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OSCEOLA, Iowa — Brandi Dyer is a nurse. She doesn’t work in a big city hospital. She has a desk in an office just off the main drag in this county seat town. Her job takes her to farms and small towns across a swath of five rural southern Iowa counties.

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MEMPHIS, Mo. — In rural Missouri, county health departments take on a variety of tasks. Sarah Krouse, administrator for the Scotland County Health Department in northeast Missouri, says the department does a lot to help meet the needs of the community.