to the county’s overall health, Rich said. Rich said there’s not a better place to go out to hike, walk and enjoy the outdoors than Orange County. “We’ve kept a really good hold on preserving some of the beautiful parks that we have and we use them,” Rich said. “And it’s good — it’s really good.” Anna Schenck, director of the North Carolina Institute for Public Health, said the report did a good job of showing the numerous social and environmental factors that contribute to health. The divide between urban and rural communities in the ranking was also apparent, she said. “It’s a combination from actors in education, income, health care access and lifestyle factors that will make a person healthy or not and then those that congregate in counties that are wealthier,” she said. “In North Carolina, we have a real divide in terms of the haves and the have-nots and the wealthy counties.” The report said Orange County ranks as one of the worst in the state in terms of income inequality. Stacy Shelp, a spokesperson for the Orange County Health Department, said 30 percent of county families do not earn a living wage.