Article Summary
March 19, 2021
Shelter Characteristics, Infection Prevention Practices, and Universal Testing for SARS-CoV-2 at Homeless Shelters in 7 US Urban Areas
Findings from SARS-CoV-2 testing offered to clients and staff at 63 homeless shelters, irrespective of symptoms, found lower prevalence of infection at shelters that implemented head-to-toe sleeping and that excluded symptomatic staff from working. Shelters with medical services available were less likely to have very high infection prevalence (defined as >10%). Self, J et al….
Pilot Investigation of SARS-CoV-2 Secondary Transmission in Kindergarten Through Grade 12 Schools Implementing Mitigation Strategies — St. Louis County and City of Springfield, Missouri, December 2020
School-based SARS-CoV-2 secondary transmission occurred in 2% of 102 close contacts identified in investigations of cases that occurred in K-12 schools (n=22) in Springfield and St. Louis County, Missouri. All schools offered in person-learning, with 21,342 (70%) students attending in-person at least part-time. While schools in both counties implemented COVID-19 mitigation strategies, schools in Springfield…
Low SARS-CoV-2 Transmission in Elementary Schools — Salt Lake County, Utah, December 3, 2020–January 31, 2021
Despite high community incidence and an inability to space classroom seats at least 6 feet apart, there was low SARS-CoV-2 transmission and no school-related outbreaks in 20 Salt Lake County elementary schools. Schools documented high mask adherence among students and also implemented multiple strategies to limit transmission. The authors suggest that these findings add to…
COVID-19 in Primary and Secondary School Settings During the First Semester of School Reopening — Florida, August–December 2020
COVID-19 school-related incidence among Florida students was low (August-December 2020), were most schools resumed in-person instruction sometime during August 2020, and was correlated with community incidence and was highest in smaller counties, districts without mask requirements, and those that reopened earliest after closure in March 2020. A total of 63,654 total cases of COVID-19 were…
March 18, 2021
Neighborhood Disadvantage Measures and COVID-19 Cases in Boston, 2020
Census tracts in Boston with high incidence of COVID-19 between February and May 2020 had significant colocation of several neighborhood-level factors and the top quintile of cases: percentage of population that was Hispanic, non-Hispanic Black, without health insurance, receiving Supplemental Nutrition Assistance Program benefits, and living in poverty. They observed a 25% higher incidence of…
Association of Children’s Mode of School Instruction with Child and Parent Experiences and Well-Being During the COVID-19 Pandemic — COVID Experiences Survey, United States, October 8–November 13, 2020
Compared to US parents of children aged 5-12 years receiving in-person instruction only, parents of children receiving virtual instruction were more likely to report poor child well-being, such as decreased physical activity (63% vs 30%) or worsened mental and emotional health (25% vs 16%). Parents of children receiving virtual instruction were also more likely to…
Frailty as a Predictor of Mortality among Patients with COVID-19: A Systematic Review and Meta-Analysis
COVID-19 patients with frailty had a 2.5-fold higher risk of dying compared to those without frailty, according to a systematic review and meta-analysis of 15 studies including 23,944 COVID-19 patients. Subgroup analyses of studies with hospitalized patients (n=8 studies) and nursing home residents (n=2) showed that risk of dying among patients with frailty was 2.6-fold…
Four-Month Clinical Status of a Cohort of Patients After Hospitalization for COVID-19
51% of COVID-19 survivors reported at least 1 new-onset symptom at four months after hospitalization that was not previously present in a cohort study (n=478) in France. New-onset symptoms included fatigue (31%), cognitive symptoms (21%), and shortness of breath (16%). In a subset of patients with further evaluations (n=177, including 97 of 142 former ICU…
Hospital Policies During COVID-19
Visitor restriction policies varied significantly among the 70 largest US hospitals during the first 3 months of the COVID-19 pandemic. 65 of the hospitals had public-facing visitor restriction policies. While 49 of these policies had general “no-visitor” statements, 16 allowed at least 1 visitor to accompany all patients. 63 policies included exceptions to their visitor…
Assessment of Protection against Reinfection with SARS-CoV-2 among 4 Million PCR-Tested Individuals in Denmark in 2020: A Population-Level Observational Study
Individuals with a positive SARS-CoV-2 PCR test during the first surge in Denmark (prior to June 2020) were less likely to get a positive test during the second surge (September to December 2020) compared to individuals with a negative SARS-CoV-2 PCR test during the first surge. In this nationwide cohort study (n=525,339), 72 of 11,068…
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