HANDLING HEALTH IMPACTS
Suggestions for Communities
Impacted by Energy Developments
.S. Environmental Protection Agency
Office of Energy Activities
Denver, Colorado
1977

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What this is all about...
These Suggestions were designed to help communities, especi-
ally small ones, to deal with health impacts associated with energy-
developments in the Rocky Mountains - Prairie Region. These are
not directions for handling specific problems. They are indications
of some ways that citizens can go about deciding what kinds of actions
are best for their own community. They are "how-to-do" sugges-
tions rather than "what-to-do" directions. Efforts were made to
provide practical suggestions for communities that are already deal-
ing with impacts as well as for communities that expect impacts in
the future. Some of the types of assistance that a community may
need are outlined, together with sources of help and how to get it.
You won't find in these Suggestions a list of clearly defined
"problems" and equally straightforward "solutions." The situations
faced by impacted communities are just not that simple. The problems
that develop must be handled in ways which are appropriate for the
specific community where they occur. The technological approaches
may be the same for every community but local decisions have to be
made as to what is acceptable to the community, how much the citizens
are willing to pay, and many other factors. Such determinations
require an orderly process. The purpose of these Suggestions is to
indicate some ways that this may be done.
As indicated later on, a community .cannot deal with health
problems in isolation. A variety of other issues -- education,
recreation, law enforcement -- must be - considered at the same time.
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If you have not already done so, you will want to read the
Action Handbook for Small Communities Facing Rapid Growth^". This
Handbook is a "how to manage" manual for impacted communities.
These Suggestions are designed to complement the portions of the
Action Handbook relating to health and medical services.
Another aid that you also may want to use at the outset is a
slide series, with narrative, entitled "Health Effects Associated
With Energy Development." This is available from the U.S. Environ-
mental Protection Agency, Office of Energy Activities, Denver.
These Suggestions are based on a study, extending over more
than 18 months, of health impacts experienced by communities and
how they were handled. From first hand accounts, direct observa-
tions , and reading many reports, an effort has been made to provide
a brief summary of what was done in the communities, and what
worked and didn't work.
Many persons requested that these Suggestions be brief and
readable in one short period that might be available to busy people.
Requests were made to eliminate details that could be obtained else-
where -- just give an overview and sources of information. An
attempt has been made to follow this sound advice.
Briscoe, Mephis, Murray and Lamont. 1977. Action Handbook for
Small Communities Facing Rapid Growth. Prepared for the U.S.
Environmental Protection Agency. (Contract 68-01-3579) .
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What to Expect
Residents of communities impacted by energy developments are
fully aware of the undesirable conditions that may occur. Rapid
population growth may quickly exhaust the resources available for
providing personal and government services. If the annual rate of
growth is much over five percent, most small communities (less than
1,500 persons) have difficulties in providing for the newcomers;
that is, unless adequate preparations for them are made in advance.
As many new people move in, available housing is quickly oc-
cupied. The new residents then must make temporary arrangements
for housing in the community or commute to nearby towns. The tem-
porary arrangements may result in tent cities, mobile home areas,
trailer parks, and various types of improvised housing. If not
carefully managed by the community, possibilities develop for the
occurrence of unsanitary conditions that may have serious effects
on the health of everyone -- initial residents and newcomers alike.
A variety of personal services may also be affected. Recreational
facilities soon may become overcrowded. The number of doctors
and other health personnel may not be adequate to take care of the
additional population. Such shortages create additional threats
to health.
The citizens of a community are the ..only .persons who can pre-.,
vent such undesirable conditions or eliminate them if they already:
have developed. Let's now look at some of the ways this can be done.
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What Can Be Done
Several courses of action are available to communities in
dealing with health impacts:
A community can do nothing and let events take care
of themselves.
The decision makers can deal only with emergency
situations.
The responsible officials can consider each issue
as it is presented and make a decision on their
evaluation of each individual case.
Planners can be employed to advise the responsible
official concerning each issue.
A program can be developed to prepare plans for the
community that will serve as a guide for community
development and as a basis for making decisions.
These various approaches, and many variations, have been used by
impacted communities. Some have resulted in near disasters. All
communities that have coped effectively with health impacts even-
tually developed some type of organization to prepare a community
health plan that serves as a basis for decisions. The most effec-
tive plans were prepared with extensive citizen participation. These
plans generally reflect a concensus of the community regarding
needs and priority. Hence, they are better supported and more
easily implemented than are plans prepared without involvement of
the general public. Before making a decision not to develop a
systematic plan, talk to officials in communities where impacts
came so quickly that time was not available.;.for. planning. Ask
them for suggestions. (See References and section on "Sources of
Information and Assistance")
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How to Deal With Health Impacts
Kinds of Health Impacts
First, we should be specific about the things we are going
to consider. Our concern is the undesirable health effects assoc-
iated with energy development. There are two kinds:
Effects resulting from the toxins and irritants
(pollution) generated by industrial processes.
Effects caused by rapid growth of communities.
Industrial Pollution. The control of industrial pollution
is a state-level responsibility and is carried out in accordance
with Federal guidelines and enforced by both Federal and state
laws and regulations. Most of the industrial developments in the
Region are modern and generally employ the most advanced method
for pollution control. The probability of serious health hazards
from industrial sources is remote. This doesn't mean, however,
that dangerous pollution might not occur under some circumstances.
Monitoring programs maintained by the responsible state agencies
are designed to detect such hazards and to take appropriate control
measures should conditions warrant.
Rapid Growth. By far the most significant health effects
that communities have to handle are those associated with rapid
population growth. There are two types of such effects:
Impacts on community environmental services.
Direct, adverse effects on health of people.
The types of environmental services that are most commonly affected
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include water supply, sewage disposal, solid waste disposal, and
environmental sanitation. Direct adverse effects on people include
increases in rates of communicable diseases, mental illness, alco-
holism, drug abuse, accidents, and other problems. The lack of
adequate health and medical services has been perceived as the most
important direct health effect in most communities.
Approaches to Cope
We already have indicated in several ways, the necessity of
a systematic approach in dealing with health impacts. This will be
mentioned several times more before the end of these Suggestions!
Regardless of the form it takes, some type of planning organization
is essential to prepare for orderly community growth that will pre-
serve the values and provide the services desired by the community.
Otherwise the way is open for intuitive decisions. Such decisions
often are based on inadequate information and stand a good chance
of being less than the best course of action. Simply reacting to
emergencies, though sometimes necessary, may be equally undesirable.
Appropriate planning, on the other hand, provides a means for
making the best possible decision under prevailing circumstances.
As far as health impacts are concerned, the planning process in-
volves the following:
Evaluating health problems and the needs for
health services.
Consideration of alternative ways to alleviate
the problems defined and provide the services
needed.
Assessment of resources available, or attainable,
in the community and determining further needs to
carry out the alternative programs.
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Providing the resulting information in proper form
to assist decision makers in selecting the most
appropriate program—considering cost, community
preferences, efficiency, and other factors.
Assiting operating agencies with implementing
programs selected by decision makers.
Assisting responsible officials with evaluating
effectiveness of both new and established programs.
Recommending modification of programs to operating
agencies and decision makers as changes are indicated.
Preparing periodic analyses of health conditions and
recommendations for dealing with health problems.
The "decision makers" referred to may be a city council,
county supervisors, or other legally responsible governing body.
"Operating agency" may be a department of local government, a vol-
unteer organization, or a contractor responsible for a specific
function in the community. Examples are a local health department,
a mental health center, and a child day care center.
Does all this seem complicated? It really isn't. If you
think about the items in the above list, you probably will conclude
that many of the activities are being performed already. Some of
them probably are being done without adequate data that the planning
process would provide. Hence the decisions that are made may not be
reliable. Any community that wants to do so can develop a planning
organization that is appropriate to meet local needs. An organi-
zation consisting of only one person may be adequate for some com-
munities. Others may require a large staff, depending on the size
of the community and the extent of the impact.
Relation of Health Problems to Other Types of Impact. A1though
we are considering how to deal with health-related problems in these
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Suggestions, impacted communities must deal with a wide variety of
other issues. Most of the problems faced by an impacted community
are interrelated. . For example, health, education, recreation, and
law enforcement are all interrelated. What we say about health
impacts applies as well to many other problems. Some communities
that have not yet developed programs to cope with health impacts
already have planners who are developing programs in related areas.
It is essential that planning for health programs be related to'
these efforts.
Approaches to community planning are outlined in the Action
Handbook. The steps outlined in the Handbook are generally appli-
cable to most aspects of community planning, including planning to
deal with health impacts. In these suggestions we are providing
some additional details related to health issues. We also are em-
phasizing some of the material in the Handbook by repeating it here.
One point we wish to emphasize is the necessity for community
involvement in planning. Citizens of the community must understand
the necessity and purpose of planning. In some areas planning has
been interpreted as an infringement on individual rights. Land use
planning especially is suspect because it results in "telling a man
what he can and cannot do with his own land." Most persons, how-
ever, now appreciate the necessity of collective action and indi-
vidual compromises to protect community values. Still, many com-
munities prefer to "go it alone" and not get involved with other
jurisdictions. Many small communities that do not have the nec-
essary personnel and other resources to cope with impact situations
have found this course to be very costly in the long run. Not only
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is money wasted but the community often has been stuck with avoid-
able problems that will remain for a long time.
However, the decision is up to the community. It is unlikely
that any one can, or would try to., force the community to do any-
thing contrary to the prevailing concensus. Those who may seem
persuasive are simply pointing out the consequences of various
courses that may be pursued.
The Health Services Task Force
The Handbook indicates how a Community Impact Committee may
be organized and outlines how specific issues and problems in the
community may be addressed by task forces. These Suggestions are
made especially for the task force concerned with health impacts.
Such a task force may consider health services exclusively, or
health services may be included in the v/ork of a task force with
other responsibilities.
As promised in the Introduction, these Suggestions are brief.
They provide a general overview of how a community may deal with
health impacts. More details for operation of the Health Service
Task Force are given in a compilation of formats and protocols
entitled "Procedure for Evaluating Health Impacts Resulting from
Energy Developments." This report is available from the Office of
Energy Activities, U.S. Environmental Protection Agency, Denver.
Specific Problems
As indicated before, these Suggestions are not concerned with
technical details. They are not step-by-step instructions. So,
in commenting on how to deal with some problems we will only
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suggest sources of assistance or where detailed information can
be obtained. With this in mind, let's consider each kind of
health impact indicated earlier in this section.
Industrial Pollution. We will have little further comments
concerning this type of impact. Communities should be familiar
with the monitoring programs mentioned previously and should be
alert to changes that might result in increased risks to health.
It is highly unlikely, however, that communities would need to
deal individually with problems of industrial pollution.
Health Impacts Resulting From Rapid Community Growth. As in-
dicated before there are two kinds of these impacts.
--Impacts on Community Environmental Services involve water
supplies, waste water treatment, solid waste disposal, and envi-
ronmental sanitation. Municipal services and matters relating to
physical facilities usually will not be the direct responsibility
of the Health Services Task Force. However, the Health Services
Task Force will want to participate in planning these services.
The adequacy of current services and plans that may be developed
for additional service should be evaluated as to effectiveness in
protecting the public health.
In most states, the Department of Health, or a department
providing the usual services of a health department, has responsi-
bility for approving the design of physical facilities and opera-
tions of community environmental services. Guidance should be
sought from the appropriate state agency early in the planning
process. It is unwise to make commitments for consultants or
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incur other expenses until the extent of assistance available
from state or Federal agencies is determined.
--Direct Impacts on the Health of People will be the primary
concern of the Health Services Task Force and will require most of
its attention. Many health problems in the community, and ways to
handle them, will be apparent. Other problems that may be equally
important may be less obvious. Be sure to have your Health Sys-
tems Agency involved in the work of the Task Force at an early
stage. This will give you an idea of what assistance is available
and will suggest some ways of undertaking various tasks. The op-
erating state departments that have responsibilities for specific
programs also should be consulted as you undertake work on various
problems. All states have offices responsible for programs in
public health, mental health, alcoholism, drug abuse, and other
areas related to local health problems. Look over the lists of
References and "Sources of Information and Assistance" for mater-
ial or contacts that may be helpful.
A Special Word About Personal Health Services
One of the most perplexing, often controversial, and certainly
the most expensive problem that the Health Service Task Force will
have to deal with is the matter of planning for personal health
services. To most people, "personal health services" involve onl)r
the treatment of illness or injury. The need for personal health
services is perceived as a need for physicians and hospitals.
Some communities have spent a great deal of money in attempts to
recruit physicians and other health personnel. By far, the
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majority of such efforts have been unsuccessful. Other communi-
ties have attempted to attract physicians to the area by con-
structing hospitals or providing other types of medical facili-
ties. This has not worked well either. Such facilities are
costly to construct and maintain. Often they prove to be inappro-
priate for the needs of the community and do not attract the de-
sired personnel. Many have been converted to other uses and
essentially all of them result in a financial burden, and the com-
munity is still without the desired medical service.
How then does a community arrange to obtain the needed
health and medical services? In the first place, the "needs"
must be defined. The instances just described--recruitment of a
physician or construction of a medical facilit:y---may be among the
possible ways to provide certain medical services. They may be
possible answers to a problem. But an apparent inadequate number
of physicians is not the real problem. The real problem is in-
adequate services. Having more physicians residing and prac-
ticing in the community may be a possible solution. Certainly it
is not the only solution and may not even be the best. Yet, many
thousands of dollars have been wasted in pursuing a perceived so-
lution to an inadequately defined problem. For many communities,
the most practical way to provide personal health services is by
a Physicians Assistant or a Nurse Practi ioner. Public Health
Nurses and Emergency Medical Technicians also can provide many of
primary medical services in small communities. This may seem in-
volved, but it really isn't. As suggested before, planners and
others can be of great help to a community in working out such
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problems.
The protest often is heard: "But I know we need a doctor,
we don't have one—or we don't have enough!" The fact is, the
doctors services are needed, not necessarily that he or she be in
residence and work full-time in the community. Dr. Bond Bible,
Director of the Department of Rural and Community Health for the
American Medical Association has clearly described the situation.
"It is certain that many- small communities which once had
their 'own' physician will never again have one of their own. It
has become clear that for some sparsely populated rural areas,
solutions completely different from the traditional physician in
residence must be sought. In some areas, emphasis may be needed
on expanded transportation and communication capabilities, use of
new allied health professionals better understanding of individ-
ual health practices, and development of emergency care and self-
help methods to ensure rural health coverage. Multiple communi-
ties in a logical service area will need to plan together to de-
velop health care systems on an area basis so that they can at-
tract appropriate health manpower working in a group to provide
home, clinic, and hospital care."
"Today, organizing health care systems in sparsely populated
areas requires multi-institutional arrangements on a geographical
basis. To accomplish this will require courage and foresight on
the part of community leaders and health care professionals.
Some institutions may have to change their missions or actually
close down. Some must be helped to expand. Ambulatory, primary
care and group practice units must be built. Rescue squads must
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have trained staffs and new equipment to handle acute emergencies
until they reach the appropriate hospital. No rural community
can handle it alone."'''
Communities should plan and develop the type of health ser-
vices, both personnel and facilities, that are appropriate but
not excessive to meet the needs of the area. This must be done
on a regional basis so that all of the needed services are avail-
able to the community but not necessarily provided in facilities
physically located within the community, or by personnel that re-
side in the community. Arrangements should be made, however, for
"local access to emergency services and services of other types
that are continuously or frequently needed. Most important,
mechanisms should be developed to permit ready access to the en-
tire systems of health services. This is to assure that the type
and level of services required are secured promptly when needed.
How does a community go about making these arrangements?
Get the planner to help. They know the techniques for planning
regional health services and can assist in identifying the op-
tions that are available to the community. The planners cannot,
however, do the job for the community. They can assist with
some of the technical aspects and provide information on experi-
ences in other areas. The participation of citizens of the com-
munity is essential to determine local needs and preferences re-
garding delivery of health services. Also, the local residents
^"Studt, W.B., Jerold G. Sorensen, and Beverly Burge. 1976.
Medicine in the Intermountain West. Olympus Publishing Company.
Salt Lake City.
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are in a better position to explain the advantages and disadvan-
tages of the various options to others. This process is essential
for developing a consensus of what the community wants and what
the citizens are willing to support and pay for.
Also, seek comments from communities that have used various
systems for providing health services. See how the various ones
worked out. Proposals should be sought from organizations that
develop rural health services for rural areas and contract to op-
erate them. See the "Examples of Successes and Innovations" in a
following section.
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Where to Get Help
Many resources are available throughout the Rocky Mountains-
Prairie Region to assist communities in developing and implement-
ing plans to deal with health impacts, as well as other problems
related to energy developments. A list of such resources in each
state, and those that are available to all the states, is included
with these Suggestions.
In each state a number of departments ana offices can pro-
vide essentially all of the assistance needed by the communities.
If information concerning these resources are not available in
the community, contact with the appropriate representative should
be made by letter or telephone. Often someone from the agency or
office will be able to visit the community and explain what assis-
tance is available. At least it is well to learn what is offered,
even if the services are not requested.
The following are some of the sources you may want to con-
tact.
Health Planning Agencies. Each state has a State Health
Planning and Development Agency, although not necessarily with
this title, and one or more Health Systems Agencies. These agen-
cies are involved in a collaborative Federal-State-Local program
concerned with planning, developing, and regulating health ser-
vices. This program was recently organized, or reorganized, and
some of the agencies are relatively new. Many currently are con-
cerned with mandated tasks and are occupied with development of
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state or regional plans. Nevertheless, these agencies can assist
communities in approaching health problems in ways that will be
compatible with activities of other health planning organizations.
Each community is part of a Health Service Area that is the
responsibility of a specific Health Systems Agency. In some in-
stances sub-area planning activities are under way. To assure
the necessary relationship and support, communities should get in
touch with their Health Systems Agency at an early stage.
State Planning Office. The State Planning Office which is
designated by various titles in different states, is the focal
point of community planning in most states. As indicated before,
planning to deal with health impacts should be done in concert
with other aspects of community planning. Collaboration is es-
sential for establishing priorities and orderly allocation of
funds. In addition, many programs can be mutually supportive so
that sometimes two or more related problems can be solved more
satisfactorily together than they could be separately.
State Offices of Community Affairs. The names vary, but
most states have an office that serves as a community advocate
in dealing with other state agencies and with appropriating bod-
ies. Depending on the individual states, a variety of programs
are available to assist individual communities. In most in-
stances, help can be provided in developing an entire local plan-
ning program or in assisting with specific programs or problems.
In some states, the office of community affairs has regulatory
responsibilities.
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Cooperative Extension Service. Agricultural extension agents
have long been involved in community activities. They are excel-
lent initial contacts for information on how to get started in
dealing with impact problems. Most state extension services have
developed materials that may be used to inform citizens of pending
problems and approaches to solutions. Extension services maintain
extensive contacts and serve as good sources of information con-
cerning the availability of resources from other agencies.
Operating Agencies. In dealing with specific problems--such
as water supplies, health facilities, and mental health services--
you may wish to get in touch with the state or regional agency
that has responsibilities for these types of programs. Technical
assistance often is available for helping communities in defining
local problems and implementing local programs.
University Institutes. State universities address a variety
of issues that concern impacted communities. Review the list of
"Sources of Information and Assistance" for your state to find
the ones that would be helpful in your work.
Health Services Organizations. Two organizations in Utah
have worked with impacted communities in providing medical ser-
vices. They are the Health Systems Research Institute in Salt
Lake City and the Utah Valley Hospital in Provo. The programs and
approaches of these organizations are somewhat different. Both
are involved in providing direct medical and administrative Ser-
vices in a variety of situations. Specific arrangements are tail-
ored to needs of the community and resources available. You may
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wish to obtain literature (see References) from both organizations
and consult with them concerning the circumstances in your com-
munity.
Chambers of Commerce. The local Chamber of Commerce is often
an important resource in developing and carrying out plans to han-
dle impacts. The principal industrial and business organizations
in the community usually participate in activities of the Chamber
of Commerce. Many of the essential contacts and sources of sup-
port can be developed when the Chamber shares leadership in com-
munity planning.
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Examples of Successes and Innovations
There are many outstanding examples of successes and innova-
tions in dealing with health impacts in the Rocky Mountains-Prairie
Region. Some representative ones are briefly described in this
section. You may wish to secure information directly concerning
these programs from the sources indicated in the References and
the section on "Sources of Information and Assistance."
Severely Impacted Communities. Rock Springs, Green River, and
Gillette, Wyoming, and Colstrip, Montana are representative of the
first communities to be severely impacted by energy developments.
References to articles concerning these communities are listed in
References. You may wish to examine these accounts for insight as
to what can happen when there is not adequate information concern-
ing developments soon enough to enable effective preparation to
avoid impact. Also, to review the processes used to alleviate
impacts.
Effective Preparation in Advance of Impact. Among others,
the advance preparation that is in progress at Wheatland, Wyoming
and in Mercer County, North Dakota are outstanding examples of
industry-community collaboration to minimize impacts. The project
near Wheatland involves the construction and operation of a 1,500
megawatt generating station by six consumer-owned electric utili-
ties that developed the Missouri Basin Power Project. The commun-
ity was advised of the development about two years in advance of
construction. An impact alleviation task force was organized
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jointly by community leaders and industry representatives soon
after the announcement. Staff members of the Missouri Basin Power
Project served as advisors to the Platte County Impact Alleviation
Task Force from the beginning. The Task Force was provided with
the most accurate information concerning population projections
and other data that would affect requirements for local services.
As a result, existing and anticipated problems were identified at
an early stage and plans were developed for handling them. Timely
implementation of these plans assured that impacts would be mini-
mal. This is not to say that no problems developed, or that the
task was easy. The Wheatland (Platte County) story is an inter-
esting one and is worth reviewing.
Developments in Mercer County have been along similar lines.
There, two primary industries are involved; Basin Electric, one
of the participants in the Missouri Basin Power Project, and A.N.G.
Coal Gasification Company worked cooperatively with community
leaders to develop the Mercer County Task Force. Both companies
have full-time impact planning coordinators.
Personal Health Services. The health planners can give many
local illustrations of effective arrangements for personal health
services in a variety of situations. For example, the Health
Systems Research Institute has worked with the city of Sundance,
Wyoming in staffing and operating the local hospital. This hos-
pital provides services in the nearby community of Moorcroft at
a mobile clinic. At Castle Dale, Utah, the Utah Valley Hospital
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has similarily assisted the community in operating a local
clinic. There are many other examples--ask the health planner.
Local Planning Organizations. Examples of outstanding local
planning agencies are available for every state. Ask the State
Planning Office for information concerning activities that are
most similar to those planned for your community. The Sheridan
Area Planning Office in Sheridan, Wyoming has produced a variety
of excellent community reports. These reports have provided the
basis for plans that have been effective in coping with impacts.
Industrial Councils. Many communities are concerned with
activities of several different industries. In some instances,
the industries have formed a local association that serves as a
focal point of contact and cooperation with the community. The
Southwest Wyoming Industrial Association, with offices in Rock
Springs, is an example.
Wyoming Human Services Project. This university-based pro-
gram has operated in Gillette and Wheatland, Wyoming. Advanced
students are trained at the University of Wyoming to work in im-
pacted communities for a year after graduation. Team members
work in such areas as public administration, public health, men-
tal health, and social services. Half of each week is spent as a
regular staff member in a human services agency. The remaining
time is spent with the team working on projects related to the
improvement of human services within the community. This pro-
gram has resulted in development and evaluation of new planning
approaches and programs to deal with impacts.
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Information Systems. Impact assessment and information sys-
tems have been developed in some states. These programs develop
data and provide direct local assistance. The Regional Environ-
mental Assessment Program (REAP) in Bismarck, North Dakota is
collecting baseline data and is monitoring and cataloging a vari-
ety of information useful to impacted communities.
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References
General articles about the extent of impacts and public attitudes
Christiansen, B. and T.H. Clack, Jr. 1976. A western perspective
on energy: a plea for national energy planning. Science
194:578-584.
Gilmore, John S. 1976. Boomtowns may hinder energy development.
Science 119:535-540.
Gilmore, John S. and Mary K. Duff. 1975. Boomtown growth manage-
ment: a case study of Rock Springs-Green River, Wyoming.
Westview Press. Bolder.
Gold, R. L. 1974. A comparative case study of the impact of coal
development on the way of life of people in the coal areas
of eastern Montana and northeastern Wyoming. Institute for
Social Science Research, University of Montana. Missoula.
Gold, R.L. 1977. A case study of social and socioeconomic
effects of thermal power plant development at Colstrip,
Montana. To be published in the Journal of the Air Pollution
Control Association.
Ludtke, Richard L. 1977. Human impacts of energy development. A
Survey Study of Dunn, McLean, Mercer and Oliver Counties in
North Dakota. Social Science Research Institute, University
of North Dakota.
Wataha, Paul J. Presentation of Mayor Paul J. Wataha, Rock Springs,
Wyoming. The 26th Annual Utah Economic Development Confer-
ence. August 20, 1975. Salt Lake City. Mimeographed.
Planning to minimize impact
Bell, William. 1975. Data base book for Sheridan County. Sheri-
dan Area Planning Agency.
Big Horn Planning Advisory Board. 1977. Community development
plan, Big Horn, Wyoming.
Briscoe, Maphis, Murray and Lamont. 1977. Action handbook for
small communities facing rapid growth. Prepared for the U.S.
Environmental Protection Agency. Denver. (Draft)
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Hclloway, Jill. Progress of the Platte County impact alleviation
task force. Wheatland, Wyoming.
Rapp, D.A. 1976. Western boomtowns: part I. A comparative analy-
sis of state actions. Western Governors' Regional Energy
Policy Office. Denver.
Planning health services
Call, Richard D. and Mark J. Howard. 1976. Rural health - a
three-pronged approach. Clinical Medicine 83:9-13.
Drumwright, Sterling. 1977. The role of the federal government
in health planning for (energy) impacted communities. Mim-
eographed.
Health Systems Research Institute.
Rural health care delivery system
The new world in rural practice
Community health care
Query, Joy M.N. 1975. Human environment impact assessment of coal
gasification in the Dunn County area of North Dakota. The
health delivery system. North Dakota State University. Mim-
eographed.
Studt, Ward B., Jerald G. Sorensen, and Beverly Burge. 1976.
Medicine in the intermountain west. Olympus Publishing Co.
Salt Lake City.
Uhlmann, Julie M. 1977. The delivery of human services in Wyoming
boomtowns.' Manuscript. University of Wyoming, Laramie.
Financing for impacted communities
Briscoe, Maphis, Murray and Lamont. 1974. Oil shale tax lead
time study. Prepared for regional development and land use
planning subcommittee of the Governor's Committee on Oil Shale
Environmental Problems. Denver.
Bronden, Leonard D. et al. 1977. Financial strategies for allev-
iation of socioeconomic impacts inseven western states.
Western Governors' Regional Energy Policy Office.
Dorow, Norbert et al. North Dakota's state and local taxes and
coal development. Cooperative Extension Service. North Dakota
State University.
Johnson, Maxine C. and Randle V. White. 1976. Coal development,
population growth, and local government finance: a handbook
for local officials. Prepared for Montana Energy Advisory
Council and Custer National Forest, USDA. Montana Bureau of
Business and Economic Research, University of Montana.
Missoula.
-26-

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Examples of community plans
Clearmont City Council and Citizens of Clearmont. 1976. Clear-
mont comprehensive plan. Clearmont, Montana.
Dayton Town Council and the Citizens of Dayton. 1976. Dayton
comprehensive plan. Dayton, Montana.
Dempsey, John and Associates. 1975. Comprehensive plan update,
City of Rock Springs, Wyoming.
Platte County Joint Planning Office. 1976. Wheatland impact area
comprehensive plan.
Sheridan City Planning Commission. 1977. Community development
plan, Sheridan, Wyoming.
Sheridan County Planning Commission. 1977. A comprehensive plan
for Sheridan County, Wyoming.
Story Planning Advisory Board. 1977. Community development plan,
Story, Wyoming.
Slide-tape series
Environmental Protection Agency. Health effects associated with
energy developments. Office of Energy Activiites, Denver,
Cclcrado. (Contact Mr. N.L. Hammer,. Environmental Protec-
tion Agency, Office of Energy Activities, I860 Lincoln Street,
Denver, Colorado 80203.)
North Dakota Cooperative Extension Service. The following three
sets are available:
1.	Prime Farmland
2.	Extension's Community Development Program
3.	Coal Development and its Impact on the community
of Washburn, North Dakota.
(Contact Mr. Don H. Peterson, Area Resource Development Agent,
County Extension Office, Washburn, North Dakota 58577.)
Utah Valley Hospital. Health care for rural America', a unique pre-
scription. (Contact Mr. Mark Howard, Director of Rural Health,
Utah Valley Hospital, Provo, Utah 84601. Telephone
801/373-7850).
-27-

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SOURCES OF INFORMATION AND ASSISTANCE
FOR
COMMUNITIES IMPACTED BY ENERGY DEVELOPMENTS
-28-

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FEDERAL. REGIONAL, AND MULTISTATS AGENCIES
FEDERAL
U.S. Environmental Protection Agency Region VIII
Office of Energy Activities
1860 Lincoln Screet
Denver, Colorado 80203
Telephone. 303/837-3691
N.L. Hammer
U.S. Department of the Interior
Oil Shale Environmental Advisory Panel
Room 690, Building 67
Denver Federal Center
Denver, Colorado 80225
Henry 0. Ash
Executive Director
U.S. Department of Health, Education, and Welfare Region VIII
Federal Office Building
1961 Stout Street
Denver, Colorado 80202
Telephone 303/837-4461
Hilary H. Conner, M.D.
Regional Health Administrator
Dr. Gunner Sydow, Director
Division of Health Resources Development
Michael Liebman, Liaison Officer
National Center for Health Statistics
James E. Ver Duft, Chief
Health Planning Branch
Ralph C. Barnes, Director
Division of Prevention
Dean Hungerford, Director
Division of Health Service
George Rold
Office of Intergovernmental Affairs
Federal Regional Council
1961 Stout Street
Denver, Colorado 80202
Telephone 303/83/-2751
Russell W. Fitch, Representative
Federal Energy Administration
U.S. Department of Health, Education, and Welfare
Indian Health Service Area Offices
Montana and Wyoming
2727 Central Avenue
Post Office Box 2143
Billings, Montana 59103
Telphone 406/585-6452
Richard J. Anderson, Assistant Area Director
Environmental Health and Engineering Programs
North Dakota and South Dakota
Aberdeen Area, IHS
115 - 4th Street, S.E.
Aberdeen, South Dakota 57401
Telephone 605/782-7553
REGIONAL COMMISSIONS
Old West Regional Commission
Room 306-A
Fratt Building
Billings, Montana 59102
Telephone 406/245-6711
Beth Givens
Information Specialist
Four Corners Regional Commission
3535 East 30th Street
Suite 238
Farmington, New Mexico 87401
Telephone 505/327-9626
Carl A. Larson
Executive Director
MULTI-STATE OFFICES
Fort Union Regional Task Forces
State Capitol
Bismarck, North Dakota 58505
Telephone 701/224-2916
Sheila Miedema
Project Coordinator
PACT Health Planning Center
90 Madison Street
Suite 604
Denver, Colorado 80206
Telephone 303/320-0917
H. Sterling Drunwright
Associate Director for Consultation
Montana
Nebraska
North Dakota
South Dakota
Arizona
Colorado
New Mexico
Utah
Montana
North Dakota
South Dakota
Wyoming
Bill F. Pearson, Chief
Office of Environmental Health
Utah.
Navajo Area, IHS
Post Office Box G
Window Rock, Arizona 86515
Telephone 602/871-5851
Donald G. Myer, Assistant Area Director
Enviormental Health and Engineering Programs
Colorado•
Federal Building and U.S. Courthouse
500 Gold Avenue, S.W.
Albuquerque, New Mexico 8/101
Telephone- 505/474-2155
Perry C. Bracket*", Chief
Office of Environmental Health

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COLORADO
STATE DEPARTMENT OF HEALTH
Colorado Department of Health
4210 East 11th Avenue
Denver, Colorado 80220
Telephone. 303/388-6111
Anthony Robbins, M.D., M.P.H.
Executive Director
Extension 315
Thomas M. Vernon, M.D., Chief
Epidemiology Section
Extension 252
Robert E. Fontaine, M.D.
Epidemic Intelligence Service (EIS) Officer
Extension 252
Orlen J. Wiemann, Chief
Milk, Food, and Drug Section
Consumer Protection
Extension 252
Donald J. Davids, Chief
Records and Statistical Section
Extension 237
(Health Information)
Frank Rozich, Director
Water Quality Control and Public Health
Engineering
Extension 325
STATE PLANNING AGENCY
Division of Planning
Department of Local Affairs
1313 Sherman Street, Room 520
Denver, Colorado 80203
Telephone- 303/839-2351
Philip H. Schmuck
Planning Director
REGIONAL PLANNING COMMISSIONS
Region 1 - Sedgwick, Phillips, Yuma, Logan, Washington
and Morgan Counties
Northeastern Colorado Council of Governments
Post Office Box 1782
Sterling, Colorado 80751
Telephone: 303/522-0040
John Harrington, Executive Director
Region 2 - Larimer and Weld Counties
Larimer-Weld Regional Council of Governments
201 East Fourth Street, Room 201
Loveland, Colorado 80537
Telephone: 303/667-3288
Ronald Thompson, Director
Region 3 - Denver, Adams, Arapahoe, Boulder, Jefferson,
Douglas, Clear Creek, and Gilpin Counties
Denver Regional Council of Governments
1776 South Jackson Street, Suite 200
Denver, Colorado 80210
Telephone: 303/758-5166
Robert D. Farley, Executive Director
Region 4 - El Paso, Park, and Teller Counties
Pikes Peak Area Council of Governments
27 East Vermijo Avenue
Colorado Springs, Colorado 80903
Telephone. 303/471-7080
Roland Gaw, Executive Director
Region 5 - Lincoln, Elbert, Kit Carson, and Cheyenne
Counties
East Central Council of Governments
Box 28
Stratton, Colorado 80836
Telephone 303/348-5562
Maryjo M. Downey, Director
Region. 6 -.Crowley, Kiowa, Otero, Bent, Prowers, and.
Baca Counties
Lower Airkanasa? Valley Council of Governments-
Bent County Courthouse
Las Animas, Colorado 81054
Telephone 303/456-0692
James N. Miles, Executive Director
Region 7a - Pueblo County and City of Pueblo
Pueblo Area Council of Governments
One City Hall Place
Pueblo, Colorado 81003
Telephone. 303/545-0562
Region 7b - Huerfana and Las Animas Counties
Huerfano-Las Animas Area Council of Governments
Room 100 - County Court House
Trinidad, Colorado 81082
Telephone 303/846-4478
Fred E Weisbrod, Executive Director
Region 8 - Sauache, Mineral, Rio Grande, Alamosa,
Conejos, and Costilla Counties
San Luis Valley Council of Governments
Adams State College, Box 28
Alamosa, Colorado 81101
Telephone. 303/589-7925
Rondall Phillips, Director
Region 9 - Dolores, Montezuma, La Plata, San Juan,
and Archuleta Counties
San Juan Regional Commission
1911 North Main
Durango, Colorado 81301
Telephone 303/259-1691
Region 10 - Gunnison, Delta, Montrose, Ouray, San
Miguel, and Hindsdale Counties
District 10 Regional Planning Commission
107 S. Cascade
Post Office Box 341
Montrose, Colorado 81401
Telephone 303/249-9638
John J. Collier, Director
Region 11 - Garfield, Moffat, Mesa, and Rio Blanco
Counties
Colorado West Area Council of Governments
1400 Access Road
Post Office Box 351
Rifle, Colorado 81650
Telephone 303/625-1723
Steve Schmitz, Director
Region 12 - Routt, Jackson, Grand, Summit, Eagle, and
Pitkin Counties
Northwest Colorado Council of Governments
Holiday Center Building
Post Office Box 739
Frisco, Colorado 80443
Telephone. 303/468-5445

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(COLORADO CONT'D)
Lee Woolsey, Director
Region 13 - Lake, Chaffee Fremont:, and Custer Counties
Upper Arkansas Area Council of Governments
6th and Mason, Box 510
Canon City, Colorado 81212
Telephone: 303/2 75-8350
Frank Cervi, Director
HEALTH PLANNING AND DEVELOPMENT AGENCY
Colorado Department of Health
4210 East Eleventh Street
Denver, Colorado 80220
Telephone 303/388-6111
Anthony Robbins, M.D., Director
Michael K. Schonbrun, Assistant Director
Office of Medical Care Regulation and Development
Extension 356
HEALTH SYSTEMS AGENCIES
Area I
Central-Northeast Colorado Health Systems Agency, Inc
7290 Samuel Drive, Suite 316
Denver, Colorado 80222
Telephone: 303/427-8460
June H. Twinam, Executive Director
Area II
Southeastern Colorado Health Systems Agency, Inc
Pikes Peak Center
1715 Monterey Road
Colorado Springs, Corlorado 81501
Telephone- 303/475-9395
Frank Armstrong, Executive Director
Area III
Western Colorado Health Systems Agency, Inc.
2525 NorthSeventh Street
Grand Junction, Colorado 81501
Telephone• 303/245-3590
David Meyer, Executive Director
OFFICE OF ENERGY CONSERVATION
Office of Energy Conservation
1313 Sherman, Rocti 718
Denver, Colorado 80203
Telephone. 303/839-2507
Buie Seawell
SOURCE OF DEMOGRAPHIC DATA
Colorado Department of Local Affairs
Division of Planning
1313 Sherman, Room 520
Denver, Colorado 80203
Telephone- 303/829-2351
Kenneth D. Prince
STATE CARTOGRAPHER
Louis F. Campbell
Division of Planning
Department of Local Affairs
1313 Sherman Street, Room 520
Denver, Colorado 80203
Telephone- 303/839-2351
INDUSTRIAL ECONOMICS DIVISION
Denver Research Institute
University of Denver
Denver, Colorado 80210
Telephone 303/753-3376
Dr. Alma Lantz, Research Psychologist
COOPERATIVE EXTENSION SERVICE
Colorado Extension Service
Ft. Collins, Colorado 80523

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MONTANA
STATE DEPARTMENT OF HEALTH
State Department of Health and Environmental Sciences
Cogswell Building
Helena, Montana 59601
Arthur C. Knight, M.D., Director
Telephone. 406/449-2544
Martin D. Skinner, M.D , Chief
Preventive Health Services Bureau
Telephone- 406/449-2645
Harry F. Hull, M.D.
Epidemic Intelligence Service (ETS) Officer
Telephone- 406/449-2645
Vernon E. Sloulin, Chief
Food and Consumer Safety Bureau
Telephone 406/449-2408
John C. Wilson, Chief
Records and Statistics Bureau
Telephone• 406/449-2614
(Health Informat:on)
Benjamin F. Wake, Administrator
Environmental Sciences Division
Telephone: 406/449-3454
DEPARTMENT OF COMMUNITY AFFAIRS
Capitol Station
Helena, Montana 59601
Telephone 406/449-3757
Karold A. Fryslie, Director
C.R. Draper, Administrator
Research and Information Systems Division
Harold M. Price, Administrator
Planning Division
Barbara Garrett, Administrative Officer
Coal Board
Department of Natural Resources ana Conservation
37 South Ewing
Natural Resources 3uildmg
Helena, Montana 59601
Telephone 406/449-3780
John Orth, Director
Robert Anderson, Administrator
Energy Planning Division
DISTRICT PLANNING COUNCILS
District 1 - Daniels, Phillips, Roosevelt, Sheridan, and
and Valley Counties
High Plains Provisional Council for District One
Post Office Box 836
Scobey, Montana 59203
Telephone- 406/487-5026
V.C. Tousley, Administrator
District 4 - Blaine, Hill, and Liberty Counties
Bear Paw Development Corporation of Northern Montana
Post Office Box 1549
Hill County Courthouse
Havre, Montana 59501
Tony Preite, Executive Director
District 6 - Fergus, Golden Valley, Judith Basin, Musselshell,
Petroleum, and Wheatland Counties
Central Montana District Six Council
Post Office Box 302
Roundup, Montana 59072
Telephone: 406/323-2547
Ralph Gildroy, Director
District 11 - Mineral, Missoula, and Ravalli
Counties
District Eleven Council of Governments
c/o Board of County Commissioners
Missoula County Courthouse
Missoula, Montana 59801
Gladys Elison, Director
PLANNING DIRECTORS
Barbara Keneedy
Miles City
City-County Planning Board
Powder River County Planning Board
9 South 6th, #301
Miles City, Montana 59301
Telephone- 406/232-6339
Douglas C. Dean
Richland County Planning Board
Post Office Box 1011
Sidney, Montana 59720
Telephone 406/482-4340
Eldon Rice
Rosebud County Planning Board
Route 2
Forsyth, Montana 59237
Telephone 406/356-7551
Albion M. Hettich (Bud)
Tri-County Planning Board
Box 199
Circle, Montana 59215
Telephone- 406/485-2622
Jim Ashbury
Dawson City-Countv Planning Board
City Hall
Glendive, Montana 59930
Telephone 406/365-5029
Tom Eggensperger
Fallon County Planning 3oard
County Courthouse
Baker, Montana 59313
Telephone- 406/778-3603
HEALTH PLANNING AND DEVELOPMENT AGENCY
State Health Planning and Resource Development
Bureau
836 Front Street
Helena, Montana
Telephone- 406/449-3121
Wallace King, Chief
HEALTH SYSTEMS AGENCY
Montana Health Systems Agency
324 Fuller Avenue
Helena, Montana 59601
Telephone- 406/443-5965
Ralph Gildroy, Executive Director
STATE ENERGY OFFICE
Energy Research and Conservation Office
State Capitol
Helena; Montana 59601
Telephone- 406/449-3940
Bill Christiansen, Staff Coordinator

-------
(MONTANA CONT'D)
BUREAU OF BUSINESS AND ECONOMIC RESEARCH
School of Business Administration
University of Montana
Missoula, Montana 59801
Telephone: *+06/243-0211
Dr. Maxino C. Johnson, Director
COOPERATIVE EXTENSION SERVICE
Montana State University
Bozetnan, Montana 59715
Telephone. 406/994-0211
SOURCES OF DEMOGRAPHIC INFORMATION
Department of Community Affairs
Capitol Station
Helena, Montana 59601
Telephone 406/449-2896
C.R. Draper, Administrator
Research and Information Systems Division

-------
NORTH DAKOTA
STATE DEPARTMENT OF HEALTH
North Dakota Department of Health
State Capitol
Bismarck, North Dakota 58505
Jonathan B. Weisbuch, M.D.
State Health Officer
Telephone: 701/224-2372
Willis H. Van Heuvelen, Chief
Environmental Health and Engineering
Telephone: 701/224-2371
Kenneth Mosser, Director
Communicable Disease Control
Telephone 701/224-2376
Kenneth W. Tardif, Director
Environmental Sanitation and Food Protection
Telephone 701/224-2360
STATE PLANNING AND RESOURCE AGENCIES
State Planning Division
State Capitol, Fourth Floor
Bismarck, North Dakota 58505
Telephone. 701/224-2818
Austin Engle, Director
Bonnie Austin Banks, Associate Planner
State Board for Vocational Education
State Office Building
900 East Boulevard
Bismarck, North Dakota 58505
Telephone 701/224-3187
Coal Impact Information Project
Cooperative Extension Service
North Dakota State University
Fargo, North Dakota 58102
Telephone. 701/237-7392 or 7393
Regional Environmental Assessment Program (REAP)
316 North Fifth Street, Room 521
Bismarck, North Dakota 58505
Telephone• 701/224-3700
Dr. A. William Johnson, Director
Regional Environmental Impact Statement Office
1200 Missouri Avenue, Room 105
Bismarck, North Dakota 58501
Rebecca Lee
Community Affaris Specialist
REGIONAL PLANNING ORGANIZATIONS
Region I - Divide McKenzie, and Williams Counties
Williston Basin RC & D
Law Enforcement Center
512 Fourth Avenue East
Williston, North Dakota 58801
Telephone: 701/572-8191
Ron Kiedrowski, Executive Director
Region II - Bottineau, Burke, McHenry. Mountrail, Pierce.
Renville, and Ward Counties
Souris Basin Planning Council
Mir.ot State College
Dakota Hall, Room 118
Minot, North Dakota 58701
Telephone: 701/839-6641
Mark Hinthorne, Executive Director
Region III - Benson, Cavalier, Eddy, Ramsey, Rolette, and
Toumer Counties
North Central Planning Council
Post Office Box 651
Devils Lake, North Dakota 58301
-Telephone¦ 701/662-8131
Region IV - Grand Forks, Nelson, Pembina, and
Walsh Counties
Red River RC & D
Post Office Box 633
Grafton, North Dakota 58237
Telephone¦ 701/352-3550
Julius Wangler, Executive Director
Region V - Cass, Ranson, Richland, Sergent, Steele,
and Traill Counties
Lake Agassiz Regional Council
319 l/£ North Fifth Street
Post Office Box 428
Fargo, North Dakota 58102
Ervin Rustad, Executive Director
Region VI - Barnes, Dickey, Foster, Griggs,
LaMoure, Logan, Mcintosh, Stutsman, and
Wells Counties
South Central Dakota Regional Council
701 Third Avenue, SE
Post Office Box 903
Jamestown, North Dakota 58401
Telephone. 701/252-8060
Larry Heisner, Executive Director
Region VII - Burleigh, Emmons, Grant, Kidder,
McLean, Mercer, Morton, Oliver, Sheridan
and Sioux Counties
Lewis and Clark 1805 RCD
301 Boundary Road
Mandan, North Dakota
Telephone- 701/663-6587
John O'Leary, Project Director
Region VIII - Adams, Billings, Bowman, Dunn.
Golden Valley, Hettinger, Slope,
and Stark Counties
Roosevelt-Custer Regional Council
19 West First Street
Dickinson, North Dakota 58601
Telephone- 701/22 7-0647
Marcoe Drem, Project Coordinator
HEALTH PLANNING AND DEVELOPMENT AGENCY
State Department of Health
Capitol Building
Bismarck, North Dakota 58505
Telephone. 701/224-2894
Edward L. Sypnieski, Director and SHPDA
Coordinator
Division of Health Facilities
Missouri Office Building
1200 Missouri Avenue
Bismarck, North Dakota 58505
Telephone 701/224-2352
Joe Pratschner, Director
Division of Health Statistics
Capitol Building
Bismarck, North Dakota 58505
Telephone. 701/224-2360
Rick Blari, Director

-------
(NORTH DAKOTA CONT'D)
HEALTH SYSTEMS AGENCIES
Western North Dakota Health Systems Agency
209	North Seventh Street, Suite No. 2
Bismarck, North Dakota 58501
Telephone 701/223-8085
Barry Halm, Executive Director
Agassiz Health Systems Agency
123 DeMers Avenue
East Grand Forks, MN 56721
Telephone 218/773-2471
Don DeMers, Executive Director
Min-Dak Health Systems Agency
811 South 16th
Post Office Box 915
Moorhead, MN 56560
Telephone 218/236-2 746
Bruce T Briggs, Executive Director
DISTRICT HEALTH UNITS
Custer District Health Unit
210	Second Avenue Northwest
Post Office Box 185
Mandan, North Dakota 58554
Telephone- 701/663-4243, Ext. 46
Frank E. Gilchrist, Area Public Health Administrator
First District Health Unit
801 11th Avenue Southwest
Post Office Box 1268
Minot, North Dakota 58701
Telephone. 70i/852-13~'6
O.S. Uthus, M.D., Executive Director
Southwestern District Health Unit
Pulver Hall, Dickinson College
Post Office Box 1208
Dickinson, North Dakota 58601
Telephone 701/227-0171
John E. Fields, Area Public Health Administrator
Upper Missouri District Health Unit
210 First Avenue East
Post Office Box 756
Williston, North Dakota 58801
Telephone 701/572-3763
Frank L. Onufray, Area Public Health Administrator
Lake Region District Health Unit
Ramsey County Court House
Post Office Box 844
Devils Lake, North Dakota 58301
Telephone 701/662-4931
Norman Septon, Area Public Health Administrator
STATE ENERGY OFFICE
Governor's Office
Capitol Building
Bismarck, North Dakota 58501
Telephone. 701/224-2200
Dr Charles Metzger, Energy Advisor for
Governor Arthur A. Link
SOURCES OF DEMOGRAPHIC INFORMATION
State Board for Vocational Education
State Office Building
900 East Boulevard
Bismarck, North Dakota 58501
Telephone 701/224-3187
Social Science Research Institute
University of North Dakota
University Station
Grand Forks, North Dakota 58201
Regional Environmental Assessment Prop.r/jm (RKAI'J
316 North Fifth Street,Room 521
Bismarck, North Dakota 58505
Telephone. 701/224-3700
Dr. A. William Johnson, Director
COOPERATIVE EXTENSION SERVICE
North Dakota State University
State University Station
Fargo, North Dakota 58102
Dr. Norbert A. Dorow, Economist
Public Affairs
North Dakota State University
Pulber Hall
Dickinson, North Dakota 58601
Harry Hecht, District Director
County Extension Office
Weshburn, North Dakota 58577
Telephone 701/462-3532
Don H. Peterson, Area Resource Development
Agent
SOCIAL SICENCE RESEARCH INSTITUTE
University of North Dakota
Grand Forks, North Dakota 58201
Dr. Richard L Ludtke, Director
BUREAU OF BUSINESS AND ECONOMIC RESEARCH
University of North Dakota
286 Gamble Hall
Grand Forks, North Dakota 58201
INDUSTRIES
ANC Coal Gasification Company
304 East Rosser
Bismarck, North Dakota 58501
Telephone. 701/253-7440
John Clement
Basin Electric Power Cooperative
1717 East Interstate Avenue
Bismarck, North Dakota 58501
Telephone 701/223-0441
Robert L Valeu, Coordinator
Impact Planning

-------
SOUTH DAKOTA
STATE DEPARTMENT OF HEALTH
Souch Dakota Stale Department of Health
State Office Building #2
Pierre, Souch Dakota 57501
Edward DeAnconi, Ph.D , Secretary of Health
Telephone: 605/224-3361
James D. Corning, Director
Communicable Disease Control and Laboratory Services
Telephone 605/224-3143
Howard Hutchings, Chief
Section of Environmental Sanitation
Telephone 605/224-3141
William Johnson
Office of Public Health Statistics
Joe Fosse Office Building
Pierre, Souch Dakoca 57501
Telephone 605/224-3355
(Health Infonnalion)
Sherman Folland, Ph.D., Health Economist
Health Manpower and Linkage Project
STATE PLANNING AND RESOURCES AGENCIES
State Planning Bureau
State Capitol Building
Pierre, South Dakota 57501
Telephone 605/224-3661
Dan P.ucks, Commissioner
Department of Environmental Protection
State Office Building
Pierre, South Dakota 57501
Telephone. 605/224-3351
Dr. Allyn 0. Lockner, Secretary
PLANNING AND DEVELOPMENT DISTRICTS
District I - Brookings, Clark, Codington. Deuel, Grant,
Hamlin, Kingsbury, Lake, Miner, and Moody Counties
Planning and Development District I
401 1st Avenue, Northeast
Watertown, South Dakota 57201
Telephone 605/886-7224
Lowell D. Richards, Director
District II - Clay, Lincoln, McCook, Minnehaha. Turner,
and Union Counties
Planning and Development District II
(South Eastern Council of Governments)
208 East 13th
Sioux Falls, South Dakota ;>7102
Telephone: 605/336-1297
William B. Choate, Director
District III - Aurora, Bon Homme, Brule, Charles Mix, Davison,
Douglas, Gregory, Hanson, Hutchinson, Jerauld,
Sanborn, and Yankton Counties
Planning and Development District III
Yankton County Courthouse
Post Office Box 687
Yankton, South Dakota 57078
Telephone 605/665-4408
Herman Tushaus, Director
District IV - Beadle, Brown, Day, Edmunds, Faulk, Hand,
Marshall, McPherson, Spink, and Roberts Counties
Planning and Development District IV
310 S. Lincoln
Aberdeen, South Dakota 57401
Telphone. 605/229-4740
District V - Armstrong, Buffalo, Campbell, Carson,
Dewey, Haakon, Hughes, Hyde, Jones,
Lyman, Mellette, Perkins. Potter, Stan-
ley, Sully. Todd, Tripp, Walworth,
and Ziebach Counties
Planning and DevelopmenC Districc V
365 1/2 S. Pierre Street
Post Office Box 640
Pierre, South Dakota 57501
Telephone 605/224-1623
Dennis W. Potter, Director
District VI - Bennett, Butte, Custer, Fall River.
Harding, Jackson, Lawrence, Meade,
Pennington, Shannon, Washabaugh, and
Washington Counties
Sixth District Council of Local Governments
306 East Sainc Joe
Post Office Box 1586
Rapid City, South Dakota 57701
Telephone 605/342-8241
Larry Finnerty, Director
HEALTH PLANNING AND DEVELOPMENT AGENCY
Edward DeAntoni, Ph.D.
Secretary of Health
Department of Health
State Office Building //2
Pierre, South Dakota 57501
Telephone. 605/224-3361
Donald G. Kurvink, Director
Office of State Health Planning and Development
Telephone 605/224-3693
HEALTH SYSTEMS AGENCY
SouCh Dakoca Healch Systems Agency, Inc.
216 East Clark Street
Vermillion, South Dakota 57069
Telephone. 605/624-4446
Donald Brekke, Executive Director
STATE ENERGY OFFICE
Office of Energy Policy
State Capitol Building
Pierre, South Dakota 75701
Telephone. 605/224-3603
James Van Loan, Director
John Culbertson, Deputy Director
BUSINESS RESEARCH BUR£AU
School of Business
University of South Dakota
Vermillion, South Dakota 57069
COOPERATIVE EXTENSION SERVICE
South Dakota State University
Brookings, South Dakota 57006
SOURCE OF DEMOGRAPHIC INFORMATION
Rural Sociology Department
Agricultural Experiment Station
South Dakota Stat*-' University
Brookings, Souch Dakota 57006
William Bergan
University of South Dakota
Vermillion, South Dakota 57069
Larry Rehfeld, Director

-------
UTAH
STATE DEPARTMENT OF SOCIAL SERVICES
Utah State Division of Health
150 West North Temple
Room 474
Salt Lake City, Utah 84103
Lyman J. Olsen, M.D., M.P H.
Director of Health
Telephone: 801/533-6111
Taira Fukushima, M.D., M.P.H.
Deputy Director of Health
Room 460
Telephone 801/533-6191
E. Arnold Isaacson, M.D., M.P.H
Deputy Directoc cf Health for Community
Health Services
Room 440
Telephone: 801/533-6129
Alan G. Barbour, M.D., (ETS) Officer
Epidemic Intelligence Service
Room 426
Telephone: 801/533-6163
Mervin R. Reid, Director
Bureau of Sanitation
Environmental Health Services
Room 430
Telephone: 801/533-6163
Lynn M. Thatcher
Deputy Director of Health for
Environmental Health Services
Room 430
Telephone- 801/533-6121
Howard M. Hurst, Director
Bureau of Environmental Health
Roon; 430
Telephone 801/533-6121
John Brockert, Director
Bureau of Statistical Services
Room 158
Telephone: 801/533-6186
STATE PLANNING AGENCIES
Office of State Planning Coordinator
State Capitol Building
Room 118
Salt Lake City. Utah 84114
Telephone: 801/533-5356
James Edwin Kee
State Planning Coordinator
Department of Community Affairs
State Capitol Building
Salt Lake City, Utah 34114
Telephone: 801/533-5236
Beth S Jarman
Executive Director
Division of Energy Conservation and Development
455 East 4th South
Suite 300
Salt Lake City, Utah 34111
Telephone 533-6491
Rhead Searle, Executive Secretary
Energy Conservation and Development Council
MULTI-COUNTY ASSOCIATIONS OF GOVERNMENTS
Bear River--Box Elder, Cache, and Rich Counties
Bear River Association of Governments
160 North Main Street
Room 203
Cache County Hall of Justice
Logan, Utah 84321
Telephone: 752-7721
Bruce King
Executive Director
Wasatch Front -- Davis, Morgan Salt Lake, Tooele,
and Weber Counties
Wasatch Front Regional Council
424 West Center Street
Bountiful, Utah 84010
Telephone 801/292-4469
Will Jeffries
Executive Director
Mountainland -- Summit, Utah, and Wasatch Counties
Mountainland Association of Governments
160 East Center Street
Provo, Utah 84601
Telephone. 801/377-2262
Homer Chandler
Executive Director
Six County -- Juab, Millard, Piute, Sanpete,
Sevier, and Wayne Counties
Six County Commissioners Organization
Post Office Box 191
Richfield, Utah 84701
Telephone- 801/896-4676
Five County -- Beaver, Garfield, Iron, Kane, and
Washington Counties
Five County	Association of Governments
Post Office	Box 0
St. George,	Utah 84770
Telephone	801/673-3548
Rhead Bowman
Executive Director
Unitah Basin -- Daggett, Duchesne, and Unitah
Counties
Unitah Basin Association of Governments
Post Office Box 1449
Roosevelt, Utah 84066
Telephone 801/722-4518
Clint Harrison
Executive Director
Energy Planning Council
Unitah County Building
Room 303
Vernal, Uriah 84078
Telephone 801/789-2300
Chuck Henderson
Director
Southeastern -- Carbon, Emery. Grand, and San Juan
Courtles
Southeastern Association of Governments
Post Office Drawer A-l
Price, Utah 84501
Telephone. 801/637-1396
William K Dinehart
Executive Director

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(UTAH CONT'D)
HEALTH PLANNING AND DEVELOPMENT AGENCY
Department of Social Services
150 West North Temple
Room 310
Salt Lake City, Utah 84103
Telephone• 801/533-5331
Anthony W. Mitchell
Director
State Health Planning and Development Agency
Office of Planning and Research
150 West North Temple
Room 333
Salt Lake City, Utah 84103
Stewart C. Smith
Assis tant Director
University of Utah Medical Center
Department of Family and Community Medicine
50 North Medical Drive
Salt Lake City, Utah 94132
Telephone 801/581-5094
Dr. Richard F.H. Kirk
Division of Family Practice
Utah Valley Hospital
1034 North Fifth West
Provo, Utah 84601
Telephone: 801/373-7850
Mark J. Howard
Director of Rural Health
HEALTH SYSTEMS AGENCY
Utah Health Systems Agency
19 West South Temple
8th Floor
Salt Lake City, Utah 84103
Telephone: 801/5 71-3476
Paul Bomboulian
Director
STATE ENERGY OFFICE
Department of Natural Resources
State of Utah
State Capital Building
Room 438
Salt Lake City, Utah 84114
Clifford R. Collins
State Energy Coordinator
SOURCE OF DEMOGRAPHIC INFORMATION
Office of State Planning Coordinator
State Capitol Building
Room 118
Salt Lake City, Utah 84114
Telephone: 801/533-5245
James Edwin Kee
State Planning Coordinator
COOPERATIVE EXTENSION SERVICE
Utah State University
Logan, Utah 84322
Telephone: 801/752-0961
William F. Farnsworth
Staff Development Leader
INSTITUTE OF GOVERNMENT SERVICE
Brigham Young University
Provo, Utah 84602
Telephone- 801/374-1211
Dr. Doyle W. Buckwalrer
Associate Director
BUREAU OF COMMUNITY DEVELOPMENT
University of Utah
1141 Annex Building
Salt Lake City, Utah 84112
Telephone. 801/581-6491
Dr. Richard P. Lindsay
Director
HEALTH SERVICES ORGANIZATIONS
Health System Research Institute
715 East 3900 South
Suite 205
Salt Lake City, Utah 84107
Telephone 801/261-1000
George F. Powell, Jr.

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WYOMING
STATE DEPARTMENT OF HEALTH
Wyoming Division of Health and Medical Services
Hathaway Building, Fourth Floor
Cheyenne, Wyoming 92002
Lawrence J. Cohen, M.D.
Administrator
Telephone- 307/777-7121
H.S. Parish, M.D., M.P.H.
Assistant State Administrator for Division
of Health and Medical Services
Telephone 307/777-7513
Robert L. Coffman, Director
Food and General Sanitation Division
Telephone 307/777-7358
Jo Ann Amen, Deputy State Registrar
Vital Records Services
Division of Health and Medical Services
Department of Health and Social Services
Cheyenne, Wyoming 82002
Telephone• 307/777-7591
STATE PLANNING AND RESOURCES AGENCIES
Department of Economic Planning and Development
Barrett Building, Third Floor
Cheyenne, Wyoming 82002
Telephone: 307/777-7284
Sherman Karcher, Director
Department of Environmental Quality
Water Quality Division
Hathaway Building
Cheyenne, Wyoming 82002
Telephone: 307/777-7781
William L. Garland, Administrator
Wyoming Community Development Authority
139 West Second
Casper, Wyoming 82602
Telephone: 307/265-0603
CITY-COUNTY PLANNING AGENCIES
Lincoln-Uinta Association of Governments
Post Office Box 389
Kemmerer, Wyoming 83101
Telephone: 307/877-3707
Richard Jentzsch, Executive Director
Cheyenne-Laramie County Regional Planning Office
Post Office Box 3232
Cheyenne, Wyoming 82001
Telephone: 307/635-0186
Peter L. Innis, Director of Planning
Rawlins-Carbon County Regional Planning Office
Box 953
Rawlins, Wyoming 92301
Telephone 307/324-5613
Herb Hogue, Director of Planning
Casper-Natrona County Planning Office
Intermountain Building
Casper, Wyoming 83601
Telephone. 307/235-6503
Charles L. "Chuck" Davis, City-County Planner
Sweetwater County Planning and Zoning Commission
Post Office Box 791
Green River, Wyoming 82935
Telephone- 307/875-2611, Extension 270
Dennis Watt, Planning Director
Regional Flanning Office
Box 228
Basin, Wyoming 82410
Telephone. 307/568-2566
Newell Sorensen, Director of Planning
Laramie-Albany County Regional Planning Office
Albany County Courthouse
Room 402
Laramie, Wyoming 82070
Telephone-* 307/742-3166
Nakul "Nick" Verma, City-County Planning
Director
Converse Area Planning Office
Post Office Box 1303
Douglas, Wyoming 82633
Telephone• 307/358-4066
A1 Straessle, City-County Planner
Department of Planning and Developrrent
City of Gillette-Campbell County
Post Office Box 540
Gillette. Wyoming 82716
Joe Racine, Director
Rock Springs Planning Office
Rock Springs, Wyoming 82901
Telephone 307/362-6892
Platte County Joint Planning Office
Post Office Box 718
Wheatland, Wyoming 82201
Telephone 307/322-9128
David Sneesby, Planning Director
Sheridan Area Planning Agency
Post Office Box 652
Sheridan, Wyoming 82801
Telephone 307/672-3426
Les Jayne, Planning Director
Fremont Association of Governments
191 South Fourth
Lander, Wyoming 82520
Telephone 307/332-9208
Tom Curren, Executive Director
Northeast Wyoming Three County Joint Powers Board
Post Office Box 743
Newcastle, Wyoming 82701
Telephone• 307/746-2433
Abbie Birmingham, Director
Fremont County
County Courthouse
Lander, Wyoming 82520
Telephone 307/332-5371
Ron Martin, Planning Director
INDUSTRIAL ORGANIZATIONS
Missouri Basin Power Project
Post Office Box 518
Wheatland, Wyoming 82201
Telephone 307/322-9121
Tim Rafferty, Impact Coordinator
Southwest Wyoming Industrial Association
638 Elias
Pock Sntinps, Wyoming 82901
Telephone ' 307/382-4190
Kim Brings, Executive Director

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(WYOMING CONT'D)
HEALTH PLANNING AND DEVELOPMENT AGENCY
Lawrence Cohen, M.D., Director
Department of Health and Medical Services
Hathaway Building, Fourth Floor
Cheyenne, Wyoming 92002
Telephone 307/777-7121
Lawrence Bertilson, Director
Comprehensive Health Planning
Hathaway Building, Fourth Floor
Cheyenne, Wyoming 82002
Telephone 307/777-7121
HEALTH SYSTEMS AGENCY
Wyoming Health Systems Agency
Post Office Box 106
Cheyenne, Wyoming 82001
Telephone- 307/634-2726
Richard M. Neibaur, Executive Director
STATE ENERGY OFFICE
Department of Economic Planning and Development
Barrett Building, Third Floor
Cheyenne, Wyoming 82002
Telephone- 307/777-7284
John Niland, Executive Director
John Goodier, Chief of Mineral Division
SOURCE OF DEMOGRAPHIC INFORMATION
Economic Research Unit
State Planning Coordinator's Office
24th and Capitol Avenue
Cheyenne, Wyoming 82002
Telephone¦ 307/777-7504
Division of Business and Economic Research
University of Wyoming
Post Office Box 3295
Laramie, Wvoming 82071
Telephone 307/766-5141
Dr. Mike Joehnk, Director
WYOMING HUMAN SERVICES PROJECT
University of Wyoming
Merica Hall 207
Laramie, Wyoming 82071
Telephone. 307/766-6318
Dr. Keith A. Miller, Project Director
Gillette Human Services Project
202 Warren Ave.
Post Office Box 1104
Cillette, Wyoming 82716
Telephone: 307/68^-4219
JoAnn Snurigar-Wzorek
Community Coordinator
Platte County Human Services Project
962 Gilchrist Ave
Wheatland, Wyoming 82201
Telephone- 307/322-44SU
HEALTH PLANNING RESOURCE CENTER
Institute for Policy Research
Post Office Fox 3925
University of Wyoming
Laramie, WY 82071
Telephone: 307/766-5141
Dr. George Piccagli, Director
COOPERATIVE EXTENSION SERVICE
College of Agriculture
PosL Office Box 3354
University of Wyoming
Laramie, Wyoming 82071
Telephone: 307/766-3253
Josephine B. Rund, State Extension Leader
Home Econonomics
Sharron Kclsey, Field Director

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