These life expectancy numbers are contrasted with the lowest in the US, which is in Quitman and Tunica counties in Mississippi at only 66.1 years for men.

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In this bitterly fought-over state, that nearly everyone believes will decide the US election, Hamilton is one of five or so swing counties that will decide Ohio.

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"None of us are against outsourcing or sharing with each other, or indeed other counties, but it's got to be done piece by piece, " he said.

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