Rural Health Information Hub Latest News

Pennsylvania Governor Announces 327,000 Pennsylvanians Will Gain Access to High-Speed Internet through Federal Auction

Pennsylvania Governor Tom Wolf announced that more than 327,000 Pennsylvanians will gain access to high-speed Internet service through the Federal Communications Commission’s (FCC) Rural Digital Opportunity Fund Phase I auction.

Thirteen providers in Pennsylvania successfully bid in the auction and will provide high-speed Internet access in locations across the state that are underserved or do not have access to broadband that meets current federal standard. The FCC will allocate $368.7 million to these providers over the next 10 years. Virtually every Pennsylvania county will benefit from the broadband build out supported by this funding.

“In the 21st century, reliable high-speed internet service is a critical utility for homes and businesses alike. The lack of this technology in our communities inhibits our students and educators, businesses, the healthcare system and more from truly connecting locally and globally. If we want to support our economy, give our students the tools to learn, and improve quality of life, we must expand broadband access,” Gov. Wolf said. “The current pandemic has vividly demonstrated the pressing need to expand high speed internet access to enable telehealth and allow students to connect with their classmates and teachers. As a result of this auction, hundreds of thousands of Pennsylvanians will gain this access, which is a significant step toward bridging the digital divide.”

The Rural Digital Opportunity Fund is an effort by the FCC to ensure high-speed Internet access in underserved communities. In total, the FCC will allocate $9.2 billion to 180 bidders, who will deploy high-speed broadband to more than 5.2 million unserved homes and businesses across the country.

Nearly a million Pennsylvanians lack access to reliable high-speed internet access, according to the FCC. Ensuring that all Pennsylvanians have access to high-speed Internet access is a top priority of the Wolf Administration. The governor’s Restore Pennsylvania plan, a $4.5 billion bipartisan proposal funded through a commonsense severance tax, would provide funding to completely bridge the digital divide in every community in Pennsylvania. Funding would be available to support installation of infrastructure to bring high speed internet to every corner of the commonwealth.

Similarly, the Pennsylvania Public Utility Commission (PUC) has also strongly advocated for universal access to broadband and a presence in the federal auction process.

“I commend the Public Utility Commissioners for their strong leadership in expanding broadband to underserved areas, and pursuing every available dollar for the state, as well as the many stakeholders–including particularly Penn State University’s Rural Extension Program–that have helped to lay groundwork to ensure the success of bidders in the most recent auction.” Gov. Wolf said. “I look forward to continuing to work with the Commissioners, Penn State, and other committed stakeholders to make progress towards our goal of universal broadband access across the commonwealth.”

New COVID-19 Mitigation Efforts Announced for Pennsylvania. Here’s What to Know.

Stricter COVID-19 mitigation efforts, announced Thursday by Gov. Tom Wolf and Secretary of Health Dr. Rachel Levine, aim to put Pennsylvania “on pause” for the next three weeks.

The limited-time mitigation orders place restrictions on in-person dining and alcohol sales, gatherings and events, businesses and K-12 sports. Wolf — who tested positive for the coronavirus earlier this week — and Levine announced the new measures during a virtual press conference Thursday.

“This is a bridge to that better future we all know that we can get to in Pennsylvania,” Wolf said. “We know that COVID-19 thrives in places where people gather together. Therefore, these mitigation measures target high-risk environments and activities and aim to reduce the spread of this devastating virus.”

In the last two days, Pennsylvania has reported the highest number of COVID-19 deaths since the beginning of the pandemic.

“The virus continues to strain our health care systems and the dramatic rise in cases among all age groups, including among school-age children, is alarming,” Levine said. “Since the start of the pandemic, there have been more than 37,500 cases among children age 5 to 18, yet 9,500 of those cases occurred in the past two weeks.”

The new order takes effect 12:01 a.m. on Saturday and will remain in effect until 8 a.m. on Jan. 4, 2021.

“We will be saving lives, but we have to do it together,” Wolf said.

Here’s what to know about the guidelines:

In-person dining and alcohol sales

  • All in-person indoor dining at restaurants, bars and other food service establishments is prohibited.
  • Outdoor dining, take-out food service and take-out alcohol sales are permitted and may continue.

Gatherings and events

  • Indoor gatherings and events of more than 10 people are prohibited.
  • Religious services and worship are specifically excluded from the limitations set forth above during religious services, but faith leaders are “strongly encouraged” to find alternative ways to gather.
  • Outdoor gatherings and events of more than 50 people are prohibited.

Business closures, capacity limits

  • All in-person businesses may operate at up to 50% of the maximum capacity stated on the applicable certificate of occupancy, except as limited by existing orders to a smaller capacity limit.
  • In-person businesses in the entertainment industry — theaters, concert venues, museums, movie theaters, arcades, casinos, bowling alleys and private clubs — are prohibited from operating.

Gyms and fitness facilities

  • Indoor operations at gyms and fitness facilities are prohibited, but outdoor facilities and classes may continue.
  • All participants are required to wear a mask and social distance during outdoor activities.

K-12 sports, extracurricular activities

  • Voluntary, school-sponsored activities are suspended, but participants may gather virtually. This includes, but is not limited to, attendance at or participation in activities such musical ensembles, school plays, student council, clubs and school dances.
  • All K-12 sports are paused. This includes all competition at public, nonpublic and private schools as well as all club, travel, recreational, intermural and intramural sports.
  • The Pennsylvania Principals Association is recommending a delay to the start of the winter sports season. The surge in cases among school-age children increases the risk that asymptomatic participants will spread the virus at a game or practice, in the locker room, while traveling to and from events, or at team meals, parties or other gatherings.

Professional, collegiate sports

  • Professional and collegiate sports activities may continue in accordance with guidance from the Centers for Disease Control and Prevention and the Department of Health.
  • Spectators are prohibited from attending events.
Read more here: https://www.centredaily.com/news/coronavirus/article247758555.html?ac_cid=DM341579&ac_bid=-1180439669#storylink=cpy

Confirmed COVID Cases in Appalachia Top 1.1 Million While Deaths Top 18,000

On Friday, December 4, 2020, the cumulative number of COVID cases in Appalachia surpassed 1 million. New cases have risen considerably since Thanksgiving.

The Region set a new record high for the seven-day rolling average of daily new cases with 17,331 on Sunday, December 6. The seven-day average of daily new cases was 13,077 a week ago and 13,113 two weeks ago.

The number of deaths has also risen considerably in the past few weeks. A new record high for the seven-day rolling average of daily new deaths was also set on Sunday, December 6 at 231. The rate was 139 deaths per day a week ago and 173 two weeks ago.

As of 11:30am December 10, 2020, there were 1,118,068 cumulative cases throughout Appalachia and 18,011 cumulative deaths.

There were 65,188 new cases and 979 new deaths since 12am Monday, December 7, 2020. The total number of COVID-related deaths are 18,011 in 407 of Appalachia’s 420 counties.

Appalachia Nonprofit Resource Center Navigates Beyond COVID-19 to Sustainability

The Appalachia Nonprofit Resource Center (ANRC) was established during COVID-19 to assist regional nonprofit organizations by offering free online access to curated resources. Information is updated regularly. Check out recent additions about:

Other topics including financial management, mission and operations, and fundraising are also available. Register now!

Introducing NRHA’s VoterVoice Advocacy Tool

Congress needs to hear voices of rural America as they tackle COVD-19 relief and kick off the 117th Congress. The National Rural Health Association (NRHA) has taken action to make rural health advocacy easier than ever before for our members and is introducing NRHA’s VoterVoice advocacy tool.

NRHA’s VoterVoice advocacy tool connects you and hundreds of our fellow rural health stakeholders with local, state, and federal lawmakers, ensuring our message to support or oppose legislation is heard by those with the power to enact change at every level. The tool supplies pre-filled information, which means that you can take reach your members of Congress with one click, while customizing content as needed. VoterVoice’s support team also checks for and corrects undelivered messages resulting in 100 percent deliverability to legislative officials.

NRHA’s VoterVoice advocacy tool enables the NRHA government affairs team to create campaigns that will exist on NRHA’s new Rural Health Advocacy Campaigns webpage. Additionally, the NRHA government affairs team will alert NRHA membership of new public campaigns as they become available via NRHA Connect.

If you are eager to test it out – no need to wait! Our first advocacy campaign is waiting for you here.

Introducing PLACES: Local Data for Better Health (An Extension of 500 Cities Project)

The Centers for Disease Control and Prevention (CDC), in collaboration with RWJF and the CDC Foundation, has launched PLACES, an extension of the 500 Cities project.

The PLACES project provides estimates, obtained using model-based small area estimation methods, for 27 health measures for four U.S. geographic levels: counties, places, census tracts, and ZIP Code Tabulation Areas (ZCTAs). It includes nationwide data at a granular level to cover smaller cities and rural areas, data that were previously unavailable. Measures include unhealthy behaviors (e.g., current smoking), health outcomes (e.g., coronary heart disease, diabetes), and prevention practices (e.g., health insurance coverage, cholesterol screening).

The data can be used to:

  • Identify the health issues facing a local area or neighborhoods.
  • Establish key health objectives.
  • Develop and implement effective and targeted prevention activities.

Information on the methods used can be found here.

New Set of ACS Five-year Estimates Released; Report from PA State Data Center Published

A new set of five-year estimates from the U.S. Census Bureau’s American Community Survey (ACS) have been released today, providing data users with demographic and socio-economic data for all geographic areas.

With this year’s release, users can now compare estimates across three distinct periods of time. The newest estimates can be compared with other non-overlapping releases (i.e., 2010-2014 and 2005-2009) to show change over time.

The Pennsylvania State Data Center has developed a report that highlights trends in marital status across all three non-overlapping five-year periods. Some findings include that the percentage of individuals who were married decreased consistently in 39 counties across each five-year period while the percentage of individuals who were divorced increased in 39 counties during that time.

Perry County had the highest percentage of individuals who were currently married (excluding those separated) at 57.1% while Philadelphia County had the lowest (30.6%). Cameron County had the highest percentage of those who were divorced (15.5%) while Centre County had the lowest (7.3%).

For more information on marital status trends or the ACS Five-Year Estimates, click here to read the Data Center’s latest brief.

Center for Rural Pennsylvania Announces Funding for COVID-19 Projects

The Center for Rural Pennsylvania, a legislative agency that serves as a resource for rural policy research within the Pennsylvania General Assembly, is issuing a special Request for Proposals (RFP) for policy research related to COVID-19 in rural communities. Grant awards are made by the Center’s Board of Directors.

Please access the RFP for more information on topic details and submission guidelines. Proposals will be evaluated in two rounds. To be considered for the first round, proposals must be received by February 15, 2021. Proposals for the second round of funding must be received by March 30, 2021. The Center’s enabling legislation allows the Center to award grants to qualified faculty members of Pennsylvania State University, the Pennsylvania State System of Higher Education (PASSHE) universities, and the regional campuses of the University of Pittsburgh. A qualified faculty member must serve as the project director.

Rural Counties Face 5th Straight Week of Record Number of Covid-19 Deaths

The number of new rural deaths climbed by more than 30% last week, topping 3,000 in a one-week period for the first time. New infections last week remained just below the record number of new cases set three weeks ago.

The number of people from rural counties who died from Covid-19-related causes in a one-week period topped 3,000 for the first time last week, marking the fifth consecutive week of a record-setting number of fatalities.

Rural counties broke another record last week for the number of counties in the red zone, defined as 100 new cases per week per 100,000 residents. Ninety-four percent of rural counties (1,857 out of 1,976) exceeded that threshold last week. The red-zone definition comes from the White House Coronavirus Task Force and indicates that localities have lost control of the spread of the virus.

See examples of reports from the White House Coronavirus Task Force for and the nation.

The Daily Yonder’s weekly report on the coronavirus in rural America covers the period of Sunday, November 29, through Saturday, December 5.

  • Rural counties reported 3,613 Covid-related deaths last week, an increase of 34% from the previous week, which also set a record for fatalities.
  • Cumulatively, 38,172 rural Americans have died from the virus, representing just under 14% of all Covid-related deaths in the U.S. Rural residents (defined here as people living in nonmetropolitan counties) represents just over 14% of the U.S. population.
  • The number of new infections was 211,960 last week, an increase of about 7% from the previous week. The record for new cases in rural counties (216,045) was set three weeks ago, just before Thanksgiving.
  • Cumulatively, more than 2.2 million rural residents have tested positive for the coronavirus, representing 15.6% of all infections in the U.S.
  • Although the rate of new infections continued to be worst in the Midwest, Great Plains, and Mountain West, all but a handful of U.S. counties (urban and rural) are in the red zone.
  • About 4 out of every 10 rural counties had “very high” rates of new infections, defined as more than 500 per 100,000 in a week. These counties are shown in black on the map.
  • About 3 out of 10 metropolitan counties had infection rates of more than 500 per 100,000 for the week. These counties are shown in dark blue on the map.
  • Minnesota and Indiana each had more than 90% of their counties in the “very high” category.
  • Illinois, Kansas, and South Dakota had more than 70% of all counties in the “very high” category.
  • The rural rate of new infections and deaths remained higher in rural counties than in urban ones (see graphs below).

Pennsylvania Governor’s Administration Highlights Resources for Pennsylvanians as Opioid Crisis Continues to Affect Pennsylvania 

Pennsylvania Governor Wolf’s Administration called for an end to the stigma surrounding the disease of addiction and highlighted the work that has been done by the administration in response to the ongoing opioid crisis.

“While the COVID-19 pandemic is occurring, many Pennsylvanians continue to struggle with the disease of addiction,” Deputy Secretary of Health Preparedness and Community Protection and Opioid Command Center Incident Commander Ray Barishansky said. “We know that a public health pandemic at the same time as the opioid epidemic has made for a challenging year for many. It is up to all of us to come alongside those who are struggling with the disease of addiction and to offer them our support. Treatment works, and recovery is possible.”

December is typically a challenging month for many who struggle with the disease of addiction.  With the need for people to social distance and avoid gathering due to COVID-19, Pennsylvanians who have struggled with the disease of addiction may be at increased risk of relapsing this year.

The Department of Drug and Alcohol Programs (DDAP) maintains a toll-free helpline that connects callers looking for treatment options for themselves or a loved one to resources in their community. You can reach the Get Help Now helpline at 1-800-662-HELP (4357). The helpline is available 24/7 – including on Christmas Day. An anonymous chat service offering the same information to individuals who may not be comfortable speaking on the phone is also available at www.ddap.pa.gov.

“The most important thing for people to know is that there is hope through the help that is available for Pennsylvanians struggling with substance use disorder,” said DDAP Secretary Jennifer Smith. “Even during the pandemic, Pennsylvania’s drug and alcohol treatment providers are open and operational. If people are deciding whether to take that first, brave step, there is absolutely no shame in seeking help to lead a happy, healthy life. We must end the stigma associated with substance use disorder. Ending addiction stigma means saving Pennsylvania lives.”

In September, DDAP announced the launch of Life Unites Us, an anti-stigma campaign, utilizing social media platforms to spread real-life stories of individuals and their family members battling substance use disorder, live and recorded webinars detailing tools and information necessary to effectively reduce stigma to more than 350 community-based organizations focused on SUD prevention, treatment, and recovery throughout Pennsylvania, and a web-based interactive data dashboard detailing the progress of the campaign.

In addition to Life Unites Us, the administration is calling on all Pennsylvanians to carry naloxone.

Naloxone is carried at most pharmacies across the state year-round. Naloxone is available at pharmacies to many with public and private insurance either for free or at a low cost. In addition, naloxone has also been made available through the Pennsylvania Commission on Crime and Delinquency’s Centralized Coordinating Entities, free public naloxone giveaways at Pennsylvania Health Centers, partnerships with Pennsylvania colleges and universities, and distribution to narcotic treatment providers throughout the commonwealth.

The Opioid Command Center, established in January 2018 when Gov. Wolf signed the first opioid disaster declaration, meets every week to discuss the opioid crisis. The command center is staffed by personnel from 17 state agencies and the Office of the Attorney General, spearheaded by the departments of Health and Drug and Alcohol Programs.

Work to address the opioid crisis focuses on three areas: prevention, rescue and treatment. Efforts over the past several years, working with state agencies, local, regional and federal officials, have resulted in significant action to address the opioid crisis:

  • Secretary of Health Dr. Rachel Levine signed an updated naloxone standing order permitting community-based organizations to provide naloxone by mail.
  • The Prescription Drug Monitoring Program has reduced opioid prescriptions by 47 percent and has virtually eliminated doctor shopping.
  • The number of people receiving high dosages of opioids (defined as greater than 90 morphine milligram equivalents per day) has dropped 57 percent since the PDMP launched in August 2016.
  • The Opioid Data Dashboard and Data Dashboard 2.0 has provided public-facing data regarding prevention, rescue and treatment.
  • 11 Pennsylvania Coordinated Medication Assisted Treatment (PacMAT) programs are serving as part of a hub-and-spoke model to provide evidence-based treatment to people where they live, with just under $26 million dedicated into the centers.
  • More than 45 Centers of Excellence, administered by the Department of Human Services, provide coordinated, evidence-based treatment to people with an opioid use disorder covered by Medicaid. The COEs have treated more than 32,500 people since first launching in 2016.
  • The waiver of birth certificate fees for those with opioid use disorder has helped more than 5,400 people, enabling easier entry into recovery programs.
  • A standing order signed by Dr. Rachel Levine in 2018 allowed EMS to leave behind more than 2,400 doses of naloxone.
  • Education has been provided to more than 7,000 prescribers through either online or face-to-face education.
  • 882 drug take-back boxes help Pennsylvanians properly dispose of unwanted drugs, including 178,540 pounds of unwanted drugs in 2019. 2020 data is not yet available because of COVID.
  • The Get Help Now Hotline received more than 44,000 calls, with more than half of all callers connected directly to a treatment provider.
  • The state prison system has expanded their Medication Assisted Treatment (MAT) program, which is viewed as a model program for other states.
  • A body scanner pilot project was successful in reducing overdoses and violent crime in a number of facilities. Body scanners are in place in more than 30 locations and are currently being expanded to additional facilities.
  • Several agencies have worked together to collaborate on the seizure and destruction of illicit opioids across Pennsylvania.
  • Education and training on opioids have been provided to schools. Future plans are in place to make opioid education a standard component of school-based training.
  • The coordination with seven major commercial providers has expand access to naloxone and mental health care, while also working to make it more affordable.
  • Naloxone has been made available to first responders through the Pennsylvania Commission on Crime and Delinquency since November 2017, with more than 72,000 kits made available and more than 16,241 overdose reversals reported through the program. More than 6,600 of those saves occurred in 2019.
  • EMS have administered more than 47,000 doses of naloxone and more than 10,000 doses were made available to members of the public during the state’s naloxone distribution last year.

For more information on Pennsylvania’s response to the opioid crisis visit www.pa.gov/opioids.