Bird flu continues to infect cattle, but national testing for humans is stymied; only about 45 people have been tested

So far, H5N1 has not spread from human to human.

Despite studies showing Americans have little to zero immunity to H5N1, the strain of bird flu that has infected more than 100 herds of dairy cows and at least three farm employees, the Centers for Disease Control and the Food and Drug Administration are distributing bird flu tests at a snail's pace. "The U.S. has tested only about 45 people across the country," reports Amy Maxmen of KFF Health News. Without more testing, knowing how many dairy workers are infected is impossible. "A lack of testing means the country might not notice if the virus begins to spread between people — the gateway to another pandemic."

The CDC has around 1 million tests available, but the channels for getting the tests aren't the norm. Nirav Shah, principal deputy director of the CDC, "is concerned because the CDC and public health labs aren't generally where doctors order tests from. That job tends to be done by major clinical laboratories run by companies and universities, which lack authorization for bird flu testing," Maxmen explains. "Researchers cite testing failures as a key reason the U.S. fared so poorly with Covid."

Testing is critical to stemming a pandemic, but the U.S. needs to include clinical laboratories in the testing supply chain. Alex Greninger, assistant director of the University of Washington Medicine Clinical Virology Laboratory, told KFF News, "Clinical labs are part of the nation's public health system. . . . Pull us into the game. We're stuck on the bench."

Meanwhile, H5N1 will continue to evolve, and the virus could begin to spread from person to person vs. cow to person, which is yet another reason "to involve clinical laboratories. . . so the nation can ramp up testing," Maxmen writes. "The fastest way to get clinical labs involved, Greninger said, is to allow them to use a test the FDA has already authorized: the CDC's bird flu test. . . . The CDC opened up that possibility by offering royalty-free licenses for components of its bird flu tests to accredited labs."

While several commercial labs requested those licenses, getting FDA approval has hampered progress. "The CDC has given seven companies licenses for its tests — although none have been cleared to use them by the FDA," Maxmen reports. "Greninger said the delays and confusion are reminiscent of the early months of Covid, when federal agencies prioritized caution over speed. Test accuracy is important, he said, but excessive vetting can cause harm in a fast-moving outbreak like this one."

To learn more about the evolution and transfer of viral zoonotic diseases, click here. 

Drinking raw milk might have a cult following, but it contains harmful pathogens that make people sick

Pasteurized cow's milk is safe and nutritious
to consume. (Photo by Suvrajit, Unsplash)

Advocates may tout raw milk as nutritionally superior to pasteurized milk, but little research supports their claim. The risks involved in raw milk consumption outweigh any possible benefits, write Juan Silva, Joel Komakech and Mandy Conrad for The Conversation, a journalistic platform for academics. "Despite an ongoing outbreak of bird flu in dairy cows, the popularity of raw milk has only risen. . . . Since cattle can shed viral material into their milk, not only can pathogens end up in milk, but at least three farmworkers reportedly contracted H5N1. . . . Farmworkers can get sick by handling infected animals or their byproducts, such as raw milk." 

Below are the authors' slightly edited answers to questions about pasteurized and raw milk. 

What is pasteurization? Does it destroy nutrients?
Pasteurization uses heat to kill harmful microorganisms, including bacteria, viruses and parasites. The process "reduces the total number of microorganisms in the product and also inactivates enzymes that could contribute to spoilage. . . . The taste, nutritional value and quality of pasteurized products aren’t significantly affected by the process."

Is raw milk healthier? No. There is little science behind this idea:

• Raw milk does not improve lactose intolerance.
• Raw milk also does not have more vitamins than pasteurized milk.
• Vitamin D is added to pasteurized milk to enhance your body’s ability to absorb the calcium in milk.
• Raw milk is generally lacking in probiotics and has significantly more harmful bacteria.
• Raw milk does not help consumers "gain" H5N1 immunity. No scientific evidence supports that drinking raw milk can improve immunity against disease.

Can consuming raw milk make someone sick? Yes. Unpasteurized milk can contain harmful microorganisms: "Raw milk has been associated with hundreds of foodborne disease outbreaks. . . . A number of outbreaks and recalls related to pathogens in raw milk have already occurred in 2024. In all cases, pathogens in the raw milk that cause human diseases were directly responsible for these illnesses. . . . Some illnesses from the pathogens in raw milk can have serious long-term effects, including paralysis, kidney failure and death."

Is eating products such as cheese or yogurt made with raw milk safe? No. "Only products that undergo a process to inhibit or kill harmful microorganisms may be safe enough to be made from unpasteurized milk. However, the potential for cross-contamination of raw and cooked food as well as the survival of pathogens from inadequate processing is high when products are made with raw milk."

Can pasteurized milk cause illness? "The few reported outbreaks associated with pasteurized milk can be traced to contamination after pasteurization. When handled properly, pasteurized milk is a very safe product."

Final thoughts? Drinking raw milk that contains H5N1 can make a person sick and help the virus evolve into something more dangerous. "People who contract bird flu from raw milk run the risk of transmitting it to other people or animals by giving the virus a chance to adapt and improve its ability to spread between people. This increases the risk of more widespread disease outbreaks."

An EMS system in Letcher County, Kentucky, could serve as a warning for other struggling rural emergency services

When rural fire departments struggle to make ends meet, taking out a loan to cover costs may make sense. But as emergency services in Letcher County, Kentucky, discovered, that can lead to serious problems.

"Letcher Emergency Medical Service is deep in debt and hemorrhaging money, with some employees saying they have missed paydays and a Chicago area lender with a history of lawsuits against it threatening to repossess everything the service owns," reports Sam Adams of The Mountain Eagle in Whitesburg, Kentucky. "Employees say most if not all of those who missed checks have now been paid, but some have left the ambulance service for other pursuits, worried there won't be any money to pay them."

A natural disaster followed by missteps that hurt Medicaid reimbursements is partly blamed for Letcher EMS's financial woes. "After the 2022 flood, Letcher EMS changed its mailing address from the destroyed firehouse and ambulance station to a board member's home," Adams explains. "When Medicaid figured out it was a residential address, it stopped sending checks. That problem ballooned into another one. No checks from Medicaid, no checks to employees and no money to pay debts."

Shawn Gilley, executive director of the service, agreed that the "service has had financial difficulties, but said he has partnered with an unnamed financial backer to pay off debts and try to keep the service open," Adams reports. "Beginning earlier this year, a man identifying himself as Paul Graver of First Government Lease in Northfield, Illinois, began calling The Mountain Eagle asking for information about Letcher Volunteer Fire Department and Kingscreek Volunteer Fire Department and trying to get the newspaper to write a story saying Letcher owed him money."

Grave "listed 11 ambulances and fire trucks as being subject to repossession in a phone call with the newspaper."

While Letcher EMS leadership admitted to borrowing from First Government Lease, it's difficult to say how much is owed or what equipment could be repossessed. "Gilley acknowledges that he borrowed the money. . .. Both [Gilley and Fire Chief Wallace Bolling] have said that First Government has no claim on the fire trucks," Adams reports. 

Letcher EMS is one of several EMS organizations that are financially entangled with First Government Lease. "Court records show fire departments from Warfield, Ky., Pigeon Roost, Ky., Pinecrest, Tenn., Clinton, La., Alexander, Ark., Scott County, Ark., and Illinois" are involved with the company, Adams writes. 

East Palestine's controlled chemical burn in 2023 spread pollutants to at least 16 states, new study shows

Norfolk Southern's controlled burn spread chemicals
to surrounding states. (Adobe Stock photo)

In February 2023, a Norfolk Southern train derailed in East Palestine, Ohio, leading to an explosion and a toxic vinyl chloride spill. The subsequent controlled burn, which was intended to prevent further explosions, created a plume that spread air pollutants to at least 16 states, according to research published in the journal Environmental Research Letters, Zack Budryk of The Hill reports. The cloud "reached as far north as New England . . . according to researchers from the University of Wisconsin. They found the overall radius spanned more than 540,000 square miles."

Researchers studied soil samples before and immediately after the spill to evaluate the burn's reach. "They found evidence of high chloride concentration in states including Virginia, South Carolina and Wisconsin, as well as particularly high concentrations near Canada's border with New York, an area downwind of the crash site," Budryk explains. 

The chemical plume may have also changed precipitation pH levels in surrounding areas. "Researchers found unprecedentedly high, or more basic, pH values across a broad belt in the Midwest and Northeast," Budryk reports. "They also found elevated alkaline and earth metals levels, in some cases within the 99th percentile of measurements for the last decade."

The study's lead researcher, David Gay, said, "All of these pollutants are important in the environment because their accumulation has an impact on the Earth's aquatic and terrestrial environments in many ways."

In March 2024, the chair of the National Transportation Safety Board, Jennifer Homendy, testified at a Senate hearing that the deliberate burn was not necessary because there was no risk of additional explosions.

A simple tool can help identify and treat addiction while creating data for future programs and policies

Using evidence-based addiction screening tools can help
current and future patients. (Adobe Stock photo)

Treating opioid addiction requires practitioners to use multifaceted approaches, and adding process for regularly screening for Opioid Use Disorder is a small tool that can make big difference in patient intervention and data-driven policy, reports Kaitlyn Levinso of Route Fifty. "An under-utilized 'starting point for evaluating care is measuring what portion of the population is diagnosed with OUD. Knowing this information will help policymakers understand how well treatment systems identify people with OUD, which is the first step in getting them needed care,' said Alexandra Duncan, project director of Pew Charitable Trust's substance use prevention and treatment initiative."

Only two states are measuring for OUD as a part of their regular assessment tools for Medicaid patients. "Indiana and West Virginia have leveraged the Screening, Brief Intervention and Referral to Treatment, or SBIRT, model, an evidence-based approach for talking with patients about the use and misuse of drugs and alcohol," Levinso writes. "It helps health care providers flag concerning substance use behaviors in Medicaid patients and intervene with necessary resources and services to aid patient prevention or treatment and recovery of SUDs."

The Indiana SBIRT program provides practitioners with alcohol and drug abuse screening tools, Levinso reports. They also use "the CRAFFT tool, which helps identify substance use and associated behaviors in youth and adolescents, among others. The SBIRT model has been expanded for use at community health centers, federally qualified health centers and rural health centers in Indiana."

As states receive opioid settlement funds distributions, it could be an opportune time to focus on screening as a relatively inexpensive way to combat OUD. Duncan told Levinso: "These data will provide states with crucial information on allocating scarce resources more effectively, whether through increasing SUD screening or other data-driven treatment system improvements."

Where tornadoes develop has shifted more to the East; Southern and Midwestern states are now at greater risk.

With the right elements, tornadoes are possible
in all 50 states. (Adobe Stock photo)

Over the past 50 years, where tornadoes develop has shifted from the Great Plain's infamous "Tornado Alley" to Midwestern and Southeastern states, a new study published in the Journal of Applied Meteorology and Climatology finds. The recent research "confirms the legitimacy of this shift and highlights a change in when tornadoes are likely to occur," reports Matthew Cappucci of The Washington Post. "The results spell problems for residents of the Midwest and Southeast, where a higher population density and a greater prevalence of mobile homes lead to a more serious vulnerability to tornadoes."

Researchers don't know why tornado prevalence has shifted East, but their findings show an increased tornado risk across the South, with lower risk in the Plains. "Researchers not involved in the study said the reported trends are convincing but pointed out some limitations in the analysis," Cappucci explains. Karen Kosiba, a tornado researcher at the Center for Severe Weather Research, said "the greater population density in the Southeast compared with that in the Plains exposes it to more damage. That may be part of why twisters in Alabama and Mississippi appear to be on the ground for longer compared with their Plains counterparts."

The study confirms what many social scientists and meteorologists had feared. "The South, where tornado vulnerability is particularly high because of its dense population and concentration of mobile homes, may now be subject to an even greater risk," Cappucci reports. "It remains unclear whether this apparent eastward shift in tornado incidence is something that will reverse or become more pronounced. . . . Researchers hesitate to say what will happen next."

Victor Gensini, a leading researcher on tornado trends in the United States, "isn't persuaded that the shift is enduring," Cappucci adds. "Because twister hot spots jump around so much, Gensini and other researchers have expressed a general dislike for the term, 'Tornado Alley.'" Gensini told him: "We need to stop using tornado alley to describe a specific region. The reality is that tornadoes can occur in all 50 states on any calendar day if the ingredients are present."

Reporting on tornado protocols and resources can help your community be safer should a twister touch down

Tornadoes in Pender, Nebraska, pop. 1,100, on June 16, 2014.
(Photo by Brent Koops/NOAA, Flickr CC via SEJ)

More than 100 tornadoes touched down across the Great Plains and Midwest in April, leaving swaths of wreckage and some fatalities in their wake.

With continued severe weather still possible, journalists can help keep their communities informed on tornado protocols and what to do if a touchdown is imminent. "With preparedness, many fatalities and injuries can be prevented or minimized," reports Joseph A. Davis for the Society of Environmental Journalists. "Public awareness of how to improve safety can be made better with media coverage." The best time for journalists to ask themselves what they can do to ensure their community is ready should disaster strike is before an emergency. Below are some edited story tips from Davis:

• What is the historical record of tornadoes in your state? What are the most recent trends? Ask researchers at local universities.
• Does your community have Doppler radar coverage? Researchers have found "radar gaps," which leave some communities less protected.
• Ask local meteorologists how they get their tornado information.
• How (and how well) does the emergency notification system work in your area? Who runs it? Who cooperates? What technology platform does it use? Is it effective at warning people? Is there a big siren? How does it work in remote areas?
• Is your community hooked into the federal Emergency Alert System? Does it have "reverse 911"? Do people know how to get alerts on their phones?
• Do people in your community have tornado-safe shelters such as storm cellars? Do people typically have basements?
• Does your community have mobile home parks, nursing homes, schools or daycare facilities? Talk to the managers and residents of these especially vulnerable facilities about whether/how they are prepared to handle tornado emergencies.

Weather reporting tools:

• NOAA National Severe Storms Laboratory: Centered in Norman, Oklahoma, this federal agency under the National Oceanic and Atmospheric Administration is all about tornadoes.
• National Weather Service: NOAA agency makes basic weather predictions. Most important is the national network of local NWS Forecast Offices (see the directory here).
• NWS Storm Prediction Center: This part of the NWS predicts severe storms, including tornadoes.
• State emergency agencies: Most states have one, although names may vary. Use this directory search to find your area.
  

Standard tornado-preparedness advice: The Federal Emergency Management Agency, National Weather Service, and the American Red Cross provide many easy-to-use summaries of good advice on safety in tornadoes.

The U.S. is in the middle of a 'silver tsunami' as the country is becoming 'the land of the senior citizen'

As America ages, more citizens will require unique
care from multiple sectors. (Adobe Stock photo)

As millions of Americans enter their mid-60s, the country is fast becoming "the land of the senior citizen," where government agencies and systems are busy working to accommodate an aging population. "More Americans are about to be 65 years old than ever before. A record number will hit the milestone this year—about 4.1 million. But it's just one of many waves in the 'silver tsunami,' a metaphor often used to describe the aging of America," reports Susan Miller of Route Fifty. "Since 2011, 10,000 Americans have been turning 65 every day, a trend that the Pew Research Center says will continue through 2030." The need for aging accommodations for rural residents may be particularly needed since its population already skews older.

As the number of older residents increases throughout the United States, health care, housing and transportation systems will need additional resources to meet senior needs. To help states support the transition, the Department of Health and Human Services issued a report outlining supportive measures for aging Americans. Miller explains, "It details the web of services an aging society will need beyond financial security, safe housing and adequate health care. . . . The framework comes as several states have also started planning for their aging populations."

Some states have already created programs aimed at helping aging Americans. "New Jersey released its 'age-friendly blueprint,' which provides strategies and best practices to improve the state’s communities for older adults and enable people to remain in their homes and communities as they age," Miller reports. "The state is also putting some funding behind its plan. . . . [Its] Human Services Department is dedicating $5.5 million to launch an age-friendly community grant program later this year."

Other states are developing 10-year plans, also known as "multisector plans for aging," which outline "restructuring state and local government to address the needs of older adult populations," Miller writes. "According to the federal strategic framework, four states have legislation or an executive order to develop an MPA, and seven are in varying stages of implementing plans."

When relatives want to age at home, family caretakers struggle with two jobs. It's more difficult for rural residents.

Responsibility for aging family members can take a toll
on home caretakers. (Adobe Stock photo)

A growing number of Americans are working two jobs: one to pay the bills and a second unpaid job caring for an aging family member. "The double shift can come at a career cost. Caregivers who are also working full-time report turning down promotions or seeking less-demanding assignments," reports Clare Ansberry of The Wall Street Journal. "Some switch companies or say they've had to choose care duties over their careers." Even if the older relative still lives independently, the juggling still can be taxing.

In rural communities, aging residents prefer to have family members care for them, but they have additional challenges. "Like older adults across the country, rural seniors tend to want to age in their communities, amid familiar people and places," report Martha Hostetter and Sarah Klein for The Commonwealth Fund. "But with fewer health care providers, fewer professional caregivers, and fewer young people than in urban areas, rural communities struggle to care for aging residents."

Both rural and urban families struggle to balance elderly care with life's other duties. "An estimated 29 million workers, from senior managers to retail clerks, work while also caring for an adult family member, according to research by AARP and the National Alliance for Caregiving," Ansberry writes. "Care demands on workers are growing because people are living longer with chronic illness. . . . A large share of people want to age at home but need lots of help from family members to do so."

Many companies don't offer eldercare options, so employees often have to sandwich in a loved one's medical appointments during breaks and use vacation time. "Some working caregivers have been called in to talk with their bosses about performance. Others say they haven't used a vacation day for an actual vacation in years," Ansberry reports. "Tensions can run high between employees and employers over caregiving."

Rural communities are working on ways to help residents get to appointments and social events without solely relying on family members. "St. John's United, a member of the Rural Aging Action Network, provides senior housing in and around Billings, Montana," Hostetter and Klein report. "In 2019, St. John's launched 'At Home' services for clients living in their own homes. This monthly subscription service is offered on a sliding scale and provides seniors with rides to medical appointments, help with household tasks, social outings, and other supports."

For information on aging in place and what creative solutions and resources exist or can be cultivated, click here. 

Today at 1 p.m., E.T.: Exploring and celebrating rural America with The Rural Assembly's "Rural Everywhere" event

Amid election tensions, negative news and an inflationary economy, it can be important to focus on the good things America has going — especially in rural places.

To that end, The Rural Assembly is hosting a free virtual gathering, Rural Assembly Everywhere 2024: Nurturing Thriving Communities, on Thursday, Aug. 1, from 1 to 3 p.m., E.T. While the session is open to anyone, it is specially designed for rural advocates and the rural-curious listeners and leaders.

To register, click here.

The event will unpack the essence of rural life and examine how rural people can enrich their communities. 

To help others join the conversation, The Rural Assembly is seeking rural stories or video submissions that showcase the nurturing and thriving spirit within rural individuals, communities or organizations. The Assembly also will host a community chat with questions and discussions before the event.

For more information on submissions or joining the conversation, click here.

Remember Flag Day: It may not be the biggest holiday, but it celebrates one of America's most unifying symbols

The U.S. flag may be the country's nation’s 'most enduring symbol.' (Adobe Stock photo)

Today is Flag Day, which may leave some asking questions: What is Flag Day? Where did it start? And how is it different from July 4th? 

Flag Day originated in tiny Waubeka, Wisconsin, population 657. "This unincorporated Wisconsin town about 35 miles north of Milwaukee takes the day seriously," report Teresa Crawford and John O'Connor of The Associated Press. "After all, it lays claim to being the birthplace of Flag Day, thanks to a tenacious teacher in a one-room schoolhouse."

Flag Day is set aside to be a day of national pride and focuses on commemorating the historic events of June 14, 1777, "when the Continental Congress determined the composition of the nation's banner: 'Resolved, That the flag of the thirteen United States be thirteen stripes, alternate red and white; that the union be thirteen stars, white in a blue field, representing a new constellation," Crawford and O'Connor explain. "President Woodrow Wilson issued a 1916 proclamation of June 14 as Flag Day, and in 1949, President Harry S. Truman signed the formal observance into law."

Flag day is different from Independence Day because July 4th celebrates our division from England and the country's birth. Flag Day reveres the solidification of the iconic American flag, which, from 1777 through the present, is a symbol of national unity.

Waubeka, Wisconsin, celebrates Flag Day with an old-fashioned parade complete with candy toss-outs, rows of tractors and emergency service vehicles replete with red, white and blue. But the fun doesn't stop there. Crawford and O'Connor add, "Along with the parade, the bands, the patriotism awards, the military honor guards . . . The celebration includes an annual essay contest and draws entries from across the nation — this year from New York to Nevada and Wisconsin to Texas."

Among this year's essay entrants, Neel Sood, a 4th grader from Bridgewater, N.J., wrote, "The stars and stripes 'represent a nation where immigrants like my grandparents are welcomed, where diversity is celebrated and where justice is present for all,'" AP reports. "Ryan Spang from Adell, Wisconsin, wrote, 'The American flag represents unity. We are one nation, united by our similarities and differences. We support people in our communities in times of need, and we cheer them on in times of achievement.'"

To learn more about Flag Day's history and meet Waubeka's parade "mascot" -- a delightful Jack Russell terrier with the most patriotic stance and cutest hat -- click here.

Latest round of federal grants focuses on communities with less than 10k population; helps with energy bills, projects

Workers in Washington preparing to place underground
electrical lines. (Washington State DOT photo, CC)

The federal government's newest round of grants will invest in communities with less than 10,000 people, with projects aimed at lowering residential energy bills and helping smaller communities transition to renewable energy. "The money will help fund 19 projects in Alaska, Oklahoma, Alabama, Maine and elsewhere," reports Will Wright of The Daily Yonder. "The amount of money being pumped into renewable energy sources over the last few years — particularly in rural communities — is 'game changing,' said Scott Vlaun, executive director of the Center for an Ecology-Based Economy, one of the grant recipients."

The energy installations will reach some areas that have never had electrical power before. Wright explains, "In Washington's Ferry and Okanogan counties, part of a $5 million grant is dedicated to extending underground electrical lines to about 135-190 homes that will gain access to electrical service for the first time." The Northeastern Washington counties are some of the state's poorest.

Money for rural solar will help residents and educational facilities save money. "Maine will receive about $3 million to install small solar projects that will help local families get cheaper electricity and, in some cases, allow families to move away from other, more harmful heating sources like kerosene," Wright reports. "At Mississippi's East Central Community College, a $2.8 million grant will help pay for solar installations that can provide clean power to 38 campus facilities."

This latest round of grants represents a shift in the way the applications were designed to help rural communities — especially those with a lower capacity to apply for grants — get through the grant-request process. "But in communities like those in western Maine serviced by the Center for an Ecology-Based Economy, Vlaun said this round of grants could have a big impact on the everyday lives of many rural residents," Wright adds. "Whether the current enthusiasm to spend federal dollars on renewable energy will continue may depend on the outcome of the November election, he said, and the effectiveness of propaganda aimed at reducing confidence in renewable energy."

When electrical companies shut off electricity for wildfire prevention, nursing homes can be caught unaware

Nursing homes are often forgotten during emergencies.
(Adobe Stock photo)

As climate change worsens extreme weather, some electric companies are opting to cut power as a wildfire prevention tool. The loss of electricity to entire regions, sometimes with little notice, has left some nursing home facilities scrambling for power during inclement weather.

With the increasing prevalence of preemptive power cuts, "nursing homes are being forced to evaluate their preparedness," reports Kate Ruder for KFF Health News. "But it shouldn't be up to the facilities alone, according to industry officials and academics: Better communication between utilities and nursing homes, and including the facilities in regional disaster preparedness plans, is critical to keep residents safe."

In the country's western half, nursing homes are particularly vulnerable and less likely to be prepared. "More than half of the nursing homes are within 3.1 miles of an area with elevated wildfire risk, according to a study published last year," Ruder explains. "Yet, nursing homes with the greatest risk of fire danger in the Mountain West and Pacific Northwest had poorer compliance with federal emergency preparedness standards than their lower-risk counterparts."

While the federal government mandates that nursing facilities have disaster preparedness plans, those plans don't always "include contingencies for public safety power shut-offs, which have increased in the past five years but are still relatively new," Ruder reports. "And nursing homes in the West are rushing to catch up."

Debra Saliba, director the University of California's Anna and Harry Borun Center for Gerontological Research, said "making sure nursing homes are part of [broader] emergency response plans could help them respond effectively to any kind of power outage," Ruder writes. "Too often, nursing homes are forgotten during emergencies because they are not seen by government agencies or utilities as health care facilities, like hospitals or dialysis centers, Saliba added.'"

Opinion: Keeping D-Day remembrance alive throughout this year's elections can help Americans support democracy

Omaha Beach 116th Regimental Combat Team Memorial
in Normandy, France. (Adobe Stock photo)

The 80th anniversary of D-Day occurred about a week ago, but how many Americans stopped to think about using that day's massive human undertaking as a sounding board for this year's elections? In his opinion for The New York Times, Garrett M. Graff encourages Americans to look at what the country accomplished together during the World War II years and use it as our North Star to guide how we support our democracy through this year's election cycle.

"Day by passing day, the Greatest Generation is coming toward its end. D-Day, June 6, 1944, had more than two million Allied personnel on the move across Operation Overlord, and today, perhaps a few thousand veterans remain," Graff writes. "As we mark the final passing of those who won that war, it's easy to get caught up in gauzy romanticism and lose sight of how the Axis powers unified the free world against them and showed Americans, specifically, what we are capable of."

As Americans follow this year's elections and prepare to vote, "it's worth asking what we are doing with the legacy that the Greatest Generation defended and bequeathed to us. . . . A story of hard-fought rights and bloodily defended liberties that each generation of Americans has handed down to the next," Graff says. "We now face the very real question of whether America will embrace a vision of a country less free and less democratic, more divided and more unequal. It would be a step backward unlike almost anything else in American history."

Consider D-Day's planning and execution. It was "a titanic enterprise, perhaps the largest and most complex single operation in human history — an effort to launch a force of more than a million men across the English Channel on more than 3,000 planes and more than 7,000 ships; to methodically transport entire floating harbors, a herculean secret project known as the Mulberries, as well as 300,500 gallons of drinking water and 800,000 pints of blood plasma, a stockpile carefully segregated, as mandated at the time, between white and Black donors."

What do we, as Americans, have in common with the soldiers and support personnel from 1944's Allied invasion? "Across the next few months, we will be hearing a lot of argument about what America is and what it isn't," Graff writes. "There's a simpler answer to that question than many would like to admit: What we'll fight for is who we are. And, as we look ahead, we must decide if we're still as willing today to fight for democracy as the generation who stormed Normandy was 80 years ago."

Quick hits: The resilient Mississippi River; pizza and sunscreen's shared ingredient; food costs; a new ice cream

 American Bald Eagle snatches its prey from the mighty Mississippi.  (Adobe Stock photo)

In the fall of 2022, the Mississippi River was drying up and commodity shipping was an expensive struggle. "Dropping water levels in the Mississippi River have caused shipping costs to rise just as harvest season approaches for many Midwestern soybean and corn farmers," reported Keely Brewer in a story for the Daily Memphian." By 2023, things had not improved. "Historic low flows turned the Mississippi River into a construction area in 2023 as the U.S. Army Corps of Engineers dredged huge quantities of sand to keep the channel open for barge traffic," reports Chloe Johnson of the Minneapolis Star Tribune. Earlier this year, "The U.S. Army Corps of Engineers announced that the drought that plagued the Mississippi River basin since 2022 was officially over." Despite this glorious improvement, here's how to keep caring for the mighty Mississippi. 

On a dairy farm where not everyone speaks the same language, confusion and frustration can impede good animal care. "Great animal welfare is only achievable when a dairy has a strong employee welfare focus," writes Dr. Kaitlyn Lutz for Lancaster Farming. "Consider these practical ideas to improve management as a step toward a culture of care for your employees and cows: 1. Use WhatsApp -- Your Hispanic workers are using it. If you're not, you miss a huge opportunity to connect. 2. Connect over family -- Ask employees about their families. Language barrier? Check out the PONS Translate app's conversation mode. Or, share pictures. 3. Build trust -- Trust is built through small and consistent actions over time."

Titanium dioxide is found in sunscreen and pizza.
Yuck. (Adobe Stock photo)

Adding sunscreen to your frozen pizza sounds disgusting. And yet, "If you have heard of titanium dioxide at all, you probably know it as an ingredient in sunscreen. But it is also used in lots of foods, from pizza and salsa to frosting and candy—and now, there is growing concern about the potential health risks of eating it," reports Andrea Petersen of The Wall Street Journal. "Some research, mainly in animals, has suggested that eating it might be linked to immune system problems, inflammation and DNA damage that could lead to cancer. . . . The European Union has banned titanium dioxide in food since 2022."

U.S. families continue to balance needs with costs.
(Adobe Stock photo)

U.S. consumers continue to grapple with high grocery prices, which drain their budgets and leave some families struggling to make ends meet. "Results from the most recent wave of the Gardner Food and Agricultural Policy Survey demonstrate that consumers perceive inflation and high food prices to be persistent problems," reports Brenna Ellison for Farmdocdaily. "Consistent with this, a recent Gallup poll found that 41% of households identified inflation as the most important financial problem they are currently facing. . . . Some retailers like Target, Walmart, Amazon, and Walgreens have announced they will be cutting prices on thousands of items."

Crop insurance helps provide income stability for food and animal producers who must make a living despite unpredictable weather, hungry pests and insidious weeds. This year marks the biggest acreage for U.S. crop insurance coverage. "Farmers and ranchers bought crop insurance policies on more than 500 million acres of land last year, the largest amount ever, driven by the surging popularity of forage policies," reports Successful Farming. "Overall enrollment in crop insurance was up 85% in the seven years from 2016, according to Department of Agriculture data."

No-melt ice cream could help some humans stay
cleaner. (Adobe Stock photo)

A creamy, cool, delicious ice cream cone is one of summer's simple delights -- until your dip starts dripping and your cone starts crumpling. Then the slurp and smear battle ensues. Could there be a less-melty way? "Cameron Wicks, a student at the University of Wisconsin, is working on a new technology that adds naturally occurring compounds [polyphenols] to ice cream," reports Elise Mahon for University of Wisconsin News. Wicks told Mahon, "We learned that adding polyphenols to ice cream can create a product that holds its shape for over four hours at room temperature. That's pretty close to a no-melt ice cream."

Hope rises: Housing developments are underway in Eastern Kentucky as communities rebuild after major flooding

Jenni Glendenning

By Jenni Glendenning
Institute for Rural Journalism, University of Kentucky

Eastern Kentucky’s recovery from the devastating floods of 2022 passed a significant, heartwarming milestone on Wednesday, June 5, as Melissa Neace got the keys to her new home.

Neace, of Perry County, is the 100th flood survivor to get a home built or rehabilitated by the Hazard-based Housing Development Alliance, one of several nonprofits working with state and local officials not only to rebuild for flood victims, but to address the region’s chronic shortage of housing and land available for it.

The effort has turned adversity into hope for scores of families in the region; more than 600 new homesites have been laid out, and many more are expected in the next few years with an influx of $298 million in federal disaster-relief money this year.

People involved in providing the Neace family a new home pose on its porch in Perry County’s
Blue Sky subdivision. Melissa Neace stands between the central porch pole and Gov. Andy Beshear.

“Today's celebration marks not the end but the dawn of a new chapter filled with promise and progress,” Scott McReynolds, head of HDA, which has built homes in Breathitt, Knott, Perry and Leslie counties for more than 30 years.

And not only government money is at work. “We've had hundreds of volunteers who have come out and swung a hammer, shoveled mud, whatever needed to be done,” McReynolds said. “We've had a lot of volunteers in the community that participated in case management, and the long-term recovery communities, and distribution centers.”

The outpouring of generosity extended far beyond local boundaries, McReynolds said during an event at Neace’s home in the Blue Sky subdivision next to the Wendell H. Ford Regional Airport. With donations pouring in from individuals, organizations, and even unexpected sources “like antique car clubs and Elvis impersonators,” from humble $5 contributions to substantial donations reaching $500,000.

HDA received $2.5 million from the state Rural Housing Trust Fund to build Neace’s home and 23 others, as well as to repair and renovate 16 existing homes. Other funding sources enabled it to rehabilitate about 60 more. All told, it and other agencies have built 63 new homes and rehabilitated 270, Gov. Andy Beshear said Thursday.

Much of that work was done with federal and state emergency funds. More housing announcements are expected after July 1, the deadline for applying for $298 million in federal Community Development Block Grant Disaster Relief funds.

At Wednesday’s event, Beshear said the vision for housing in the region extends beyond individual homes to the creation of whole new neighborhoods such as Sky View, east of Hazard, and Chestnut Ridge in Knott County.

This fall, he said, “We're going to see houses coming up on Sky View. The possibility between all the available land is for over 300 homes. We could have 1,000 people eventually living in that community. That is not just a response, that is a solution – both to what happened and to the housing crunch and crisis that we face around Kentucky.”

Hazard Mayor “Happy” Mobelini said at the event that he believes “Perry County is better today than it was before the flood happened.”

Neace, who is orignally from Jackson, received the keys to her home with her daughters Rachel, 18, and Beth, 16, and their Husky, Nuka. They lived for 20 months in a trailer provided with emergency funds.

“I’m excited to get out of the camper but grateful to have had it because I would have been homeless if I didn’t,” said Neace, who is disabled with lupus and unable to work. “We’ve been in a small place for so long, it’s going to be great cooking meals in this big kitchen.” The girls said they were looking forward to having their own rooms and their own beds.

Blue Sky is a private development that began development before the floods, on reclaimed strip-mine land. HDA bought 12 lots to build homes for flood survivors.

Here’s a rundown of other projects, generally in the order that homes are likely to be occupied:

The Cottages at Thompson Branch in Whitesburg (Letcher County) was the first high-ground site to be developed after the floods. Two of 10 homes for survivors have been completed by Housing Oriented Ministries Established for Service (HOMES Inc.).

In Wayland (Floyd County), the Appalachia Service Project, which uses volunteer labor, is completing its 11th home for flood survivors on 4 acres the Foundation for Appalachian Kentucky bought from the Wayland Volunteer Fire Department for $200,000. Families are preparing to move in this month.

In Prestonsburg (Floyd County), the state Department for Local Government and Mountain Housing Corp. of Prestonsburg will use a federal community development block grant build 33 new homes, and rehab one house, for flood survivors. Groundbreaking on New Hope Estates is expected this summer.

The largest project in the works is Chestnut Ridge, to be built in two phases on former coal property. The state first acquired 100 acres to build 147 homes, but construction will start first on 57 homes on 27 acres adjacent to the state land. Western Pocahontas Properties, a natural-resources company, donated the property, and Joe and Kelly Craft donated $4 million to the Foundation for Appalachian Kentucky to start construction.

“We got started a little bit before the state did and we've had some private money, so we've been able to go ahead and get started building on this first section,” said Gerry Roll, the foundation’s founder in residence. She said the two developments are “staying coordinated on power and broadband and the main road” that is being built to the area.

These first 57 homes will be built and funded through public and private partnerships of HOMES Inc., HDA, the Appalachia Service Project and Samaritan’s Purse, an international relief organization.

Three other developments have master plans in the works, said Logan Fogle, spokesman for the Department for Local Government.

The first phase of Sky View would have up to 102 homes on 50 acres donated by the Ison family. Geotechnical and environmental reviews are complete, and an access road is under construction. Another 375 acres, in the next three phases, would have 300 to 350 housing sites.

Olive Branch, in Knott County near the Perry County line, has a plan for 132 homes on approximately 77 acres donated by Shawn and Tammy Adams. The Right-of-way plans are in development for the initial access road.

Grand View in Jenkins includes up to 116 homes on 92 acres donated by the Johnson family. An environmental review is underway, and funding applications for water and sewer lines are being submitted.

Also in Letcher County, the county government has outlined a comprehensive plan, allocating $8.7 million to build 29 homes in Seco and Uz. This includes the necessary infrastructure such as roads, water, sewer, and electricity.

In Breathitt County, the City of Jackson is using $2.36 million to build eight homes for flood survivors. Beshear said Thursday that FAHE, formerly the Federation of Appalachian Housing Enterprises, hopes to break ground “in the next 30 days.”

In addition to the new communities, the state’s Team Eastern Kentucky Flood Relief Fund has partnered with HOMES Inc., the Housing Development Alliance, and Partnership Housing of Booneville to build 19 homes in Breathitt, Floyd, Knott, Letcher, Martin, and Perry counties, providing over $1.4 million in relief.

To the west, in Laurel County, Clayton Homes and Beshear broke ground in May on Redbud Estates in London, featuring 51 energy-efficient CrossMod® homes eligible for conventional financing programs. This type of construction, manufactured homes completed on site, could offer housing solutions for other regional developments due to the off-site construction processes and their energy efficiency.

What about rental housing, which can’t get emergency funds? The forthcoming $298 million in federal community development block grant disaster funds for 2022, can be used to build rental housing. The DLG and the state’s Kentucky Housing Corp. used a coordinated application process for $59.7 million in CDBG money for Western Kentucky tornado victims, and on June 3 announced $233 million in financing for 953 rental units in four counties.

The agencies plan to use the same approach for Eastern Kentucky, but Beshear cautioned that it will be more difficult in the east due to the region’s lack of land available for development and the lack of income to support market-priced housing. Also, apartment living is not as common in the east as it is in the west.

“People like to own the land, and it is a very important part of our history and culture because families are tied to the land, and apartment living has not been historically feasible or realistic in our area,” Roll said. “I wouldn't say people are opposed to it, as much as it's just a foreign concept, it's not something that people are accustomed to.”

There is not a lot of flat land in the region that has not been mined, making big apartment complexes unrealistic, Roll said. In addition to topography, income levels in the region often fall short of the rent needed to cover the costs of development and maintenance, making it almost impossible to maintain fair market rents.

Zack Hall, community engagement officer at the Foundation for Appalachian Kentucky, does believe there is a market and a need for apartment rentals in Hazard. “I'm in the 20-to-30 age group of young professionals and know of people my age who want to move back to the area but aren’t ready to buy a house yet, but there aren’t apartments available.” he said.

Pam Johnson, FAHE’s executive vice president of business development and outreach, like Roll, feels like apartment living “isn’t within the culture of the region” and feels that it would “lean more into duplexes and triplexes” when considering multifamily rentals.

Jenni Glendenning, a Ph.D. student at the University of Kentucky, is the David Hawpe Fellow in Appalachian Reporting for UK's Institute for Rural Journalism. Reach her at jenni.glendenning@uky.edu.

The Affordable Connectivity Program helped millions of rural and tribal Americans gain Internet access -- now what?

ACP helped rural and tribal resident bridge the
digital divide. (Adobe Stock photo)

During the pandemic years, rural and tribal communities learned to rely on affordable internet services provided in part by the federal Affordable Connectivity Program. The more dependable and budget-friendly connection helped residents use the web for telehealth appointments, online ordering and remote learning, reports Sarah Jane Tribble of KFF Health News. In May, the ACP ran out of money, and many residents are considering what they may have to sacrifice to keep reliable internet service without the subsidy.

Although the ACP eventually enrolled around 23 million low-income households -- or one in six American families -- its funding was not renewed. "Sen. John Thune (R-S.D.) challenged an effort to continue funding the program, saying during a commerce committee hearing that the program needed to be revamped," Tribble writes. Thune claimed that ACP did not reach those that "truly needed it."

Despite a hive of legislative workers trying to iron out the program's shortcomings, funding for ACP ended; however, the Biden administration "announced that more than a dozen companies — including AT&T, Verizon, and Comcast — would offer low-cost plans to ACP enrollees," Tribble reports. "The administration said those plans could affect as many as 10 million households."

Without the ACP, many rural families may be unable to bridge the digital divide. "According to a survey of participants released by the Federal Communications Commission, more than two-thirds of households had inconsistent or no internet connection before enrolling in the program," Tribble explains. "The FCC said that ending the program will affect about 3.4 million rural and more than 300,000 households in tribal areas."

Opinion: U.S. must invest in water infrastructure or face cities and towns with problems like Atlanta, or worse

Old pipes are just one part of U.S. water infrastructure
that needs repair and redesign. (Adobe Stock photo)

Reflecting on the recent water pipe bursts in Atlanta, Joseph W. Kane discusses the unwanted but predictable tide of water problems that await U.S. cities and towns in his opinion for Brookings.

"The country is once again grappling with an age-old conundrum: how to stay ahead of an increasingly intractable list of water infrastructure challenges," Kane explains. "From Flint, Mich., to Jackson, Miss., to a seemingly unending number of urban and rural communities, the country's water infrastructure is aging and in need of repair."

The "fix-it" list contains a litany of put-off or ignored problems that, should they remain on the back burner, will become an "Atlanta-sized" problem or worse. "Contaminated drinking water, including lead pollution, leaking pipes, sewer overflows, and other chronic issues persist too," Kane writes. "The ripple effects of these failures are also extensive across different systems, leading to network failures across neighborhoods and entire regions."

America's water bill is enormous, and the work that must be undertaken is staggering. "More than $600 billion in investment is estimated to be needed over the next 20 years to keep up with all the necessary improvements, according to the latest EPA national water assessments," Kane adds. "The financial pressure is immense on local utilities — and other state agencies — who are constantly trying to cobble together enough resources to stay ahead of these needs."

How do we create solutions? "The first step is to establish increased, sustained federal water funding. While the Infrastructure Investment and Jobs Act pumped about $57 billion into a host of different water infrastructure improvements, this figure still pales in comparison to the price tags noted earlier," Kane writes. "The second step is to support continued local and state experimentation. While many utilities are struggling to simply keep up with existing repairs, that should not be an excuse for failing to test more proactive and collaborative solutions."

A few rural communities chose an emergency-only hospital instead of no local hospital

Becoming an ER-only hospital can be lifeline for 
struggling rural medical centers. (Adobe Stock photo)

Rural hospitals continue to face uphill battles to stay open and fiscally afloat. Many have reduced specialty services to cut losses, and hundreds have shut down. To stem closures, the federal government began offering hospitals the option to remain open as emergency care facilities, allowing for higher Medicare funding and reimbursement payments, reports Anna Claire Vollers for Stateline. "But there's a catch: Participating hospitals must stop all inpatient services. No labor and delivery, no inpatient surgeries, no inpatient psychiatric units."

The new designation means rural emergency centers have two patient care options: Treat and release or stabilize and move to a bigger "flagship" hospital, most likely in a metro or urban area. It's a difficult change for communities, but some have decided an ER-focused hospital is a better alternative than no hospital at all. Vollers writes, "More than two dozen hospitals across the country, including five in Mississippi, have taken the offer. . . . Community reaction has been mixed, said Chad Netterville, director of the Mississippi Hospital Association's Rural Health Alliance."

The change isn't a silver bullet for rural hospitals that face multiple issues, including an aging, sicker population and a payer mix that includes more uninsured or under-insured patients. With that combination, many smaller hospitals are deeply in debt, but their closure could hurt rural residents. "Nearly one-third of rural hospitals around the country are at risk of closing, according to a new report from the Center for Healthcare Quality & Payment Reform, a national health policy research group," Vollers reports. "Research suggests rural hospital closures increase community death rates, harm local economies and force patients to travel farther for care."

With few financial tools available, some "27 hospitals have joined the program, out of 1,700 that researchers estimate are eligible, according to the Cecil G. Sheps Center for Health Services Research at the University of North Carolina," Vollers reports. "In the middle of it all, rural communities are waiting to see what this 'better-than-nothing' approach to health care will mean for them."

Modernizing the U.S. Postal Service is a huge undertaking; troubles at new processing center highlights the obstacles

The U.S. Postal service was once focused on moving
flat letters vs. packages. (Adobe Stock photo)

The opening of a new U.S. Postal Service mail and package-processing center near Atlanta exemplifies how difficult it will be to modernize the national carriers' network and delivery services. "Signs of trouble appeared days after the opening," reports Ester Fung of The Wall Street Journal. "Packages piled up on conveyor belts. . . .Trucks lined up for hours outside waiting for space at the loading docks."

Appointed Postmaster Louis DeJoy has said the work is "'simple stuff,' but union leaders are pushing against a rush to implement plans, insufficient training and poor management from inexperienced supervisors," Fung explains. "Employees said the new sorting machines were overwhelmed by the volume of mail and packages. . . . Dozens of workers didn't show up, saying work reassignments went against longstanding job-bidding processes established in collective-bargaining agreements."

Meanwhile, the U.S. Postal Service has lost money in 16 out of the past 17 years. DeJoy's overarching $40 billion plan is to update processing centers, cut costs and gain a greater market share of package shipping to turn profits. Executing those changes has been a rough route. Fung reports, "It is overhauling its vast network of sorting centers and truck routes that had long been focused on moving flat letters. [The plan] includes outfitting sorting centers with new equipment, purchasing electric vehicles to replace aging trucks, and consolidating processes and facilities."

Internal restrictions often prevent the Postal Service from recovering losses compared to its competitors, which can change prices to meet their costs. The Postal Regulatory Commission "limits what the Postal Service can charge customers," Fung reports. The Postal Service is also burdened with "a costly mandate to deliver to every address." Carriers such as FedEx and the United Parcel Service don't face those obstacles to profitability.

Because of the 2024 elections, the Postal Service is under increasing pressure to prove it can efficiently and consistently deliver mail on time. "It has to ensure it can handle mail-in ballots for coming elections as well as negotiations for new contracts with several labor unions," Fung writes. "The Postal Service currently has around 640,000 workers and it wants more flexibility to reassign employees to other positions as it restructures its network." Union leaders are concerned too many changes will hurt customer service.