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Topic: Public Health Policy and Practice
September 1, 2020
Telemedicine and Healthcare Disparities: A Cohort Study in a Large Healthcare System in New York City during COVID-19
While electronic health record data from a New York university healthcare system (n=140,184) showed that the proportion of Black patients using telemedicine for urgent care increased from 2019 to 2020, Black patients were less likely than white patients to accessing care through telemedicine. The increase in utilization of telemedicine among Black patients was predominantly among…
High Level of Food Insecurity among Families with Children Seeking Routine Care at Federally Qualified Health Centers during the Coronavirus Disease 2019 Pandemic
During the initial phase of the COVID-19 pandemic in Texas (April to May 2020), 47% of families (n=200) receiving routine pediatric care at federally qualified health centers screened positive for food insecurity, with 94% indicating this had begun or worsened during the pandemic. Both Hispanic ethnicity (< 0.001) and WIC participation (p = 0.03) were…
August 26, 2020
Socio-Demographic Heterogeneity in the Prevalence of COVID-19 during Lockdown Is Associated with Ethnicity and Household Size: Results from an Observational Cohort Study
A UK-based retrospective cohort study including people tested for SARS-CoV-2 at university hospitals (n=4051) found that individuals from ethnic minority communities and larger households had an increased likelihood of SARS-CoV-2 PCR positivity. After adjustment, compared to people with white ethnicity, people with South Asian (aOR=2.4, 95%CI 2.0-3.0), Black (aOR=2.6, 95%CI 1.7-3.8), and other (aOR=2.5, 95%CI…
August 25, 2020
Primary Indicators to Systematically Monitor COVID-19 Mitigation and Response — Kentucky
The Kentucky Department for Public Health (KDPH) developed the Indicator Monitoring Report (IMR), which provides daily analysis of 5 key state-level indicators, including new cases, health care capacity data, and contact tracing capacity. IMR review by KDPH during May 19 – July 15 led to successful county-level hotspot identification and mitigation, suggesting that the IMR…
August 24, 2020
Risk for Severe COVID-19 Illness Among Teachers and Adults Living With School-Aged Children
A nationally representative survey in the US shows that 40% of teachers have “definite” risk factors for severe COVID-19 illness (according to CDC criteria) and 51% have “definite” or “possible” risk factors, based on results from the 2018 National Health Interview Survey. Among adults living with school-aged children, 41% have definite and 54% have definite…
August 20, 2020
Automated and Partly Automated Contact Tracing: A Systematic Review to Inform the Control of COVID-19
• A systematic review of 15 studies published from Jan 1 to April 30, 2020 reported no empirical epidemiological evidence regarding the effectiveness of automated contact tracing tools, in contrast to manual contract tracing, for identifying contacts or reducing transmission of respiratory viral infections. Four modelling studies estimated that controlling COVID-19 requires a high population…
Public Health Student Response to COVID-19
• Burns et al. identified that by July 31, 2020, 30 schools and programs of public health in the US were supporting public health agencies in response to COVID-19, primarily through the provision of surge capacity (n=20, 67%), contact tracing (n=19, 63%), and training (n=11, 37%). The authors suggest that future funding should explicitly link…
August 19, 2020
Association of Race With Mortality Among Patients Hospitalized With Coronavirus Disease 2019 (COVID-19) at 92 US Hospitals
Among a cohort study of 11,210 adults hospitalized with confirmed SARS-CoV-2 in 92 hospitals across 12 states, there was no statistically significant difference in risk of mortality between Black and white patients (HR=0.93, 95% CI 0.80–1.09) after adjusting for age, sex, insurance, comorbidities, neighborhood deprivation, and site of care. Yehia et al. (Aug 18, 2020). Association of Race With Mortality Among Patients Hospitalized With Coronavirus Disease 2019 (COVID-19) at 92 US…
Years of Life Lost Attributable to COVID-19 in High-Incidence Countries
Oh et al. found that the years of life lost (YLLs) due to COVID-19 increased from 1,699,574 YLLs on April 22 to 4,072,325 on July 14 in a sum of estimates for 30 high-incidence countries. The US had the highest number of YLLs as of July 14, followed by Brazil, the UK, Italy, and France. The YLLs per 100,000 population were highest in Belgium,…
COVID-19 Among American Indian and Alaska Native Persons — 23 States, January 31–July 3, 2020
In 23 states with adequate race/ethnicity data, the cumulative incidence of laboratory-confirmed COVID-19 among non-Hispanic American Indian and Alaska Native (AI/AN) persons was 3.5-fold higher than among non-Hispanic white persons. While AI/AN persons account for only 0.7% of the US population, 1.3% of COVID-19 cases reported to CDC with known race and ethnicity data were among AI/AN persons. Hatcher et al. (Aug 19, 2020). COVID-19 Among American Indian and…
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