California's most disadvantaged communities

The Central Valley has 15 of the top 20 most disadvantaged communities

The Associated Press 

SAN FRANCISCO -- The top 20 California communities ranked as most disadvantaged by the California Environmental Protection Agency. The survey considered 19 environmental, economic and health factors. Breakdown is by census districts, so some cities have multiple listings.

1-5: Fresno

6: Ontario

7-9: Fresno

10: Los Angeles

11-12: Fresno

13: El Monte

14: Fresno

15: Bakersfield

16-17: Fresno

18: San Bernardino

19-20: Fresno