‘First Line of Defense’

Dan Buchanan stands in front of Double Island Volunteer Fire Department's fire engine

During Hurricane Helene and its aftermath, rural fire departments and other first responder hubs played critical roles in keeping their communities safe, even without power and cut off from outside support for days or weeks after the storm. Two years later, plenty of work remains to ensure these hubs have the resources they need to operate day to day and be ready when emergencies or natural disasters strike.

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The Washout and Rebuild 

Unicoi County Hospital in Erwin after the storm. Photo courtesy of Ballad Health

For nearly two years, residents of Unicoi County, Tennessee, have had to make do without a hospital after Hurricane Helene destroyed the rural hospital. Ballad Health, which owns the hospital, broke ground on a new location — in another floodplain — in August 2026.

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