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Rural Risk: Mobile Clinics Help Tackle Multifaceted Opioid Crisis

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In a room at the Letcher County Health Department in Whitesburg, Kentucky, about 20 people are learning how to use naloxone, the opioid overdose reversal medication. Among them is 18-year-old Morgan Hopkins. An aspiring therapist, Hopkins said she wants to be ready with naloxone if someone overdoses around her. “You never know what you’re going… Read More

Hazard Ahead: Ohio Valley Auto Industry Concerned About Trump Trade Policies

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Automotive manufacturing leaders met in Kentucky to discuss how changes in U.S. trade policy under President Trump affect the industry and its growing presence in the Ohio Valley. Industry leaders gathered for the annual AutoVision conference and many don’t like what they see coming. NAFTA 2.0 negotiations are ongoing, companies are paying tariffs for some steel and aluminum imports and… Read More

Federal Dust Fraud Charges Highlight Black Lung Threat For Miners

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When former coal mine employees in western Kentucky faced arraignment Wednesday on federal charges that they conspired to falsify the required monitoring of coal dust, the hearing brought renewed attention to the region’s surge in black lung disease. The case highlights the many challenges miners face in the workplace. And health officials in black lung clinics… Read More

Rural Counties Under Stress From Justice Companies’ Unpaid Taxes In Several States

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In October, 2016, NPR, Ohio Valley ReSource and its partners reported that West Virginia billionaire coal baron Jim Justice, who was running for governor as a Democrat, owned companies that owed roughly $15 million in overdue taxes and mine safety fines. This week, Gov. Justice, who is now a Republican, made an announcement about those taxes. “I think we… Read More

Your Voice Ohio Collaborative Seeking Solutions To Opioid Crisis

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An Ohio-based collaborative thinks journalists can play a bigger role in solving the region’s opioid crisis. The effort starts with listening to people in some of the hardest-hit communities. A group of about 50 people gathered in a small building at the fairgrounds in Marietta, Ohio, to share their thoughts on the region’s opioid crisis… Read More

Infection And Inequality: How The Income Gap Fuels Ohio Valley’s Hep A Outbreak

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Jim Thacker is frustrated. The spokesperson for the Madison County, Kentucky, Health Department said there is a real threat of a Hepatitis A outbreak at the detention center right down the road in Richmond. Built to house about 240 inmates, it holds more than 400. “It’s like a petri dish, they are packed so close together,” he… Read More

Study Shows Area The Size of Delaware Affected By Mountaintop Removal Coal Mining

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An area roughly the size of Delaware has been mined for coal in Appalachia using mountaintop removal, according to a new study published in the journal PLOS ONE. Researchers from Duke University and nonprofit organizations SkyTruth and Appalachian Voices developed an open-source mapping tool drawing on satellite imagery. The new data show the amount of… Read More

Study Finds “Bright Spots” Amid Region’s Poor Health Outcomes

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The Ohio Valley is not known for good health. Kentucky, Ohio, and West Virginia often rank near the bottom of states in many health rankings. But a new report shows there are “bright spots” in the region where some health measures are better than expected. And a team of health researchers thinks these communities can… Read More

Battling An Outbreak: Businesses And Health Officials Respond As Ohio Valley’s Hep A Cases Climb

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The low rumble of industrial fans fills the Catholic Action Center in Lexington, a shelter that provides meals and other services for homeless people. It’s mid-morning on a hot July day and dozens of people sit camped on couches in the entryway, or slouch at tables nearby. Despite the fans the air is stale from too many… Read More