Bennett Doughty, Binghamton University, State University of New York and Pamela Stewart Fahs, Binghamton University, State University of New York
The vaccines' cold storage requirements and shipment rules put small, rural communities at a disadvantage, but that's only part of a long-running challenge.
Small rural hospitals across the country are struggling to find enough space, staff and supplies.
AP Photo/Charlie Riedel
Hospitals are losing staff to quarantines as rural COVID-19 cases rise, and administrators fear flu season will make it worse. And then there's the politics.
For rural people, these stresses are cumulative and contribute to higher levels of trauma, mental ill-health and in some cases, suicidal behaviour.
Business restrictions early in the pandemic, when rural towns had few cases, triggered a backlash that haunts them now.
Johannes Eisele/AFP/Getty Images
Lauren Hughes, University of Colorado Anschutz Medical Campus and Roberto Silva, University of Colorado Denver
Coronavirus cases have risen sharply across the Mountain West, Midwest and plains. Over 70% of nonmetropolitan counties are now "red zones," suggesting viral spread is out of control.
Rural health providers have had to adapt to the pandemic by providing services in locations like school gyms and community centers.
Spencer Platt/Getty Images
Despite chronic housing need and persistent health and infrastructural inequities, northern communities are turning to the land and each other to prevent the spread of COVID-19.
Drug-related deaths in rural areas rose by 41% since 2008.
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Many rural communities have experienced economic decline in recent years and have poorer access to drug treatment services. This increases the risk of drug use and overdoses.
Australian women can have an early medical termination – which involves taking two oral medications – up to the ninth week of pregnancy.
Jonatán Becerra/Unsplash
A remote medicine program in Saskatchewan allows acutely ill children and pregnant women to be treated by specialist doctors, without leaving their communities.
Farmers experiencing drought-related stress need personal, financial and social support.
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Farmers experience drought-related stress. Improving their mental health enhances adaptive capacity and resilience. Drought support must address relationships between drought and mental health.
Reader in Population and Public Health, MRC/Wits Rural Public Health and Health Transitions Research Unit, School of Public Health, University of the Witwatersrand