Kentucky has more cancer diagnoses and cancer-related deaths than any other state in the nation, and most of these cases are concentrated in the fifty-four counties that constitute the Appalachian region of the commonwealth. These high rankings can be attributed to factors such as elevated smoking rates, unhealthy eating habits, lower levels of education, and limited access to health care. What is lost in the statistics is just how life-changing cancer can be—something that editors Nathan L. Vanderford, Lauren Hudson, and Chris Prichard have endeavored to address. The Cancer Crisis in Appalachia features essays written by a group of twenty high school and five undergraduate students, all of whom are residents of Kentucky's Appalachian region and are participants in the University of Kentucky Markey Cancer Center's Appalachian Career Training in Oncology (ACTION) program, which is funded by the National Cancer Institute's Youth Enjoy Science Program. These authentic and candid student essays detail the effects of cancer diagnoses and deaths on individuals, families, friends, and communities, and proclaim these cases as more than nameless statistics. The authors shed light on personal cancer stories in hopes of inspiring readers to avoid cancer-risk behaviors, get involved with cancer-prevention initiatives, give generously, and uplift cancer patients and their loved ones.

Kentucky has more cancer diagnoses and cancer-related deaths than any other state in the nation, and most of these cases are concentrated in the fifty-four counties that constitute the Appalachian region of the commonwealth. These high rankings can be attributed to factors such as elevated smoking rates, unhealthy eating habits, lower levels of education, and limited access to health care. What is lost in the statistics is just how life-changing cancer can be—something that editors Nathan L. Vanderford, Lauren Hudson, and Chris Prichard have endeavored to address. The Cancer Crisis in Appalachia features essays written by a group of twenty high school and five undergraduate students, all of whom are residents of Kentucky's Appalachian region and are participants in the University of Kentucky Markey Cancer Center's Appalachian Career Training in Oncology (ACTION) program, which is funded by the National Cancer Institute's Youth Enjoy Science Program. These authentic and candid student essays detail the effects of cancer diagnoses and deaths on individuals, families, friends, and communities, and proclaim these cases as more than nameless statistics. The authors shed light on personal cancer stories in hopes of inspiring readers to avoid cancer-risk behaviors, get involved with cancer-prevention initiatives, give generously, and uplift cancer patients and their loved ones.

Stories from doctors, nurses, and therapists dealing on a daily basis with the opioid crisis in Appalachia should be heartbreaking. Yet those told here also inspire with practical advice on how to assist those in addiction, from a grass-roots to a policy level. Readers looking for ways to combat the crisis will find suggestions alongside laughter, tears, and sometimes rage. Each author brings the passion of their profession and the personal losses they have experienced from addiction, and posits solutions and harm reduction with positivity, grace, and even humor. Authors representing seven states from northern, Coalfields, and southern Appalachia relate personal encounters with patients or providers who changed them forever. This is a history document, showing how we got here; an evidenced indictment of current policies failing those who need them most; an affirmation that Appalachia solves its own problems; and a collection of suggestions for best practice moving forward.

A New York Times Critics’ Top Ten Book of the Year * 2021 Edgar Award Winner Best Fact Crime * A Lit Hub Best Book of The Year From a Pulitzer Prize–winning investigative reporter at the Charleston Gazette-Mail, a “powerful,” (The New York Times) urgent, and heartbreaking account of the corporate greed that pumped millions of pain pills into small Appalachian towns, decimating communities. In a pharmacy in Kermit, West Virginia, 12 million opioid pain pills were distributed in just three years to a town with a population of 382 people. One woman, after losing her brother to overdose, was desperate for justice. Debbie Preece’s fight for accountability for her brother’s death took her well beyond the Sav-Rite Pharmacy in coal country, ultimately leading to three of the biggest drug wholesalers in the country. She was joined by a crusading lawyer and by local journalist, Eric Eyre, who uncovered a massive opioid pill-dumping scandal that shook the foundation of America’s largest drug companies—and won him a Pulitzer Prize. Part Erin Brockovich, part Spotlight, Death in Mud Lick details the clandestine meetings with whistleblowers; a court fight to unseal filings that the drug distributors tried to keep hidden, a push to secure the DEA pill-shipment data, and the fallout after Eyre’s local paper, the Gazette-Mail, the smallest newspaper ever to win a Pulitzer Prize for investigative reporting, broke the story. Eyre follows the opioid shipments into individual counties, pharmacies, and homes in West Virginia and explains how thousands of Appalachians got hooked on prescription drugs—resulting in the highest overdose rates in the country. But despite the tragedy, there is also hope as citizens banded together to create positive change—and won. “A product of one reporter’s sustained outrage [and] a searing spotlight on the scope and human cost of corruption and negligence” (The Washington Post) Eric Eyre’s intimate portrayal of a national public health crisis illuminates the shocking pattern of corporate greed and its repercussions for the citizens of West Virginia—and the nation—to this day.

Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

Public health refers to the management and prevention of disease within a population by promoting healthy behaviors and environments in an effort to create a higher standard of living. In this comprehensive volume, editor James W. Holsinger Jr. and an esteemed group of scholars and practitioners offer a concise overview of this burgeoning field, emphasizing that the need for effective services has never been greater. Designed as a supplemental text for introductory courses in public health practice at the undergraduate and graduate levels, Contemporary Public Health provides historical background that contextualizes the current state of the field and explores the major issues practitioners face today. It addresses essential topics such as the social and ecological determinants of health and their impact on practice, marginalized populations, the role of community-oriented primary care, the importance of services and systems research, accreditation, and the organizational landscape of the American public health system. Finally, it examines international public health and explores the potential of systems based on multilevel partnerships of government, academic, and nonprofit organizations. With fresh historical and methodological analyses conducted by an impressive group of distinguished authors, this text is an essential resource for practitioners, health advocates, and students.

Set in Appalachian coal country, this “superb” (Pittsburgh Post-Gazette) legal drama follows one determined lawyer as he faces a coal industry giant in a seven-year battle over clean drinking water for a West Virginia community. For two decades, the water in the taps and wells of Mingo County didn’t look, smell, or taste right. Could the water be the root of the health problems—from kidney stones to cancer—in this Appalachian community? Environmental lawyer Kevin Thompson certainly thought so. For seven years, Thompson waged an epic legal battle against Massey Energy, West Virginia’s most powerful coal company, helmed by CEO Don Blankenship. While Massey’s lawyers worked out of a gray glass office tower in Charleston known as “the Death Star,” Thompson set up shop in a ramshackle hotel in the fading coal town of Williamson. Working with fellow lawyers and a crew of young activists, Thompson would eventually uncover the ruthless shortcuts that put the community’s drinking water at risk. Retired coal miners, women whose families had lived in the area’s coal camps for generations, a respected preacher and his brother, all put their trust in Thompson when they had nowhere else to turn. Desperate is a masterful work of investigative reporting about greed and denial, “both a case study in exploitation of the little guy and a playbook for confronting it” (Kirkus Reviews). Maher crafts a revealing portrait of a town besieged by hardship and heartbreak, and an inspiring account of one tenacious environmental lawyer’s mission to expose the truth and demand justice.