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Topic: Public Health Policy and Practice
September 9, 2020
Allocation of COVID-19 Relief Funding to Disproportionately Black Counties
US counties with the highest fraction of Black residents received $126 more COVID-19 relief funding per resident ($506 vs. $380, p<0.001) than other counties. However, for a given level of relief funding, disproportionately Black counties had significantly higher COVID-19 burden and worse hospital finances. • The authors conclude that the method used to allocate relief…
September 8, 2020
Variations in State-Level SARS-COV-2 Testing Recommendations in the United States March-July 2020
[Pre-print, not peer-reviewed] As of July 2020, only 16 states had recommended asymptomatic testing of the public, while 9 states actively recommended against it. The per capita rate of COVID-19 tests reported in each state correlated with more permissive testing recommendations and with higher epidemic intensity. Higher per capita testing was weakly associated with more…
Reaching Invisible and Unprotected Workers on Farms during the Coronavirus Pandemic
The Cornell Farmworker Program, in partnership with Finger Lakes Community Health, implemented an approach to support farmworkers by creating a language concordant text messaging system that reached over 3,000 farmworkers and a webinar to communicate COVID-19 information regarding safety and regulations in which over 500 farmworkers participated. Dudley. (Sept 7, 2020). Reaching Invisible and Unprotected…
Racial and Ethnic Differences in Self-Reported Telehealth Use during the COVID-19 Pandemic: A Secondary Analysis of a U.S. Survey of Internet Users from Late March
Compared to white respondents, Black respondents to a Pew survey (n=10,624) had a 1.4-fold higher odds of reporting that they had used telehealth as a result of the COVID-19 pandemic. The association was particularly strong among respondents who perceived the COVID-19 pandemic to be a minor threat (aOR=1.92). Campos-Castillo and Anthony. (Sept 7, 2020). Racial…
Impact of Social Distancing and Travel Restrictions on Non-COVID-19 Respiratory Hospital Admissions in Young Children in Rural Alaska
Hospitalizations of young children due to acute respiratory illnesses (ARI) dropped dramatically in April 2020 in rural Alaska, in contrast to the past 10 seasons, when the seasonal decline began in June. Among 26 seasons of data, no season prior to the COVID-19 pandemic season also had a four-week stretch with no ARI admissions, demonstrating…
September 4, 2020
Racial/Ethnic Disparities in Hospital Admissions from COVID-19 and Determining the Impact of Neighborhood Deprivation and Primary Language
[Pre-print, not peer reviewed] Compared with white patients, minority race/ethnicity was found to be associated with hospital admission for Hispanic (OR: 3.8, 95% CI: 2.72-5.30), Asian (OR: 2.39, 95% CI: 1.74-3.29, and Black (OR: 1.50, 95% CI: 1.15-1.94) patients. Within each racial/ethnic group, quintiles of neighborhood-level deprivation were not associated with hospitalization. The analysis was…
September 3, 2020
SARS-CoV-2 Surveillance in Decedents in a Large Urban Medical Examiner’s Office
[Pre-print, not peer reviewed] The 7-day average percentage of SARS-CoV-2 test positivity among people who had died and were identified as possible recent COVID-19 cases and were posthumously tested (n=237) closely matched the trajectory of percent positivity in the catchment population, according to the Wayne County Medical Examiner’s office in Michigan. SARS-CoV-2 positive flagged decedents…
Infection Fatality Ratios for COVID-19 Among Noninstitutionalized Persons 12 and Older: Results of a Random-Sample Prevalence Study
The overall infection fatality ratio (IFR) for the state of Indiana, excluding institutionalized persons and children under 12 years of age, was 0.3%. Stratifying the IFR across demographic groups resulted in an IFR of 0.01% among those <40 years of age, 1.7% among those ≥60 years of age, 0.2 among white patients, and 0.6% among…
September 2, 2020
“Immunity Passports” for SARS-CoV-2: An Online Experimental Study of the Impact of Antibody Test Terminology on Perceived Risk and Behaviour
In an online survey among 1,204 adults from a UK research panel, Waller et al. reported that by using the term “immunity” (vs “antibody”) to describe antibody tests for SARS-CoV-2, participants were more likely to perceive no risk of catching coronavirus given an positive antibody test result (OR 2.9). Perceiving no risk of infection was…
September 1, 2020
Exposure and Risk Factors for COVID-19 and the Impact of Staying Home on Michigan Residents
[Pre-print, not peer reviewed] A survey of Michigan Medicine biorepository participants (n=8,407, 133 COVID-19 cases) found that risk factors for COVID-19 included African American race (6% of African American participants reported COVID-19 vs 2% for White participants), younger age (51 years among participants reporting COVID-19 vs 59 among participants not reporting COVID-19), and being an…
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