White Elephant Watch: Vol. 7

Portsmouth Bypass (State Route 823), Southern Ohio

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Infrastructure is the foundation of America’s society and economy. Yet not all investments are worthwhile. In fact, unnecessary projects create a long-term, unproductive cost burden—a form of infrastructure overhang. The “White Elephant Watch” series profiles projects that demonstrate the failures of the current U.S. policy approach to transportation infrastructure.

Under current U.S. federal transportation policy, states are not held accountable for their investment decisions. Instead, the federal government provides states with dedicated highway money, which reflects the political power of certain elected officials and regions as opposed to local needs or potential returns on investment. Under this system, states are not required to demonstrate the social, environmental, or economic value of their projects. Beyond certain procedural and design requirements, states have total discretion, which often results in projects that fail to provide clear benefits or to advance national transportation policy objectives.

The steady flow of federal funds and access to low-cost federal financing mean that even highly questionable projects can advance. For example, in 2018, the Ohio Department of Transportation (ODOT) completed the Portsmouth Bypass—state Route 823—which is a four-lane, divided highway with five new interchanges that runs 16 miles around Portsmouth, Ohio, from U.S. Highway 52 near Wheelersberg to U.S. Highway 23 in Lucasville.1

Map of the Portsmouth Bypass. Credit: Portsmouth Gateway Group

The Ohio Department of Transportation developed the project through a design, build, finance, operate, and maintain public-private partnership concession with a total cost of more than $1.2 billion.2 The cost for planning, environmental review, and construction was $646 million with another roughly $600 million for operations and maintenance over the 35-year concession agreement.3 Under the terms of the concession agreement, ODOT is obligated to make payments—known as availability payments—to the private concessionaire over the life of the contract. According to the private activity bond offering documents, the payments made by ODOT to the concessionaire are “subject to appropriations being made by the Ohio General Assembly.”4

The Portsmouth Bypass has two major flaws. First, the construction of the highway did not respond to an actual transportation need and instead relied on a broken theory of economic development for its justification. Second, the high cost of the new highway used up the limited funds set aside for this portion of southern Ohio, effectively displacing other projects that would have spurred more cost-effective and robust economic development.

Southern Ohio economic hardship

Southern Ohio faces sustained economic hardship. For many years, the regional economy was sustained by large anchor employers focused on chemicals, steel, coke, ironworks, and uranium enrichment.5 Years of deindustrialization throughout the Midwest resulted in the shuttering of the largest firms, including chemicals,6 coke,7 and the uranium enrichment plant, among others.8

According to the Ohio Department of Jobs and Family Services, as of March 2020 and prior to the huge spike in unemployment caused by the coronavirus, Scioto County’s unemployment rate was 8.2 percent, or nearly 2.5 times the national average.9 The county ranked 13th out of 88 Ohio counties for the highest unemployment rate.

In 2018, the most recent year for which data are available, the median household income in Scioto County was $39,700, compared with more than $60,000 nationally.10 Furthermore, 22.6 percent of county residents fell below the poverty line, compared with 11.8 percent nationally.11 In short, even during a period of record economic expansion following the Great Recession, many residents in Scioto County continued to struggle. In an attempt to boost the economic fortunes of Scioto County, the state of Ohio decided to build the Portsmouth Bypass.

A broken theory of economic development

Highways provide two forms of benefit: land access and travel time savings. To advance the argument that constructing a highway will spur economic activity, a project sponsor should, at a minimum, demonstrate that the new facility will unlock large amounts of usable land and alleviate severe regional travel delays. Unfortunately, the Portsmouth Bypass fails both tests.

The Portsmouth Bypass is designated as part of the Appalachian Development Highway System (ADHS).12 According to the Appalachian Regional Commission, Congress created the ADHS “expressly to provide growth opportunities for the residents of Appalachia … ”13 This approach can be thought of as the “Field of Dreams” theory of economic development: If you build it, businesses will come.

The Field of Dreams theory of highway-based development begins with the simple premise that land only has economic value when it may be accessed. Yet Portsmouth and the other communities within Scioto County already have highway access with U.S. 23 and U.S. 52. In response to this point, ODOT claims that the bypass remains necessary due to “deficiencies” in the U.S. route network. ODOT argues that “inadequate transportation infrastructure impedes the area’s ability to attract industrial investment.”14 Specifically, the existing U.S. highways have three steep grades, seven tight curves, and 30 signalized intersections.15

The problem with this rationale is that it fails to account for the rise of industrial production and subsequent deindustrialization in the region—all of which occurred in the absence of the Portsmouth Bypass. If a few steep grades, tight curves, and signalized intersections were truly an impediment to growth, then Scioto County should never have experienced an industrial heyday.

Jason Kester, the development director for the Southern Ohio Port Authority at the time the project was under construction, similarly tried to advance a land access argument. He stated, “the No. 1 issue we have right now is the lack of available, usable sites for buildings for economic development purposes.”16 It’s hard to square this statement with the Portsmouth Bypass alignment, which traverses very hilly topography, making most of the surrounding land a poor candidate for future commercial development.

Topography of Scioto County, Ohio, including the Portsmouth Bypass/state Route 823. Credit: Google Maps Portsmouth Bypass construction showing mountainous topography. Credit: HDR Inc.

The firm responsible for building the highway stated that completion required “massive excavation,” meaning the removal of huge volumes of earth and rock to clear the right of way.17 In fact, the alignment is so hilly that construction required the removal of 20 million tons of sandstone and other rocks.18 There is a simple reason why Portsmouth and the other population centers in Scioto County, as well as U.S. 23 and U.S. 52, are located along the Scioto and Ohio rivers: The land is flat. Building the Portsmouth Bypass doesn’t change this reality.

Many of the industries that powered the regional economy in the 20th century, such as steel and coke works, have shuttered, leaving behind idle parcels known as brownfields that are often polluted. The pollution—or possibility of pollution—can make it challenging to return brownfield sites to productive use. Former director Kester noted during construction, “We have either hellacious brownfield or floodplains, side of a hill sites or cornfields with no gas, water or fiber-optic access.”19

There are two problems with this statement. First, it implies that the bypass opens up a large amount of developable land when in fact the highway alignment is through very hilly terrain. Scioto County leaders still face the same challenge of limited flat land capable of supporting commercial activity. Second, Kester’s statement advances a troubling approach to development that effectively throws away previously used land for development of pristine greenfield space. This is deeply unsustainable.

Nonetheless, local leaders have attempted to leverage the bypass by pushing forward with the creation of a new business park known as the Southern Ohio Aeronautical Regional Business Park (SOAR).20 The unfinished commercial zone includes 145 acres within the boundary of the Greater Portsmouth Regional Airport and another 126 acres of adjacent land that was previously used for farming. Yet the project remains more a vision of growth than a reality in large measure because Scioto County lacks the fiscal resources to outfit the site with necessary utilities and services, including gas, water, fire suppression, and roadway access, among others. In short, the business park suffers from the very shortcomings that former director Kester lamented about during construction of the bypass.

Moreover, it’s important to understand that the construction of the bypass did not create new developable land that would have otherwise remained locked away. Both the airport, which opened to the public in 1957, and adjacent land that make up SOAR were already accessible via state Route 335.21 The difference between the bypass and state Route 335 is design. The bypass is an access-controlled divided four-lane highway, while state Route 335 is a traditional rural two-lane highway.

Yet these design differences translate into negligible travel time savings. According to Google Maps, driving from downtown Portsmouth to the Greater Portsmouth Regional Airport via the new bypass takes 19 minutes. Making the same trip via state Route 335 takes 23 minutes—a difference of just four minutes.22 Heading north from the airport to the intersection with U.S. 23, Google Maps estimates a trip time of 10 minutes. The same trip north via state Route 335 and state Route 728 is estimated to take 15 minutes—a difference of just five minutes.23

For businesses considering where to locate their production, the modest travel time savings offered by the bypass must be placed into context. The bypass connects with U.S. 23 to the north and U.S. 52 to the south. These U.S. routes are mostly at-grade signalized arterials as opposed to access-controlled highways. The 16 miles of bypass is a short distance in the world of logistics. This means that its construction doesn’t fundamentally alter the overall mobility value proposition of Scioto County. Stated differently, it’s hard to envision that the marginal financial value provided by shaving off a few minutes of commuting or freight shipping time would be the controlling factor for a company to locate its business in Scioto County.24

In its application for federal financing, ODOT estimated that the bypass would provide 16 minutes of travel time savings. This optimistic estimate is based on a theoretical vehicle traveling through the region—not someone making a trip from within Portsmouth or other parts of greater Scioto County. According to Google Maps, a vehicle leaving from downtown Portsmouth would need to travel east for 13 minutes and more than 7 miles just to access the bypass. In short, the bypass has little practical value for most area residents on a day-to-day basis.

Since the bypass provides only marginal time savings and opens up little new land for development, the remaining justification advanced by proponents of building new highway capacity is congestion alleviation. Putting aside decades of research that shows adding highway capacity does not reduce roadway congestion due to a phenomenon known as induced demand,25 vehicle travel has actually fallen slightly in Scioto County over the past 20 years. According to data from ODOT, total vehicle miles traveled within the county decreased by 4 percent.26

Importantly, this issue brief does not argue that the Portsmouth Bypass provides no utility to residents and businesses, but rather that the highway is an extremely cost-inefficient way to improve the economic prospects and quality of life for residents. The $1.2 billion that ODOT will spend over the life of the bypass concession could have been spent in much more productive and cost-effective ways.

Another vision of economic development

The enormous cost of the Portsmouth Bypass has effectively displaced other public investments that could produce more cost-effective economic development. After all, Scioto County is just one of 88 counties in Ohio. There is only so much political will to expend limited budgetary resources on this one portion of the state.

To understand the scale of the bypass’s price tag, it helps to compare it to ODOT’s planned roadway expenditures for Scioto County in the coming years. Federal law requires state departments of transportation to develop statewide construction plans that cover a four-year period.27 ODOT’s current draft construction plan anticipates spending a total of $41.5 million in Scioto County over the next four years, or a little more than $10 million per year.28 The planning and construction cost for the bypass was $646 million.29 Thus, ODOT spent 15 times more constructing the bypass, which took approximately four years, than it intends to spend in Scioto County over an equivalent period of time.30

The $646 million could have been spent on more economically and socially productive investments, including in water facilities, brownfield remediation, public health, and education.

Water works

Land access is only one component of creating usable parcels for industrial or other types of commercial activity. Additional essential services include drinking or industrial process water, wastewater treatment, gas, electricity, telecommunications, flood control, and fire suppression, among others. Depending on the industrial activity, having access to a large volume of affordable water services may be far more important than saving a few minutes of travel time.

Some of the most promising regional economic development is taking place along the existing U.S. 52 from Wheelersburg in Scioto County to South Point in Lawrence County. This stretch of land is often referred to as the Scioto-Lawrence Heavy Industry Corridor. For example, a company called PureCycle Technologies has developed a novel process for recycling plastic waste. The patented process “separates color, odor and contaminants from plastic waste feedstock to transform it into ultra-pure recycled polypropylene.”31 PureCycle is currently planning to build a new recycling plant within Lawrence County that will handle much larger volumes of waste than their current facility. The company estimates that when fully operational, the new plant will use approximately 120 million gallons of water each year.32

However, the substantial water needs of the PureCycle plant are more than existing Lawrence County facilities can support. For this reason, PureCycle is in negotiations with Scioto County officials for the construction of a new wastewater collection pipe that would link the new plant to Portsmouth’s wastewater system. The pipe would allow PureCycle to discharge its wastewater into the Portsmouth system for treatment to meet Clean Water Act standards. The estimated cost of constructing the collection pipe is $3.7 million.33 PureCycle has offered to cover a portion of this cost and Scioto County would use a combination of municipal bond proceeds and grant funds to cover the rest.34

More broadly, Scioto County is studying the prospect of constructing a new $40 million facility that would deliver water—both potable and less stringently cleaned water for industrial production—to attract businesses to the Scioto-Lawrence Heavy Industry Corridor. Expanded water facilities could help attract industries that require large volumes of affordable water, including chemicals, petroleum refining, paper, food, and primary metals such as aluminum.35

For the city of Portsmouth and Scioto County, $40 million is a huge financial lift. Building a completely new water plant would require substantial grant assistance from the state and federal government. Yet Ohio has committed to spend a total of $1.2 billion on the Portsmouth Bypass over a 35-year period. The state has pledged to make the availability payments to the public-private partnership concessionaire with general appropriations. These are flexible dollars that could be used for any purpose, including rehabilitating and expanding water and wastewater facilities.


Industrial activity in the 19th and 20th centuries brought growth and some prosperity to Scioto County. Unfortunately, heavy industrial production left behind a harmful environmental and public health legacy that continues to negatively affect area residents. For example, according to the Ohio Department of Public Health, Scioto County has the fifth-highest overall cancer rate in the state.36 Additionally, the county has an infant mortality rate that is 28 percent higher than both the statewide and U.S. rates.37

Environmental pollution is associated with both cancer and infant mortality.38 A report by the Ohio Environmental Protection Agency (OEPA) that studied the exposure risk from toxic chemicals in the air found that acrylonitrile and benzene, which are volatile organic compounds, “drive the majority of the cancer risk for potential exposure” in Scioto County and elsewhere in the state.39 Specifically, the OEPA found that Scioto County had the second-highest recorded levels of benzene within the state.40 The study notes that, “Long-term exposure to high levels of benzene in the air can cause leukemia, particularly acute myelogenous leukemia … ”41

Research by the U.S. Environmental Protection Agency (EPA) found that residents of Scioto County faced a much higher risk of cancer than Americans overall due to exposure to pollutants, mostly from steel production. According to an article in the Columbus Dispatch summarizing the EPA study, “The risk of some Scioto County residents contracting cancer is nearly 20 times higher than the national average … ”42 The EPA study attributed “95 percent of the potentially cancer-causing pollutants in the worst area of Scioto County to coke ovens used to form and melt steel and iron.”43

Empire Detroit Steel Company facility along the Ohio River. Credit: Portsmouth Public Library Local History Digital Collection

While these results are a few years old, much of the land that housed the steel and coke works remains unremediated to this day. In fact, a 2019 report by the Scioto County Department of Economic Development found that the Empire Detroit Steel Corporation site had “Arsenic, Lead, Mercury, Aluminum, and noticeably higher than normal levels of Benzene.”44 The remediation challenges of the site are substantial since “All the toxins are at various levels in depth throughout the site. Deep borings go as deep as 112/ft.”45

The Empire site is prime commercial real estate, sitting just 275 feet from the Ohio River and including access to Norfolk Southern’s main line. However, the region does not have the financial resources to undertake the remediation. At the same time that Scioto County is trying to secure funding to provide the SOAR business park with necessary utilities and fire suppression protection, brownfield sites along the Ohio River will remain idle. Again, the funding spent on the bypass could have gone to cleaning up the Empire site and other industrial parcels along the river.

Public health and education

Economic development is often defined in narrow terms as improvements to public infrastructure and different forms of business subsidy, including preferential tax treatment. However, restricting public expenditures to this limited set of historical tools may miss other pressing community needs that would unlock more growth than a roadway upgrade or a tax abatement.

Beyond physical assets, businesses need a healthy, well-trained workforce. Shiny new infrastructure won’t catalyze economic development if businesses can’t find the right people. Unfortunately, beyond the environmental and public health threats from brownfield sites, Scioto County faces a devastating opioid addiction public health crisis.46 According to recent epidemiological research, Scioto County ranks 136th out of more than 3,000 U.S. counties for infectious disease transmission risk tied to opioid addiction, often referred to as opioid use disorder.47 The death rate for opioid use disorder in Scioto County is 48 per 100,000,48 which is more than twice the national average of 21 per 100,000.49

The health challenges facing Scioto County don’t stop with opioids. According to the Ohio Department of Public Health, 39 percent of county residents are obese, compared with 29 percent nationally.50 Research shows that obese workers have a higher rate of absenteeism than workers with a body mass index considered normal or overweight.51

Scioto County also faces educational challenges. According to data from the U.S. Census Bureau, only 15 percent of the adult population has a bachelor’s degree, compared with 31 percent nationally. In addition, 14 percent of Scioto County adults do not have a high school diploma or equivalent credential.52 Scioto County has two great educational assets: Shawnee State University and the Scioto County Career Technical Center. These institutions represent an opportunity to provide local residents with the analytical skills and technical training that are essential for success in a modern economy. Moreover, providing residents with an affordable pathway to acquiring marketable skills is much more likely to yield increased earnings and household wealth compared with a highway facility that shaves off a few minutes of travel time. A few numbers help to demonstrate the opportunity cost of the highway expenditure. For a student living at home, the full cost of attending Shawnee State University for a year is $14,814.53 The money spent on the bypass could have covered the full cost of a four-year bachelor’s degree for 10,902 students.54


For too long, elected officials have held on to the belief that highway construction is a cost-beneficial investment strategy for generating economic development. However, there is little rationale for building new highway facilities in economically distressed regions that have an underutilized existing transportation system.

Public officials should direct the limited fiscal resources available to those projects and programs that provide the highest economic, social, and environmental return on investment. The Portsmouth Bypass does not meet this test. Yet, a doctrinaire approach to economic development and a ready pipeline of construction funds and low-cost, flexible federal financing allow ineffective projects to advance, even when a diversified approach that looks at a combination of investments in people and places would yield greater opportunity and prosperity.

Kevin DeGood is the director of Infrastructure Policy at the Center for American Progress.


  1. Ohio Department of Transportation, “Fiscal Years 2013 and 2014 Letter of Interest Form,” available at https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=2ahUKEwjHrNGT3fnoAhU1ZDUKHWxzCsIQFjAAegQIARAB&url=ftp%3A%2F%2Fftp.dot.state.oh.us%2Fpub%2FInnovative%2520Delivery%2FPortsmouth%2FFinal_RFP%2FCurrent_All_Ref_Info%2FCF-Cost%2520Estimates%2520and%2520Funding%2FCF-08_Portsmouth%2520Bypass%2520-%2520TIFIA%2520LOI%2520Final.pdf&usg=AOvVaw0wxLsFfq4awtE-IlrliPHM (last accessed April 2020).
  2. Jeff Yoders, “Ohio’s First P3 is its Biggest Road Project Ever,” ENR Midwest, July 13, 2017, available at https://www.enr.com/articles/42326-ohios-first-p3-is-its-biggest-road-project-ever.
  3. Federal Highway Administration, “Project Profile: Southern Ohio Veterans Memorial Highway (Portsmouth Bypass),”available at https://www.fhwa.dot.gov/ipd/project_profiles/oh_veterans_highway.aspx (last accessed April 2020).
  4. Municipal Securities Rulemaking Board, “Issue Details: $227,355,000 Treasuror of State of Ohio Tax-Exempt Private Activity Bonds, Series 2015,” available at https://emma.msrb.org/IssueView/Details/ER366788 (last accessed April 2020).
  5. Scioto County Economic Development Department, “Home,” available at https://www.whysouthernohio.com/ (last accessed April 2020).
  6. Frank Lewis, “Dow Chemical Haverhill Closing,” Portsmouth Daily Times, August 4, 2016, available at https://www.portsmouth-dailytimes.com/news/9667/dow-chemical-haverhill-closing.
  7. G. Sam Piatt, “The New Boston steel mill shutdown,” Portsmouth Daily Times, January 20, 2019, available at https://www.portsmouth-dailytimes.com/opinion/34504/the-new-boston-steel-mill-shutdown.
  8. Centrus Technology Solutions, “Piketown, Ohio,” available at https://www.centrusenergy.com/contact/piketon-ohio/ (last accessed April 2020).
  9. Ohio Department of Job and Family Services, “Ohio Unemployment Rates March 2020,” available at https://ohiolmi.com/portals/206/LAUS/Archive/2020/ColorRateMap0320.pdf (last accessed April 2020); U.S. Bureau of Labor Statistics, “The Employment Situation — June 2020,” Press release, available at https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&ved=2ahUKEwiY-_a6_IHpAhWBhHIEHfPdDagQFjABegQIBxAB&url=https%3A%2F%2Fwww.bls.gov%2Fnews.release%2Fpdf%2Fempsit.pdf&usg=AOvVaw0El9HPDNwCkjhZ_HvoSxIU.
  10. U.S. Census Bureau, “QuickFacts: Ohio; Scioto County, Ohio; United States,” available at https://www.census.gov/quickfacts/fact/table/OH,sciotocountyohio,US/PST045219 (last accessed April 2020).
  11. Ibid.
  12. Ohio Department of Transportation, “Fiscal Years 2013 and 2014 Letter of Interest Form.”
  13. Appalachian Regional Commission, “Appalachian Development Highway System,” available at https://www.arc.gov/program_areas/AppalachianDevelopmentHighwaySystem.asp (last accessed April 2020).
  14. Ohio Department of Transportation, “Final Environmental Impact Statement (FEIS) SCI-823 Portsmouth Bypass PID #19415” (2005), on file with author.
  15. Ibid.
  16. Yoders, “Ohio’s First P3 is its Biggest Road Project Ever.”
  17. Ibid.
  18. Ibid.
  19. Ibid.
  20. Dan Klein, “Project SOAR among efforts to create jobs and keep kids from taking flight,” WSAZ, April 9, 2019, available at https://www.wsaz.com/content/news/Project-SOAR-aims-to-create-jobs-and-keep-kids-from-taking-flight-508338091.html.
  21. Kenneth Hart, “Minford Selected for Site of Airport,” Minford Local Schools, September 26, 1999, available at http://old.minford.k12.oh.us/mhs/history/Community/Airport/airport.html.
  22. Author’s analysis based on Google Maps searches using downtown Portsmouth as the origin and the regional airport is the terminus.
  23. Author’s analysis based on Google Maps searches using the regional airport as the origin and the intersection with U.S. 23 as the terminus.
  24. The Ohio Department of Transportation application for federal financing through the Transportation Infrastructure Finance and Innovation Act program estimates a total travel time savings from a trip over the entire bypass compared with the U.S. routes at 16 minutes. Ohio Department of Transportation, “Fiscal Years 2013 and 2014 Letter of Interest Form.”
  25. Todd Litman “ Generated Traffic and Induced Travel: Implications for Transport Planning” (Victoria, Canada: Victoria Transport Policy Institute, 2019), available at https://www.vtpi.org/gentraf.pdf.
  26. Author’s calculation based on Ohio Department of Transportation, “Daily Vehicle Miles Traveled (DVMT),” available at http://www.dot.state.oh.us/Divisions/Planning/TechServ/traffic/Pages/DVMT.aspx (last accessed April 2020).
  27. Legal Information Institute, “23 U.S. Code § 135. Statewide and nonmetropolitan transportation planning,” available at https://www.law.cornell.edu/uscode/text/23/135 (last accessed April 2020).
  28. Author’s calculation based on Ohio Department of Transportation, “Statewide Transportation Improvement Program: State Fiscal Years 2021-2024 DRAFT March 2021,” available at https://www.transportation.ohio.gov/wps/portal/gov/odot/programs/stip/draft-stip/draft-stip (last accessed April 2020).
  29. Federal Highway Administration, “Project Profile: Southern Ohio Veterans Memorial Highway.”
  30. Author’s calculation based on Ohio Department of Transportation, “Statewide Transportation Improvement Program: State Fiscal Years 2021-2024 DRAFT March 2021.”; Ohio Department of Transportation, “Fiscal Years 2013 and 2014 Letter of Interest Form.”
  31. PureCycle Technologies, “Home,” available at https://purecycletech.com/ (last accessed April 2020).
  32. Water use information was provided by Melissa Whitt, business administration leader, PureCycle Technologies, personal communication with author via email, April 27, 2020, on file with author.
  33. Robert Horton, executive director, Scioto County Economic Development Department, personal communication with author via phone, April 28, 2020, on file with author.
  34. Ibid.
  35. U.S. Geologic Survey, “Estimated Use of Water in the United States in 2015,” available at https://pubs.er.usgs.gov/publication/cir1441 (last accessed April 2020).
  36. Ohio Department of Public Health, “Ohio Cancer Atlas 2019,” available at https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/ohio-cancer-incidence-surveillance-system/resources/ohio-cancer-atlas-2019 (last accessed April 2020).
  37. Author’s calculation based on Ohio Department of Health, “The 2018 Infant Mortality Report” (Columbus, OH: 2020), available at https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/infant-and-fetal-mortality/reports/2018-ohio-infant-mortality-report; U.S. Centers for Disease Control and Prevention, “Infant Mortality,” available at https://www.cdc.gov/reproductivehealth/maternalinfanthealth/infantmortality.htm (last accessed May 2020).
  38. Achal P. Patel and others, “Associations between environmental quality and infant mortality in the United States, 2000–2005,” Archives of Public Health 76 (60) (2018), available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191999/.
  39. Ohio Environmental Protection Agency, “All Ohio Air Toxics Report: Statewide Air Toxics Study” (Columbus, OH: 2010), available at https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwjEptbOsNTpAhXOmOAKHQJmB1kQFjAAegQIAhAB&url=https%3A%2F%2Fwww.epa.ohio.gov%2Fportals%2F27%2Fatu%2FAllOhioAirToxicsReport2010.pdf&usg=AOvVaw3Yq97MT273gIbCGLt377iy.
  40. Ibid.
  41. Ibid.
  42. Randy Ludlow, “Most-toxic air in southern Ohio,” Columbus Dispatch, June 25, 2009, available at https://www.dispatch.com/content/stories/local/2009/06/25/Air_Toxics.ART0_ART_06-25-09_A3_64E9IOF.html.
  43. Ibid.
  44. The 2019 report, which does not have a title, was provided by Mark Ward of the Scioto County Economic Development Department. It is on file with the author.
  45. Ibid. In 2017, the Southern Ohio Port Authority received two grants totaling $300,000 from the U.S. Environmental Protection Agency to assess local brownfields properties. The county is awaiting the results of this work, which will provide more detail on exactly what level of remediation would be required to return prime industrial parcels to productive use. See U.S. Environmental Protection Agency, “Brownfields 2017 Assessment Grant Fact Sheet Southern Ohio Port Authority, Portsmouth, OH,” available at https://cfpub.epa.gov/bf_factsheets/gfs/index.cfm?xpg_id=9673&display_type=HTML (last accessed April 2020).
  46. Dan Levin, “Tracking Down the Minford High School Class of 2000,” The New York Times, December 3, 2019, available at https://www.nytimes.com/2019/12/03/reader-center/minford-high-school-opioids.html.
  47. Michelle M Van Handel and others, “County-level Vulnerability Assessment for Rapid Dissemination of HIV or HCV Infections among Persons who Inject Drugs, United States,” Journal of Acquired Immune Deficiency Syndrome 73 (3) (2016): 323–331, available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5479631/.
  48. Ohio Department of Public Health, “2018 Ohio Drug Overdose Report” (Columbus, OH: 2019), available at https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/violence-injury-prevention-program/media/2018-ohio-drug-overdose-report.
  49. U.S. Centers for Disease Control and Prevention, “Drug Overdose Deaths,” available at https://www.cdc.gov/drugoverdose/data/statedeaths.html (last accessed April 2020).
  50. Ohio Department of Public Health, “Scioto County Cancer Profile” (Columbus, OH: 2019), available at https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/ohio-cancer-incidence-surveillance-system/countyprofiles/scioto-county.
  51. Tatiana Andreyeva, Joerg Luedicke, and Y. Claire Wang, “State-Level Estimates of Obesity-Attributable Costs of Absenteeism,” Journal of Occupational and Environmental Medicine 56 (11) (2014): 1120–1127, available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4225558/.
  52. U.S. Census Bureau, “American Community Survey: Sex by age by educational attainment for the population 18 years and over,” available at https://data.census.gov/cedsci/table?g=0500000US39145&t=Educational%20Attainment&tid=ACSDT1Y2018.B15001&hidePreview=false&vintage=2018&layer=VT_2018_050_00_PY_D1&cid=S1501_C01_001E (last accessed April 2020).
  53. Shawnee State University, “Cost of Attendance at Shawnee State,” available at https://www.shawnee.edu/admission-and-financial-aid/financial-aid/cost-attendance (last accessed July 2020).
  54. Author’s calculation based on Shawnee State University, “Cost of Attendance at Shawnee State,” available at https://www.shawnee.edu/admission-and-financial-aid/financial-aid/cost-attendance (last accessed July 2020); Federal Highway Administration, “Project Profile: Southern Ohio Veterans Memorial Highway (Portsmouth Bypass).”