Rural Health
Resources by Topic: Mortality
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: Rural Health Information Hub
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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: Rural Health Information Hub
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The Golden Hour Is Elusive in Rural Trauma: A 10-year Analysis from a Level I Trauma Center in Montana
Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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2025 Kentucky Drug Overdose Fatality Report
Offers statistics on drug overdose deaths in Kentucky in 2025, based on autopsy and toxicology reports. Features demographics and statistics with breakdowns by type of drug and age-adjusted mortality rates by county. Includes county-level maps with shadings indicating numbers of deaths involving methamphetamine and fentanyl, and markings to show Appalachian counties.
Author(s): Meghan Steel, Mira Mirzaian, Lara Daniels
Date: 04/2026
Sponsoring organizations: Kentucky Injury Prevention and Research Center, Kentucky Public Health Association, Team Kentucky Justice and Public Safety Cabinet, University of Kentucky College of Public Health
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Offers statistics on drug overdose deaths in Kentucky in 2025, based on autopsy and toxicology reports. Features demographics and statistics with breakdowns by type of drug and age-adjusted mortality rates by county. Includes county-level maps with shadings indicating numbers of deaths involving methamphetamine and fentanyl, and markings to show Appalachian counties.
Author(s): Meghan Steel, Mira Mirzaian, Lara Daniels
Date: 04/2026
Sponsoring organizations: Kentucky Injury Prevention and Research Center, Kentucky Public Health Association, Team Kentucky Justice and Public Safety Cabinet, University of Kentucky College of Public Health
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County-Level Social Determinants of Health and Suicide Mortality Trends Among Formerly Incarcerated Persons in North Carolina, 2010–2018
Assesses how county-level factors including educational attainment, unemployment, poverty, aging, racial composition, and rurality are associated with suicide mortality among formerly incarcerated people in North Carolina. Features statistics including mortality rate per 100,000 with breakdowns by year from 2010-2018 and rural or urban county.
Author(s): Monica E. Swilley-Martinez, Brian W. Pence, Kate Vinita Fitch, et al.
Citation: Heath & Justice, 14, 20
Date: 04/2026
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Assesses how county-level factors including educational attainment, unemployment, poverty, aging, racial composition, and rurality are associated with suicide mortality among formerly incarcerated people in North Carolina. Features statistics including mortality rate per 100,000 with breakdowns by year from 2010-2018 and rural or urban county.
Author(s): Monica E. Swilley-Martinez, Brian W. Pence, Kate Vinita Fitch, et al.
Citation: Heath & Justice, 14, 20
Date: 04/2026
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Characteristics of Firearm Injuries among Rural-Versus Urban-Residing Veterans Who Presented to VA Healthcare, 2010-2019
Presents a study using administrative data and electronic health records from VA health systems to compare firearm injuries among rural and urban veterans. Breaks down rural and urban veteran data by patient characteristics, such as age, marital status, and behavioral health diagnoses, among others.
Author(s): AnnaMarie S. O'Neill, Lauren A. Maxim, Tess A. Gilbert, et al.
Citation: Journal of Rural Health, 42(2), e70153
Date: 04/2026
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Presents a study using administrative data and electronic health records from VA health systems to compare firearm injuries among rural and urban veterans. Breaks down rural and urban veteran data by patient characteristics, such as age, marital status, and behavioral health diagnoses, among others.
Author(s): AnnaMarie S. O'Neill, Lauren A. Maxim, Tess A. Gilbert, et al.
Citation: Journal of Rural Health, 42(2), e70153
Date: 04/2026
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Alabama Vital Statistics, 2023
Statistics on births, deaths, marriage, and population in Alabama in 2023. Includes birth rate, maternal demographics and characteristics, causes of death, divorces and annulments, population estimates, and more. Provides county-by-county data, including county-level maps.
Date: 04/2026
Sponsoring organization: Alabama Public Health
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Statistics on births, deaths, marriage, and population in Alabama in 2023. Includes birth rate, maternal demographics and characteristics, causes of death, divorces and annulments, population estimates, and more. Provides county-by-county data, including county-level maps.
Date: 04/2026
Sponsoring organization: Alabama Public Health
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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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Income and Geographic Disparities in in-Hospital Mortality Following Cardiovascular Procedures: Evidence From the National Inpatient Sample, 2016–2022
Examines in-hospital mortality following cardiovascular procedures as related to income and geographic disparities. Utilizes 2016-2022 National Inpatient Sample data to analyze various cardiovascular procedures and associated mortality risk by income as well as by location of non-metro, metro of 50,000 to 999,000 residents, or metro of 1,000,000 or more residents.
Author(s): Alon Bergman, Ashwin Nathan
Citation: Health Services Research, 61(2), e70117
Date: 04/2026
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Examines in-hospital mortality following cardiovascular procedures as related to income and geographic disparities. Utilizes 2016-2022 National Inpatient Sample data to analyze various cardiovascular procedures and associated mortality risk by income as well as by location of non-metro, metro of 50,000 to 999,000 residents, or metro of 1,000,000 or more residents.
Author(s): Alon Bergman, Ashwin Nathan
Citation: Health Services Research, 61(2), e70117
Date: 04/2026
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Residence in a Rural Setting is Associated with Lower Five-Year Survival Rates in Patients that Undergo Spine Surgery for Breast Cancer Metastatic to the Spine: A Propensity Matched Analysis
Compares rural and urban mortality among breast cancer patients who underwent spine surgery, using 2006-2015 SEER data of 865 female patients.
Author(s): Austin Q. Nguyen, Brian M. Phelps, Sree M. Vemu, et al.
Citation: North American Spine Society Journal (NASSJ)
Date: 04/2026
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Compares rural and urban mortality among breast cancer patients who underwent spine surgery, using 2006-2015 SEER data of 865 female patients.
Author(s): Austin Q. Nguyen, Brian M. Phelps, Sree M. Vemu, et al.
Citation: North American Spine Society Journal (NASSJ)
Date: 04/2026
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Virginia's Plan for Well-Being: 2025-2029
Offers a data and community-driven roadmap to improve health outcomes and ensure that all Virginians live in conditions that allow them to thrive. Includes statistics on social determinants of health, infant mortality, firearm-related deaths and injury, obesity, mental health, substance use disorder, and housing. Features a county-level map showing rates of drug overdose deaths as of 2021. Mentions rural throughout.
Date: 04/2026
Sponsoring organization: Virginia Department of Health
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Offers a data and community-driven roadmap to improve health outcomes and ensure that all Virginians live in conditions that allow them to thrive. Includes statistics on social determinants of health, infant mortality, firearm-related deaths and injury, obesity, mental health, substance use disorder, and housing. Features a county-level map showing rates of drug overdose deaths as of 2021. Mentions rural throughout.
Date: 04/2026
Sponsoring organization: Virginia Department of Health
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