Isolation influences social determinants of health through long travel distances to and/or limited availability of services, including health and social services and limited availability of medical professionals and specialists with often increased waiting times (Bourke et al., 2010; Dunbar & Peach, 2012). There are less options for education and employment as well high costs for goods and services, due to increased transport distances (Bourke et al., 2010). Environmental determinants come in the form of the limited quality of housing available, lack of recreational facilities, difficulties with waste disposal and sanitation, low water quality, being more likely to work in hazardous industries and experiencing natural hazards such as flooding