Abraham H. Maslow introduced the concept of a hierarchy of needs in 1943. The hierarchy suggests that people are motivated to fulfill their basic physiological and safety & security needs, before proceeding through other rising levels of need.  On July 28 and 29, 2022, in Breathitt County Kentucky, several residents suffered physiological losses from a historical flood.  Residents waded flood waters and struggled through feet-deep mud to be rescued. Many were left without a home and a safe way to restore what had been lost. 

Breathitt County Extension Agents and staff, along with staff from the UK Center of Excellence in Rural Health, worked to provide tetanus vaccines and basic patient care after the flooding.  Agents utilized Extension vehicles and donated resources to transport and assist nurses, and physician assistants with this endeavor. Extension Agents also provided bottled water and non-perishable food items during these visits. 

Approximately 320 miles of county road were covered during this effort and 232 tetanus vaccines were administered.  1 prescription of penicillin was written/administered for wound care, and several residents with cuts/scrapes received cleanings and ointments to promote healing.  Over $8,800.00 in community donations/support were utilized and distributed throughout Breathitt County via this one Extension program. 

Meeting the physiological and heath/safety needs of residents in Breathitt County was the main goal of Breathitt Extension Agents and the UK Center of Excellence in Rural Health staff. County residents expressed their thankfulness for the help during their time of need; one gentleman stating, “I have lost everything.  I sure do appreciate everything you have done for me today and for helping me be safe.