{"id":6769,"date":"2020-05-11T16:38:03","date_gmt":"2020-05-11T23:38:03","guid":{"rendered":"https:\/\/depts.washington.edu\/pandemicalliance\/?p=6769"},"modified":"2021-03-17T16:38:57","modified_gmt":"2021-03-17T23:38:57","slug":"structural-vulnerability-in-the-united-states-revealed-in-three-waves-of-novel-coronavirus-disease-covid-19","status":"publish","type":"post","link":"https:\/\/depts.washington.edu\/pandemicalliance\/2020\/05\/11\/structural-vulnerability-in-the-united-states-revealed-in-three-waves-of-novel-coronavirus-disease-covid-19\/","title":{"rendered":"Structural Vulnerability in the United States Revealed in Three Waves of Novel Coronavirus Disease (COVID-19)"},"content":{"rendered":"<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-aria-posinset=\"2019\" data-aria-level=\"1\"><span data-contrast=\"auto\">Three overlapping epidemiologic waves of spread of COVID-19\u00a0<\/span><span data-contrast=\"auto\">are\u00a0<\/span><span data-contrast=\"auto\">linked to different structural vulnerabilities<\/span><span data-contrast=\"auto\">.\u00a0<\/span><span data-contrast=\"auto\">1)<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">E<\/span><span data-contrast=\"auto\">arly\u00a0<\/span><span data-contrast=\"auto\">community transmission reaching nursing homes and long- term care facilities with high prevalence<\/span><span data-contrast=\"auto\">\u00a0of<\/span><span data-contrast=\"auto\">\u00a0chronic disease and limited health monitoring<\/span><span data-contrast=\"auto\">.<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">2)<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">T<\/span><span data-contrast=\"auto\">ransmission<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">and<\/span><span data-contrast=\"auto\">\u00a0broad community spread\u00a0<\/span><span data-contrast=\"auto\">that has\u00a0<\/span><span data-contrast=\"auto\">disproportionally affected African Americans, undocumented and documented Hispanic immigrants, and members of the Native American Navajo Nation with high\u00a0<\/span><span data-contrast=\"auto\">of\u00a0<\/span><span data-contrast=\"auto\">prevalence chronic disease, lack of health insurance<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\">\u00a0and environmental disparities<\/span><span data-contrast=\"auto\">.\u00a0<\/span><span data-contrast=\"auto\">3)<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">C<\/span><span data-contrast=\"auto\">ustodial\u00a0<\/span><span data-contrast=\"auto\">settings, including immigration detention centers, jails, and prisons with high\u00a0<\/span><span data-contrast=\"auto\">prevalence\u00a0<\/span><span data-contrast=\"auto\">chronic disease<\/span><span data-contrast=\"auto\">s<\/span><span data-contrast=\"auto\">\u00a0and crowded unsanitary conditions.<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-aria-posinset=\"2019\" data-aria-level=\"1\"><span data-contrast=\"auto\">T<\/span><span data-contrast=\"auto\">here is an urgent need to reduce prevailing structural vulnerabilities that result in social inequities and health disparities involving large segments of the U.S. population<\/span><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Solis et al. (May 7, 2020). Structural Vulnerability in the United States Revealed in Three Waves of Novel Coronavirus Disease (COVID-19). The American Journal of Tropical Medicine and Hygiene.\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.4269\/ajtmh.20-0391\"><span data-contrast=\"none\">https:\/\/doi.org\/10.4269\/ajtmh.20-0391<\/span><\/a><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Three overlapping epidemiologic waves of spread of COVID-19\u00a0are\u00a0linked to different structural vulnerabilities.\u00a01)\u00a0Early\u00a0community transmission reaching nursing homes and long- term care facilities with high prevalence\u00a0of\u00a0chronic disease and limited health monitoring.\u00a02)\u00a0Transmission\u00a0and\u00a0broad community spread\u00a0that has\u00a0disproportionally affected African Americans, undocumented and documented Hispanic immigrants, and members of the Native American Navajo Nation with high\u00a0of\u00a0prevalence chronic disease, lack of health&#8230;<\/p>\n<div><a class=\"more\" href=\"https:\/\/depts.washington.edu\/pandemicalliance\/2020\/05\/11\/structural-vulnerability-in-the-united-states-revealed-in-three-waves-of-novel-coronavirus-disease-covid-19\/\">Read more<\/a><\/div>\n","protected":false},"author":8,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"categories":[6],"tags":[],"topic":[16],"class_list":["post-6769","post","type-post","status-publish","format-standard","hentry","category-article-summary","topic-public-health-policy-and-practice"],"_links":{"self":[{"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/posts\/6769","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/comments?post=6769"}],"version-history":[{"count":1,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/posts\/6769\/revisions"}],"predecessor-version":[{"id":6770,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/posts\/6769\/revisions\/6770"}],"wp:attachment":[{"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/media?parent=6769"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/categories?post=6769"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/tags?post=6769"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/topic?post=6769"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}