Article Summary
June 5, 2020
Prevalence and Severity of Coronavirus Disease 2019 (COVID-19) Illness in Symptomatic Pregnant and Postpartum Women Stratified by Hispanic Ethnicity
Among pregnant or immediately postpartum women with COVID-19 symptoms or an epidemiologic link to a case, women of self-reported Hispanic ethnicity were disproportionately represented (60%, vs 18% in the population). Hispanic women were no more likely than non-Hispanic women to be hospitalized, but they were more likely to be admitted to the ICU and to be intubated. …
Incidence of COVID-19 in Pediatric Surgical Patients Among 3 US Children’s Hospitals
Universal pre-operative screening for SARS-CoV-2 infection at the Children’s Hospital of Philadelphia, Texas Children’s Hospital, and Seattle Children’s Hospital from March 26-April 22, 2020 found that 0.93% of children were positive, ranging from 0.22% to 2.65% across these hospitals. Fifty percent of positive children had symptoms and 20% had known exposure. Increasing age and emergency status of procedure were positively associated…
Pre-Procedural Surveillance Testing for SARS-CoV-2 in an Asymptomatic Population in the Seattle Region Shows Low Rates of Positivity
Universal screening of patients prior to admission or a surgical or aerosol-generating procedure in the University of Washington hospital system was instituted on April 13, 2020. Since that time, 10% of patients with COVID-19 symptoms were SARS-CoV-2 positive compared to fewer than 1% of asymptomatic individuals. Mays et al. (June 3, 2020). Pre-Procedural Surveillance Testing for SARS-CoV-2 in an Asymptomatic Population in the Seattle Region…
Incarceration And Its Disseminations: COVID-19 Pandemic Lessons From Chicago’s Cook County Jail
Reinhart and Chen found that zip codes in Chicago with higher rates of arrest and released jail inmates had higher rates of SARS-CoV-2 infection, even after adjustment for race and poverty. The authors propose that arrest and pre-trial detention practices may contribute to SARS-CoV-2 spread. Reinhart and Chen. (June 4, 2020). Incarceration And Its Disseminations: COVID-19 Pandemic Lessons From Chicago’s Cook County Jail. Health Affairs. https://doi.org/10.1377/hlthaff.2020.00652
The Natural History and Transmission Potential of Asymptomatic SARS-CoV-2 Infection
Among 30 quarantined people with RT-PCR-confirmed SARS-CoV-2 infection, nearly half (43%) were asymptomatic and asymptomatic individuals were less likely to test positive in follow-up tests than those with symptoms of COVID-19, indicating faster viral clearance. Chau et al. (June 4, 2020). The Natural History and Transmission Potential of Asymptomatic SARS-CoV-2 Infection. Clinical Infectious Diseases. https://doi.org/10.1093/cid/ciaa711
The Role of Children in the Dynamics of Intra Family Coronavirus 2019 Spread in Densely Populated Area
Among 13 family clusters in a city in Israel, after removing the index case, 58% of adults became SARS-CoV-2 positive by PCR compared to 33% of children 5-17 years and 12% of children less than 5 years of age. Children appeared to play a smaller role in transmission of SARS-CoV-2 than adults. Somekh et al. (June 1, 2020). The Role of Children in the…
Assessing Capacity to Social Distance and Neighborhood-Level Health Disparities during the COVID-19 Pandemic
[pre-print, not peer reviewed] A composite measure of neighborhood infection risk in New York City is associated with neighborhood social disadvantage and capacity to socially isolate (estimated by subway usage data), after adjusting for testing data. Carrion et al. (June 4, 2020). Assessing Capacity to Social Distance and Neighborhood-Level Health Disparities during the COVID-19 Pandemic. Pre-print downloaded June 5 from https://doi.org/10.1101/2020.06.02.20120790
COVID-19 Monitoring and Response Among U.S. Air Force Basic Military Trainees – Texas, March-April 2020
Seven weeks of non-pharmaceutical interventions (quarantine, social distancing, early screening of trainees, isolation, monitored reentry for cases) among recruits in a Basic Military Training setting at a US Air Force Base successfully contained SARS-CoV-2. Only 5 out of over 10,000 trainees tested positive, and 3 were contacts of the first case. Marcus et al. (June 5, 2020). COVID-19 Monitoring and Response Among U.S….
June 4, 2020
Associations Between State Public Health Agency Structure and Pace and Extent of Implementation of Social Distancing Control Measures
Strickland et al. found that states operating under centralized public health governance structures enacted social distancing 4 days after decentralized states and had a 73% reduced likelihood of enacting a social distancing policy (HR=0.27, 95%CI 0.08–0.86). Public health governance structures may affect the implementation of measures to control COVID-19. Strickland et al. (June 1, 2020). Associations Between State Public Health…
Impact of the COVID-19 Pandemic on Emergency Department Visits — United States, January 1, 2019–May 30, 2020
Emergency department visits declined 42% during the early COVID-19 pandemic, from a mean of 2.1 million per week (March 31–April 27, 2019) to 1.2 million (March 29–April 25, 2020), with the steepest decreases in persons aged ≤14 years, females, and those in the Northeast. The proportion of infectious disease–related visits was four times higher during the early period….
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