For the second year in a row, reservations in South Dakota ranked lowest on The County Health Rankings, a study by the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute

The study ranks counties by life expectancy, smoking, obesity, crime, graduation rates, unemployment, child poverty and other data. Shannon County, home to the Oglala Sioux Tribe, ranked the lowest, and was closely followed by Todd County, home to the Rosebud Sioux Tribe.

"It clearly demonstrates that the gap between rich and poor is worse than it's ever been," Dr. Don Warne, an Oglala Sioux man who serves director of the Sanford Office of Native American Health, told The Sioux Falls Argus Leader.

Other counties in the bottom 10 included Corson County home to the Standing Rock Sioux Tribe, and Buffalo County, home to the Crow Creek Sioux Tribe.

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Health on reservations poor, study reasserts (The Sioux Falls Argus Leader 3/31)