Reports - Appalachian Regional Commission

A Twenty-Year Review: Revisiting the Drinking Water and Wastewater Infrastructure Funding Needs and Gaps in the Appalachian Region

This report examines issues related to water and wastewater services throughout Appalachia, a topic last explored by ARC in 2005. Drawing on secondary data analysis, surveys of water system operators, and stakeholder interviews, it provides a comprehensive overview of these critical infrastructure areas. The report estimates access gaps and…

Appalachian Diseases of Despair, 2025

This study analyzes the impact of diseases of despair on mortality within the Appalachian Region, focusing on mortality from three main causes: alcohol, prescription drug, and illegal drug overdose; suicide; and alcoholic liver disease/cirrhosis of the liver. It includes data through 2023 and serves as an update to previous ARC…

Worker Displacement in Appalachia

This report examines worker displacement throughout the Appalachian Region, an issue last examined by ARC in 2005. Using data from the past five iterations of the Displaced Worker Supplement (DWS), which cover the years 2011-2021, the report examines how worker displacement varies based on a number of factors, including…

The Appalachian Region: A Data Overview from the 2019-2023 American Community Survey

This study examines state- and county-level data for the 13 Appalachian states from the 2019-2023 American Community Survey (ACS) and from U.S. Census Bureau population estimates on topics including population, age, housing occupancy and tenure, education, labor force, employment and unemployment, income and poverty, health insurance coverage, disability status, migration…