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Topic: Public Health Policy and Practice
December 15, 2020
Understanding Drivers of COVID-19 Racial Disparities: A Population-Level Analysis of COVID-19 Testing among Black and White Populations
Missouri Department of Health data show that Black populations in the St. Louis and Kansas City regions had lower COVID-19 testing rates per diagnosed cases compared to white populations consistently throughout the pandemic. During March to June 2020, zip codes in the lowest quartile of testing rates, which had higher proportions of Black, uninsured, and…
Impact of Population Growth and Aging on Estimates of Excess U.S. Deaths During the COVID-19 Pandemic, March to August 2020
Accounting for changes in the population age in the four-year period between 2015 and 2019 compared to the period between March and August of 2020 reduced estimates of excess deaths in the US from 301,400 deaths to 218,000 deaths, which substantially increased the contribution of COVID-19-related deaths (173,300 from March to August) to an excess…
December 10, 2020
Trends in U.S. Emergency Department Visits Related to Suspected or Confirmed Child Abuse and Neglect Among Children and Adolescents Aged <18 Years Before and During the COVID-19 Pandemic — United States, January 2019–September 2020
Early in the pandemic during March-April 2020, the total number of US emergency department (ED) visits related to child abuse and neglect among individuals aged <18 years decreased by 53% compared to 2019, but the weekly number of these visits ending in hospitalization remained stable. As a result, the percentage of ED visits for child…
COVID-19 Mortality Among American Indian and Alaska Native Persons — 14 States, January–June 2020. MMWR
Data from 14 states, including Washington, show that age-adjusted COVID-19-associated mortality was 1.8 times higher among American Indian/Alaskan Native (AI/AN) than non-Hispanic white individuals. People aged 20-29 years, 30-39 years, and 40-49 years experienced the largest disparities, with mortality rates 10.5, 11.6, and 8.2 times higher, respectively. Overall, AI/AN persons dying from COVID-19 were younger…
December 9, 2020
Strengthening Policy Coding Methodologies to Improve COVID-19 Disease Modeling and Policy Responses: A Proposed Coding Framework and Recommendations
To address inconsistencies in how policies related to closing and reopening elements of society are described and analyzed, researchers developed a framework to categorize the various policies in place in 12 US states. A comparative content analysis using a 16-element framework, including domains such as bars, restaurants, childcare, and religious gatherings, revealed high granularity and nuance…
Neighbourhood-Level Racial/Ethnic and Economic Inequities in COVID-19 Burden Within Urban Areas in the US and Canada
[Preprint, not peer-reviewed] Using publicly available neighborhood-level data on COVID-19 cases from 58 US urban counties and the two largest cities in Canada, Saha et al. reported a consistent finding that the most racially and/or economically privileged neighborhoods had the lowest rates of COVID-19 cases and deaths. No consistent trends were found for the relationship…
December 8, 2020
Number of Childhood and Adolescent Vaccinations Administered Before and After the COVID-19 Outbreak in Colorado
Immunization rates for children and adolescents in Colorado declined following the issuing of social distance guidance on March 15th, 2020. Comparing the time periods January 5 – March 15 and March 15 – April 25, mean immunization rates dropped by 31%, 78% and 82% for individuals aged 0-2 years, 3-9 years, and 10-17 years, respectively….
Association of Race, Ethnicity, and Community-Level Factors with COVID-19 Cases and Deaths across U.S. Counties
Among US counties, a 10% higher proportion of Black residents was associated with an increase of 324.7 COVID-19 cases and 14.5 COVID-19 deaths per 100,000 population. A 10% higher proportion of Latino residents was associated with an increase of 293.5 COVID-19 cases and 7.6 COVID-19 deaths per 100,000 population. After adjusting for other independent predictors…
December 7, 2020
Unraveling US National COVID-19 Racial Ethnic Disparities Using County Level Data Among 328 Million Americans
[Pre-print, not peer-reviewed] An analysis of 9.8 million cases and 234,000 deaths from 2,990 US counties comprising 99.8% of the total US population through November 8th found that COVID-19 racial and ethnic health disparities were partially explained by previously reported social determinants of health and pre-existing comorbid conditions. After adjusting for these variables, significant unexplained…
Covid-19 Will Reduce US Life Expectancy at Birth by More Than One Year in 2020
[Pre-print, not peer-reviewed] Based on data from the Johns Hopkins University online dashboard, the US passed the cumulative number of COVID-19 deaths (275,000) that would lower the life expectancy at birth (LEB) for 2020 by one full year on December 3rd. By comparison, the opioid crisis led to an average 0.1 year decline in LEB…
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