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Rural Health
Resources by Topic: Infrastructure

Accessing Clean Water Infrastructure Assistance: Small, Rural, Disadvantaged, and Underserved Communities
Recording of a November 8, 2023, hearing exploring how the Clean Water State Revolving Fund can help address wastewater infrastructure challenges faced by small, rural, disadvantaged, and underserved communities. Features testimony from the Rural Community Assistance Partnership; Nueces River Authority; and the Oklahoma Department of Environmental Quality, Water Quality Division.
Additional links: John Byrum, Nueces River Authority - Testimony, Olga Morales-Pate, Rural Community Assistance Partnership - Testimony, Shellie R. Chard, Oklahoma Department of Environmental Quality - Testimony
Date: 11/2023
Type: Document
Sponsoring organization: Senate Committee on Environment and Public Works
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5G Fund for Rural America: Current Status and Issues
Provides an overview of the Federal Communications Commission's (FCC) 5G Fund for Rural America, an initiative to bring voice and high-speed mobile broadband services to rural areas unlikely to see 5G cellular deployments without subsidies. Outlines considerations and concerns raised by members of Congress about the program.
Date: 11/2023
Type: Document
Sponsoring organization: Congressional Research Service
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Failing Septic Systems in Lowndes County, Alabama: Citizen Participation, Science, and Community Knowledge
Discusses sanitation infrastructure access in predominantly Black, rural Lowndes County, Alabama. Provides data on household demographics, sewage treatment type and availability, home ownership, and more. Discusses barriers to septic system installation, health risks of sewage exposure, and the significance of health equity for underserved communities.
Author(s): Elizabeth A. Albright, Catherine Coleman Flowers, Randall A. Kramer, Erika S. Weinthal
Citation: Local Environment, 29(2), 135-142
Date: 10/2023
Type: Document
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BEAD Program Toolkit for Counties
Resource hub for county stakeholders working in broadband initiatives. Includes suggested action items, county-level data on broadband access, Broadband Equity, Access and Deployment (BEAD) related resources, webinars, and more.
Date: 10/2023
Type: Website
Sponsoring organization: National Association of Counties
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Public Transit Stop Density Is Associated With Walking for Exercise Among a National Sample of Older Adults
Examines the relationship between density of neighborhood public transit stops and walking for exercise among older adults. Analyzes 2018 neighborhood data and self-reported exercise along with sociodemographic characteristics, economic status, and disability status. Includes discussion about built environment and metro versus nonmetro comparisons.
Author(s): Erica Twardzik, Jason R. Falvey, Philippa J. Clarke, Vicki A. Freedman, Jennifer A. Schrack
Citation: BMC Geriatrics, 23, 596
Date: 09/2023
Type: Document
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Addressing Social Needs through Medicaid: Lessons from Planning and Early Implementation of North Carolina's Healthy Opportunities Pilots
Results of a study to generate findings and recommendations from the planning, capacity-building, and early implementation of the Healthy Opportunities Pilots program. Focuses on the health-related social needs of North Carolina Medicaid enrollees living in three primarily rural regions of the state.
Author(s): Katie M. Huber, William K. Bleser, Rebecca G. Whiteaker, et al.
Date: 09/2023
Type: Document
Sponsoring organizations: Duke-Margolis Center for Health Policy, Milbank Memorial Fund
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Characteristics of Short-Term Acute Care Hospitals That Experienced a Ransomware Attack from 2016 to 2021
Analyzed short-term acute care hospitals experiencing a ransomware attack between 2016 and 2019 to identify characteristics associated with an attack. Considered variables such as rurality, various financial characteristics, information technology infrastructure, and more. Includes recommendation for future research regarding rural impacts.
Author(s): Claire C. McGlave, Sayeh S. Nikpay, Carrie Henning-Smith, Katie Rydberg, Hannah T. Neprash
Citation: Health Affairs Scholar, 1(3)
Date: 09/2023
Type: Document
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Federally Supported Projects and Programs for Wastewater, Drinking Water, and Water Supply Infrastructure
Provides an overview of federally-funded water infrastructure projects, including those in rural areas, as well as programs that provide community support for these types of projects and related activities. Includes information on the federal cost-share, average amount of assistance, fiscal year 2021 funding level, and fiscal year 2024 funding request for each program.
Date: 09/2023
Type: Document
Sponsoring organization: Congressional Research Service
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Using Wastewater to Overcome Health Disparities among Rural Residents
Highlights health disparities in rural America and the potential for wastewater surveillance as a tool to address disparities. Discusses the use of wastewater surveillance during COVID-19 and in under-resourced locations in South Africa.
Author(s): Rochelle H. Holm, Gina Pocock, Marie A. Severson, et al.
Citation: Geoforum, 144, 103816
Date: 08/2023
Type: Document
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A Road Map for Asset Based Investing in Central Appalachia
Report highlighting various wellbeing and community asset measures in the Appalachian region in the areas of economics, population health, infrastructure, housing, health facilities, and more. Discusses the associations between wellbeing and community assets as well as the implications for investment.
Date: 08/2023
Type: Document
Sponsoring organizations: Community and Economic Development Initiative of Kentucky, Reinvestment Fund
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