Rural Georgia continues to represent the bulk of the state’s land mass, but it is now only home to 21% of the state’s population. A decade ago, one quarter of Georgians lived in the state’s countryside.

The sponsor of 4-H clubs nationally is tapping its respected roots in rural communities to promote COVID-19 vaccines. But it won't be easy, locals say. Start with trusted local voices — and listen.

Some rural areas, where health care is usually harder to get, appear to be leading the nation in delivery of the COVID-19 vaccine. But health leaders are cautioning there are caveats.

A wave of departing medical professionals in rural areas threatens to leave gaping holes in these health care systems and local economies, triggering a death spiral that may be hard to stop.