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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 El Bari Clinic launched a telemedicine initiative during the COVID-19 pandemic to reduce in-person visits and reduce transportation as a barrier to accessing health care. This cases study notes that the clinic offers patient-centered and culturally competent care to under and uninsured community members, which largely includes working-class ethnic minorities.
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.
RELEASE DATE:
Case Study
Health equity zones aim to eliminate health disparities and promote healthy communities. To create these zones, the Rhode Island Department of Health leveraged various federal, state, and local funding sources. This article describes the program, outcomes and impacts, and advice for local health departments seeking to replicate this model.
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 study develops a microsimulation model of COVID-19 transmission in a homeless shelter and calibrated it to data from surveys conducted during COVID-19 outbreaks in five homeless shelters in three US cities from March 28 to April 10, 2022. The study estimates the probability of averting a COVID-19 outbreak when an exposed individual is introduced into a representative homeless shelter of 250 residents and 50 staff over 30 days under different infection control strategies. The results show that within communities with high COVID-19 community incidence are unable to prevent a large outbreak, despite extensive infection control strategies. This study suggests a need for non-congregate housing in high-risk settings, is needed to avoid outbreaks within these settings.
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 highlights the geographic differences in COVID-19 positivity rates within Los Angeles county, taking into consideration other socio-structural determinants that impact these rates. The data — testing data from the LAC Department of Public Health and American Community Survey data — was analyzed and mapped to include testing rates, race/ethnicity, poverty, insurance status, education, and population/household density. Results found higher COVID-19 positivity rates in communities with higher proportions of Latinx residents, those living below the federal poverty line, and those with high household densities.
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.
RELEASE DATE:
Peer Review Study
This study looks at the association between county-level income inequality and COVID-19 cases and deaths from March 2020 to February 2021. This cohort study used county-level longitudinal data for all 50 states, Puerto Rico, and D.C. Results showed that income equality was associated with higher rates of COVID-19 cases and mortality. Targeting communities with higher rates of income inequality must be considered to lessen the burden of inequality.
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 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.
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.
RELEASE DATE:
Peer Review Study
This study describes demographic characteristics and hospital bed capacities of the five New York City boroughs and evaluates whether differences in testing for COVID-19, hospitalizations, and deaths have emerged as a signal of racial, ethnic, and financial disparities. Results showed disparities among the boroughs. Bronx, with the highest proportion of racial/ethnic minorities, the most persons living in poverty, and the lowest levels of educational attainment, had higher rates of hospitalization and death from COVID-19 than the other boroughs.
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.
RELEASE DATE:
Peer Review Study
This study looked at variations in COVID-19 diagnoses by ZIP code, race, and ethnicity in Indiana. The study examines patient information from the Indiana University Health system and geolocates the patient’s ZIP codes to calculate the number of COVID-19 cases per 10,000 persons for each ZIP code. The results showed that ZIP codes with higher percentages of African Americans, Hispanics, foreign-born persons, and residents living in poverty are disproportionately affected by COVID-19.
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.
RELEASE DATE:
Peer Review Study
This article conducted a cross-sectional study of 351 Massachusetts cities and towns from January 1-May 6, 2020, to understand what demographic, economic, and occupational factors are affecting COVID-19 incidence rates. Results found that non-Latino Black and Latino populations are at most risk of contracting COVID-19. Addressing factors like healthcare access for foreign-born non-citizens, crowded housing, and the protection of food service workers may help mitigate spread among minority populations.
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:
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.