© 2019 by The GROV. 

 
 

Bita Fayad

Alex Morales

Bita Fayad

Alex Morales

Bita Fayad

Carl Latkin

Ph.D.

Alex Morales

List of State Health Departments

List of County Health Departments

ABOUT

America's opioid epidemic has quickly reached staggering proportions, and some but not all US communities were hit hardest by the opioid crisis. Oftentimes, the communities most affected are rural ones, left in physical and social isolation. These impacted communities and other concerned parties have no centralized access to reliable information and often lack the necessary power to enact beneficial policies (e.g., implementing syringe exchange programs). In addition to the improvement of overextension in health workers, policymakers require to identify needs and solutions to the crisis, and rural inhabitants need effective approaches to receive and share concise information and to counteract misconceptions. 

The GROV is a network of researchers and state/local health departments united by the goal of investigating, communicating, and pursuing practical solutions for rural communities.

 
 

In 2016, Van Handel et al. used a number of indicators to calculate an HIV/HCV vulnerability score for each US county to identify which were most vulnerable. On top of securing vulnerability scores for HIV/HCV, the scores also reveal many counties in the Midwest and Appalachia that are particularly vulnerable to the US opioid epidemic.

 

The GROV comprises state health agencies and county health departments from many of these vulnerable regions (see the left panel of below figure for vulnerable states/counties and the right panel for those partnered with the GROV) and as of July 2018, includes 42% of the most vulnerable counties in the Midwest and Appalachia while other health departments continue to join.  

 
  • Georgia Department of Public Health

  • Indiana State Department of Health

  • Kansas Department of Health & Environment

  • Kentucky Health Department*

  • Michigan Department of Health and Human Services*

  • Missouri Department of Health*

  • Ohio Department of Health*

  • Tennessee Department of Health*

  • Virginia Department of Health

  • West Virginia Department of Health and Human Resources 

*represented via specific county health departments

  • North Georgia Health District in Georgia

  • Northwest Georgia Health District in Georgia

  • Towns County Health Department in Georgia^

  • Crawford County Health Department in Indiana^

  • Dearborn County Health Department in Indiana

  • Fayette County Health Department in Indiana^

  • Jennings County Health Department in Indiana^

  • Scott County Health Department in Indiana^

  • Starke County Health Department in Indiana^

  • Switzerland County Health Department in Indiana^

  • Henry County Health Department in Indiana^

  • Washington County Health Department in Indiana^

  • Rawlins County Health Department in Kansas^

  • Wilson County Health Department in Kansas^

  • Woodson SEK-Multi County Health Department in Kansas^

  • Cumberland Valley District Health Department in Kentucky

  • Gateway District Health Department in Kentucky

  • Lake Cumberland District Health Department in Kentucky

  • Lawrence County Health Department in Kentucky

  • Three Rivers District Health Department in Kentucky

  • Central Michigan District Health Department in Michigan

  • District Health Department No.2 in Michigan

  • District Health Department No.4 in Michigan

  • District Health Department No.10 in Michigan

  • Hickory County Health Department in Missouri

  • Clinton County Health District in Ohio

  • Highland County General Health District in Ohio

  • Jackson County Health Department in Ohio

  • Vinton County Health Department in Ohio

  • Buchanan County Health Department in Virginia^

  • Dickenson County Health Department in Virginia^

  • Lee County Health Department in Virginia^

  • Russell County Health Department in Virginia^

  • Tazewell County Health Department in Virginia^

  • West Piedmont Health District in Virginia

  • Wise/Norton Health Department in Virginia^

  • Wythe County Health Department in Virginia^

  • Berkeley County Health Department in West Virginia^

  • Beckley-Raleigh County Health Department in West Virginia^

  • Boone County Health Department in West Virginia^

  • Braxton County Health Department in West Virginia^

  • Brooke County Health Department in West Virginia^

  • Cabell-Huntington Health Department in West Virginia^

  • Clay County Health Department in West Virginia

  • Fayette County Health Department in West Virginia^

  • Grafton-Taylor County Health Department in West Virginia^

  • Hancock County Health Department in West Virginia^

  • Lincoln County Health Department in West Virginia

  • Logan County Health Department in West Virginia^

  • Kanawha-Charleston Health Department in West Virginia

  • Marshall County Health Department in West Virginia^

  • Mason County Health Department in West Virginia^

  • McDowell County Health Department in West Virginia^

  • Mercer County Health Department in West Virginia^

  • Mid-Ohio Valley Health Department in West Virginia^

  • Mingo County Health Department in West Virginia^

  • Monroe County Health Department in West Virginia^

  • Morgan County Health Department in West Virginia^

  • Nicholas County Health Department in West Virginia^

  • Summers County Health Department in West Virginia^

  • Wayne County Health Department in West Virginia^

  • Webster County Health Department in West Virginia^

  • Wetzel-Tyler Health Department in West Virginia^

  • Wyoming County Health Department in West Virginia^

^included due to state-level support