Gwinnett County is one of the healthiest counties in Georgia, according to a new report.

Gwinnett was ranked fifth in the state for health outcomes and thirteenth for health factors. The top county for health outcomes was nearby Forsyth, and Oconee was the No. 1 county for health factors.

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The rankings evaluate Georgia counties’ health outcomes and health factors. Health outcomes are determined how long people live and how healthy they feel, and health factors are determined by health behaviors like diet, tobacco use and drug use; availability of clinical care; and social, economic and physical environment factors. The report was published by County Health Rankings and Roadmaps, a program run by the Robert Wood Johnson Foundation, a health-focused non-profit group.

Other metro Atlanta counties also fared well in the rankings of Georgia’s 159 counties; Cobb was No. 7 for health outcomes and No. 8 for health factors. Fulton was eleventh for health outcomes and eighteenth for health factors. DeKalb County was No. 16 for health outcomes and No. 26 for health factors.

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Gwinnett County's referendum to expand MARTA has failed. Approximately 91,000 votes were counted with 100% of precincts. Gwinnett has twice rejected MARTA before, in 1971 and 1990.