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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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Peer Review Study
This article discusses the use of wastewater surveillance to indicate new levels of COVID-19 or other infection in congregate housing settings. The study sampled wastewater from a hospital and a wastewater treatment plant to detect levels of COVID-19 in the individuals residing in the hospital. The results were able to indicate levels of COVID-19 in the wastewater, but were unable to distinguish between new infection levels and residual viral shed from previously infected patients. This study shows the potential of wastewater management, and calls for the increased refinement of the process to more accurately monitor viral spread in vulnerable living situations.
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
This paper describes how a local public health agency joined a multi-sector community partnership made up of community-based organizations, clinical providers, and peer navigators and others with lived experience of homelessness. Together, this group created a strategic plan to lessen the impact of COVID-19 on people experiencing homelessness. They prioritized education, increased resource allocation and testing in shelters, and slated housing for those who tested positive or those at increased risk of COVID complications. Most of this work took place in shelters.
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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Summary Report/Recommendations
This practice describes a Three-Phase Approach to mitigating COVID-19 in long-term and post-acute care nursing facilities in the Seattle, WA area. The authors outline a structure for addressing the pandemic based on disease surveillance measures, with different focus areas within each phase. Measures include:
(1) Initial: Communication, tracking, PPE preparation
(2) Delayed: Education, testing, isolation
(3) Surge: Activation of a “drop team”” of health care professionals during an outbreak
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 describes the approach and impact of the Stanford Flu Crew, a service learning program at Stanford University School of Medicine, where pre-clinical students provide vaccines to underserved populations in community settings. The article includes information on both program outcomes (i.e., the number of people vaccinated per year over a 4-year period) and student perceptions of learning outcomes achieved through this program.