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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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Peer Review Study
This report discusses a series of interventions that Genesis HealthCare, one of the largest long-term care providers in the US, implemented in response to lower COVID-19 vaccination uptake among Hispanic and black Genesis staff members. The organization’s Vaccine Acceptance Steering Committee worked with their DEI Committee to develop a more comprehensive education strategy to improve vaccination acceptance among BIPOC staff that included offering vaccine information sessions at all times of the day and the night, inviting staff family members and friends to participate in these sessions, creating more multilingual educational materials, and featuring DEI Committee members in the organization’s social media campaigns. At the end of the one month intervention, statistically significant improvements in the likelihood of being vaccinated compared with white staff members increased for black and Hispanic employees.
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
According to recent data from the Centers for Disease Control and Prevention (CDC), the percentage of individuals reporting Long COVID symptoms has decreased from 19% in June 2022 to 11% in January 2023 among those who have had COVID-19. While this decline is notable, 15% of all US adults have reported experiencing Long COVID symptoms at some point, with 6% currently affected. Long COVID continues to pose challenges, including limitations in daily activities for 79% of those affected and potential long-term disabilities. Efforts to address Long COVID include research initiatives and public health actions, but its full impact and the reasons behind the decline in reported cases remain subjects of ongoing study and concern.
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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Peer Review Study
A study conducted in Minnesota and Wisconsin revealed a connection between language preferences and limited English proficiency with delayed COVID-19 vaccine uptake and higher rates of hospitalization and death among certain language-preference groups. The study analyzed data from over 850,000 adult patients, noting that individuals with limited English proficiency or a preference for a non-English language experienced delays in receiving their first vaccine dose. These groups also had higher rates of hospitalization and death related to COVID-19. The study emphasizes the importance of addressing language barriers to ensure equitable healthcare and improve health outcomes across racial and ethnic groups.
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 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.
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 article discusses the process used by the New York City Health Department to prioritize populations for access to the first round of COVID-19 vaccines. The city’s process was guided by input gathered during five public meetings. During these meetings, participants emphasized the need to prioritize health equity, examining the broad swatch of personal and societal factors that make people more or less susceptible to severe COVID-19 disease.
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.
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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Press Release
This press release announces a campaign launched by the Colorado Department of Public Health & Environment to send texts and emails to parents of children aged 5-11 who are due for their next COVID vaccine. It provides parents with context about the importance of the vaccine. The Colorado Immunization Information System, which was set up prior to the COVID-19 pandemic but now includes COVID-19 vaccinations, is used to identify which children are due for an additional vaccination.
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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White Paper/Brief
The Centers for Medicare & Medicaid Services is encouraging higher vaccination rates at nursing homes. Vaccinations are required to be offered at nursing homes, yet the overall vaccination rate is below 50%. The article provides recommendations for ways nursing homes can increase vaccinations by education, communication with residents and their families, and creating action plans for individual residents. It stresses the importance of keeping treatment medications at nursing facilities.
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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Case Study
This case study of the VA Puget Sound Health Care System highlights effective practices for increasing vaccine uptake among vulnerable populations of veterans. This included targeting outreach to people based on race/ethnicity and the presence of risk factors for severe COVID-19 disease. The VA Puget Sound Health Care System used multiple modalities of communications and collaborated with community leaders in order to increase vaccine rates among people in underserved areas.
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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Systematic Review/Meta-Analysis
This analysis explores regional variation in COVID-19 death rates across America. It unpacks the “two Americas” narrative of some parts of the country having high demand for vaccines and others having widespread vaccine hesitancy, and shows that a divide between rates of exceeds death existed prior to the introduction in vaccines. This difference is likely due to a difference in mask use, social distancing, and other behaviors. Results underscore the importance of excess mortality measures such as wastewater testing to get a more accurate picture.