Alliance for Pandemic Preparedness

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Tag: public health


April 23, 2021

Effect of the COVID-19 Pandemic on Health Insurance Coverage among Trauma Patients: A Study of Six Level I Trauma Centers

An analysis of hospitalized adult patients admitted at 6 US Level I trauma centers from 2018-2020 (N=31,225) found that the proportion of patients without health insurance increased from 15% to 21%. The authors hypothesized that the proportion of patients without insurance would increase due to higher rates of unemployment during the pandemic. However, the proportion…


April 20, 2021

The Increase in the Risk of Severity and Fatality Rate of Covid-19 in Southern Brazil after the Emergence of the Variant of Concern (VOC) SARS-CoV-2 P.1 Was Greater among Young Adults without Pre-Existing Risk Conditions

[Pre-print, not peer-reviewed] A higher proportion of younger patients (age <60 years) were observed among severe COVID-19 cases leading to death (28%) in the second wave in Brazil (February 2021) as compared to the first wave (18%) (November-December 2020). This second wave was predominantly the P.1 variant. Similarly, a higher proportion of patients without pre-existing…


April 16, 2021

SARS-CoV-2 Infection Among Correctional Staff in the Federal Bureau of Prisons

SARS-CoV-2 infections were reported by 665 Federal Bureau of Prisons (FOB) staff across 60% of institutions from March to June 2020, corresponding to a case rate of 1,767 per 100,000. Among institutions that experienced outbreaks, the staff case rate was 4,813 per 100,000. Infections among staff working in lower security prisons and detention centers that…


COVID-19 Stats: COVID-19 and Influenza Discharge Diagnoses as a Percentage of Emergency Department (ED) Visits, by Year — United States, June 2018–March 2021

Between June 2020 and March 2021, emergency department (ED) visits for influenza accounted for less than 0.1% of all visits in approximately 71% of US facilities in all states except Hawaii. By contrast, influenza visits reached 3.1% of all ED visits in February 2018 and 5% of all ED visits in February 2019 alone. ED…


COVID-19 and the Drug Overdose Crisis: Uncovering the Deadliest Months in the United States, January-July 2020

An estimated 9,000 people in the US died from drug overdose in May 2020, representing a 58% increase over May 2019. The largest number of deaths occurred in West Virginia, Kentucky, and Tennessee. Monthly deaths and pandemic-related spikes were estimated by disaggregating provisional CDC data that were aggregated into 12-month rolling sums. Friedman and Akre….


Disparities in SARS-CoV-2 Vaccination-to-Infection Risk Massachusetts 2020-2021

[Pre-print, not peer-reviewed] An analysis of the distribution of SARS-CoV-2 cases and the number of people vaccinated in Massachusetts indicated that communities with increased socioeconomic vulnerability and higher proportions of Black/Latinx residents had fewer people vaccinated per cumulative number of individuals infected, measured by the vaccination-to-infection risk (VIR) ratio. Improved VIRs were associated with higher…


Notes from the Field: Update on Excess Deaths Associated with the COVID-19 Pandemic — United States, January 26, 2020–February 27, 2021

An estimated 545,600 to 660,200 excess deaths occurred in the US during January 2020 to February 2021 according to data from the National Vital Statistics System (NVSS). Excess deaths peaked during the weeks ending April 11, 2020, August 1, 2020, and January 2, 2021. Approximately 75-88% of excess deaths were directly associated with COVID-19. Excess…


April 15, 2021

U.S. COVID-19 State Government Public Dashboards: An Expert Review

Most COVID-19 state government public dashboards displayed similar metrics and largely aligned with CDC goals, according to an expert review. Data generally included total deaths, total cases, new cases, laboratory tests, and hospitalization, but aggregation and stratification of these metrics varied greatly across dashboards. 96% had some interactive functionality such as tooltips, zooming, or data…


April 14, 2021

Survey of Behaviour Attitudes Towards Preventive Measures Following COVID-19 Vaccination

[Pre-print, not peer-reviewed] A survey of individuals vaccinated for SARS-CoV-2 in Israel found mask wearing was 21% lower and social distancing was 47% lower than before prior to vaccination, with no differences by sex. Decreases in mask wearing (28%) and social distancing (56.1%) were larger among people under age 50 than people over the age…


April 12, 2021

The Association of Structural Inequities and Race with Out-of-Hospital Sudden Death during the COVID-19 Pandemic

New York City stratified data on out of hospital sudden death (OHSD) showed that between March 1 and April 10, 2020, educational attainment and the proportion of Black residents in zip codes were independent predictors of increased levels of zip code-level OHSD, after controlling for 2019 rates. The number of OHSD rose to 4,334 from…



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