Increases in obesity, diabetes and children in poverty are offsetting improvements in smoking cessation, preventable hospitalizations and cardiovascular deaths, according to the United Health Foundation’s 2011 America’s Health Rankings.

The report finds that the country’s overall health did not improve between 2010 and 2011—a drop from the 0.5 percent average annual rate of improvement between 2000 and 2010 and the 1.6 percent average annual rate of improvement seen in the 1990s.

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