Economic and demographic changes in rural areas continue to introduce big-city problems in small towns. These communities' ability and willingness to respond are likely to be influenced by the geography, culture, and array of organizations in rural places. But how these characteristics of rural places shape local response is hard to predict and as yet unexplored. This article reports data from interviews with social-service providers and homeless youth in a rural county in the northwestern United States, drawing insights from both groups about the challenges of providing social services in rural places. Findings about drug use, sexual abuse and prostitution in rural communities illustrate how aspects of a rural context can influence the way small towns address social problems.

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What is the relationship between employment discrimination litigation and the relative earnings of blacks and whites in the United States? Do victories in court affect blacks' relative earnings? Are gains in earnings associated with legal victories enduring or temporary? Can litigation be an effective tactic in efforts at social reform? Data on plaintiff victories in employment discrimination cases decided by U.S. appellate courts from 1965 through 1985 show that victories are associated with significant and enduring increases in blacks' relative earnings. One implication is that at least in this area, the courts may bring about social reform.

Existing research argues that women's wages, consumerism, and changing attitudes dismantled the male bread‐winner system. Families' economic need is dismissed with the suggestion that mothers' rhetoric of “need” was a smoke screen to defend against social stigma for working mothers. Drawing on biennial data from 1965 to 1987, I suggest that consumptive certainty of the 1950s and 1960s gave way to economic uncertainty in the 1970s and beyond. Economic uncertainty provided impetus, legitimacy, and justification for young families to adopt new work‐family arrangements. Hence, economic uncertainty is conceptualized as a real circumstance that substantiates families' reasonable perceptions of need.

Two returning safari tourists with African trypanosomiasis were admitted to the Hospital for Tropical Diseases, London, in a 3-day period, compared with six cases in the previous 14 years. We describe the clinical features, diagnosis, and problems encountered in accessing appropriate therapy, and discuss the potential for emergence of this disease in increasingly adventurous international travelers.