Over 9 million new cases of tuberculosis (TB) were reported worldwide in 2013. While the TB rate is much lower in the US, its uneven distribution and associated explanatory variables require interrogation in order to determine effective strategies for intervention and control. However, paucity of case data at fine geographic scales precludes such research. This research, using zip code level data from 837 confirmed TB cases in Tarrant County obtained from Texas Department of State Health Services, explores and attempts to explain the spatial patterns of TB and related risk markers within a framework of place vulnerability. Readily available census data is then used to characterize the spatial variations in TB risk. The resulting model will enable estimations of the geographic differences in TB case variables using this readily available census data instead of time-consuming and expensive individual data collection.

This thesis interrogates sense of place and place attachment in the Big Empty on the north central Texas plains. The region stretches from the Red River on the north to the Colorado River basin on the south and from the Cross Timbers on the east to the Caprock escarpment on the west. Since 1930, the Big Empty has seen sustained and severe population decline such that some counties there now register less than a quarter the population they did at their peaks during the interwar years. Through in-depth field interviews, I examine sense of place and place attachment amidst apparently irreversible decline. I also describe conditions of postindustrial rurality arising from rolling reconfigurations of economic and social relations, particularly changes in scale in farming and the diminished centrality of productivist agriculture in local economies and culture, and how these conditions become legible through the study of place.