Rebuilding the Unity of Health and the Environment in Rural America

Rebuilding the Unity of Health and the Environment in Rural America

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2006-02-28

Total Pages: 116

ISBN-13: 0309180570

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Throughout much of its history, the United States was predominantly a rural society. The need to provide sustenance resulted in many people settling in areas where food could be raised for their families. Over the past century, however, a quiet shift from a rural to an urban society occurred, such that by 1920, for the first time, more members of our society lived in urban regions than in rural ones. This was made possible by changing agricultural practices. No longer must individuals raise their own food, and the number of person-hours and acreage required to produce food has steadily been decreasing because of technological advances, according to Roundtable member James Merchant of the University of Iowa. The Institute of Medicine's Roundtable on Environmental Health Science, Research, and Medicine held a regional workshop at the University of Iowa on November 29 and 30, 2004, to look at rural environmental health issues. Iowa, with its expanse of rural land area, growing agribusiness, aging population, and increasing immigrant population, provided an opportunity to explore environmental health in a region of the country that is not as densely populated. As many workshop participants agreed, the shifting agricultural practices as the country progresses from family operations to large-scale corporate farms will have impacts on environmental health. This report describes and summarizes the participants' presentations to the Roundtable members and the discussions that the members had with the presenters and participants at the workshop.


Rationalizing Rural Area Classifications for the Economic Research Service

Rationalizing Rural Area Classifications for the Economic Research Service

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2016-02-05

Total Pages: 191

ISBN-13: 0309380561

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The U.S. Department of Agriculture Economic Research Service (USDA/ERS) maintains four highly related but distinct geographic classification systems to designate areas by the degree to which they are rural. The original urban-rural code scheme was developed by the ERS in the 1970s. Rural America today is very different from the rural America of 1970 described in the first rural classification report. At that time migration to cities and poverty among the people left behind was a central concern. The more rural a residence, the more likely a person was to live in poverty, and this relationship held true regardless of age or race. Since the 1970s the interstate highway system was completed and broadband was developed. Services have become more consolidated into larger centers. Some of the traditional rural industries, farming and mining, have prospered, and there has been rural amenity-based in-migration. Many major structural and economic changes have occurred during this period. These factors have resulted in a quite different rural economy and society since 1970. In April 2015, the Committee on National Statistics convened a workshop to explore the data, estimation, and policy issues for rationalizing the multiple classifications of rural areas currently in use by the Economic Research Service (ERS). Participants aimed to help ERS make decisions regarding the generation of a county rural-urban scale for public use, taking into consideration the changed social and economic environment. This report summarizes the presentations and discussions from the workshop.


An Upland Community in Transition

An Upland Community in Transition

Author: Agnes C. Rola

Publisher: Institute of Southeast Asian Studies

Published: 2011

Total Pages: 262

ISBN-13: 9814345156

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All over Southeast Asia, rural communities are in transition to a sustainable status. This book explores how an environmentally fragile upland community in rural Philippines coped with and responded to economic and environmental tensions brought about by a globalized economy and decentralization. This in turn gave rise to local power especially in the management of natural resources.


The Geography of Rural Change

The Geography of Rural Change

Author: Brian Ilbery

Publisher: Routledge

Published: 2014-09-11

Total Pages: 280

ISBN-13: 1317889371

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The Geography of Rural Change provides a thorough examination of the processes and outcomes of rural change as a result of a period of major restructuring in developed market economies. After outlining the main dimensions of rural change, the book progresses from a discussion of theoretical insights into rural restructuring to a consideration of both the extensive use of rural land and the changing nature of rural economy and society. The text places an emphasis on relevant principles, concepts and theories of rural change, and these are supported by extensive case study evidence drawn from different parts of the developed world. The Geography of Rural Change is written for undergraduates taking courses in human geography, agricultural geography, rural geography, rural sociology, planning and agricultural economics.


The Routledge Companion to Rural Planning

The Routledge Companion to Rural Planning

Author: Mark Scott

Publisher: Routledge

Published: 2019-01-28

Total Pages: 670

ISBN-13: 135159186X

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The Routledge Companion to Rural Planning provides a critical account and state of the art review of rural planning in the early years of the twenty-first century. Looking across different international experiences – from Europe, North America and Australasia to the transition and emerging economies, including BRIC and former communist states – it aims to develop new conceptual propositions and theoretical insights, supported by detailed case studies and reviews of available data. The Companion gives coverage to emerging topics in the field and seeks to position rural planning in the broader context of global challenges: climate change, the loss of biodiversity, food and energy security, and low carbon futures. It also looks at old, established questions in new ways: at social and spatial justice, place shaping, economic development, and environmental and landscape management. Planning in the twenty-first century must grapple not only with the challenges presented by cities and urban concentration, but also grasp the opportunities – and understand the risks – arising from rural change and restructuring. Rural areas are diverse and dynamic. This Companion attempts to capture and analyse at least some of this diversity, fostering a dialogue on likely and possible rural futures between a global community of rural planning researchers. Primarily intended for scholars and graduate students across a range of disciplines, such as planning, rural geography, rural sociology, agricultural studies, development studies, environmental studies and countryside management, this book will prove to be an invaluable and up-to-date resource.


U.S. Health in International Perspective

U.S. Health in International Perspective

Author: National Research Council

Publisher: National Academies Press

Published: 2013-04-12

Total Pages: 421

ISBN-13: 0309264146

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The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.


Economics of Rural Land-use Change

Economics of Rural Land-use Change

Author: Kathleen P. Bell

Publisher: Ashgate Publishing, Ltd.

Published: 2006

Total Pages: 298

ISBN-13: 9780754609834

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Public concern over land management has never been greater. This book provides a broad overview of the economics of rural land-use change, drawing attention to the meaningful role economic analysis can play in resolving public concern and supporting futur


Shock Waves

Shock Waves

Author: Stephane Hallegatte

Publisher: World Bank Publications

Published: 2015-11-23

Total Pages: 227

ISBN-13: 1464806748

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Ending poverty and stabilizing climate change will be two unprecedented global achievements and two major steps toward sustainable development. But the two objectives cannot be considered in isolation: they need to be jointly tackled through an integrated strategy. This report brings together those two objectives and explores how they can more easily be achieved if considered together. It examines the potential impact of climate change and climate policies on poverty reduction. It also provides guidance on how to create a “win-win†? situation so that climate change policies contribute to poverty reduction and poverty-reduction policies contribute to climate change mitigation and resilience building. The key finding of the report is that climate change represents a significant obstacle to the sustained eradication of poverty, but future impacts on poverty are determined by policy choices: rapid, inclusive, and climate-informed development can prevent most short-term impacts whereas immediate pro-poor, emissions-reduction policies can drastically limit long-term ones.


Quality Through Collaboration

Quality Through Collaboration

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2005-04-24

Total Pages: 289

ISBN-13: 0309094399

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Building on the innovative Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Quality Through Collaboration: The Future of Rural Health offers a strategy to address the quality challenges in rural communities. Rural America is a vital, diverse component of the American community, representing nearly 20% of the population of the United States. Rural communities are heterogeneous and differ in population density, remoteness from urban areas, and the cultural norms of the regions of which they are a part. As a result, rural communities range in their demographics and environmental, economic, and social characteristics. These differences influence the magnitude and types of health problems these communities face. Quality Through Collaboration: The Future of Rural Health assesses the quality of health care in rural areas and provides a framework for core set of services and essential infrastructure to deliver those services to rural communities. The book recommends: Adopting an integrated approach to addressing both personal and population health needs Establishing a stronger health care quality improvement support structure to assist rural health systems and professionals Enhancing the human resource capacity of health care professionals in rural communities and expanding the preparedness of rural residents to actively engage in improving their health and health care Assuring that rural health care systems are financially stable Investing in an information and communications technology infrastructure It is critical that existing and new resources be deployed strategically, recognizing the need to improve both the quality of individual-level care and the health of rural communities and populations.