Rampant drug abuse has long been perceived as an urban plight. But when it comes to opioid painkillers—including oxycodone, hydrocodone, fentanyl, and heroin—rural communities are on the frontlines. Five of the states with the highest rates of drug overdose deaths—Ohio, Kentucky, West Virginia, New Hampshire, and Pennsylvania—are predominantly rural. The Centers for Disease Control (CDC) has reported that rates of overdose death in rural areas have been rising higher than they have in urban areas since 2006. Today, the agency says, people living in rural areas are almost twice as likely to overdose on opioids as urban residents.Drug overdoses killed 72,000 people in 2017, according to the most recent estimates from the CDC. Claiming nearly 200 victims per day, drug overdose has become the leading cause of death for people under 50 years of age. But it does not only affect the young: In 2015, adults in the 45-to-54 age group experienced the highest death rate from overdose.In rural areas where demographics skew older, the societal impacts of nonmedical opioid use run deep. And that population is declining not only due to lower birth rates, out-migration of young adults, and an aging population, but also from mortality of working-age adults from opioid overdose.
Species of reptiles, amphibians and other vertebrates are becoming extinct in Haiti as deforestation has claimed more than 99 percent of the country's original wooded areas.
The Oregon hemp industry is like a raging river, restrained by a dam that might soon break and allow products to flood an array of new markets. A provision in the 2018 Farm Bill before Congress would strike cannabidiol from the Drug Enforcement Administration’s list of Schedule 1 drugs, those the agency deems to have the highest potential for abuse. Nationally, hemp sales topped $820 million in 2017. The market is expected to reach $1 billion in 2018.In the roller-coaster cannabis industry, hemp enjoys a smoother ride than recreational marijuana. Oregon marijuana growers have produced heaping piles of weed far in excess of what consumers can smoke and ingest. Federal law prohibits growers from shipping outside the state, restricting demand in the legal market. Many growers are now fleeing to the more promising hemp trade.
It’s a real sea of noise in the oceans these days. On top of the normal sounds of singing cetaceans, cracking shrimp, and surprisingly rowdy fish, humans have unloaded a veritable cacophony into the water: noises from boats large and small, the sounds of great honking container ships, the dull roar of seafloor mining, and the jackhammering of oil and gas exploration. And because sound travels fast, and far, through water, the noise pollution is magnified, spreading this high-decibel ambient sound all over the seas. So, what are dolphins to do, if they want to be heard over all that clamor? Well, they adapt, by simplifying their complex calls so they can better understand each other over the fray.
Thirteen farm animals are dead after coming into contact with dormant anthrax spores on a farm near Fort St. John. The Ministry of Agriculture says there is no public health risk and it is rare for the disease to spread from livestock to humans.
“Options are dwindling for many rural families, and remote communities are hardest hit,” said Katy Kozhimannil, an associate professor and health researcher at the University of Minnesota. Beyond the potential health consequences for the people living nearby, hospital closings can exact an economic toll, and are associated with some states’ decisions not to expand Medicaid as part of the Affordable Care Act.Since 2010, nearly 90 rural hospitals have shut their doors. By one estimate, hundreds of other rural hospitals are at risk of doing so.Part of the story is political: the decision by many red states not to take advantage of federal funding to expand Medicaid as part of the Affordable Care Act. Some states cited fiscal concerns for their decisions, but ideological opposition to Obamacare was another factor.In rural areas, lower incomes and higher rates of uninsured people contribute to higher levels of uncompensated hospital care — meaning many people are unable to pay their hospital bills. Uncompensated care became less of a problem in hospitals in states that expanded Medicaid.In a Commonwealth Fund Issue Brief, researchers from Northwestern Kellogg School of Management found that hospitals in Medicaid expansion states saved $6.2 billion in uncompensated care, with the largest reductions in states with the highest proportion of low-income and uninsured patients. Consistent with these findings, the vast majority of recent hospital closings have been in states that have not expanded Medicaid.
Ronald Reagan summed up the feeling when he was president: "I've always felt the nine most terrifying words in the English language are, 'I'm from the government, and I'm here to help.' "But rural Americans have come across scarier phrases since then, like "the opioid epidemic.""So what you have are some very serious problems — particularly around the economy and opioid and drug abuse — that really worry people," says Robert Blendon, professor of health policy and political analysis at Harvard's T.H. Chan School of Public Health.Small towns face big problems. In rural America, rugged individualism is still prized, but so is the pragmatism that has begun to trump traditional disdain for government.Many rural communities are facing two big, persistent issues: drugs and economic stagnation. Take Belle, Mo., with its population of 1,500."Money is a big problem," says Kathy Stanfield, who is in her late 60s and raised her children here. "You don't have the tax base anymore that you used to have."Stanfield says Belle has struggled since the shoe factory closed decades ago. It was once the town's biggest employer.Increasingly, the town relies on grants to pay for basic maintenance, like replacing crumbling sidewalks or fixing faulty water lines. And that money is getting harder to come by.Belle has a drug problem, too, and Roxie Murphy, a newspaper reporter who covers Belle for the Maries County Advocate, says drug-related crime is on a lot of people's minds.
By closing the annual investment gap in water infrastructure, the national economy would stand to gain over $220 billion in annual economic activity and approximately 1.3 million jobs per year. The aggregate economic impact is comprised of the direct impact on the water infrastructure sector, as well as indirect and induced impacts that are generated by successive rounds of spending on goods and services in other sectors. By meeting the gap, the US economy stands to gain a total of $2.22 trillion in additional economic activity over the next 10 years.
Hundreds of fish have washed ashore along Florida's Space Coast beaches, a week after the first signs of a toxic algae outbreak were reported. The dead fish, mostly mullet, were found this week from Melbourne Beach to Satellite Beach on the state's east coast.Despite the fish kills, water samples this week along the Space Coast showed a decrease in the algae known as red tide.The red tide began last October off southwest Florida after Hurricane Irma swept up the state. It has killed massive numbers of fish, along with scores of sea turtles and the state's beloved manatees.
“I’ve spoken of the shining city all my political life, but I don’t know if I ever quite communicated what I saw when I said it,” said Ronald Reagan. “But in my mind it was a tall, proud city built on rocks stronger than oceans, windswept, God-blessed, and teeming with people of all kinds living in harmony and peace; a city with free ports that hummed with commerce and creativity. And if there had to be city walls, the walls had doors and the doors were open to anyone with the will and the heart to get here.”In moments of great reflection, transition, and vulnerability, great men saw the American story not through the lens of politics or tribe. They saw it as it surely looked to John Winthrop and every weary traveler who has ever approached American shores — rocky, imperfect, and unknown, but expansive, limitless, and defiantly hopeful.Since the beginning, immigration has been an affirmation of our success, not a threat to it. People risk everything to reach this land because they believe in our greatness — our fair laws, our good values, our promises and possibilities. We should not worry when the striving and suffering arrive on our shores; we should worry when they stop coming at all.