Rural Health
Resources by Topic: Infectious diseases
Notes from the Field: Initial Public Health Response to a Measles Outbreak in a Close-Knit West Texas Community — January−February 2025
Discusses the public health response to a measles outbreak which took place in Texas's rural Gaines county and other nearby counties from January to August 2025. Covers topics including vaccine coverage, school-based public health responses, patient demographics and vaccination status, and multilingual communication and culturally-tailored materials.
Author(s): Carolyn A. Crisp, Scott Milton, Chelsea S. Lutz, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(23), 300-302
Date: 06/2026
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Discusses the public health response to a measles outbreak which took place in Texas's rural Gaines county and other nearby counties from January to August 2025. Covers topics including vaccine coverage, school-based public health responses, patient demographics and vaccination status, and multilingual communication and culturally-tailored materials.
Author(s): Carolyn A. Crisp, Scott Milton, Chelsea S. Lutz, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(23), 300-302
Date: 06/2026
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Understanding Capability, Opportunity, and Motivation for At-Home COVID-19 Testing in Underserved Populations During the Pandemic
Evaluates how access to COVID-19 testing barriers, facilitators, and motivations varied among underserved adults in Utah via interviews with 19 low-income Utahns. Includes rural and urban data comparisons and interview excerpts.
Author(s): Joni H. Pierce, Peter Taber, Leticia Stevens, et al.
Citation: Translational Behavioral Medicine, 16(1), ibag033
Date: 06/2026
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Evaluates how access to COVID-19 testing barriers, facilitators, and motivations varied among underserved adults in Utah via interviews with 19 low-income Utahns. Includes rural and urban data comparisons and interview excerpts.
Author(s): Joni H. Pierce, Peter Taber, Leticia Stevens, et al.
Citation: Translational Behavioral Medicine, 16(1), ibag033
Date: 06/2026
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Drug Use and Social Connectivity Related to Hepatitis C Infection Among Rural People Who Use Drugs
Presents a study on the levels of social connectivity of rural people who use drugs (PWUDs) that correlate hepatitis C virus (HCV) positivity. Explores data by demographic characteristics, and measurements of social connectivity, such as currently seeing a primary care provider, past substance use treatment, and access to transportation, among other measures.
Author(s): Alex Rains, Ellen Almirol, William Nicholson, et al.
Citation: Journal of Viral Hepatitis, 33(7), e70200
Date: 06/2026
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Presents a study on the levels of social connectivity of rural people who use drugs (PWUDs) that correlate hepatitis C virus (HCV) positivity. Explores data by demographic characteristics, and measurements of social connectivity, such as currently seeing a primary care provider, past substance use treatment, and access to transportation, among other measures.
Author(s): Alex Rains, Ellen Almirol, William Nicholson, et al.
Citation: Journal of Viral Hepatitis, 33(7), e70200
Date: 06/2026
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Acting Before the First Case: How Southern Seven Health Department Strengthened Measles Preparedness Through Partnerships
Case study highlighting the Southern Seven Health Department's approach to measles preparedness in rural Illinois via partnerships and data-sharing. Highlights topics including access to vaccines and other healthcare services, the role of forming partnerships with schools and other partners, and the importance of trust and communication.
Author(s): Tori Ryan
Date: 05/2026
Sponsoring organization: National Association of County and City Health Officials
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Case study highlighting the Southern Seven Health Department's approach to measles preparedness in rural Illinois via partnerships and data-sharing. Highlights topics including access to vaccines and other healthcare services, the role of forming partnerships with schools and other partners, and the importance of trust and communication.
Author(s): Tori Ryan
Date: 05/2026
Sponsoring organization: National Association of County and City Health Officials
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Changes in Staffing, Resident Health, Closure, and Financial Performance of Rural Nursing Homes from 2017 to 2022
Examines changes in various characteristics of nursing homes, using data from 2017-2022. Features statistics with breakdowns by metropolitan, micropolitan, and small/isolated rural areas.
Author(s): Gulrukh Mehboob, Hari Sharma, Fred Ullrich, Keith Mueller
Date: 05/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines changes in various characteristics of nursing homes, using data from 2017-2022. Features statistics with breakdowns by metropolitan, micropolitan, and small/isolated rural areas.
Author(s): Gulrukh Mehboob, Hari Sharma, Fred Ullrich, Keith Mueller
Date: 05/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Knowledge, Attitudes, and Practices Regarding Avian Influenza Among Owners of Backyard Flocks — United States, July–December 2025
Reports findings from a survey of 638 backyard bird flock owners regarding their knowledge of signs and symptoms of avian influenza in humans and birds and intentions to use personal protective equipment if in contact with potentially infected birds. Includes data on the characteristics of the flock owners and flocks by urban, suburban, and rural setting.
Author(s): Melissa A. Rolfes, Leah Bauck, Beth A. Lipton, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(18), 234-239
Date: 05/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports findings from a survey of 638 backyard bird flock owners regarding their knowledge of signs and symptoms of avian influenza in humans and birds and intentions to use personal protective equipment if in contact with potentially infected birds. Includes data on the characteristics of the flock owners and flocks by urban, suburban, and rural setting.
Author(s): Melissa A. Rolfes, Leah Bauck, Beth A. Lipton, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(18), 234-239
Date: 05/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Fatal Human Case of Highly Pathogenic Avian Influenza A(H5N5) in a Backyard Flock Owner — Washington, November 2025
Reports on a Washington resident who lived on a rural property, kept ducks that had been ill, and died from acute respiratory failure after receiving a positive influenza A(H5) test result. Describes a multijurisdictional public health response focused on determining exposure sources, identifying people who were exposed, and monitoring for additional cases.
Author(s): Lynae Kibiger, Hanna N. Oltean, Lisa Leitz, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(17), 221-225
Date: 05/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on a Washington resident who lived on a rural property, kept ducks that had been ill, and died from acute respiratory failure after receiving a positive influenza A(H5) test result. Describes a multijurisdictional public health response focused on determining exposure sources, identifying people who were exposed, and monitoring for additional cases.
Author(s): Lynae Kibiger, Hanna N. Oltean, Lisa Leitz, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(17), 221-225
Date: 05/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Exploring the Geographic Variation of Hepatitis C Screening and Treatment in Ohio
Examines geographic differences in hepatitis C virus (HCV) screening and treatment across Ohio. Utilizes State of Ohio Integrated Behavioral Health Dashboard data to provide a county-level map showing number of HCV screening exams and people treated for HCV per 100,000 people as well as location of health center testing sites.
Author(s): Michael Topmiller, Aaron T. Vissman, Peter J. Mallow, Adam Visconti
Citation: Ohio Journal of Public Health, 8(1)
Date: 04/2026
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Examines geographic differences in hepatitis C virus (HCV) screening and treatment across Ohio. Utilizes State of Ohio Integrated Behavioral Health Dashboard data to provide a county-level map showing number of HCV screening exams and people treated for HCV per 100,000 people as well as location of health center testing sites.
Author(s): Michael Topmiller, Aaron T. Vissman, Peter J. Mallow, Adam Visconti
Citation: Ohio Journal of Public Health, 8(1)
Date: 04/2026
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Factors Associated With Mortality in Appalachian Nursing Homes During the COVID-19 Pandemic
Examines neighborhood characteristics related to Appalachian nursing home (NH) mortality during the COVID-19 pandemic. Analyzes 1,259 NHs in Appalachia for COVID-19 death rates and overall mortality, with breakdowns according to NH characteristics, patient sociodemographics, and rurality.
Author(s): Erica Gigas, Baiming Zou, Lorinda A Coombs, et al.
Citation: The Permanente Journal, 1-9
Date: 04/2026
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Examines neighborhood characteristics related to Appalachian nursing home (NH) mortality during the COVID-19 pandemic. Analyzes 1,259 NHs in Appalachia for COVID-19 death rates and overall mortality, with breakdowns according to NH characteristics, patient sociodemographics, and rurality.
Author(s): Erica Gigas, Baiming Zou, Lorinda A Coombs, et al.
Citation: The Permanente Journal, 1-9
Date: 04/2026
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Influenza Vaccination Coverage Among Nursing Home Residents and Health Care Personnel — United States, 2024–25 Influenza Season
Reports on influenza vaccination during the 2024–25 influenza season for nursing home residents and healthcare workers. Provides pooled influenza coverage data by facility for nursing home residents and for nursing home personnel, with data by urbanicity for metropolitan, micropolitan, and noncore areas.
Author(s): Jeneita M. Bell, Kira Barbre, Lu Meng, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(15), 195-201
Date: 04/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on influenza vaccination during the 2024–25 influenza season for nursing home residents and healthcare workers. Provides pooled influenza coverage data by facility for nursing home residents and for nursing home personnel, with data by urbanicity for metropolitan, micropolitan, and noncore areas.
Author(s): Jeneita M. Bell, Kira Barbre, Lu Meng, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(15), 195-201
Date: 04/2026
Sponsoring organization: Centers for Disease Control and Prevention
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