CARROLLTON, Ala. — As the coronavirus spread across the United States, workers at the lone hospital in one Alabama county turned off beeping monitors for good and padlocked the doors, making it one of the latest in a string of nearly 200 rural hospitals to close nationwide.

Now Joe Cunningham is more worried than ever about getting care for his wife, Polly, a dialysis patient whose health is fragile. The nearest hospital is about 30 miles away, he said, and that’s too far since COVID-19 already has been confirmed in sparsely populated Pickens County, on the Mississippi state line.

Cunningham is trusting God, but he’s also worried the virus will worsen in his community, endangering his wife without a hospital nearby.