New Health Rankings Show Southwest Virginia Fared Poorly While Counties In Northeast Tennessee Had Significantly Higher Ratings. Smoking, Drinking, Drug Use And A Lack Of Access To Health Care Made Southwest Virginia One Of The Unhealthiest Regions In The Commonwealth. The City Of Bristol Virginia Has One Of The Poorest Health Outcomes In The State, Ranking 128 Out Of 133. Buchanan County Ranked Next To Last At 132 Out Of 133. Meanwhile, Washington County Tennessee Came In At 19, Sullivan County At 25th And Johnson County 77th.