Louisville has a problem with health. Out of the 50 biggest cities in the United States, Louisville comes in last for overall health. This isn’t a simple issue — but Insider Louisville takes a look at the underlying causes of what’s making Louisville so unhealthy. In A Picture of Bad Health: Part 1, we will focus on how our city developed issues with diet, smoking and fitness.

A Picture of Bad Health is a documentary from Insider Louisville on public health issues and inequity in Louisville, Kentucky. This video is Part 1: The Problem, and each part will be published weekly on Monday.