Alliance for Pandemic Preparedness

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Topic: Public Health Policy and Practice


March 11, 2021

Implementation of a Recuperation Unit and Hospitalization Rates Among People Experiencing Homelessness With COVID-19

Implementation of a novel COVID-19 Recuperation Unit (CRU) designed for people experiencing homelessness (PEH) was associated with a 28% reduction in hospitalization among COVID-19 positive PEH during a COVID-19 surge. The CRU was designed as a place where PEH diagnosed with COVID-19 who did not require hospitalization could safely quarantine. During the study period of…


March 10, 2021

Racial and Ethnic Disparities in COVID-19 Incidence by Age, Sex, and Period Among Persons Aged <25 Years — 16 U.S. Jurisdictions, January 1–December 31, 2020

There were substantial racial and ethnic disparities in COVID-19 incidence among people under age 25 in the US during January-April 2020 (rate ratio range = 1.1-4.6), which generally decreased during May-December (RR range = 0.37-1.69), largely due to increased incidence among white individuals rather than a decline among racial and ethnic minority groups. The largest…


SARS-COV-2 Antibody Prevalence in Patients on Dialysis in the US in January 2021

[Pre-print, not peer-reviewed] A cross-sectional assessment of SARS-CoV-2 seroprevalence among patients in the US receiving dialysis (n = 21,424) in January 2021 with the goal of estimating the seroprevalence in the general US adult population found that seroprevalence was 18.9% in the study sample, which translated to an estimated 18.7% in the US dialysis population,…


March 9, 2021

When You’ve Been Fully Vaccinated

New recommendations from CDC indicate that fully vaccinated individuals can now safely gather indoors with other fully vaccinated individuals without wearing a mask, in light of the increasing evidence that vaccinated individuals are less likely to have asymptomatic infection and to transmit SARS-CoV-2 to others. In contrast, CDC recommends that fully vaccinated individuals only gather…


Elevated Mortality among People Experiencing Homelessness with COVID-19

[Pre-print, not peer-reviewed] The COVID-19 case fatality rate (CFR) among people experiencing homelessness (PEH) residing in 7 of the most populous US health jurisdictions was 1.3-times higher than that of the general population. In Los Angeles County, where PEH data is further stratified by additional demographic characteristics, the PEH CFR was up to 14-times higher…


Case Fatality Risk of the SARS-CoV-2 Variant of Concern B.1.1.7 in England

[Pre-print, not peer-reviewed] Infection with the SARS-CoV-2 B.1.1.7 variant was associated with 1.7-fold increased risk of death compared to infection with non-B.1.1.7 strains, according to UK electronic health record data collected from November 2020 to February 2021. Increased risk of death was consistent across subgroups by age, number of comorbidities, ethnicity, and deprivation index quintile….


Covid-19 in the California State Prison System An Observational Study of Decarceration Ongoing Risks and Risk Factors

[Pre-print, not peer-reviewed] In 9 California prisons that experienced major COVID-19 outbreaks, risk factors for SARS-CoV-2 infection included living in a dormitory vs. in a cell (2.5-fold risk) and living in a room with residents who participated in out-of-room labor vs. other rooms (1.6-fold).  By the end of the study, 18% had high COVID-19 risk…


March 5, 2021

Multi-Level Drivers of Tobacco Use and Purchasing Behaviors during COVID-19 “Lockdown”: A Qualitative Study in the United States

A qualitative study of tobacco use and purchasing behaviors in the US between April and May 2020 during the COVID-19 lockdown found that most participants (n=44) increased use, which was predominantly driven by individual-level factors such as pandemic-related anxiety, boredom, and irregular routines. Individuals who reported decreased use cited social drivers, such as fewer interpersonal…


March 4, 2021

COVID-19 in Youth Soccer During Summer 2020. Journal of Athletic Training

US youth soccer clubs reported a relatively low incidence of COVID-19 among their players in a retrospective cohort study of 119 US youth soccer clubs representing 91,007 players with a median duration of 73 days since restarting group activities. Soccer players reported a 49% lower incidence than children nationally over the same time period (254…


Estimated SARS-CoV-2 Seroprevalence Among Persons Aged <18 Years — Mississippi, May–September 2020

A retrospective seroprevalence study among children and adolescents <18 years of age in Mississippi suggests that cumulative incidence of SARS-CoV-2 infection may be more than 10-times higher than reported cases. 11% of 1,603 serum specimens collected for routine clinical testing from persons aged <18 years during May to September 2020 tested positive for SARS-CoV-2 antibodies,…



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