This updated edition of the 1979 original covers the landmark struggle to save the New River from damming in the 1970s. The grassroots movement emphasized the river's cultural and historical value rather than narrow environmental issues and became one of the great victories of the environmental movement. This edition also includes a new epilogue examining the current ecological status of the New River and the ongoing impact of the original conservation efforts in the face of new environmental threats. The 1979 edition won the Weatherford Award presented by Berea College and the Appalachian Studies Association.

Dam removal wasn't a realistic option in the twentieth century, and people who suggested it were dismissed as fringe environmentalists. Over the past twenty years, dam removal has become increasingly common, with dozens of removals now taking place each year in the US. Same River Twice tells the stories of three major Northwestern dam removals - the politics, people, hopes, and fears that shaped three rivers and their communities. Brewitt begins each story with the dam's construction, shows how its critics gained power, details the conflicts and controversies of removal, and explores the aftermath as the river re-established itself.

Dwight Hamilton Diller is a musician from West Virginia devoted to traditional Appalachian fiddle and banjo music, and a seminary-trained minister steeped in local Christian traditions. For the past 40 years, he has worked to preserve archaic fiddle and banjo tunes, teaching his percussive, primitively rhythmic style to small groups in marathon banjo workshops. This book tells of Diller's life and music, his personal challenges and his decades of teaching an elusive musical form.

When Ashe County Memorial Hospital opened in November 1941, it was the realization of a dream for the poor, sparsely populated county in the mountains of northwestern North Carolina. Building a hospital is a major undertaking for any community at any time. Accomplishing this in the waning days of the Great Depression and on the brink of World War II, while scant local resources were taxed by catastrophic floods and severe snows, was a remarkable feat of community organization. This is the story of the generations of supporters, doctors, nurses, emergency personnel and others whose lives are interwoven with regional health care and the planning, building and operation of (the "new") Ashe Memorial Hospital. This legacy, brought to life through 114 photographs and personal interviews with 97 individuals, traces the development of health care in a remote Appalachian community, from the days of folk remedies and midwives, to horseback doctors and early infirmaries, to the technological advances and outreach efforts of today's Ashe Memorial Hospital.

The Appalachian region of the United States sees hunger, poverty, disability, preventable illness and premature death in disproportionally high numbers. Yet, Appalachia also knows the quiet strength of people working together to lift one another up as a community. In this collection of essays, health professionals explore how clinics and communities address the barriers to healthcare that continue to plague this underserved region and discuss theoretical perspectives about Appalachian healthcare. Topics include regional dental care, cancer and diabetes treatment, the integration of primary care and behavioral health, telehealth, the importance of "patient responsibility," and the effects of faith, fatalism and family dynamics on the health of Appalachian youth. Avoiding simplification and stereotype while presenting data, analysis and anecdotes, this volume gives a detailed picture of Appalachia's complex and multi-faceted public health challenges. Instructors considering this book for use in a course may request an examination copy here.

In this work the various ways that social, economic, and cultural factors influence the identities and educational aspirations of rural working-class Appalachian learners are explored. The objectives are to highlight the cultural obstacles that impact the intellectual development of such students and to address how these cultural roadblocks make transitioning into college difficult. Throughout the book, the author draws upon his personal experiences as a first-generation college student from a small coalmining town in rural West Virginia. Both scholarly and personal, the book blends critical theory, ethnographic research, and personal narrative to demonstrate how family work histories and community expectations both shape and limit the academic goals of potential Appalachian college students.

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.