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The article discusses a World Health Organization (WHO) Special Initiative focused on reducing health inequities through action on the social determinants of health in the context of the COVID-19 pandemic. The Initiative aims to develop models and practices that can be adopted by WHO offices and UN staff to advance health equity. The article notes the importance of addressing structural determinants of health equity, such as institutional rules, policies, culture, and values, and highlights the need for multisectoral action. The Initiative focuses on strengthening knowledge and narratives, promoting action in Pathfinder countries, and enhancing networks of policy champions, academics, health workers, and communities. The strategic actions include strengthening knowledge, supporting community participation, and promoting collaboration for addressing structural determinants of health equity. Themes for action include as reducing precariousness in informal economy employment, improving income and food security, ensuring adequate housing and social services, and guaranteeing employment and sick leave.

This commentary discusses the importance of inclusive health systems strengthening in promoting equity during health emergencies, using the example of disability inclusion in the COVID-19 pandemic. It highlights the increased risks faced by persons with disabilities during the pandemic and the barriers they encounter in accessing healthcare. It emphasizes the need for accessible and comprehensive health emergency preparedness and response plans that consider the needs of persons with disabilities. It also explores strategies for disability inclusion in COVID-19 responses, such as producing accessible public health information and involving organizations of persons with disabilities in decision-making processes. Opportunities to strengthen inclusion and equity in COVID-19 responses include equitable access to telehealth and inclusive decision-making processes.

The Community Outreach Specialist (COS) program aimed to increase COVID-19 vaccine uptake among rural communities through targeted outreach efforts. The program trained and deployed community outreach specialists who engaged with community members, provided education about COVID-19 and vaccination, addressed concerns and misconceptions, and facilitated access to vaccination services. The COS program in reaching and engaging with socially vulnerable and medically underserved populations, successfully increasing vaccine acceptance and uptake in these communities by building trust, addressing barriers to vaccination, and tailoring outreach strategies to the local context. The article discusses the importance of community-based approaches, cultural competency, and collaboration with local organizations and leaders in achieving successful vaccine outreach. It also emphasizes the need for sustained efforts to ensure equitable access to vaccination and to address disparities in vaccine uptake among different populations.

A 9-week social media campain promoting COVID-19 prevention to mothers of teen daughters was found to increase exposure to credible online information online. This campaign effectively used an epidemiological model for monitoring, diagnosing, and responding to misinformaiton from mothers on COVID-19.

Focusing on the COVID-19 pandemic resulted in the diversion of resources, attention, and efforts away from other critical public health issues. This diversion has led to missed opportunities and negative consequences for various public health domains, such as chronic disease prevention, mental health services, substance abuse treatment, and environmental health. This article suggests the need for a comprehensive approach that balances the response to COVID-19 with the maintenance and resumption of other essential public health activities. It calls for increased investment in public health infrastructure, workforce capacity, and policy frameworks to mitigate the opportunity costs and ensure a more resilient and equitable public health system in the future.

COVID-19 caused significant disruptions to routine vaccination efforts worldwide. Several factors contributed to these disruptions, including reduced healthcare access, fear of infection, and diversion of healthcare resources towards COVID-19 response. These led to a decline in immunization rates, leaving populations vulnerable to vaccine-preventable diseases. The article emphasizes the importance of addressing these collateral impacts and implementing strategies to mitigate the negative consequences. It suggests various approaches such as ensuring vaccine supply chains, enhancing public trust in vaccines, and implementing catch-up vaccination campaigns. The authors stress the need for collaborative efforts between public health agencies, healthcare providers, and communities to restore and maintain routine immunization services amidst the ongoing pandemic.

This article examines the association between county-level Black/white residential segregation and COVID-19 vaccination rates. Findings emphasize the need for considering interaction effects and stratified analysis when modeling disparities in COVID-19 vaccinations. Doing so can better inform policies around effective vaccine distribution and outreach.

This chapter in a larger book on systems change dives into Human Impact Partners’s experiences centering racial justice and power-sharing at the heart of their work in public health. It offers guidance on developing shared understandings of oppressive structures and systems, relationship development, and centering the voices of people most impacted by systems in need of change.

A large school district in Cincinnati partnered with their local health department and children’s hospital to develop mitigation procedures as children returned to school. These mitigation procedures successfully limited school-based spread of COVID-19 by combining best practices in rapid testing, contact tracing, and early isolation. Procedures were regularly revisited and updated in an iterative process to respond to new information and circumstances.

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.