As the coronavirus outbreak surges across the country, many rural communities are now seeing an unprecedented spike in infections and hospitalizations.

While most discussions about COVID-19 have focused on cities, many rural communities are actually experiencing increases in infections and hospitalizations. This is very concerning, especially since these areas typically lack the medical personnel and infrastructure to address outbreaks of diseases.
As Will Stone of NPR reports in the source article, "The pandemic's grip on rural America is especially alarming because many of these less populated areas rely on small hospitals, which don't have the beds or staff to absorb a crush of patients, especially those who require high levels of care." Small hospitals have had to transfer patients to major metropolitan areas where they can receive a higher level of care or when there are simply not enough staffed beds.
The surge in rural America is not consistent across the United States. For example, some communities got hit during the spring and summer when there were big outbreaks at food processing plants. The article indicates that rural counties in states like Kansas, Montana, South Dakota, and Nebraska now have some of the highest rates of infections per capita in the country. COVID-19 poses unique challenges for rural areas which tend to have an older population with higher rates of poverty and chronic disease than suburban and urban areas. Also, once the pandemic gets into rural communities, containing the spread can be especially challenging because they don't have the same public health resources and staff as more urban areas.
Planetizen Correspondent Irvin Dawid has also detailed the rural experience of the pandemic throughout the long months of surges and social distancing:
- North Dakota Physicians Plead for State and Local Leaders to Mandate Masks (October 21, 2020)
- Wisconsin in Crisis (October 11, 2020)
- The Changing Geography of the Pandemic (August 27, 2020)
- Pandemic's New Phase: Spreading to Rural and Urban Areas Alike (August 9, 2020)
- Will the Coronavirus Spare Rural America? (April 13, 2020)
FULL STORY: COVID-19 Surges In Rural Communities, Overwhelming Some Local Hospitals

Planetizen Federal Action Tracker
A weekly monitor of how Trump’s orders and actions are impacting planners and planning in America.

Congressman Proposes Bill to Rename DC Metro “Trump Train”
The Make Autorail Great Again Act would withhold federal funding to the system until the Washington Metropolitan Area Transit Authority (WMATA), rebrands as the Washington Metropolitan Authority for Greater Access (WMAGA).

The Simple Legislative Tool Transforming Vacant Downtowns
In California, Michigan and Georgia, an easy win is bringing dollars — and delight — back to city centers.

The States Losing Rural Delivery Rooms at an Alarming Pace
In some states, as few as 9% of rural hospitals still deliver babies. As a result, rising pre-term births, no adequate pre-term care and harrowing close calls are a growing reality.

The Small South Asian Republic Going all in on EVs
Thanks to one simple policy change less than five years ago, 65% of new cars in this Himalayan country are now electric.

DC Backpedals on Bike Lane Protection, Swaps Barriers for Paint
Citing aesthetic concerns, the city is removing the concrete barriers and flexposts that once separated Arizona Avenue cyclists from motor vehicles.
Urban Design for Planners 1: Software Tools
This six-course series explores essential urban design concepts using open source software and equips planners with the tools they need to participate fully in the urban design process.
Planning for Universal Design
Learn the tools for implementing Universal Design in planning regulations.
Smith Gee Studio
City of Charlotte
City of Camden Redevelopment Agency
City of Astoria
Transportation Research & Education Center (TREC) at Portland State University
US High Speed Rail Association
City of Camden Redevelopment Agency
Municipality of Princeton (NJ)