2019 County Health Rankings. Released on Tuesday of this week, the 2019 ranking of health for nearly every county in the nation reminds us that health outcomes are heavily influenced by where we live. This year’s analysis focuses specifically on homes and the way they shape the health of individuals, families and communities. Among the key findings is evidence showing that severe housing cost burden has decreased in large urban areas since the end of the real estate crisis that ended in 2010. In that same period of time, however, nearly half of all rural counties experienced an increase in severe housing costs.