Johnny Noble, 9, sits in his uncle’s trailer, which has no electricity or running water. Johnny’s uncle relies on assistance from the government and helpful neighbors.

In Owsley County, Ky., a community of about 5,000, residents earn the lowest median household income in the country outside of Puerto Rico, according to the U.S. Census. The decline in coal, tobacco and lumber industries have taken a harsh toll on this community where locals also face a high incidence of drug addiction, the Daily Mail reports.

Inside the Poorest County In America, Owsley County.