For the first time since 1999, Washington is one of the 10 healthiest states in the nation.

The state now ranks No. 10 in an extensive new Healthiest State Report Card released Thursday by the Washington Health Foundation.

Washington also meets or exceeds the national average in 13 of the 17 health measures and outcomes used as benchmarks in the report card. Among the state's strengths were smoking rates (No. 5), injury and violence prevention (No. 5), deaths before age 75 (the idea is to not have many) (No. 7) and physical activity (No. 9).

Despite the good news, Washington failed to meet the national average in four areas, including high school graduation rates (No. 32) and medical care quality (No. 33).

The campaign to make Washington healthier started in 2004 when the state dropped out of the top 10. Last year, Washington moved up three spots, from 15th to 12th and was singled out as one of the five "most improved" states overall. This year, Washington jumped from 12 to 10.

"Those top-tier states exceed the national average in nearly every area," said Greg Vigdor, Washington health Foundation President and CEO, explaining the work Washington still needs to do to move up even more. "They are ranked in the top 10 in at least eight of the 17 measures and outcomes. That is what it will take to move Washington to the next level -- a commitment to better health and a belief that together we truly can make Washington the healthiest state in the nation."

Here's the best and he worst. For more information, go here.

1. Vermont
2. Connecticut
3. Minnesota
4. New Hampshire
5. Massachusetts
6. Utah
7. Hawaii
8. Iowa
9. Wisconsin
10. Washington

41. West Virginia
42. Tennessee
43. Nevada
44. Alabama
45. Kentucky
46. Oklahoma
47. South Carolina
48. Arkansas
49. Louisiana
50. Mississippi