For One Rural Community, Fighting Addiction Started With Recruiting The Right Doctor

Northern Maine is home to some of America's poorest - but it ranks high on national measures of health. Hospital programs visit more patients in their homes where they can be more comfortable and receive everything they need, which in turn reduces medical costs.

The rapid development of emerging economies across Asia and Africa is lifting hundreds of millions of people out of poverty - but there is much debate as to how to best structure this growth. If these economies evolve in the same way as in the West - with unchecked, excessive resource consumption and heavy pollution - the planet may be on the fast track to disaster. Earthrise explores how these nations can grow sustainably using improved, eco-conscious technologies like renewable energy and eco-friendly farming practices.

Fariel Salahuddin was determined to tackle the extreme lack of access to fresh water she encountered in rural Pakistani communities, but she wanted the model to be sustainable, not dependent on donations. Most of the communities didn't have regular access to rupees to help sustain their solar water pump micro-enterprises - what they did have, however, were goats. Salahuddin set up a scheme where villagers could pay for their clean water access with livestock instead of cash, which she then sells using Facebook at high rates during Muslim festivals to generate a sustainable revenue source.

Across the United States, tribal lands have the lowest access to internet, an issue that restricts opportunity and education in those areas. In New Mexico, several small tribes have partnered to lay fiber-optic cables that connect the libraries, which serve as primary sources of internet connection, to faster, cheaper internet.

Canada and Australia have both used targeted immigration policies to grow their rural populations. But Canada’s more holistic approach seems to match the long-term needs of migrant and local populations better than Australia’s.

Innovative mine reclamation projects across five states in the Appalachian region allow local organizations, schools, and businesses to clean up and utilize abandoned mine land. From a school that's transforming abandoned mine land into a field of solar panels to a housing development project that uses abandoned mine federal grant money to build affordable and energy efficient housing, the Appalachian region is using a comprehensive approach to renew blighted mines.

Across New Hampshire, youth are leading the fight against substance abuse. Programs like Dover’s Youth-to-Youth, Stand Up Sachems, Youth Leadership Through Adventure, and the Making it Happen Coalition, are all youth-led, adult-supported initiatives that are empowering young adults to create and disseminate substance abuse awareness and prevention campaigns. Fundamental to each of these efforts effective communication and creating a sense of community as key to prevention.

Vermont's hub and spoke model of care has gained notoriety as being a system that has successfully played a positive role in creating better access to health care, especially as it relates to the opioid crisis. Now, officials in New Hampshire are looking to scale and adapt the program to work in their state.

Fifty years on, America's war on drugs has failed at its principal goals: to eradicate illicit drug use and sales, to repair communities damaged by the drug trade, and to prevent drug-related deaths. Despite massive amounts spent on law enforcement, which has created great social harms and fueled incarceration, drug use has rebounded to 40-year highs, drug overdose deaths are peaking, and supply of illegal drugs is abundant. Policy advocates say a combination of legalization and public-health approaches to the problems would accomplish more than the wasteful, ineffective "war" mentality used to date.

A number of barriers prevent young children in Appalachia from enrolling in formal preschool classes. In response, a fleet of buses is traveling to remote communities to teach students academic and social skills.