European Journal of Environment and Public Health

The COVID-19 Epidemic in Rural U.S. Counties
Philip N. Cohen 1 2 *
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1 University of Maryland, College Park, MD 20742, USA
2 Maryland Population Research Center, College Park, MD 20742, USA
* Corresponding Author
Research Article

European Journal of Environment and Public Health, 2020 - Volume 4 Issue 2, Article No: em0050
https://doi.org/10.29333/ejeph/8331

Published Online: 09 Jun 2020

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APA 6th edition
In-text citation: (Cohen, 2020)
Reference: Cohen, P. N. (2020). The COVID-19 Epidemic in Rural U.S. Counties. European Journal of Environment and Public Health, 4(2), em0050. https://doi.org/10.29333/ejeph/8331
Vancouver
In-text citation: (1), (2), (3), etc.
Reference: Cohen PN. The COVID-19 Epidemic in Rural U.S. Counties. EUROPEAN J ENV PUBLI. 2020;4(2):em0050. https://doi.org/10.29333/ejeph/8331
AMA 10th edition
In-text citation: (1), (2), (3), etc.
Reference: Cohen PN. The COVID-19 Epidemic in Rural U.S. Counties. EUROPEAN J ENV PUBLI. 2020;4(2), em0050. https://doi.org/10.29333/ejeph/8331
Chicago
In-text citation: (Cohen, 2020)
Reference: Cohen, Philip N.. "The COVID-19 Epidemic in Rural U.S. Counties". European Journal of Environment and Public Health 2020 4 no. 2 (2020): em0050. https://doi.org/10.29333/ejeph/8331
Harvard
In-text citation: (Cohen, 2020)
Reference: Cohen, P. N. (2020). The COVID-19 Epidemic in Rural U.S. Counties. European Journal of Environment and Public Health, 4(2), em0050. https://doi.org/10.29333/ejeph/8331
MLA
In-text citation: (Cohen, 2020)
Reference: Cohen, Philip N. "The COVID-19 Epidemic in Rural U.S. Counties". European Journal of Environment and Public Health, vol. 4, no. 2, 2020, em0050. https://doi.org/10.29333/ejeph/8331
ABSTRACT
Having first reached epidemic proportions in coastal metropolitan areas, COVID-19 has spread around the country. Reported case rates vary across counties from zero to 126 per thousand population (around a state prison in the rural county of Trousdale, Tennessee). Overall, rural counties are underrepresented relative to their share of the population, but a growing proportion of all daily cases and deaths have been reported in rural counties. This analysis uses daily reports for all counties to present the trends and distribution of COVID-19 cases and deaths in rural counties, from late March to May 21, 2020. I describe the relationship between population density and case rates in rural and non-rural counties. Then I focus on noteworthy outbreaks linked to prisons, meat and poultry plants, and nursing homes, many of which are linked to high concentrations of Hispanic, American Indian, and Black populations. The growing epidemic in rural counties is apparently driven by outbreaks concentrated in these institutional settings, which are conducive to transmission. The impact of the epidemic in rural areas may be heightened due to their weaker health infrastructure and more vulnerable populations, especially due to age, socioeconomic status, and health conditions. As a result, the epidemic may contribute to the ongoing decline of health, economic, and social conditions in rural areas.
KEYWORDS
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