Kentucky has more cancer diagnoses and cancer-related deaths than any other state in the nation, and most of these cases are concentrated in the fifty-four counties that constitute the Appalachian region of the commonwealth. These high rankings can be attributed to factors such as elevated smoking rates, unhealthy eating habits, lower levels of education, and limited access to health care. What is lost in the statistics is just how life-changing cancer can be—something that editors Nathan L. Vanderford, Lauren Hudson, and Chris Prichard have endeavored to address. The Cancer Crisis in Appalachia features essays written by a group of twenty high school and five undergraduate students, all of whom are residents of Kentucky's Appalachian region and are participants in the University of Kentucky Markey Cancer Center's Appalachian Career Training in Oncology (ACTION) program, which is funded by the National Cancer Institute's Youth Enjoy Science Program. These authentic and candid student essays detail the effects of cancer diagnoses and deaths on individuals, families, friends, and communities, and proclaim these cases as more than nameless statistics. The authors shed light on personal cancer stories in hopes of inspiring readers to avoid cancer-risk behaviors, get involved with cancer-prevention initiatives, give generously, and uplift cancer patients and their loved ones.

Stories from doctors, nurses, and therapists dealing on a daily basis with the opioid crisis in Appalachia should be heartbreaking. Yet those told here also inspire with practical advice on how to assist those in addiction, from a grass-roots to a policy level. Readers looking for ways to combat the crisis will find suggestions alongside laughter, tears, and sometimes rage. Each author brings the passion of their profession and the personal losses they have experienced from addiction, and posits solutions and harm reduction with positivity, grace, and even humor. Authors representing seven states from northern, Coalfields, and southern Appalachia relate personal encounters with patients or providers who changed them forever. This is a history document, showing how we got here; an evidenced indictment of current policies failing those who need them most; an affirmation that Appalachia solves its own problems; and a collection of suggestions for best practice moving forward.

Set at the time of John Brown's raid on Harper's Ferry and the Civil War, this is the story of six men and their desire to free and educate slaves.

How prisons became economic development strategies for rural Appalachian communities As the United States began the project of mass incarceration, rural communities turned to building prisons as a strategy for economic development. More than 350 prisons have been built in the U.S. since 1980, with certain regions of the country accounting for large shares of this dramatic growth. Central Appalachia is one such region; there are eight prisons alone in Eastern Kentucky. If Kentucky were its own country, it would have the seventh highest incarceration rate in the world. In Coal, Cages, Crisis, Judah Schept takes a closer look at this stunning phenomenon, providing insight into prison growth, jail expansion and rising incarceration rates in America’s hinterlands. Drawing on interviews, site visits, and archival research, Schept traces recent prison growth in the region to the rapid decline of its coal industry. He takes us inside this startling transformation occurring in the coalfields, where prisons are often built on top of old coalmines, including mountaintop removal sites, and built into community planning approaches to crises of unemployment, population loss, and declining revenues. By linking prison growth to other sites in this landscape—coal mines, coal waste, landfills, and incinerators—Schept shows that the prison boom has less to do with crime and punishment and much more with the overall extraction, depletion, and waste disposal processes that characterize dominant development strategies for the region. Schept argues that the future of this area now hangs in the balance, detailing recent efforts to oppose its carceral growth. Coal, Cages, Crisis offers invaluable insight into the complex dynamics of mass incarceration that continue to shape Appalachia and the broader United States.

NEW YORK TIMES BESTSELLER "A riveting book."—The Wall Street Journal "Essential reading."—David Brooks, New York Times From a former marine and Yale Law School graduate, a powerful account of growing up in a poor Rust Belt town that offers a broader, probing look at the struggles of America’s white working class Hillbilly Elegy is a passionate and personal analysis of a culture in crisis—that of white working-class Americans. The decline of this group, a demographic of our country that has been slowly disintegrating over forty years, has been reported on with growing frequency and alarm, but has never before been written about as searingly from the inside. J. D. Vance tells the true story of what a social, regional, and class decline feels like when you were born with it hung around your neck. The Vance family story begins hopefully in postwar America. J. D.’s grandparents were “dirt poor and in love,” and moved north from Kentucky’s Appalachia region to Ohio in the hopes of escaping the dreadful poverty around them. They raised a middle-class family, and eventually their grandchild (the author) would graduate from Yale Law School, a conventional marker of their success in achieving generational upward mobility. But as the family saga of Hillbilly Elegy plays out, we learn that this is only the short, superficial version. Vance’s grandparents, aunt, uncle, sister, and, most of all, his mother, struggled profoundly with the demands of their new middle-class life, and were never able to fully escape the legacy of abuse, alcoholism, poverty, and trauma so characteristic of their part of America. Vance piercingly shows how he himself still carries around the demons of their chaotic family history. A deeply moving memoir with its share of humor and vividly colorful figures, Hillbilly Elegy is the story of how upward mobility really feels. And it is an urgent and troubling meditation on the loss of the American dream for a large segment of this country.

Since the 2016 presidential election, Americans have witnessed countless stories about Appalachia: its changing political leanings, its opioid crisis, its increasing joblessness, and its declining population. These stories, however, largely ignore black Appalachian lives. Karida L. Brown's Gone Home offers a much-needed corrective to the current whitewashing of Appalachia. In telling the stories of African Americans living and working in Appalachian coal towns, Brown offers a sweeping look at race, identity, changes in politics and policy, and black migration in the region and beyond. Drawn from over 150 original oral history interviews with former and current residents of Harlan County, Kentucky, Brown shows that as the nation experienced enormous transformation from the pre- to the post-civil rights era, so too did black Americans. In reconstructing the life histories of black coal miners, Brown shows the mutable and shifting nature of collective identity, the struggles of labor and representation, and that Appalachia is far more diverse than you think.

A searing, on-the-ground examination of the coal industry—and the workers left behind—in the midst of an environmental crisis, addiction, and rising white nationalism. The past few years have highlighted the paradox at the heart of coal country. Despite fueling a century of American progress, its people are being left behind, suffering from unemployment, addiction, and environmental crises often at greater rates than anywhere else in the country. But what if Appalachia’s troubles are just a taste of what the future holds for all of us? Appalachian Fall tells the captivating true story of coal communities on the leading edge of change. A group of local reporters known as the Ohio Valley ReSource shares the real-world impact these changes have had on what was once the heart and soul of America. Including stories about the miners striking in Harlan County after their company suddenly went bankrupt, bouncing their paychecks; the farmers tilling former mining ground for new cash crops like hemp and maple syrup; the activists working to fight mountaintop removal and bring clean energy jobs to the region; and the mothers mourning the loss of their children to overdose and despair. In the wake of the controversial bestseller Hillbilly Elegy, Appalachian Fall addresses what our country owes to a region that provided fuel for a century and what it risks if it stands by watching as the region, and its people, collapse.

Throughout Appalachia corporations control local economies and absentee ownership of land makes it difficult for communities to protect their waterways, mountains, and forests. Yet among all this uncertainty are committed citizens who have organized themselves to confront both external power holders and often their own local, state, and federal agents. Determined to make their voice heard and to improve their living conditions, newfound partnerships between community activists and faculty and students at community colleges and universities have formed to challenge powerful bureaucratic infrastructures and to protect local ecosystems and communities. Confronting Ecological Crisis: University and Community Partnerships in Appalachia and the South addresses a wide range of cases that have presented challenges to local environments, public health, and social justice faced by the people of this region. Editors Stephanie McSpirit, Lynne Faltraco, and Conner Bailey, along with community leaders and their university partners, describe stories of unlikely unions between faculty, students, and Appalachian communities in which both sides learn from one another and, most importantly, form a unique alliance in the fight against corporate control. Confronting Ecological Crisis is a comprehensive look at the citizens and organizations that have emerged to fight the continued destruction of Appalachia.

In Hillbilly elegy, J.D. Vance described how his family moved from poverty to an upwardly mobile clan while navigating the collective demons of the past. The book has come to define Appalachia for much of the nation. This collection of essays is a retort, at turns rigorous, critical, angry, and hopeful, to the long shadow cast over the region and its imagining. But it also moves beyond Vance's book to allow Appalachians to tell their own diverse and complex stories of a place that is at once culturally rich and economically distressed, unique and typically American. -- adapted from back cover

- Whitest large metro area in the counrty -- Deer people.