People in rural America are five times as likely to live in so-called "ambulance deserts," areas far from an ambulance service or station, than those in urban areas.

In rural Iowa, ambulance service has declined as the population dwindles. The study, from the Maine Rural Health Research Center, said half of those living in ambulance deserts are in rural areas, more than 25 minutes from an ambulance station.

Keokuk, along the banks of the Mississippi in eastern Iowa, has seen its population shrink to fewer than 10,000, with a sharp decline in ambulance service.

Cole O'Donnell, city administrator, said the situation got worse when officials were forced to close the local hospital.

"It frightened a lot of people," O'Donnell recounted. "I know that we have older people that moved out of Keokuk to someplace closer to a hospital. You know, they had health problems and if something happened, they couldn't wait those extra minutes, or even the extra minutes of getting them from Keokuk to a hospital."

In addition to trying to bolster county ambulance service, O'Donnell noted Keokuk is working to help reopen the local hospital as a federally designated Rural Emergency Hospital, which requires the facility to provide emergency services and outpatient care 24 hours a day, 7 days a week.

Emergency medical service is not considered essential in rural America, and the federal government does not fund it. Volunteers form the backbone of E-M-S operations in many areas, including Iowa. But O'Donnell acknowledged in Keokuk, times have changed. It is hard to find paramedics and emergency medical technicians, let alone people who do not get paid to do those jobs.

"When I was growing up in the '70s and the '80s, my mom was even part of the first responders," O'Donnell explained. "You can't even get first responders now to set up a service where they respond before the ambulance gets there, because nobody wants to volunteer anymore."

While about 14% of Americans live in rural areas, the report shows they make up more than half the population living in ambulance deserts.

Traveling around rural Minnesota can be difficult but in more than half the state, nonprofit transit systems are helping people get where they need to go. Now, the system is expanding.

Arrowhead Transit will begin service in the Hibbing area on Aug. 1. The system already delivers fixed route and on-demand services to residents across northeastern Minnesota, from the Canadian border to the north suburbs of Minneapolis. A different service, Tri-CAP, provides service in five east-central counties.

Dominick Olivanti, marketing and public relations director for Arrowhead Transit, said they are committed to serving rural Minnesotans.

"We are the largest rural transportation system in the state of Minnesota, and the second-largest in the country by land miles," Olivanti pointed out. "We cover over 23,000 square miles, which is larger than the state of Vermont."

The services are operated under the authority of the Federal Transportation Administration, and the Minnesota Department of Transportation. The Hibbing service kicks off Aug. 1 with a ribbon-cutting at city hall at 1 p.m.

The transit systems are under the general auspices of the Minnesota Community Action Partnership, an umbrella organization with 24 Community Action Agencies and 11 tribal nations serving all 87 counties. In addition to transportation, the partnership provides a variety of programs and services designed to fight poverty.

Lori Schultz, executive director of the Minnesota Community Action Partnership, said transit services are important to the lives of rural Minnesotans.

"With public transit, medical appointments, getting to employment, getting to work," Schultz outlined. "Public transit does a lot of rides around that and then, just daily basic needs that we all have, whether we have our own car or not."

She added the systems run larger buses on fixed routes and smaller buses equipped with wheelchair lifts on dial-a-ride services. All systems charge fares to most passengers on a sliding scale, depending on age or other factors.

Alabama officials have announced critical infrastructure improvements in Selma this week, paving the way for a new river walk.

The "Selma 14 Project" to reduce erosion near the city's historic train depot is now complete. About 10 years ago, city officials planned to build a river walk near the Edmund Pettus Bridge to connect the area with downtown Selma.

James Perkins, mayor of Selma, told people at the ribbon-cutting ceremony the project faced unexpected obstacles.

"During 2014, there was this idea of moving forward with a river walk," Perkins recounted. "And as that project was being conceptualized, it was determined that the river bank was not stable enough."

He pointed out funding the project was not easy for the small, rural city but with funds from the state and federal government, they were finally able to complete it a decade later. Perkins thanked the Biden Administration and the Army Corps of Engineers from the Mobile district for making the $1.7 million preservation project possible.

The project involved clearing, grading and protecting a 215-foot section of land along the Alabama River. The Army Corps of Engineers also replaced 250 feet of existing sidewalk, lighting and fencing. Perkins emphasized the work is only the beginning of a larger project.

"This is just the first phase of what we envision happening in our downtown riverbank project," Perkins added. "There's more to come."

Upcoming phases of the riverbank stabilization project will focus on the areas where some of Selma's historic buildings are literally at risk of collapsing into the river.


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By Kristi Eaton for The Daily Yonder.
Broadcast version by Freda Ross for Texas News Service Service for the Public News Service/Daily Yonder Collaboration

An unexpected volunteer, a geographic information system (GIS) mapping expert helped a rural community in Texas establish its broadband connection.

Bernie South is the GIS volunteer who mapped the data using information from the Census, school district hotpost addresses and areas of growth in the county. A former U.S. Navy electronics technician and geoscientist at Exxon Mobil, South has been retired for about a decade.

South began volunteering with Bastrop County Cares during the pandemic to vaccinate people, he said. Since the pandemic in 2020, Bastrop County Cares, a nonprofit organization, has been working to bring broadband to more individuals and families in rural Texas.

"I've been doing things for broadband - to support that," he told the Daily Yonder in a Zoom interview. "I was sort of a recognized company expert at Exxon Mobil in the use of GIS. And I kind of bring that level of expertise to this project that I've been working on."

Using the data and maps, the task force has been convening different stakeholders to identify areas of need to help develop solutions to address the broadband shortage, Bastrop County Cares Executive Director Norma Mercado told the Daily Yonder in Zoom and email interviews.

"Bernie South's expertise in data science and geospatial analysis has been instrumental in pinpointing the areas with the greatest need for broadband access in Bastrop County..." she said, "...significantly advancing the mission of Bastrop County Cares to bring people together to collaboratively tackle large community challenges and improve the conditions where our neighbors live, work, pray and play."

Using data from the Federal Communications Commission (FCC), Census data and other data sources, South provided detailed maps of where the highest need for broadband was located.

"Basically, I've been able to convert all that data together to give them a coherent picture of where the needs are, and where we need to focus the efforts. So a lot of the project has been driven by that data analysis," he said.

For example, South examined hotspots that students used during the pandemic. "That's kind of a direct indicator of where you have deficiencies in broadband coverage," he added.

Thanks to the assistance of South and others, Bastrop County Cares has been able to identify an antenna where S.O.S Communications will be able to provide broadband access to the 700-person community of McDade at a reasonable cost, Mercado said.

Debbie Bresette, the retired CEO of Bastrop County Cares and now a volunteer with the organization, said broadband will be a game-changer for the McDade community.

"They have four churches in this small town. They can hold their church services if need be, both online and in person," she told the Daily Yonder in a Zoom interview. "It means their kids can have access to better quality education. And if they have to be at home, they can do it at home. It means that the seniors in that community who are pretty far from doctors can do telehealth visits."

Bresette said the maps South has created will help the community in a multitude of ways.

"We now know where people who really struggled to make ends meet live. So we could do some small business development, help people do small business development in certain areas," she said. "We know where the majority of children under certain ages are. So we could do special programming in those communities so those kids start school ready to learn. The applications that we're using for broadband can be used for a wide variety of things."

Across the country, volunteers are helping to support efforts to bring broadband to their local communities. In Vermont, a community-based solution known as Communications Union Districts brings organizations of two or more towns together to build communication infrastructure together. Volunteers from electric co-ops have also brought supplies and line crews to the Navajo Nation.

South has not only focused on broadband-related maps but on maps related to other subjects as well. He has also mapped police calls to domestic disputes, which he said, showed a correlation between calls and economic stressors. Additionally, he has mapped rural hospital closures and the impact on low-income residents and other demographic data.

South said the biggest challenge to Bastrop County is people educating themselves as to how to think and work with a system like the one he worked with.

"That's always been the biggest challenge to me," he said. "People don't know what they don't know about what can be done."


Kristi Eaton wrote this article for The Daily Yonder.


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