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Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Case Study
The Oregon county with the first confirmed COVID-19 case in the United States began its response in the earliest days of the pandemic. The county’s Emergency Operations Center wanted to center equity in its response and did so by rapidly creating new positions on the team: an Equity Officer, an Equity Technical Advisor, and a Language Access Coordinator. It also established an Equity Team within the center. This allowed responses to quickly identify and respond to population needs, especially those in communities of color experiencing disproportionate impacts of disease spread and burden.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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News Article
With the end of the national public health emergency approaching on May 11, 2023, the Los Angeles County Department of Public Health has committed to continuing to provide free vaccinations, tests, and treatments as long as supplies last. They will be prioritizing uninsured or underinsured people with these resources and services in order to promote equity and health access regardless of insurance status.
Best Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by achievement of aims consistent with the objectives of the activities.
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Peer Review Study
This article examines growth rates of confirmed COVID-19 cases and mortalities over a 30-day period of the COVID-19 outbreak for each of the 100 largest U.S. cities to determine how racial residential segregation and income inequality contributed to health disparities during the COVID-19 pandemic. The data shows the growth curve for cases and mortality rates increases significantly in metropolitan areas where Black and Hispanic people are residentially segregated from White people. The article offers policy implications for making virus-resilient cities that are also health equitable.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Evaluation Report
This resource presents closing down portions of major streets to give people more space to walk or cycle safely during the COVID-19 pandemic as a health promotion strategy. Evaluators found that Toronto residents supported and utilized the closures, helping them become more active and introducing more diverse populations to cycling. There was high support for continued road closures even after the pandemic, with very few issues surrounding the closures.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Case Study
The Rebuilding Neighborhoods Initiative convened community organizers, small business owners, and corporations in the technology and innovation sector to develop community-centered, implementable solutions addressing gentrification and the lack of affordable housing in three greater Boston neighborhoods. Six monthly meetings were held on topics related to affordable housing. Each neighborhood had a team of 5-6 individuals who were developing and committing to shared goals towards equitable development.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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Peer Review Study
This commentary describes the challenges faced by rural communities in addressing COVID-19, with a focus on the issues faced by southeastern US states. It also addresses how the COVID-19 Community Vulnerability Index (CCVI) may be used as a tool to identify communities at heightened risk for COVID-19 on the basis of 6 clearly defined indicators. The CCVI can help decision makers target resources where they are most needed. Stakeholders, including hospitals, health care centers, insurance providers, policy makers, community-based organizations, and faith-based organizations, should be included in planning and enlisted to help reach disadvantaged and marginalized communities. The coordination would be valuable in planning emergency response, identifying areas of greatest needs, developing culturally appropriate messaging, and disseminating information throughout the community.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
RELEASE DATE:
Peer Review Study
This study estimated the avoided deaths and health-care use among people experiencing homelessness during the first wave of COVID-19 in England. The findings included outbreaks of COVID-19 in homeless settings can lead to high attack rate among people experiencing homelessness, even if the incidence remains low in the general population.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Summary Report/Recommendations
This article compared community health workers (CHWs) in Indiana and Texas based on the results of two research studies in order to 1) investigate the unique role of CHWs and their Spanish-speaking counterparts, promotores de salud, in rural communities and 2) understand how their advocacy efforts represent a central form of caregiving. An analysis was done of how CHWs connect structurally vulnerable clients in rural areas to resources, health education, and health and social services. CHWs and promotores de salud have acted as first responders to the needs of marginalized rural populations, especially during the COVID-19 pandemic. In addition to health education and translation work, CHWs also play an important role in advocacy, bridging the gap between clients and community leaders. While informing clients of available resources, they empower the clients to advocate for their own needs in different settings. CHWs also have the ability to engage with stakeholders and policy makers in better addressing client needs.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Peer Review Study
This article evaluated the use of Department of Veterans Affairs–issued video telehealth tablets to increase access to care among veterans experiencing homelessness. While tablet uptake was more common among some underserved sub-populations (veterans with post-traumatic stress disorder and veterans experiencing homelessness in rural areas), other populations (Black veterans, veterans with substance use disorders, and veterans experiencing chronic housing instability) were less likely to use tablets, indicating mixed results from an equity perspective.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Case Study, Peer Review Study
This was a randomized, quasi-experimental study of an intervention that was implemented among rural and urban populations to encourage online grocery shopping and more nutritious food purchases. The authors targeted rural counties with high poverty rates for recruitment. The results showed that online shopping can improve food shopping habits and accessibility.