scholarly journals Trends in Thoracic Impedance and Arrhythmia Burden Among Patients with Implanted Cardiac Defibrillators During the COVID-19 Pandemic

2021 ◽  
Author(s):  
Yuan Lu ◽  
Karthik Murugiah ◽  
Paul W Jones ◽  
César Caraballo ◽  
Shiwani Mahajan ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Remote Monitoring ◽  
York City ◽  
Cardiovascular Health ◽  
Saint Paul ◽  
Population Level ◽  
Thoracic Impedance ◽  
Cardiac Status ◽  
True Population

ABSTRACTHospitalizations for acute cardiac conditions have markedly declined during the coronavirus disease 2019 (COVID-19) pandemic, yet the cause of this decline is not clear. Using remote monitoring data of 4,029 patients with implantable cardiac defibrillators (ICDs) living in New York City and Minneapolis/Saint Paul, we assessed changes in markers of cardiac status among these patients and compared thoracic impedance and arrhythmia burden in 2019 and 2020 from January through August. We found no change in several key disease decompensation markers among patients with implanted ICD devices during the first phase of COVID-19 pandemic, suggesting that the decrease in cardiovascular hospitalizations in this period is not reflective of a true population-level improvement in cardiovascular health.

Abstract P473: Social Determinants of Cardiovascular Health Among Afro-Caribbean Immigrants in New York City

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Sabena Thomas ◽  
Amna Umer ◽  
Yvonne Commodore-mensah ◽  
Danielle Davidov ◽  
Christiaan Abildso
Keyword(s):  
High School ◽  
New York ◽  
New York City ◽  
Social Determinants ◽  
York City ◽  
Cardiovascular Health ◽  
College Education ◽  
School Education ◽  
High School Education ◽  
Black Immigrants

Introduction: Research on cardiovascular health (CVH) and risk factors among immigrants has been well-documented. Less is known about social influences on CVH, among black immigrants. Despite having the largest population of black immigrants in the U.S., Afro-Caribbean (AC) immigrants have been underrepresented in health research. We examined the social determinants of CVH among AC immigrants (Guyanese, Haitian and Jamaican) in New York City (NYC). Hypothesis: We hypothesized that social determinants of CVH will vary among the three ethnic sub-groups of AC immigrants. Methods: We included 1691 AC immigrants who reported their race as non-Hispanic Black and country of birth (COB) as Guyana (n= 369), Haiti (n= 291) or Jamaica (n= 1031) in the 2010-2014 administrations of the New York City Community Health Survey. Logistic regression analysis was performed to assess the association between social determinants and CVH (ideal vs intermediate/poor) using AHA’s CVH metrics. Results: The majority of the sample was female (59.2%) and reported high school education or less (53.9%). Most AC immigrants reported to have ideal CVH (71.3%). Education was significantly associated with CVH only among Jamaican immigrants. Jamaican immigrants with ≤ high school education were more likely to have intermediate/poor CVH compared to those with ≥ some college education. Conclusions: These findings suggest that social determinants influencing CVH differ among AC immigrant sub-groups in NYC. These findings suggest that social determinants influencing CVH differ among AC immigrant sub-groups in NYC. National surveillance efforts should obtain more complete data on country of origin and oversample racial/ethnic minority groups in order to better understand their CVH outcomes. Future research should examine other social factors that may influence CVH among black immigrants.

scholarly journals Ethnic Restaurant Nutrition Environments and Cardiovascular Health: Examining Hispanic Caribbean Restaurants in New York City

2020 ◽  
Vol 30 (4) ◽  
pp. 583-592
Author(s):  
Melissa Fuster ◽  
Enrique R. Pouget ◽  
Margaret A. Handley ◽  
Krishnendu Ray ◽  
Brian Elbel ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Puerto Rican ◽  
York City ◽  
Cardiovascular Health ◽  
Nutrition Environment ◽  
Hispanic Caribbean ◽  
Price Range ◽  
Size Type ◽  
Food Offerings

Objective: To adapt and apply the Nutri­tion Environment Measures Survey for Res­taurants (NEMS-R) to Hispanic Caribbean (HC) restaurants and examine associations between restaurant characteristics and nutrition environment measures.Methods: We adapted the NEMS-R for HC cuisines (Cuban, Puerto Rican, Dominican) and cardiovascular health-promoting fac­tors, and applied the instrument (NEMS-HCR) to a random sample of HC restau­rants in New York City (NYC) (N=89). Multivariable linear regression was used to assess independent associations between NEMS-HCR score and restaurant charac­teristics (cuisine, size, type [counter-style vs sit-down] and price).Results: None of the menus in the res­taurants studied listed any main dishes as “healthy” or “light.” More than half (52%) offered mostly (>75%) nonfried main dishes, and 76% offered at least one vegetarian option. The most common facilitator to healthy eating was offering reduced portion sizes (21%) and the most common barrier was having salt shak­ers on tables (40%). NEMS-HCR scores (100-point scale) ranged from 24.1-55.2 (mean=39.7). In multivariable analyses, scores were significantly related to cuisine (with Puerto Rican cuisine scoring lower than Cuban and Dominican cuisines), and size (with small [<22 seats] restaurants scoring lower than larger restaurants). We found a significant quadratic association with midpoint price, suggesting that scores increased with increasing price in the low­est price range, did not vary in the middle range, and decreased with increasing price in the highest range.Conclusions: Our application of the NEMS-R to HC restaurants in NYC revealed areas for potential future interventions to improve food offerings and environmental cues to encourage healthful choices. Ethn Dis. 2020;30(4):583-592; doi:10.18865/ed.30.4.592

scholarly journals Overcoming Reporting Delays Is Critical to Timely Epidemic Monitoring: The Case of COVID-19 in New York City

2020 ◽  
Author(s):  
Jeffrey E Harris
Keyword(s):  
New York ◽  
New York City ◽  
Statistical Method ◽  
York City ◽  
Population Level ◽  
Disease Spread ◽  
Individual Level ◽  
Specimen Processing ◽  
Reporting Delays ◽  
The Individual

During a fast-moving epidemic, timely monitoring of case counts and other key indicators of disease spread is critical to an effective public policy response. We describe a nonparametric statistical method - originally applied to the reporting of AIDS cases in the 1980s - to estimate the distribution of reporting delays of confirmed COVID-19 cases in New York City. During June 21 - August 1, 2020, the estimated mean delay in reporting was 5 days, with 15 percent of cases reported after 10 or more days. Relying upon the estimated reporting-delay distribution, we project COVID-19 incidence during the most recent three weeks as if each case had instead been reported on the same day that the underlying diagnostic test had been performed. The statistical method described here overcomes the problem of reporting delays only at the population level. The method does not eliminate reporting delays at the individual level. That will require improvements in diagnostic technology, test availability, and specimen processing.

scholarly journals Highlighting the ratio of sodium to potassium in population-level dietary assessments: cross-sectional data from New York City, USA

2014 ◽  
Vol 17 (11) ◽  
pp. 2484-2488 ◽  
Author(s):  
Stella S Yi ◽  
Christine J Curtis ◽  
Sonia Y Angell ◽  
Cheryl AM Anderson ◽  
Molly Jung ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Population Level ◽  
Population Based ◽  
Dual Frame ◽  
Cross Sectional ◽  
Mean Values ◽  
Representative Study ◽  
Random Digit Dial

AbstractObjectiveTo contrast mean values of Na:K with Na and K mean intakes by demographic factors, and to calculate the prevalence of New York City (NYC) adults meeting the WHO guideline for optimal Na:K (<1 mmol/mmol, i.e. <0·59 mg/mg) using 24 h urinary values.DesignData were from the 2010 Community Health Survey Heart Follow-Up Study, a population-based, representative study including data from 24 h urine collections.SettingParticipants were interviewed using a dual-frame sample design consisting of random-digit dial telephone exchanges that cover NYC. Data were weighted to be representative of NYC adults as a whole.SubjectsThe final sample of 1656 adults provided 24 h urine collections and self-reported health data.ResultsMean Na:K in NYC adults was 1·7 mg/mg. Elevated Na:K was observed in young, minority, low-education and high-poverty adults. Only 5·2 % of NYC adults had Na:K in the optimal range.ConclusionsNa intake is high and K intake is low in NYC adults, leading to high Na:K. Na:K is a useful marker and its inclusion for nutrition surveillance in populations, in addition to Na and K intakes, is indicated.

Abstract P126: The Cardiovascular Health of Afro-Caribbean Immigrants in New York City: a Cross Sectional Study

Circulation ◽  
2019 ◽  
Vol 139 (Suppl_1) ◽  
Author(s):  
Sabena Thomas ◽  
Amna Umer ◽  
Yvonne Commodore-Mensah ◽  
Sumaira Khalid ◽  
Christiaan Abildso
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Cardiovascular Health ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Caribbean Immigrants

scholarly journals Examining Community Restaurant Nutrition Environments for Cardiovascular Health: An Assessment of Hispanic Caribbean Restaurants in New York City

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 184-184
Author(s):  
Melissa Fuster ◽  
Enrique Pouget ◽  
Eddie Nelson Sakowitz ◽  
Kayla Halvey ◽  
Krishnendu Ray ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Puerto Rican ◽  
York City ◽  
Cardiovascular Health ◽  
Size Category ◽  
Nutrition Environment ◽  
Hispanic Caribbean ◽  
Funding Sources ◽  
Food Offerings

Abstract Objectives Examine the nutrition environment in Hispanic Caribbean (HC) restaurants, and identify restaurant-level factors associated with healthier nutrition restaurant environments. Methods We adapted the Nutrition Environment Measure Survey for Restaurants (NEMS-R) to HC cuisines and applied the instrument (NEMS-HCR) to a random sample of Cuban, Puerto Rican, and Dominican restaurants in New York City (n = 89). Descriptive and regression analysis examined the associations between the NEMS-HCR score and restaurant characteristics (HC cuisine, restaurant type, and midpoint price). Results No restaurant offered dishes labeled as healthy and almost none (2%) offered whole grains or fruit. Half of the restaurants (52%) had menus with a large proportion (&gt;75%) of nonfried (NF) main dishes and three-quarters (76%) offered at least one vegetarian option. The most common environmental facilitator to healthy eating was offering reduced portion sizes (21%) and the most common barrier was having salt shakers on tables (40%). NEMS-HCR scores (100-point scale) ranged from 24.1–55.2 (mean = 39.7). Scores varied by cuisine and size category, but not by restaurant type (sit-down vs fast casual). Puerto Rican restaurants had the lowest mean score, compared with Dominican and Cuban restaurants (33.7 ± 6.8, 39.6 ± 6.4, 43.3 ± 6.9, respectively, P &lt; 0.001). Small restaurants (&lt;22 seats) had significantly lowest scores, compared with large and medium sized (36.7 ± 7.1, 41.3 ± 7.2, 41.6 ± 6.1, respectively, P &lt; 0.05). Multivariate regression indicated that HC cuisine, restaurant size, and price were significantly associated with the score (P &lt; 0.05). Price was found to have a significant quadratic association, where lower scores were found among lower and higher priced restaurants. Conclusions HC communities present more dietary risk factors than other Hispanic groups. Our study is the first to adapt and apply the NEMS-R to HC restaurants. Restaurants are increasingly important daily sources of food. As interventions targeting individual behavior change have shown limited impact, restaurants represent an important environmental target for health promotion. The assessment showed areas for potential improvements in food offerings and environmental cues to encourage healthful choices in HC restaurants. Funding Sources CUNY PSC Award and NIH/NHLBI Career Development Award (K01).

scholarly journals Length of Residence and Cardiovascular Health among Afro-Caribbean Immigrants in New York City

2018 ◽  
Vol 6 (3) ◽  
pp. 487-496 ◽  
Author(s):  
Sabena C. Thomas ◽  
Amna Umer ◽  
Yvonne Commodore-Mensah ◽  
Danielle Davidov ◽  
Christiaan G. Abildso
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Cardiovascular Health ◽  
Length Of Residence ◽  
Caribbean Immigrants

scholarly journals A Surveillance-Based Hepatitis C Care Cascade, New York City, 2017

2018 ◽  
Vol 133 (4) ◽  
pp. 497-501 ◽  
Author(s):  
Miranda S. Moore ◽  
Angelica Bocour ◽  
Fabienne Laraque ◽  
Ann Winters
Keyword(s):  
New York ◽  
New York City ◽  
Hepatitis C ◽  
York City ◽  
Population Level ◽  
Health Department ◽  
Department Of Health ◽  
Care Cascade ◽  
Laboratory Surveillance ◽  
Direct Acting

Objectives: The care cascade, a method for tracking population-level progression from diagnosis to cure, is an important tool in addressing and monitoring the hepatitis C virus (HCV) epidemic. However, little agreement exists on appropriate care cascade steps or how best to measure them. The New York City (NYC) Department of Health and Mental Hygiene (DOHMH) sought to construct a care cascade by using laboratory surveillance data with clinically relevant categories that can be readily updated over time. Methods: We identified all NYC residents ever reported to the DOHMH surveillance registry with HCV through June 30, 2017 (n = 175 896). To account for outmigration, death, or treatment before negative RNA results became reportable to the health department, we limited the population to people with any test reported since July 1, 2014. Of these residents, we identified the proportion with a reported positive RNA test and estimated the proportion treated and cured since July 2014 by using DOHMH-developed surveillance-based algorithms. Results: Of 78 886 NYC residents ever receiving a diagnosis of HCV and tested since July 1, 2014, a total of 70 397 (89.2%) had ever been reported as RNA positive through June 30, 2017; 36 875 (46.7%) had initiated treatment since July 1, 2014, and 23 766 (30.1%) appeared cured during the same period. Conclusion: A substantial gap exists between confirming HCV infection and initiating treatment, even in the era of direct-acting antivirals. Using this cascade, we will monitor progress in improved treatment and cure of HCV in NYC.

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