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RALEIGH, N.C. (AP) -- An analysis of the health of North Carolina's 2.3 million children shows the state is improving in many areas, but doctors are concerned about others, including the growing poverty rate.

The North Carolina Institute of Medicine and Action for Children released the 18th annual Child Health Report Card on Monday, analyzing data in 15 areas. North Carolina got two A's and three D's, compared to three A's and one D in last year's report. The reports compare health indicators from 2010 and 2011 with the same figures from years dating back to 2004.

The report card gives North Carolina A's in environmental health and early intervention and D's in child poverty, weight-related health issues and alcohol and substance abuse.

One of the high points is that more children have insurance.

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