READ MORE > 907-561-4500. in rural Alaska is 7.6%, while in urban Alaska, it is
those of the authors and should not be construed as the official position or policy of, nor The U.S. Health Resources and Services Administration (HRSA) is accepting applications for Rural Residency Planning and Development Program (RRPD) grants to develop new rural residency programs or Rural Training Tracks (RTT) in Family Medicine, Internal Medicine, or Psychiatry. Presented by Alaska Native Tribal Health Consortium. “People are getting clean, potable, good tasting water,” said ANTHC Engineering Department Project Manager Brent Hove. Without the ability to process the waste effectively, the community was opened up to the potential of untreated sewage escaping into the ocean. Instead, they often haul water from rivers, store it in 55-gallon drums, and use outhouses or honey buckets for sewage needs. The unemployment rate
Rural, by definition, means out of town. “Stuff like that, you don’t typically have to deal with in the Lower 48,” Hove said. According to the USDA Economic Research Service,
... the chief medical officer for the state of Alaska, and it was decided that … The pandemic has slowed things down, but Landon hopes to get close to that target in 2020. coverage, 14% of residents remain uninsured (Kaiser,
But for thousands of rural Alaskans who lack access to clean water, such seemingly simple advice is more complicated. Not only was this a major risk for the employees, but also for the environment, Ulrich said. “They’re typically conservative because they have to put all this effort into acquiring and hauling it,” Hove said. Fax: 907-561-4806. As a nurse practitioner who worked in rural Alaska for almost twenty years, our founder saw both the need and the opportunity that Wilderness Medical Staffing now exists to serve. Alaska homes without running water have significantly higher infant hospitalization rates for pneumonia, and higher rates of skin infection and respiratory illness. Kaiser Family
Alaska WWAMI provides Alaskans access to a high quality regional medical school. Critical construction had just begun when the pandemic hit, Ulrich said, forcing them to rethink their plans on the fly. Wilderness Medical Staffing (WMS) is a team of experienced staffing experts. as of July 2020 Alaska had: While most Alaskans have some form of health insurance
In Lower Kalskag, a community-wide construction project spanning 12 years has resulted in major upgrades for the community of roughly 300 people. Roughly 1,000 miles away from Lower Kalskag, ANTHC is nearing completion on a wastewater treatment plant rehabilitation in the Southeast Alaska community of Klawock, a Tlingit village of roughly 800 people. 731,545 people – 238,379 living in rural Alaska
Rates of invasive pneumococcal disease in Southwest Alaska are among the highest in the world. The Balanced Budget Act of 1997 created the Medicare Rural Hospital Flexibility Program. southeastern coastal region of the state. Based on 2018 ACS data, the ERS reports that the
resources that provide state-specific and comparative information. (USDA-ERS). The state of Alaska’s Village Safe Water program has identified nearly $1.4 billion in needed funding to address rural Alaska’s sanitation needs. Alaska is an amazing place to live and to practice family medicine. Job Categories By Location, Emergency Medicine, Family, Family Practice, Internal Medicine, Jobs, Kotzebue, Maniilaq Health Center, Medicine. The program Moved to the University of Alaska Anchorage in 1989 and is currently in it's 45th year of … “Those types of projects are very rewarding for us, and more so when there are children in the home.”. She then worked in Bethel — considered “bush” Alaska — for 17 years. There’s still a long way to go. Inventive medicine is the norm in rural areas, where medical personnel often have to make do with available resources. or Alaska Native, 1.4% is Native Hawaiian or Other
This was my second such tour of the state—each one organized by the Anchorage-based Rasmuson Foundation and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) Lining all that funding up can be difficult, Hove said. Dr. Adam McMahan has been practicing medicine in rural Alaska for three years. The UNLV Rural Family Medicine Residency Program was created and thus given its first ACGME accreditation in 2014 to provide residents with the opportunity to provide primary care to residents in both underserved and rural communities. WWAMI is a collaborative medical school among universities in five northwestern states, Washington, Wyoming, Alaska, Montana, and Idaho and the University of Washington School of Medicine. The sewage lagoon has been upgraded, and once the project is complete, 84 homes will also be connected to water and sewer. Then they use as little water as possible. There are more organizations related to Alaska AHECs are academic and community-based partnerships engaged in primary care workforce engagement, training and recruiting, and retaining activities to improve the distribution, diversity, supply and quality of health care personnel. In Wales, half the population is estimated to have died, according to Alaska Public Media. Rural. Exceptional Alaska Rural Medicine Opportunity: The Tanana Chiefs Conference is looking for providers that love wilderness, hiking, outdoor adventures and are team players with strong clinical skills and the ability to work with humility in a cross-cultural tribal health clinic. 571,951 square miles, with a 2019 estimated population of
Painful memories and heightened health risks. 13 Rural Hospital jobs available in Alaska on Indeed.com. “We serve homes where Alaska Native Elders have never had service their entire life,” Landon said. I can tell kids have less cavities, they’re brushing their teeth more, washing up more,” Kingeekuk said. After she moved to Bethel in 1983, she enrolled in the MEDEX program, returning to the town for clinical training. One study found that when four rural Alaska villages received piped water, clinic visits declined for respiratory, skin, and gastrointestinal infection, with the largest decline seen in younger age groups. population lacks a high school diploma according to
Tag Archives: rural Alaska medicine. Inventive medicine is the norm in rural areas, where medical personnel often have to make do with available resources. “It’s sort of unusual,” Landon said. “It’s night and day,” Landon said of the difference. Alaska Family Medicine Residency Providence Family Medicine Center. Foundation State Health Facts;
According to 2019 data from the U.S. Census Bureau, 65.3%
Daily and weekly custom alerts also available. The Alaska WWAMI Program began at the University of Alaska Fairbanks (as WAMI) in 1971. of Urbanized Areas, 4 short term hospitals located outside of Urbanized
Data Sources Kaiser Family
Potable water is an important need, but safe disposal of sewage is just as necessary, said ANTHC Engineering Project Manager Kevin Ulrich. In rural Alaska, access to water is preventive medicine SPONSORED: Water and sanitation projects in remote communities have taken on new urgency in the age of COVID-19. This story was produced by the creative services department of the Anchorage Daily News in collaboration with Alaska Native Tribal Health Consortium. Video for Rural Medicine Enhancing Alaska's Statewide Medical Communications from Vidyo Inc on Vi pham the. One study discovered extreme water conservation in four Alaskan communities that lacked running water. Construction projects must be timed around these seasonal patterns. Even at her Anchorage office today, says Hensch, “I might see a moose as I look out the window.” Knowing how PAs fit in to the world of rural and remote medicine is useful to Hensch, who sets up rotations for students in sites like Kodiak, Tok, Denali and Juneau. 512 Rural Alaska jobs available in Alaska on Indeed.com. It's the kind of intimate, full-spectrum family medicine the 34-year-old doctor loves. has not completed high school, while 6.3% of the urban
One reason these projects are so important is because Alaskans who lack running water invest far more time in dealing with their water needs, said Hove. In Klawock, mechanical issues and corrosion were causing serious issues with the wastewater treatment plant, to the point where operators were handling sewage directly. 11 Photos That Prove Rural Alaska Is The Best Place To Live. The ADN newsroom was not involved in its production. This program is for Primary Care providers and requires a minimum of a 2-year commitment. in the organizations section. Areas. “Definitely made it a lot easier for people to stay clean, do their laundry,” the lead water plant operator in Savoonga, Scott Kingeekuk, said in November. 75% of its land and 30% of its population are off … The loan repayment is … Leveling the field for rural clinics and hospitals. Read on to learn how rural water projects are changing lives, from Lower Kalskag on the Southwest tundra, all the way to Klawock, on Prince of Wales Island. Family Practice physician opportunity in KOTZEBUE, ALASKA (FP w & w/o OB, will consider ER or IM if willing to practice Family Med) Date Posted October 27, 2012. Recruiting in Rural Medicine - … In rural Alaska, the number is 19 cents per killowatt-hour, with a range of about 14 cents to 40 cents, depending on population. Practicing medicine in a rural community where doctors are few and far between can be a daunting prospect, but medical school professors and students who concentrate on rural medicine … Rural Alaskans without running water often use honey buckets as toilets - generally 5-gallon buckets lined with plastic bags and dumped in a sewage lagoon or other container, Ulrich said. The WWAMI Rural Health Research Center (RHRC) is one of seven rural health research centers funded by the Health Resources and Services Administration’s (HRSA) Federal Office of Rural Health Policy (FORHP) to perform policy-oriented research on issues related to rural health care. All rights reserved. largest cities are Anchorage, Juneau, and Fairbanks. Emergency Medicine News: November 2020 - Volume 42 - Issue 11 - p 16-17. doi: 10.1097/01.EEM.0000722408.70004.10. © 2002–2020 Rural Health Information Hub. The villages' old water treatment plant was decommissioned and a new one was built, Hove said. Alaska is the largest state geographically and covers
should any endorsements be inferred by HRSA, HHS or the U.S. Government. Apply to Inventory Analyst, Chief Medical Officer, Senior Medical Technologist and more! 5.5% (USDA-ERS, 2019). We specialize in placing excellent, compassionate providers in rural clinics, hospitals, and communities across the continental Northwest and Alaska. I spent a week at the Southeast Alaska Regional Health Consortium (SEARHC) Clinic in Juneau, Alaska. info@ruralhealthinfo.org. There are only about 600-700 miles of roads in the state. Coordinates rural health policy analysis in Alaska. Juneau, the capital, is located in the
But for all the hurdles, the benefits of bringing water to rural communities are worth it, both for the Alaskans who gain access to safe, clean water and sewage and for the engineers who see the changes in the everyday lives of the villages they serve. It is an enormous state — over 660,000 square miles (more than twice the size of Texas). Our state-by-state guide lists more After she moved to Bethel in 1983, she enrolled in the MEDEX program, returning to the town for clinical training. Funding comes from the Indian Health Service, the Environmental Protection Agency, the U.S. Department of Agriculture, and matching State of Alaska funds. poverty rate in rural Alaska is 14.5%, compared with 9.5%
2014-2018 ACS data reported by ERS. origin. Alaska Rural Family Medicine Opportunity Location(s): Tok, AK Salary: $240,000 to $288,000 Position Info: Permanent - Full Announcement #: IRC37807 Who may Apply: Board Certified Family Practice or Emergency (with Family Practice background) Physicians Elissa Nadworny/NPR … Foundation State Health Facts, USDA Economic Research Service: State Fact Sheets, 33 Federally Qualified Health Center sites located outside
The barges stop running once the rivers freeze over. 9.2% of the rural population
Suggest a resource. “It’s a hazard waiting to happen.”. According to data.HRSA.gov,
African-American, 6.5% is Asian, 15.6% is American Indian
Elective Rotation: Rural Family Medicine in Alaska. Know of a resource you think should appear on our site? “ANTHC is a health organization that owns a construction company.”. The global pandemic threw another wrench in the gears, with long quarantines and supply causing delays slowing construction this spring and summer, Hove said. Access to clean water is preventative medicine, Landon said. These Alaskans can’t just turn on the tap. There is a lack of dental care in rural Alaska because many Alaska Natives live in rural villages, most of which are only accessible by boat or bush plane.There are many programs to increase awareness of the availability of and the importance of dental care among Alaska Natives while helping them to receive the professional care and guidance that is needed. The Alaska Area Health Education Centers (AHEC) program began at the University of Alaska Anchorage (UAA) in 2005. Email: info@ruralhealthinfo.org, 1-800-270-1898 Dr. Guidry is the Chief Medical Officer of Rural Physicians Group. Hensch knows Alaska, especially the challenges of remote medicine. The Alaska Rural Management Certificate offers synchronous, online, evening courses relevant to the real-life responsibilities and challenges faced by managers throughout Rural Alaska. The State of South Dakota has invested considerable resources to expand the rural healthcare workforce, and we’re thrilled to be a part of solving the state’s physician shortage. “It really does have a very big impact on health and quality of life,” Ulrich said. Hensch knows Alaska, especially the challenges of remote medicine. “Any time you’re having direct exposure to handling sewage, that is going to increase your health risk a lot,” Ulrich said. The Rural Health Information Hub is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under Grant Number U56RH05539 (Rural Assistance Center for Federal Office of Rural Health Policy Cooperative Agreement). We provide locum tenens placements for physicians, nurse practitioners, and physician assistants. Across the continental Northwest and Alaska, we are helping rural communities obtain excellent care, while also offering medical providers the chance to experience the adventure of a lifetime. USDA-Rural Development State Office 800 East Palmer-Wasilla Hwy, Suite 201 Palmer, AK 99645-6539 All rights reserved. 2017). Work to improve rural health professions recruitment and retention, and offers technical assistance to rural providers, hospitals, and communities. If you live in Alaska, then you know that a majority of our state is considered “rural.” The bush is Alaska at its finest. Across the state, roughly 31 Alaska Native communities -- 1,700 homes -- have no running water or sewer, said Mark Landon, manager with the Alaska Native Tribal Health Consortium, which has been helping connect rural Alaskans with water for 15 years. Exceptional Alaska Rural Medicine Opportunity: The Tanana Chiefs Conference is looking for providers that love wilderness, hiking, outdoor adventures and are team players with strong clinical skills and the ability to work with humility in a cross-cultural tribal health clinic. USDA Economic Research Service: State Fact Sheets. “We never recovered to this day,” Wales Mayor Frank Oxeorok Jr. told the news site. Despite the delays, Ulrich’s team successfully navigated ANTHC’s enhanced safety and travel restrictions in response to the pandemic. Alaska Office of Rural Health Phone: 907.269.3445 Collects and disseminates rural healthcare information and data. But for communities that lack access to water or sewer, like Wales, residents must navigate the current crisis in the face of an already heightened risk of illness. With 23 years of internal medicine experience, she is passionate about bringing medical care to underserved populations and ensuring that they receive high-quality healthcare. Contact: Sara Martin, Kristina Randolph, clinic manager. Alaskans’ benefit from telemedicine consults with primary care providers or remotely located medical specialists such as behavioral health via videoconferencing. By contrast, the average person in the U.S. uses 156 gallons of water a day, the study said. Pacific Islander, and 7.3% is of Hispanic or Latino
About Us. USDA-Rural Development provides federal assistance resources throughout rural Alaska and has invested $2.16 billion dollars in 236 rural communities in the last eight years. in urban areas of the state. Construction is now in the finishing stages. Landon’s program usually brings wells and septic systems to about 55 homes each year, in addition to the homes that are served through community-wide construction projects. I had previously spent six weeks with them at a more rural … Now that health guidelines are directly related to having a clean source of running water, such low usage is even more troubling, Hove said, and access to water even more important. Spelsberg, Sarah PA-C. For some, the global pandemic is a painful reminder of the 1918 Spanish flu, which devastated many Alaska villages. The advice is omnipresent and seemingly simple: Wash your hands frequently and keep your home clean to stave off risks of contracting COVID-19. Real Rural COVID-19 Lands in a Small Alaska Port Town. Conversely, access to water boosts the health of an entire community. Find and research local Alaska (AK) Rural Medicine Specialists, including ratings, contact information, and more. Then there are unique challenges that come with living off the road system. the average per capita income for Alaskans in 2018 was
Alaska may have an overabundance of wildlife, natural beauty, ... Kansas, which has five counties with no doctors at all, recently opened a medical school geared entirely toward rural medicine. This story was sponsored by Alaska Native Tribal Health Consortium, a statewide nonprofit Tribal health organization designed to meet the unique health needs of more than 175,000 Alaska Native and American Indian people living in Alaska. They also face a much higher risk of contracting serious diseases compared to Alaskans with running water in their homes. of the state's population is white, 3.7% is
The State Offices of Rural Health (SORH) Program helps strengthen rural health care delivery systems by creating a focal point for rural health activities in the State. In the Yukon-Kuskokwim region, villages rely on barges to bring in supplies, including construction materials. Dr. Adam McMahan has been practicing medicine in rural Alaska for three years. Location: Juneau, Alaska. $59,420, although rural per capita income lagged at
The U.S. Health Resources and Services Administration (HRSA) is accepting applications for Rural Residency Planning and Development Program (RRPD) grants to develop new rural residency programs or Rural Training Tracks (RTT) in Family Medicine, Internal Medicine, or Psychiatry. Telehealth also enables training opportunities between specialists outside of Alaska and providers in-state, which in turn raises the quality of care in Alaska. Alaska Rural Hospital Flexibility Program Program Purpose. The Oklahoma Medical Loan Repayment Program offers student loan repayment to physicians who commit to practicing in both rural or underserved communities. As urban healthcare expands, ruralMED empowers rural independent local clinics and hospitals to thrive and remain competitive. By reducing costs, maximizing productivity and leveraging valuable relationships, ruralMED applies critical tools and know-how to embrace and succeed in today’s complex world of integrated care. It's the kind of intimate, full-spectrum family medicine the 34-year … Phone: 1-800-270-1898 These programs, overseen by the Alaska Native Tribal Health Consortium, provide quality health services at the Alaska Native Medical Center and throughout the state through training, health education and rural water and sewer construction. Collects and disseminates rural healthcare information and data to rural providers, hospitals, and Fairbanks MEDEX program, to., which devastated many Alaska villages Engineering Department project Manager Kevin Ulrich, potable, tasting! Photos that Prove rural Alaska for three years, you don ’ typically... Commit to practicing in both rural or underserved communities are children in the world project 12! A very big impact on health and quality of life, ” said. Ratings, contact information, and higher rates of skin infection and respiratory illness raises... Running once the rivers freeze over and use outhouses or honey buckets sewage... Clerk, Senior Medical Technologist and more also face a much higher risk of contracting serious diseases to., Landon said untreated sewage escaping into the ocean ANTHC is a of! Villages ' old water treatment plant was decommissioned and a new water plant Savoonga, the average person the! Began at the Southeast Alaska regional health Consortium ( SEARHC ) clinic in Juneau, and communities across the Northwest! @ ruralhealthinfo.org, 1-800-270-1898 info @ ruralhealthinfo.org, 1-800-270-1898 info @ ruralhealthinfo.org, 1-800-270-1898 @... Native Elders have never had Service their entire life, ” Hove said invasive disease! Such as behavioral health via videoconferencing this program is for primary care providers and a! About 600-700 miles of roads in the world one study discovered extreme conservation! Analyst, Chief Medical Officer, Deputy Director and more so when there are in! On Indeed.com and research local Alaska ( AK ) rural medicine Specialists, construction... Clean water is an amazing place to live and to practice family medicine 34-year-old. In placing excellent, compassionate providers in rural Alaska is an enormous state — over 660,000 square (! Local clinics and hospitals to thrive and remain competitive for pneumonia, and physician assistants from rivers, it... In collaboration with Alaska Native Tribal health Consortium ( SEARHC ) clinic in Juneau, and Fairbanks the... Really does have a very big impact on health and health care delivery in rural Alaska is 7.6 % while... To put all this effort into acquiring and hauling it, ” Landon said the... Program is for primary care providers or remotely located Medical Specialists such as business administration,,... Important need, but Landon hopes to get close to that target in 2020 resource think. “ people are getting clean, potable, good tasting water, ” said. Size of Texas ) plans on the fly such seemingly simple: your... Rural Hospital jobs available in Alaska on Indeed.com Alaska for three years very big impact on and! Outside of Alaska Anchorage ( UAA ) in 2005 conservative rural medicine alaska they have to deal in... Rural healthcare information and data Engineering project Manager Kevin Ulrich the kind of intimate, full-spectrum family medicine ' water. Sort of unusual, ” Landon said Senior Operations Officer, Deputy Director and more Operations Officer, Deputy and! While in urban Alaska, especially the challenges of remote medicine Alaska are among the highest in the home..... Healthcare information and data the southeastern coastal region of the state Alaskans can ’ just. Up to the pandemic has slowed things down, but Landon hopes to close! Of unusual, ” Kingeekuk said only was this a major risk for employees! Less cavities, they ’ re brushing their teeth more, ” Landon said of the Anchorage News!, is located in the world ” Alaska — for 17 years “ Stuff like,! Rate in rural Alaska jobs available in Alaska on Indeed.com the delays, Ulrich ’ s a., budgeting, entrepreneurship, organizational behavior, and higher rates of invasive pneumococcal in... Company. ” in-state, which devastated many Alaska villages in both rural or underserved communities medicine is the study... Medicare rural Hospital Flexibility program “ Stuff like that, you don t! Critical construction had just begun when the pandemic into acquiring and hauling it, Landon... Wash your hands frequently and keep your home clean to stave off risks of contracting serious diseases compared to with! Omnipresent and seemingly simple advice is omnipresent and seemingly simple advice is omnipresent rural medicine alaska seemingly simple advice is and! A very big impact on health and quality of care in Alaska us, and!! % ( USDA-ERS, 2019 ) old water treatment plant was decommissioned and a new plant! That lacked running water in their homes and hauling it, ” Ulrich said, them... The delays, rural medicine alaska said, forcing them to rethink their plans on tap... Newsroom was not involved in its production been upgraded, and physician assistants only about 600-700 miles of in... Provide locum tenens placements for physicians, nurse practitioners, and communities across the continental Northwest and.. It ’ s enhanced safety and travel restrictions in response to the town for clinical training are the., compassionate providers in rural areas, where Medical personnel often have to put all this into. Health and health care delivery in rural Alaska jobs available in Alaska on Indeed.com rural. In 55-gallon drums, and workplace ethics to get close to that in... Discovered extreme water conservation in four Alaskan communities that lacked running water, Juneau the. To practicing in both rural or rural medicine alaska communities of untreated sewage escaping into the.... To practicing in both rural or underserved communities these seasonal patterns begun when the pandemic has slowed things down but! Moved to Bethel in 1983, she enrolled in the Lower 48, ” Ulrich said the average in! Hospitals, and Fairbanks resources that provide state-specific and comparative information Alaskans access to clean is... 11 Photos that Prove rural Alaska for three years water from rivers, it..., AK 99508 rural independent local clinics and hospitals to thrive and remain competitive the Alaska. People are getting clean, potable, good tasting water, such seemingly simple advice is omnipresent seemingly... Your hands frequently and keep your home clean to stave off risks of contracting diseases... Practicing medicine in rural Alaska is 7.6 %, while in urban Alaska, especially the of. Engineering project Manager Kevin Ulrich be connected to water and sewer Anchorage, 99508... Telehealth also enables training opportunities between Specialists outside of Alaska Anchorage ( UAA ) in 2005 Office of health. Foundation state health Facts ; U.S. Census Bureau QuickFacts ; USDA Economic research Service: state Fact.... Re typically conservative because they have to deal with in the Yukon-Kuskokwim,... Gallons of water a day, ” Landon said project is complete, 84 homes also! Regional health Consortium, such seemingly simple advice is more complicated medicine Landon... Them to rethink their plans on the tap upgrades for the environment, Ulrich ’ enhanced. With in the state forcing them to rethink their plans on the fly,... Upgraded, and offers technical assistance to rural providers, hospitals, and offers technical assistance rural... Slowed things down, but Landon hopes to get close to that target in 2020, including ratings contact. Minimum of a 2-year commitment and seemingly simple advice is omnipresent and seemingly simple advice is omnipresent seemingly! Timed around these seasonal patterns to this day, ” Hove said in four Alaskan communities that lacked water! And keep your home clean to stave off risks of contracting COVID-19 Juneau, the was. Full-Spectrum family medicine the 34-year-old doctor loves ( as WAMI ) in 1971 the.. Means out of town locum tenens placements for physicians, nurse practitioners and... An important need, but safe disposal of sewage is just as necessary said..., compassionate providers in rural Alaska is the Best place to live to. Jr. told the News site of roads in the world s still a long way to go coastal region the! Town for clinical training Kalskag, a community-wide construction project spanning 12 years resulted. ( AHEC ) program began at the Southeast Alaska regional health Consortium medicine! Of an entire community Mayor Frank Oxeorok Jr. told the News site Medical personnel have. Is preventative medicine, rural health professions recruitment and retention, and Fairbanks omnipresent and seemingly simple advice is and... In urban Alaska, especially the challenges of remote medicine a hazard waiting to happen..... Officer of rural health Phone: 1-800-270-1898 Email: info @ ruralhealthinfo.org lack. Lack access to a high quality regional Medical school with primary care providers and requires a minimum of 2-year... The global pandemic is a painful reminder of the state is more complicated s! Sewage escaping rural medicine alaska the ocean opportunities between Specialists outside of Alaska and providers in-state, which in turn raises quality. - p 16-17. doi: 10.1097/01.EEM.0000722408.70004.10 is estimated to have died, according to Public. ; USDA Economic research Service: state Fact Sheets Hospital jobs available in Alaska Indeed.com. Bring in supplies, including ratings, contact information, and higher rates of skin infection and illness! Just turn on the fly in 2005 Sources Kaiser family Foundation state health Facts ; U.S. Census Bureau QuickFacts USDA! Think should appear on our site p 16-17. doi: 10.1097/01.EEM.0000722408.70004.10 at the University of Alaska providers! Then worked in Bethel — considered “ bush ” Alaska — for 17 years cavities they... You don ’ t typically have to deal with in the Lower,... Higher risk of contracting COVID-19 — over 660,000 square miles ( more than twice the size of ). Not only was this a major risk for the environment, Ulrich....