scholarly journals Discriminant COVID-19 Outcomes Based on Safety Adherence in an Active Lifestyle Retirement Community

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 729-730
Author(s):  
Mitchell Roberts ◽  
Erica Sappington ◽  
Leonardo Guerra ◽  
Lindsey Collins ◽  
Ali Yalcin ◽  
...  
Keyword(s):  
Public Health ◽  
Critical Role ◽  
Face Mask ◽  
Retirement Community ◽  
Positive Test ◽  
Active Lifestyle ◽  
Chi Square ◽  
Control And Prevention ◽  
Public Health Officials ◽  
Precision Health

Abstract Compliance with preventive behaviors recommended by public health officials plays a critical role in the control and prevention of COVID-19. Data were collected from those living in The Villages, FL, and surrounding communities via The Villages Health COVID-19 Rapid Testing Program in partnership with The UFHealth Precision Health Research Center. A descriptive ecological study was conducted to model COVID-19 positivity result variations by age, sex and adherence to CDC safety recommendations using chi-square tests. 9,993 tests were performed using Abbott's BinaxNOW™ COVID-19 Ag Card, and 931 (9.30%) positive cases were confirmed between 10/19/2020-2/26/2021. Median age was 69 years (range:12-103), and 5,578 (55.8%) individuals were female. No significant differences were found in positive test status (≥65=9.8%,<65=8.8%) amongst those over 65 (n=6567) and under 65 (n=3180) years old [X2 (1, N=9847)=2.49,p=.114]; however, positive test result differed by sex with males (10.6%) testing positive at higher rates than females [8.3%, X2(1, N =9993)=14.888, p< .001)]. A significant relationship between preventative behaviors and positive test status was also found. Not engaging in regular handwashing (p< .001) and failing to stay 6 feet or more away from others outdoors (p< .001) was significantly associated with positive test status. Further, not wearing a face mask in businesses/shops (p<.001) or indoors around 6+ people, (p<.001) was significantly associated with positive test status. In light of debate around the efficacy of mask wearing, these findings signal the importance of following CDC recommended public health behaviors for all ages across the lifespan to reduce the spread of COVID-19 infection.

Communications and Politics

2018 ◽  
Author(s):  
Joshua M. Sharfstein
Keyword(s):  
Public Health ◽  
Disease Control ◽  
Accurate Information ◽  
Political Judgment ◽  
Political Leaders ◽  
Health Crisis ◽  
Public Health Crisis ◽  
Control And Prevention ◽  
Public Health Officials ◽  
Centers For Disease Control

An effective communications approach starts with a basic dictum set forth by the Centers for Disease Control and Prevention: “Be first, be right, be credible.” Agencies must establish themselves as vital sources of accurate information to maintain the public’s trust. At the same time, public health officials must recognize that communications play out in the context of ideological debates, electoral rivalries, and other political considerations. During a public health crisis, this means that health officials often need to constructively engage political leaders in communications and management. Navigating these waters in the middle of a crisis can be treacherous. Figuring out the best way to engage elected leaders is a core aspect of political judgment.

scholarly journals The Disillusioned Comfort with COVID-19 and the Potential of Convalescent Plasma and Cell Therapy

2020 ◽  
Vol 29 ◽  
pp. 096368972094071
Author(s):  
Mia C. Borlongan ◽  
Maximillian C. Borlongan ◽  
Paul R. Sanberg
Keyword(s):  
Public Health ◽  
Stem Cells ◽  
Immune System ◽  
Face Mask ◽  
Hand Washing ◽  
Health Measures ◽  
Control And Prevention ◽  
Immunomodulatory Properties ◽  
Recommended Guidelines ◽  
Potential Use

Coronavirus disease 2019 or COVID-19 is highly infectious, which can lead to acute and chronic debilitating symptoms, as well as mortality. The advent of safe and effective vaccines or antiviral drugs remains distant in the future. Practical public health measures, such as social distancing, hand washing, and wearing a face mask, are the current recommended guidelines by the Centers for Disease Control and Prevention for limiting the spread of the virus. Weakened immune system and aberrant inflammation represent a major pathological symptom of COVID-19 patients. Based on the unique immunomodulatory properties of both convalescent plasma and stem cells, we discuss here their potential use for treating COVID-19.

Developing Interventions

2019 ◽  
pp. 229-242
Author(s):  
James L. Hadler ◽  
Jay K. Varma ◽  
Duc J. Vugia ◽  
Richard A. Goodman
Keyword(s):  
Public Health ◽  
Public Health Problem ◽  
Field Investigation ◽  
Decision Makers ◽  
Causal Association ◽  
Prevention Measures ◽  
Field Investigations ◽  
Control And Prevention ◽  
Public Health Officials ◽  
Progressive Stage

Interventions are control and prevention measures that public health officials select and implement at one or more points in time after initiating a field investigation in response to an acute public health problem. Regardless of the nature of the problem, an immediate need exists to understand what is happening and to recommend and implement control and prevention measures that are scientifically justified and acceptable to the community. Public health officials must recommend these actions often without incontrovertible epidemiologic proof of a causal association between the putative source or cause of the problem and occurrence of exposure and disease or injury. Under such circumstances, the key question for the field epidemiologist and decision-makers is: “How much epidemiologic certainty is required before initiating action?” This chapter discusses the decision-making process regarding interventions during the course of epidemiologic field investigations and concludes with a summary of actions relating to interventions that should be considered at each progressive stage of the field investigation.

scholarly journals Self-Assessment in the Measurement of Public Health Workforce Preparedness for Bioterrorism or other Public Health Disasters

2005 ◽  
Vol 120 (2) ◽  
pp. 186-191 ◽  
Author(s):  
Dave S. Kerby ◽  
Michael W. Brand ◽  
David L. Johnson ◽  
Farooq S. Ghouri
Keyword(s):  
Public Health ◽  
Health Workers ◽  
Public Health Workforce ◽  
Self Assessment ◽  
Local Public Health ◽  
Public Health Agencies ◽  
The Public ◽  
Control And Prevention ◽  
Public Health Officials ◽  
Public Health Workers

Objective. The purpose of this study was to examine effective ways to evaluate public health workers' competence for preparedness. Methods. The Public Health Ready project, developed by the National Association of County and City Public Health Officials and the Centers for Disease Control and Prevention, is a pilot program designed to prepare local public health agencies to respond to emergency events. Workers at a Public Health Ready site ( N=265) rated their need for training and their competence in meeting generic emergency response goals. Cluster analysis of cases was conducted on the self-assessed need for training. Results. Three groups of workers emerged, differing in their overall ratings of need for training. A given worker tended to report similar needs for training across all training goals. Conclusions. In this study, workers' ratings of need for training may reflect an overall interest in training rather than need for training in a particular area. Caution should be exercised in interpretation when generic goals and self-assessment are used to measure need for training. Future assessments of training needs may be more effective if they use objective measures of specific local plans.

Pandemic Flu Planning in the Community: What Can Clinical Ethicists Bring to the Public Health Table?

2008 ◽  
Vol 17 (4) ◽  
pp. 468-470
Author(s):  
NANCY BERLINGER ◽  
JACOB MOSES
Keyword(s):  
Public Health ◽  
Pandemic Influenza ◽  
Public Health Emergency ◽  
Public Agencies ◽  
The Public ◽  
Essential Services ◽  
Ethical Guidance ◽  
Control And Prevention ◽  
Public Health Officials ◽  
Pandemic Flu

It is still remarkably difficult for public health officials charged with developing and implementing pandemic influenza preparedness plans at the community level—where care is delivered—to obtain clear, concrete, and consistent guidance on how to construct plans that are both ethical and actionable. As of mid-2007, most of the federal and state pandemic plans filed with the Centers for Disease Control and Prevention, describing how public health officials will coordinate public agencies and private entities in the event of an outbreak, failed to include ethical guidance for first responders responsible for providing essential services and making fair decisions during a public health emergency.

scholarly journals A Report Card on Prevention Efforts of COVID-19 Deaths in US

Healthcare ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 1175
Author(s):  
Ramalingam Shanmugam ◽  
Lawrence Fulton ◽  
Zo Ramamonjiarivelo ◽  
José Betancourt ◽  
Brad Beauvais ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care Providers ◽  
The United States ◽  
Care Providers ◽  
The Public ◽  
Analysis Methodology ◽  
Control And Prevention ◽  
Life Threatening ◽  
Public Health Officials ◽  
The Government

COVID-19 (otherwise known as coronavirus disease 2019) is a life-threatening pandemic that has been combatted in various ways by the government, public health officials, and health care providers. These interventions have been met with varying levels of success. Ultimately, we question if the preventive efforts have reduced COVID-19 deaths in the United States. To address this question, we analyze data pertaining to COVID-19 deaths drawn from the Centers for Disease Control and Prevention (CDC). For this purpose, we employ incidence rate restricted Poisson (IRRP) as an underlying analysis methodology and evaluate all preventive efforts utilized to attempt to reduce COVID-19 deaths. Interpretations of analytic results and graphical visualizations are used to emphasize our various findings. Much needed modifications of the public health policies with respect to dealing with any future pandemics are compiled, critically assessed, and discussed.

scholarly journals Measuring the Success of the US COVID-19 Vaccine Campaign—It’s Time to Invest in and Strengthen Immunization Information Systems

2021 ◽  
pp. e1-e3
Author(s):  
Jade Benjamin-Chung ◽  
Arthur Reingold
Keyword(s):  
Public Health ◽  
Information Systems ◽  
Vaccine Coverage ◽  
Herd Immunity ◽  
The United States ◽  
Time Estimates ◽  
The Us ◽  
Control And Prevention ◽  
Public Health Officials ◽  
State And Local

With the recent US Food and Drug Administration approval of the Pfizer-BioNTech and Moderna SARS-CoV-2 vaccines, the United States has begun COVID-19 vaccine dissemination. The vaccination program is historic in its massive scope and complexity. It requires accurate, real-time estimates of vaccine coverage to assess progress toward achieving herd immunity. Under Operation Warp Speed, the US Centers for Disease Control and Prevention (CDC) has constructed a federal database, or “data lake,” to monitor vaccine coverage nationwide and ensure that recipients receive both of the necessary doses. The data lake will be managed separately from existing state and local immunization information systems (IISs), which house vaccine data in all 50 states, five cities, the District of Columbia, and eight territories. In an open letter to the Director of the CDC in late 2020, four organizations representing immunization managers and public health officials expressed concerns about the plan to include vaccine recipients’ personal identifier information in the data lake.1 They also urged stronger coordination with IISs. (Am J Public Health. Published online ahead of print Feburary 18, 2021: e1–e3. https://doi.org/10.2105/AJPH.2021.306177 )

Chronic pain and depressive symptoms are related to food insecurity among urban food bank users

2020 ◽  
Author(s):  
Teresa L Bigand ◽  
Jeremy Dietz ◽  
Hannah N Gubitz ◽  
Marian Wilson
Keyword(s):  
Public Health ◽  
Chronic Pain ◽  
Depressive Symptoms ◽  
Food Insecurity ◽  
Health Condition ◽  
Food Bank ◽  
Chi Square ◽  
Public Health Officials ◽  
Nutritional Needs ◽  
And Gender

Abstract Background Food bank users suffer high food insecurity. Food insecurity increases risk for chronic health conditions. However, chronic pain and its relation to food insecurity among food bank users is unknown. Knowledge about populations with chronic pain is important to direct appropriate public health nutritional strategies. Methods Participants completed a survey including sleep, pain, depressive symptoms and food insecurity measures. Descriptive statistics characterized the burden of chronic pain among the sample, and a series of chi-square and t-tests assessed for demographic differences between food bank users who reported pain compared to those who did not. Logistic regression tested for variables predicting food insecurity. Results Within the sample (N = 207), 53% reported a chronic pain diagnosis. Adults with pain were more likely to receive food stamps and to have a mental health condition than those without pain. Regression analyses revealed that depressive symptoms and chronic pain significantly predicted food insecurity when controlling for age and gender. Conclusions Exploring the link between depression, pain and nutritional resources may enhance understanding of causal relationships driving food insecurity. Public health officials should address nutritional needs of adults including those with chronic pain who use food bank services.

Willingness to respond for radiologic incidents: A hands-on approach

2014 ◽  
Vol 9 (4) ◽  
pp. 259-272 ◽  
Author(s):  
John Richard Ludtke, MD, MS ◽  
Roopsi Narayan, MPH ◽  
Ameer Matariyeh, MPH ◽  
Donald Brannen, PhD ◽  
Kim Caudill, RN, MPH ◽  
...  
Keyword(s):  
Public Health ◽  
Emergency Services ◽  
Health Workers ◽  
Medical Knowledge ◽  
Radiological Emergency ◽  
Hands On ◽  
Control And Prevention ◽  
Public Health Officials ◽  
Public Health Workers ◽  
Local Use

The Center for Disease Control and Prevention published two Radiological Terrorism Toolkits: Public Health Officials (PHTK) and Emergency Services Clinicians (ESCTK). The study consisted of training public health workers and Medical Reserve Corps volunteers to rate 10 distinct virtual survivors each and route them through a Community Reception Center (CRC) pretraining and post-training. The training's effect on the rater's radiation medical knowledge and willingness to respond (WTR) was also measured. Correctly routed survivors increased from a baseline 3.6-5.3, of 10 survivors per rater for the PHTK, and to 5.7 for the ESCTK (p = 0.000). Medical knowledge increased from a baseline of 50 percent to 66.7 percent for the PHTK (nine raters) and to 71.4 percent for the ESCTK (seven raters) (p = 0.000). WTR regardless of severity increased from 34.8 percent to 54.4 percent for the PHTK (p = 0.046). Odds of correctly routing survivors decreased with perception of confidence (0.569, 95% CI 0.375-0.863), while perceptions of preparedness (2.1, 1.4-3.2) and prior training increased the odds (1.8, 1.05-3.16). When taking into account raters unwillingness to respond, the odds of correctly routing survivors decreased with perceptions of confidence in detector use (0.556, 0.365-0.846), with confidence to process persons through a CRC (0.390, 0.215-0.709), and by training with the ESCTK (0.252, 0.12-0.53), while perceptions of preparedness (18.7, 8.4-41.6), and demonstrated medical knowledge (20, 3.26-122) increased ability to correctly route survivors. These findings support the local use of PHTK training to develop surge capacity for a radiological emergency and suggest the interaction between the level of confidence and medical knowledge be studied further.

scholarly journals When face masks signal social identity: Explaining the deep face-mask divide during the COVID-19 pandemic

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253195
Author(s):  
Nattavudh Powdthavee ◽  
Yohanes E. Riyanto ◽  
Erwin C. L. Wong ◽  
Jonathan X. W. Yeo ◽  
Qi Yu Chan
Keyword(s):  
Public Health ◽  
Experimental Design ◽  
Social Identity ◽  
Strong Evidence ◽  
Face Mask ◽  
The Other ◽  
Primary Reason ◽  
Percentage Points ◽  
Prisoners Dilemma ◽  
Public Health Officials

With the COVID-19 pandemic still raging and the vaccination program still rolling out, there continues to be an immediate need for public health officials to better understand the mechanisms behind the deep and perpetual divide over face masks in America. Using a random sample of Americans (N = 615), following a pre-registered experimental design and analysis plan, we first demonstrated that mask wearers were not innately more cooperative as individuals than non-mask wearers in the Prisoners’ Dilemma (PD) game when information about their own and the other person’s mask usage was not salient. However, we found strong evidence of in-group favouritism among both mask and non-mask wearers when information about the other partner’s mask usage was known. Non-mask wearers were 23 percentage points less likely to cooperate than mask wearers when facing a mask-wearing partner, and 26 percentage points more likely to cooperate than mask wearers when facing a non-mask-wearing partner. Our analysis suggests social identity effects as the primary reason behind people’s decision whether to wear face masks during the pandemic.

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