Rural Health
Resources by Topic: Environmental health
Building Rural Weather Resilience
Describes how Archuleta County Public Health and Pagosa Springs Community Center collaboratively addressed vulnerability to extreme weather in rural Colorado by developing community partnerships, implementing public health preparedness initiatives, and effective planning and assessment.
Author(s): Lacy Capre
Date: 06/2026
Sponsoring organization: National Association of County and City Health Officials
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Describes how Archuleta County Public Health and Pagosa Springs Community Center collaboratively addressed vulnerability to extreme weather in rural Colorado by developing community partnerships, implementing public health preparedness initiatives, and effective planning and assessment.
Author(s): Lacy Capre
Date: 06/2026
Sponsoring organization: National Association of County and City Health Officials
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Assessing Homeowner Perspectives and Barriers to Maintenance of On-Lot Septic Systems in Rural Pennsylvania
Results of a study surveying septic system users in Pennsylvania in 2024 and 2025 to assess whether residents follow current maintenance guidelines, to examine barriers and needs for proper maintenance, and to evaluate water contaminants in private water sources. Features statistics including age of systems, pumping frequency, and contaminant detection frequencies of water samples, including drinking water.
Additional links: Legislative Brief
Author(s): Faith A. Kibuye, Andy Yencha, Susan Boser
Date: 06/2026
Sponsoring organization: Center for Rural Pennsylvania
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Results of a study surveying septic system users in Pennsylvania in 2024 and 2025 to assess whether residents follow current maintenance guidelines, to examine barriers and needs for proper maintenance, and to evaluate water contaminants in private water sources. Features statistics including age of systems, pumping frequency, and contaminant detection frequencies of water samples, including drinking water.
Additional links: Legislative Brief
Author(s): Faith A. Kibuye, Andy Yencha, Susan Boser
Date: 06/2026
Sponsoring organization: Center for Rural Pennsylvania
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Endocrine-Disrupting Pesticides and Breast Cancer Incidence in the United States: An Ecological Analysis
Examines associations between endocrine-disrupting pesticide usage and breast cancer incidence at the county level, using 2001-2015 U.S. Geological Survey Pesticide National Synthesis Project and 2016-2020 NCI State Cancer Profiles data. Includes rural-urban data comparisons.
Author(s): Harish Neelam, Furqan Irfan, Robert Wahl, Kelly A. Hirko
Citation: Cancer Causes & Control, 37, 104
Date: 06/2026
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Examines associations between endocrine-disrupting pesticide usage and breast cancer incidence at the county level, using 2001-2015 U.S. Geological Survey Pesticide National Synthesis Project and 2016-2020 NCI State Cancer Profiles data. Includes rural-urban data comparisons.
Author(s): Harish Neelam, Furqan Irfan, Robert Wahl, Kelly A. Hirko
Citation: Cancer Causes & Control, 37, 104
Date: 06/2026
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Controlled, Before-and-After Analysis and Pre–Post Surveys to Assess the Effects of a Community-Wide Sanitation System on Environmental Contamination, Infection Risk and Well-Being in Alabama's Black Belt: Study Protocol
A study protocol focused on implementation of a community-wide sanitation system in a rural area of Alabama. Utilizes controlled, before-and-after (CBA) data collection of pathogens and bacteria to analyze impact of sanitation systems on public health and well-being.
Author(s): Olivia A. Harmon, Megan E. J. Lott, David A. Holcomb, et al.
Citation: BMJ Open, 16(4), e108477
Date: 04/2026
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A study protocol focused on implementation of a community-wide sanitation system in a rural area of Alabama. Utilizes controlled, before-and-after (CBA) data collection of pathogens and bacteria to analyze impact of sanitation systems on public health and well-being.
Author(s): Olivia A. Harmon, Megan E. J. Lott, David A. Holcomb, et al.
Citation: BMJ Open, 16(4), e108477
Date: 04/2026
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Review of Current Research Describing the Influence of Non-Health Care Drivers of Health in Rural and Urban Populations
Summarizes recent research in social determinants of health and associated health conditions in rural and urban populations. Identifies gaps in the literature relevant to rural health, and highlights findings relevant to rural and urban economic stability, education access and quality, neighborhood and built environment, and other social and community contexts.
Author(s): Katie Youngen, Julia Cecil, Tyrone F. Borders
Date: 04/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Summarizes recent research in social determinants of health and associated health conditions in rural and urban populations. Identifies gaps in the literature relevant to rural health, and highlights findings relevant to rural and urban economic stability, education access and quality, neighborhood and built environment, and other social and community contexts.
Author(s): Katie Youngen, Julia Cecil, Tyrone F. Borders
Date: 04/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Distance to a Drying Saline Lake and Lung Function Development in a Rural Border Cohort of Children
Examines the relationship between children's lung function and proximity to the drying Salton Sea in rural southeastern California. Analyzes lung function of 369 first to third grade children with breakdowns according to demographics, health factors, air pollution, and proximity to the Salton Sea.
Author(s): Fangqi Guo, Elizabeth M. Kamai, Sandrah P. Eckel, et al.
Citation: JAMA Network Open, 9(4), e264812
Date: 04/2026
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Examines the relationship between children's lung function and proximity to the drying Salton Sea in rural southeastern California. Analyzes lung function of 369 first to third grade children with breakdowns according to demographics, health factors, air pollution, and proximity to the Salton Sea.
Author(s): Fangqi Guo, Elizabeth M. Kamai, Sandrah P. Eckel, et al.
Citation: JAMA Network Open, 9(4), e264812
Date: 04/2026
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Resolving Wastewater Treatment Challenges in Small Communities
Manual providing guidance on wastewater challenges and wastewater system evaluation, planning, and implementation in small and rural communities.
Date: 03/2026
Sponsoring organization: Rural Community Assistance Partnership
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Manual providing guidance on wastewater challenges and wastewater system evaluation, planning, and implementation in small and rural communities.
Date: 03/2026
Sponsoring organization: Rural Community Assistance Partnership
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Environmental Risk Factors and Iowa's Cancer Crisis: A 2026 Report
Reports on environmental factors influencing the high incidence of cancer in Iowa, including detailed discussion on cancer risks related to pesticides, PFAS, nitrates, radon, and other topics related to agricultural and industrial safety. Provides recommendations for strengthening environmental health in agricultural policy.
Author(s): Colleen Fowle, Sarah Howe, Kerri Johannsen, et al.
Date: 03/2026
Sponsoring organizations: Iowa Environmental Council, The Harkin Institute
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Reports on environmental factors influencing the high incidence of cancer in Iowa, including detailed discussion on cancer risks related to pesticides, PFAS, nitrates, radon, and other topics related to agricultural and industrial safety. Provides recommendations for strengthening environmental health in agricultural policy.
Author(s): Colleen Fowle, Sarah Howe, Kerri Johannsen, et al.
Date: 03/2026
Sponsoring organizations: Iowa Environmental Council, The Harkin Institute
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Regional Partnership Program: A Community-Led Approach
Discusses the role of voluntary regional partnerships in supporting small and rural water and wastewater systems, highlights priority topics and challenges in rural water systems, presents data on water system inventory and health violations by size of population served, and provides federal policy recommendations to support regional partnerships.
Date: 03/2026
Sponsoring organizations: National Rural Water Association, Rural Community Assistance Partnership
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Discusses the role of voluntary regional partnerships in supporting small and rural water and wastewater systems, highlights priority topics and challenges in rural water systems, presents data on water system inventory and health violations by size of population served, and provides federal policy recommendations to support regional partnerships.
Date: 03/2026
Sponsoring organizations: National Rural Water Association, Rural Community Assistance Partnership
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Cancer in Iowa 2026
Provides data on cancer incidence, characteristics, and survival in Iowa. Provides county-level estimates of new cancers, cancer deaths, and those living with cancer as of 2026. Features a section on how cancer impacts Iowa's farming population and related issues of agricultural health, drinking water quality, and pesticide use.
Date: 03/2026
Sponsoring organization: Iowa Cancer Registry
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Provides data on cancer incidence, characteristics, and survival in Iowa. Provides county-level estimates of new cancers, cancer deaths, and those living with cancer as of 2026. Features a section on how cancer impacts Iowa's farming population and related issues of agricultural health, drinking water quality, and pesticide use.
Date: 03/2026
Sponsoring organization: Iowa Cancer Registry
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