Evan Fedorko

West Virginia Rural Health Research Center

Phone: 304.293.0557
Email: evan.fedorko@mail.wvu.edu

West Virginia University
3110 MacCorkle Avenue, SE
Charleston, WV 25304-1299


Publications - (6)

  • Pollution Sources and Mortality Rates across Rural-Urban Areas in the United States
    Policy Brief
    West Virginia Rural Health Research Center
    Date: 02/2010

    Rural counties contain more than 65,000 EPA-recognized point pollution sources. A greater density of water and air pollution sources in rural counties is associated with higher cancer mortality rates adjusting for other risks. Rural areas also experience mortality risks in association with coal mining activity.

  • Pollution Sources and Mortality Rates across Rural-Urban Areas in the United States (Final Report)
    West Virginia Rural Health Research Center
    Date: 02/2010
    Rural counties contain more than 65,000 EPA-recognized point pollution sources. A greater density of water and air pollution sources in rural counties is associated with higher cancer mortality rates adjusting for other risks. Rural areas also experience mortality risks in association with coal mining activity.
  • Promotion and Protection of Rural Miner Health: Are the Resources in Place? (Final Report)
    West Virginia Rural Health Research Center
    Date: 06/2013
    Reports that mining areas in the U.S., compared to non-mining areas, have on average better supplies of safety net providers, hospitals, and practicing primary care physicians. However, the study results support the need to examine the availability of safety net provider types in selected geographic areas where mining takes place.
  • Rates of Black Lung Disease in Relationship to Black Lung Treatment Centers (Full Report)
    West Virginia Rural Health Research Center
    Date: 08/2013
    Investigates the rates of black lung disease among active miners in relationship to the location of Black Lung Clinics.
  • Toxics Release Inventory Discharges and Population Health Outcomes in Rural and Urban Areas of the United States
    Policy Brief
    West Virginia Rural Health Research Center

    Examined whether chemical releases from facilities monitored through the Toxics Release Inventory (TRI) program were associated with population mortality rates for both rural and urban populations.

  • Toxics Release Inventory Discharges and Population Health Outcomes in Rural and Urban Areas of the United States (Final Report)
    West Virginia Rural Health Research Center
    The current study examines whether chemical releases from facilities monitored through the Toxics Release Inventory (TRI) program were associated with population mortality rates and birth outcomes for both rural and urban populations. We also examined whether rural and urban areas characterized by poor socioeconomic status or higher percentages of racial minorities had greater TRI releases. Health outcomes included age-adjusted CDC mortality rates for cancer, respiratory, cardiovascular, and total causes, and NCHS birth outcomes including low birth weight, preterm births and birth defects. Rural counties are defined as non-metropolitan based on rural-urban continuum codes. The results show significantly higher adjusted total mortality rates associated with greater air and water releases in both rural and urban counties, after controlling for the effects of other risk variables. Effects were found in rural areas for total, cardiovascular, and (marginally) cancer mortality outcomes. We found that counties with higher percentages of African American populations had more non-zero releases, but did not find this for populations characterized by greater Native American populations, lower income levels or higher poverty. We did not find consistent evidence for higher TRI releases being related to poorer birth outcomes. Suggestions for reducing emissions, further research to understand human health impacts, and improving rural health care are presented.