The Iowa Department of Public Health has released county health rankings. Marion County ranks in at 52nd out of Iowa’s 99 counties. Marion County’s ranking has been getting worse for the past 4 years. In 2010 Marion County was ranked 28th, it fell to 29th in 2011, 40th in 2012. The rankings are based on overall health and factors that influence health. These factors include healthy behaviors, clinical care, social and economic factors, and physical environment.