Alliance for Pandemic Preparedness

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Topic: Public Health Policy and Practice


June 4, 2020

Impact of the COVID-19 Pandemic on Emergency Department Visits — United States, January 1, 2019–May 30, 2020

Emergency department visits declined 42% during the early COVID-19 pandemic, from a mean of 2.1 million per week (March 31–April 27, 2019) to 1.2 million (March 29–April 25, 2020), with the steepest decreases in persons aged ≤14 years, females, and those in the Northeast. The proportion of infectious disease–related visits was four times higher during the early period….


Racial Disparities in Knowledge, Attitudes and Practices Related to COVID-19 in the USA

Among 1,216 adults in the March 2020 Kaiser Family Foundation ‘Coronavirus Poll’, in contrast to white respondents, non-white respondents were more likely to have low knowledge scores related to COVID-19 (58% vs. 30%; p<0.001) and low attitude scores (52% vs. 27%; p<0.001). Non-white respondents were more likely to have high practice scores to reduce risk of COVID-19 (81% vs. 59%; p<0.001).  Alobuia et al. (June 3, 2020). Racial Disparities in…


June 3, 2020

Feeling Positive About Reopening? New Normal Scenarios from COVID-19 Reopen Sentiment Analytics

[pre-print, not peer reviewed] Samuel et al. used Twitter data to analyze public sentiment to identify dominant opinions associated with the push to ‘reopen’ the economy following COVID-19 stay-at-home orders. Between April 30 and May 8, 2020, Twitter users showed more positive than negative sentiment support for reopening the US economy. This research provides some indication that emotional volatility (presence of extreme fear, confusion, trust, and…


May 28, 2020

Using Social Media for Rapid Information Dissemination in a Pandemic: #PedsICU and Coronavirus Disease 2019

Kudchadkar et. al evaluated a social media campaign that promoted the joint usage of #PedsICU and #COVID19 on Twitter for posts relevant to the COVID-19 pandemic and pediatric critical care. During the time period monitored, 69% #PedsICU tweets included COVID-19 content.  The most popular tweets shared on Twitter were open-access resources, links for updated literature, narrative reviews, and educational videos relevant to clinical care. Tweets including…


Out-of-Hospital Cardiac Arrest during the COVID-19 Pandemic in Paris, France: A Population-Based, Observational Study

Marijon et al. found that out-of-hospital cardiac arrest (OHCA) in Paris, France doubled during the COVID-19 pandemic. Weekly OHCA incidence increased from 13.4 to 26.6 per million inhabitants in the control and pandemic time periods, respectively. They also observed a higher rate of OHCA at home. The authors hypothesize that these results may be due to a direct effect…


May 27, 2020

A Benchmark of Online COVID-19 Symptom Checkers

[pre-print, not peer reviewed] Online COVID-19 symptom checkers and chatbots are being widely used in response to the global pandemic. Munsch et al. evaluated 10 online COVID-19 symptom checkers using COVID-19 case reports and found them to vary widely in their predictive capabilities, suggesting that quality assessment of these tools is necessary before they are implemented.  Munsch et al. (May 26, 2020). A Benchmark…


Association of Stay-at-Home Orders With COVID-19 Hospitalizations in 4 States

In 4 states with stay-at-home orders (CO, MN, OH, and VA), cumulative hospitalizations for COVID-19 deviated from projected exponential growth rates after these orders became effective. The deviation started 2 to 4 days sooner than the median effective date of each state’s order and may reflect the use of a median incubation period for symptom onset and time to hospitalization to establish this date. Factors that potentially decreased the hospitalization include…


May 26, 2020

Super-Spreader Businesses and Risk of COVID-19 Transmission

[pre-print, not peer reviewed] O’Donoghue et al. classified businesses by their transmission risk based on the frequency and duration of visits and square footage of businesses pre-pandemic (2019) in 8 states (New England, New York, California). Using this information they classified businesses as potential “super-spreaders.” In a county-level analysis they quantified the relationship between the density of super-spreader businesses and COVID-19 cases and found…


COVID-19 Confirmed Case Incidence Age Shift to Young Persons Age 0-19 and 20-39 Years Over Time Washington State March – April 2020

[pre-print, not peer reviewed] A longitudinal cohort study found that from March 1 to April 19, 2020, the age distribution of confirmed COVID-19 cases in Washington State shifted, with a 10% decline in cases 60 years or older and a 20% increase in cases 0-39 years old. After the peak (March 22), there was no decline among cases 0-19 years…


May 22, 2020

Identifying Potential Undocumented COVID-19 Using Publicly Reported Influenza-like-Illness and Laboratory-Confirmed Influenza Disease in the United States: An Approach to Syndromic Surveillance?

Using CDC FluView data, Wiemken and Shacham found a 76% decrease in influenza positive tests and a 27% increase in influenza-like illness in the weeks since COVID-19 was introduced to the US, compared with the previous three influenza seasons. The authors suggest FluView could be used for COVID-19 syndromic surveillance.  Wiemken and Shacham. (May 2020). Identifying Potential Undocumented COVID-19 Using Publicly Reported Influenza-like-Illness and Laboratory-Confirmed Influenza Disease in the…



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