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Tag: public health
February 24, 2021
Nonmetropolitan COVID‐19 Incidence and Mortality Rates Surpassed Metropolitan Rates within the First 24 Weeks of the Pandemic Declaration: United States, March 1–October 18, 2020
The incidence and mortality trends of COVID-19 in rural counties increased and surpassed those in metropolitan areas beginning in early August 2020. Residents of nonmetropolitan counties accounted for 14% of the 8,085,214 confirmed COVID‐19 cases and 11% of the 217,510 deaths in the United States from March 1-October 18, 2020. The average daily COVID‐19 incidence rate over the…
February 23, 2021
What Is Driving the Decreased Incidence of Preterm Birth during the COVID-19 Pandemic?
A retrospective cohort study of over 17,687 singleton deliveries prior to the COVID-19 pandemic (January 2018 to January 2020) and over 5,396 singleton deliveries during the pandemic (April 2020 to October 2020) at a single tertiary center in Pennsylvania found a small but statistically significant decrease in overall preterm birth (11% vs 10%). Both spontaneous…
February 22, 2021
Higher SARS-CoV-2 Infection Rate in Pregnant Patients
The SARS-CoV-2 infection rate among pregnant individuals in Washington State (13.9/1,000 deliveries) was 70% higher than the rate among similarly-aged adults, which was not completely explained by universal screening at delivery. 240 pregnant patients with PCR-confirmed SARS-CoV-2 infection were identified from March 1-June 3, 2020, and the proportion of cases in pregnancy among most ethnic…
February 19, 2021
Years of Life Lost to COVID-19 in 81 Countries
An estimated 20.5 million years of life have been lost as a result of COVID-19-attributable deaths globally. As of January 6, 2021, years of life lost (YLL) in heavily affected countries, including the United States, are 2–9 times the average losses from seasonal influenza. Three quarters of the YLL result from deaths in ages below…
Provisional Life Expectancy Estimates for January through June, 2020
Provisional life expectancy at birth in the United States reached its lowest level since 2006 in the first six months of 2020, with the life expectancy of the Hispanic population reaching a level lower than any in its recorded history. The life expectancy for both the total population (77.8 years) and for males (75.1) was…
Trends in Use of Telehealth Among Health Centers During the COVID-19 Pandemic — United States, June 26–November 6, 2020
30% of healthcare visits at 1,382 Health Resources and Services Administration-funded health centers occurred via telehealth between June 26 and November 6, 2020. Telehealth visits declined as the number of new COVID-19 cases decreased but plateaued as the number of cases increased. Health centers in the South and rural areas consistently reported the lowest average…
February 18, 2021
Effectiveness of Interventions to Reduce COVID-19 Transmission in a Large Urban Jail: A Model-Based Analysis
A transmission model calibrated to an outbreak in a large urban US jail estimated that R0 for the first outbreak phase was as high as 8.44. Non-pharmaceutical interventions including reducing the size of the jail population (depopulation), single celling, and asymptomatic testing reduced R0 to 0.58 by day 37, preventing approximately 83% of the projected…
February 16, 2021
Trends in US Pediatric Hospital Admissions in 2020 Compared With the Decade Before the COVID-19 Pandemic.
US pediatric hospital admissions in the US were lower in 2020 compared to the past 10 years, according to a cross-sectional study of over 5 million US pediatric hospital admissions at 49 hospitals in the Pediatric Health Information Systems database. There was a decrease in the number of admissions beginning in March 2020 compared with…
What Makes COVID-19 Dashboards Actionable? Descriptive Assessment and Expert Appraisal of 158 Public, Web-Based COVID-19 Dashboards (Preprint)
[Pre-print, not peer-reviewed] An assessment of 158 COVID-19 data dashboards from 53 countries by an international panel of experts (n=17) found that only 20 dashboards (13%) were highly actionable. Key characteristics of actionable dashboards according to the expert panel include knowing the intended audience and information needs, reporting data sources and methods clearly, and linking…
Lack of Changes in Preterm Delivery and Stillbirths during COVID-19 Lockdown in a European Region
The proportion of preterm deliveries (< 37 weeks) and stillbirths was similar in the Castilla-y-Leon region in Spain during the COVID-19 lockdown and de-escalation periods (March 15 to June 21, 2020) compared to previous time periods. The proportion of preterm deliveries during the lockdown was 6.5%, compared to 6.6% during the whole pre-lockdown period (January…
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