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At Center Point United Baptist Church in Lincoln County, West Virginia, 18 parishioners are feeling lighter than they did 11 weeks ago — 250 pounds lighter, to be exact. And it’s thanks, in part, to the 2010 County Health Rankings. The weight-loss group, the brainchild of the church’s associate pastor Jason Cook, is just one example of the small-scale health-improvement efforts taking place in the community in the wake of the rankings.

West Virginia has one of the highest obesity rates in the country and McDowell County is no exception, where more than a third of adults are obese. Here in this Appalachian coal-mining enclave in the southernmost tip of the state, a local community health center called the Tug River Health Association took an unusual step to combat this problem by offering its patients gym memberships.