COPD and Rural Health:
A Dialogue on the National Action Plan

COPD is a complex topic to address, especially in rural communities. On March 19, 2018, the NHLBI convened experts in rural health and COPD to discuss challenges, opportunities, and resources as they relate to the COPD National Action Plan.

The discussions held and input received as part of the COPD & Rural Health meeting will help guide the NHLBI, the COPD community, and other stakeholders in exploring opportunities to decrease the burden of COPD.

If you missed the meeting or would like to revisit the discussions, you may watch the full recording and also review the agenda and presentations. Share your thoughts on social media using #COPDRuralHealth.

COPD & Rural Heath dialog on national Health Plan


A visual storyteller documented the conversations around each of the five goals of the Action Plan. View and share the visual representations of the meeting below.

Relevant Resources

To learn more about COPD and rural health, we suggest reviewing the following resources and materials:

• Relevant organizations: Appalachian Regional Commission, Health Resources & Services Administration, and Rural Health Information Hub

COPD National Action Plan and support materials

Urban-Rural Country and State Differences in Chronic Obstructive Pulmonary Disease — United States, 2015. Janet B. Croft, PhD; Anne G. Wheaton, PhD; Yong Liu, MD, et al. MMWR Morb Mortal Wkly Rep 2018;67:205-211.

Health Disparities in Appalachia PDA, Inc., Cecil G. Sheps Center for Health Services Research, and the Appalachian Regional Commission

Biological dust exposure in the workplace is a risk factor for chronic obstructive pulmonary disease. Matheson MC, Benke G, Raven J, Sim MR, Kromhout H, Vermeulen R, Johns DP, Walters EH, Abramson MJ. Thorax. 2005 Aug;60(8):645-51. PMID:16061705

Occupational exposure to pesticides are associated with fixed airflow obstruction in middle-age. Alif SM, Dharmage SC, Benke G, Dennekamp M, Burgess JA, Perret JL, Lodge CJ, Morrison S, Johns DP, Giles GG, Gurrin LC, Thomas PS, Hopper JL, Wood-Baker R, Thompson BR, Feather IH, Vermeulen R, Kromhout H, Walters EH, Abramson MJ, Matheson MC. Thorax. 2017 Nov;72(11):990-997. doi: 10.1136/thoraxjnl-2016-209665. Epub 2017 Jul 7. PMID:28687678

Occupational Exposure to Vapor-Gas, Dust, and Fumes in a Cohort of Rural Adults in Iowa Compared with a Cohort of Urban Adults. Doney BC, Henneberger PK, Humann MJ, Liang X, Kelly KM, Cox-Ganser JM. MMWR Surveill Summ. 2017 Nov 3;66(21):1-5. doi: 10.15585/mmwr.ss6621a1. PMID:29095802

Leading Causes of Death in Nonmetropolitan and Metropolitan Areas — United States, 1999-2014. Moy E, Garcia MC, Bastian B, et al. Leading Causes of Death in Nonmetropolitan and Metropolitan Areas — United States, 1999-2014. MMWR Surveill Summ 2017;66(No. SS‐1):1‐8. DOI: http://dx.doi.org/10.15585/mmwr.ss6601a1