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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.
RELEASE DATE:
Peer Review Study
This article discusses the challenges of contact tracing among people experiencing homelessness. It suggests combining the traditional person-based approaches to contact tracing with location-based contact tracing approaches when conducting investigations among unhoused individuals. Location-based approaches collect data on the places people have visited in the past 48 hours, rather than the individuals with whom they interacted. Facility-wide testing and resources can be provided in locations where someone accessed support services.
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.
RELEASE DATE:
Evaluation Report, Peer Review Study
New York City’s Test & Trace Corps worked to reduce Covid-19 testing inequities by developing a mobile testing program focused on communities disproportionately affected by Covid-19. The model engaged community partners to determine the best methods of outreach and utilized multiple testing strategies. Based on the whether and community needs, free testing was offered outdoors, from vehicles, or at community spaces. Testing was both clinician-administered and patient-administered. Community organizations and organizers facilitated outreach to residents in their neighborhoods. The practice was successful in increasing access to testing, contact tracing, and isolation/aftercare support in these communities.
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.
RELEASE DATE:
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.
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 presents results from an intervention to provide medication assisted treatment (MAT) to individuals with opioid use disorder via telemedicine. This article describes outcomes for patients enrolled in the NYC Health+Hospitals Virtual Buprenorphine Clinic during the first nine weeks of the COVID-19 pandemic (March 26, 2020 through May 28, 2020). Results from this evaluation were mixed. Loss-to-follow-up was similar to rates observed in studies of in-person opioid treatment, but the authors note telemedicine-based opioid treatment poses barriers to patients who frequently change mobile phones or phone numbers, and patients with unreliable internet access. The authors also note that the generalizability of this intervention may be limited in settings with different patient populations or staff capacity.
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.
RELEASE DATE:
Peer Review Study
The article presents strategies of how Durham County Department of Public Health operationalized equity into multiple phases of its COVID-19 response through infrastructure changes and how to apply these methods to future public health emergencies to better serve vulnerable populations. This response relied upon robust data collection of demographic data to identify inequities. Infrastructure changes included standing up multiple COVID-19 Task Forces (Homeless, Community, Food Security, African American) and Strike Teams (Long-Term Care Facility, Clusters) targeting vulnerable populations; placing testing sites in targeted locations; collaborating with multisector and community partners for feedback; and providing Health Ambassadors for in-person dissemination of COVID-19 information. The paper reviews results from these interventions and lessons learned.