William E. Bivens, III For the first time in more than 160years, the nation's rural areas and small towns are growing faster than its metropolitan areas. The 1980Census of Population shows that the nonmetropolitan population increased by 15.4010 during the 1970s, while the metropolitan population grew by only 9.1010. During the 1960s, rural areas and small towns had lost some 2.8 million people to cities and their suburbs, but during the 1970s at least 4 million more people moved into nonmetropolitan areas than left them. This rural oriented population growth resulted from a number of factors, including a strong preference for rural and small-town living, the decentralization of manufacturing and related services,energyand other mining developments, William E. Bivens,Ill, isthe Senior Policy Fellowfor Rural Affairs ofthe National Gover nors' Association. He is a rural development generalist providing liaison between the gover nors and federal officials and performing applied policy research to support improvements in rural development programs and systems for their delivery. Mr. Bivenswas one of the designers of the Carter Administration's Small Community and Rural Development Policy and provided the implementation link involving the formation of governors' rural development councils. Mr. Bivens attended Brown University and did postgraduate work at the University of Texas, where he also taught American government and politics. xiii xiv FOREWORD and comparatively high rural birthrates along with improved infant mortal ity rates.

This book focuses on the effects of rural livelihood and the impact of infectious diseases on health and poverty. It explores cultures and traditions in developing countries and their role in infectious-disease management and prevention. It highlights the associated healthcare systems and how these have contributed to some of the challenges faced, and goes on to elaborate on the significance of community involvement in infectious-disease prevention, management and control. It also emphasizes the importance of surveillance and setting up strategies on infectious-disease management that are favourable for poor communities and developing countries. Infectious Diseases and Rural Livelihood in Developing Countries allows students, researchers, healthcare workers, stakeholders and governments to better understand the vicious cycle of health, poverty and livelihoods in developing countries and to develop strategies that can work better in these regions.

To inform debate on a new transportation bill being considered, the authors review the literature on the economic outcomes of highway infrastructure spending, which constitutes the largest share of federal spending on transportation infrastructure. They highlight the connections between highway spending and the economy and then analyze the literature to trace the effects of highway infrastructure on productivity, output, and employment.

Evidence from the public health sector demonstrates that health care is only one of the determinants of health, which also include genes, behavior, social factors, and the built environment. These contextual elements are key to understanding why health care organizations are motivated to focus beyond their walls and to consider and respond in unprecedented ways to the social needs of patients, including transportation needs. In June 2016 the National Academies of Sciences, Engineering, and Medicine held a joint workshop to explore partnerships, data, and measurement at the intersection of the health care and transportation sectors. This publication summarizes the presentations and discussions from the workshop.

Many inhabitants of rural areas in developing countries lack adequate and affordable access to transport infrastructure services, and this lack of transport opportunities constrains economic and social development. This report looks at the role of rural transport in reducing poverty and considers a range of issues affecting rural mobility including costs, stakeholders involved, population densities and competing services. It examines policies for promoting rural mobility including financial and regulatory considerations.