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Topic: Public Health Policy and Practice
April 16, 2021
Effect of SARS-CoV-2 Infection on Pregnancy Outcomes in an Inner-City Black Patient Population
No statistical differences in obstetric or neonatal outcomes were observed between SARS-CoV-2 positive and negative individuals in a cohort study of predominantly Black pregnant women in Brooklyn (n=335). On admission, most (86%) patients who tested positive for SARS-CoV-2 were asymptomatic, and remained asymptomatic throughout their time in the hospital. Rates of preterm birth, cesarean delivery,…
COVID-19 Stats: COVID-19 and Influenza Discharge Diagnoses as a Percentage of Emergency Department (ED) Visits, by Year — United States, June 2018–March 2021
Between June 2020 and March 2021, emergency department (ED) visits for influenza accounted for less than 0.1% of all visits in approximately 71% of US facilities in all states except Hawaii. By contrast, influenza visits reached 3.1% of all ED visits in February 2018 and 5% of all ED visits in February 2019 alone. ED…
COVID-19 and the Drug Overdose Crisis: Uncovering the Deadliest Months in the United States, January-July 2020
An estimated 9,000 people in the US died from drug overdose in May 2020, representing a 58% increase over May 2019. The largest number of deaths occurred in West Virginia, Kentucky, and Tennessee. Monthly deaths and pandemic-related spikes were estimated by disaggregating provisional CDC data that were aggregated into 12-month rolling sums. Friedman and Akre….
Disparities in SARS-CoV-2 Vaccination-to-Infection Risk Massachusetts 2020-2021
[Pre-print, not peer-reviewed] An analysis of the distribution of SARS-CoV-2 cases and the number of people vaccinated in Massachusetts indicated that communities with increased socioeconomic vulnerability and higher proportions of Black/Latinx residents had fewer people vaccinated per cumulative number of individuals infected, measured by the vaccination-to-infection risk (VIR) ratio. Improved VIRs were associated with higher…
Notes from the Field: Update on Excess Deaths Associated with the COVID-19 Pandemic — United States, January 26, 2020–February 27, 2021
An estimated 545,600 to 660,200 excess deaths occurred in the US during January 2020 to February 2021 according to data from the National Vital Statistics System (NVSS). Excess deaths peaked during the weeks ending April 11, 2020, August 1, 2020, and January 2, 2021. Approximately 75-88% of excess deaths were directly associated with COVID-19. Excess…
April 15, 2021
U.S. COVID-19 State Government Public Dashboards: An Expert Review
Most COVID-19 state government public dashboards displayed similar metrics and largely aligned with CDC goals, according to an expert review. Data generally included total deaths, total cases, new cases, laboratory tests, and hospitalization, but aggregation and stratification of these metrics varied greatly across dashboards. 96% had some interactive functionality such as tooltips, zooming, or data…
April 12, 2021
Seroprevalence of SARS-CoV-2 Following the Largest Initial Epidemic Wave in the United States: Findings from New York City, May 13-July 21, 2020
In a serosurvey of 45,367 New York City adult residents, 23.6% were infected with SARS-CoV-2 during the first few months of the pandemic (May 13 – July 21, 2020). High seroprevalence (>30%) was observed among Black and Hispanic individuals, people from high poverty neighborhoods, and people in health care or essential worker industry sectors. Reporting…
The Association of Structural Inequities and Race with Out-of-Hospital Sudden Death during the COVID-19 Pandemic
New York City stratified data on out of hospital sudden death (OHSD) showed that between March 1 and April 10, 2020, educational attainment and the proportion of Black residents in zip codes were independent predictors of increased levels of zip code-level OHSD, after controlling for 2019 rates. The number of OHSD rose to 4,334 from…
Emergency Department Visits for COVID-19 by Race and Ethnicity — 13 States, October–December 2020
Between October and December 2020, data from 13 US states indicate that the rate of emergency department (ED) visits for COVID-19 was 1.7 times higher among Hispanic and American Indian or Alaska Native (AI/AN) persons, and 1.4 times higher among Black persons, than white persons. Hispanic, AI/AN, and Black persons had significantly more COVID-19–related ED…
Trends in Racial and Ethnic Disparities in COVID-19 Hospitalizations, by Region — United States, March – December 2020
Based on hospitalization discharge data from each of the four US census regions, the age-adjusted COVID-19 proportionate hospitalization ratios (aPHRs) were highest for Hispanic or Latino patients (range 2.7-3.9) relative to non-Hispanic white patients. Racial and ethnic disparities in COVID-19 hospitalization were largest during May–July 2020, and while aPHRs declined for most racial and ethnic…
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