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What's the difference between a health county and a health county?

There is no difference. Health county and health county are both provincial counties, so there is no difference. As of 20 17, all counties in Shanxi Province except loufan county, Tianzhen, Yin Shan, Yushe, Qixian, shilou county, Zezhou and Xiaxian have been established as health counties in Shanxi Province.