scholarly journals Transmission dynamics of and insights from the 2018–2019 measles outbreak in New York City: A modeling study

2020 ◽  
Vol 6 (22) ◽  
pp. eaaz4037
Author(s):  
Wan Yang
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Vaccine Dose ◽  
Public Health Education ◽  
The United States ◽  
Transmission Dynamics ◽  
Vaccine Hesitancy ◽  
Contributing Factors ◽  
Measles Outbreak

In 2018–2019, New York City experienced the largest measles outbreak in the United States in nearly three decades. To identify key contributing factors, we modeled the transmission dynamics of this outbreak. Results indicate that delayed vaccination of 1- to 4-year-olds enabled the initial spread and that increased infectious contact, likely via “measles parties,” facilitated later transmission. We found that around half of infants were susceptible by age 1 and thus had many infections. Without the implemented vaccination campaigns, numbers of infections and hospitalizations could have been >10 times higher and would predominantly affect those under 4. These results suggest that a first vaccine dose before age 1 and the second dose before age 4 could allow parents to vaccinate and protect children more effectively should a high level of vaccine hesitancy persist. Enhanced public health education is needed to reduce activities that unnecessarily expose children to measles and other infections.

scholarly journals Transmission Dynamics of and Insights from the 2018-2019 Measles Outbreak in New York City: A Modeling Study

2019 ◽  
Author(s):  
Wan Yang
Keyword(s):  
Public Health ◽  
New York ◽  
New York City ◽  
Young Children ◽  
York City ◽  
Vaccine Dose ◽  
Transmission Dynamics ◽  
Age Group ◽  
Measles Outbreak ◽  
The Us

AbstractIn 2018-2019, New York City experienced the largest measles outbreak in the US in nearly three decades. To identify key factors contributing to this outbreak to aid future public health interventions, here we developed a model-inference system to infer the transmission dynamics of measles in the affected community, based on incidence data. Our results indicate that delayed vaccination of young children aged 1-4 years enabled the initial spread of measles and that increased infectious contact among this age group, likely via gatherings intended to expose unvaccinated children (i.e. “measles parties”), further aggravated the outbreak and led to widespread of measles beyond this age group. We found that around half of infants were susceptible to measles by age 1 (the age-limit to receive the first vaccine dose in the US); as such, infants experienced a large number of infections during the outbreak. We showed that without the implemented vaccination campaigns, the outbreak severity including numbers of infections and hospitalizations would be 10 times higher and predominantly affect infants and children under 4. These results suggest that recommending the first vaccine dose before age 1 and the second dose before age 4 could allow pro-vaccine parents to vaccinate and protect infants and young children more effectively, should high level of vaccine hesitancy persist. In addition, enhanced public health education is needed to reduce activities that unnecessarily expose children to measles and other infections.

scholarly journals LB16. The Role of Adults in the Measles Outbreak in New York State Outside of New York City, 2018–2019

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S1000-S1000
Author(s):  
Elizabeth Dufort ◽  
Dylan Johns ◽  
Manisha Patel ◽  
Manisha Patel ◽  
Nina Ahmad ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Disease Transmission ◽  
New York State ◽  
The United States ◽  
Case Definition ◽  
Material Support ◽  
Measles Outbreak ◽  
Collaborative Agreement

Abstract Background The United States is experiencing the largest measles outbreak since elimination was declared in 2000, with the majority of cases in NYS reported in undervaccinated communities. The objective of this evaluation was to describe adult measles cases in the NYS measles outbreak outside of New York City (NYC). Methods We included all confirmed cases aged ≥18 years in NYS residents (excluding NYC) during October 1, 2018–July 25, 2019 that met the CSTE measles case definition. We defined measles cases attributable to adults as the sum of measles cases among adults and children who contracted disease directly from adults. Results Among 371 confirmed measles cases, the median age was 5.5 years (range: 1 day to 64 years); 79 (21%) were in adults, 4 (5%) of whom were born before 1957 (3 unvaccinated and 1 with unknown vaccine status). Among the 75 cases born during or after 1957, 65 (87%) were unvaccinated or had unknown vaccine status, while 3 had one dose and 7 had 2 doses of measles vaccine. Notably, 5 of 11 internationally imported measles cases were adults, and all were unvaccinated or had unknown vaccine status. During the first month of the outbreak, 26 of the 51 (51%) cases were attributable to adults; of the 26, 15 (58%) were in adults and 11 (42%) were in children who acquired infection from adults (Figure 3). Conclusion The majority of measles cases occurred in unvaccinated children emphasizing the importance of ongoing and focused efforts on pediatric vaccination. However, measles cases in unvaccinated adults played an important role in both importations and disease transmission early in the outbreak. These data strongly support current recommendations of 1 dose of measles, mumps, rubella vaccine (MMR) for most adults and 2 doses of MMR for adults traveling internationally and at high-risk such as those in outbreak areas, as determined by local/state public health. Disclosures Kirsten St. George, MAppSc, PhD, Akonni Biosystems (Other Financial or Material Support), ThermoFisher (Grant/Research Support), Zeptometrix (Other Financial or Material Support, royalty generating collaborative agreement). .

Applying the Devil's Works in a Holy Cause: Working-Class Popular Culture and the Salvation Army in the United States, 1879-1900

1997 ◽  
Vol 7 (2) ◽  
pp. 195-223
Author(s):  
Lillian Taiz
Keyword(s):  
United States ◽  
New York ◽  
New York City ◽  
Popular Culture ◽  
York City ◽  
The United States ◽  
Salvation Army ◽  
Public Meeting ◽  
The Many ◽  
Sunday Evening

Forty-eight hours after they landed in New York City in 1880, a small contingent of the Salvation Army held their first public meeting at the infamous Harry Hill's Variety Theater. The enterprising Hill, alerted to the group's arrival from Britain by newspaper reports, contacted their leader, Commissioner George Scott Railton, and offered to pay the group to “do a turn” for “an hour or two on … Sunday evening.” In nineteenth-century New York City, Harry Hill's was one of the best known concert saloons, and reformers considered him “among the disreputable classes” of that city. His saloon, they said, was “nothing more than one of the many gates to hell.”

Values of Voluntary Simplicity: Lifestyle and Motivation

1984 ◽  
Vol 55 (1) ◽  
pp. 231-240 ◽  
Author(s):  
Avraham Shama ◽  
Joseph Wisenblit
Keyword(s):  
United States ◽  
New York ◽  
New York City ◽  
York City ◽  
Metropolitan Areas ◽  
The United States ◽  
Voluntary Simplicity ◽  
Ecological Responsibility ◽  
Self Sufficiency ◽  
And Behavior

This paper describes the relation between values and behavior of a new life style, that of voluntary simplicity which is characterized by low consumption, self-sufficiency, and ecological responsibility. Also, specific hypotheses regarding the motivation for voluntary simplicity and adoption in two areas of the United States were tested. Analysis shows (a) values of voluntary simplicity and behaviors are consistent, (b) the motivation for voluntary simplicity includes personal preference and economic hardship, and (c) adoption of voluntary simplicity is different in the Denver and New York City metropolitan areas.

scholarly journals Seeking menstrual products: a qualitative exploration of the unmet menstrual needs of individuals experiencing homelessness in New York City

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Caitlin Gruer ◽  
Kim Hopper ◽  
Rachel Clark Smith ◽  
Erin Kelly ◽  
Andrew Maroko ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Vulnerable Populations ◽  
York City ◽  
Distribution Systems ◽  
Service Providers ◽  
The United States ◽  
Free Products ◽  
Creative Solutions ◽  
Menstrual Products

Abstract Background There has been increasing recognition that certain vulnerable populations in the United States of America struggle to meet their menstruation-related needs, including people experiencing homelessness. Media and policy attention on this subject has focused on the provision of free menstrual products to vulnerable populations, including a New York City legislative bill, which guarantees access to menstrual products for Department of Homeless Services shelter residents (Intros 1123-A). Methods This qualitative study explored the challenges people experiencing homelessness in New York City face in accessing menstrual products. Data collection was conducted from June to August 2019 and included: Semi-structured key informant interviews with staff from relevant government agencies and homeless service providers (n = 15), and semi-structured in-depth interviews with individuals with experience living on the street and in shelters (n = 22). Data were analysed using thematic analysis. Results Key themes that emerged included: (1) insufficient and inconsistent access to menstrual products; (2) systemic challenges to providing menstrual products; and (3) creative solutions to promote access to menstrual products. Both shelter- and street-living individuals reported significant barriers to accessing menstrual products. While both populations struggle, those in shelters were more likely to be able to purchase menstrual products or access free products at their shelter, while those living on the streets were more likely to have to resort to panhandling, theft, or using makeshift materials in place of menstrual products. Across both populations, individuals described barriers to accessing free products at shelters and service providers, primarily due to distribution systems that rely on gatekeepers to provide a few pads or tampons at a time, sometimes of inadequate quality and only upon request. Shelters and service providers also described challenges providing these products, including inconsistent supply. Conclusion These findings highlight the critical importance of expanding and improving initiatives seeking to provide access to menstrual products for vulnerable populations. Despite policy level efforts to support menstrual product access, individuals experiencing homelessness in New York City, whether living in shelters or on the street, are often not able to access the menstrual products that they need to manage their monthly menstrual flow.

Effect of Alzheimer’s Training on Multicultural Personal Care Aides

2008 ◽  
Vol 9 (1) ◽  
pp. 4-10 ◽  
Author(s):  
Robin C. Fenley ◽  
Sarah J. Bober ◽  
Mebane E. Powell ◽  
Jacquelin Berman ◽  
Barbara N. Altman
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
New York ◽  
New York City ◽  
York City ◽  
The United States ◽  
Personal Care ◽  
Entry Level ◽  
Before And After ◽  
Item Knowledge

This article reports on the first 2 years of an ongoing project that examined the efficacy of a 10-hour dementia training provided to entry-level personal care aide (PCA) trainees from the Hispanic, White, African American, and Asian communities in New York City. Participants were enrolled in a 90-hour PCA training program offered by the New York City Department for the Aging and were either recipients of public assistance, displaced employees from September 11, or recent immigrants to the United States from China. Classes were conducted in Spanish, English, and Mandarin/Cantonese. An 11-item Knowledge of Alzheimer’s Disease instrument was developed for the purposes of this project and administered before and after the dementia training and at 3 months following graduation. All groups, regardless of language, showed a significant increase in knowledge of Alzheimer’s disease at the conclusion of the training and retention of this knowledge at 3 months follow-up. Age was strongly correlated with an increase in knowledge, while gender and education were not.

Cardiovascular Disease Risk Factors Among Immigrant and US-Born Adults in New York City

2021 ◽  
pp. 003335492110075
Author(s):  
Claudia Chernov ◽  
Lisa Wang ◽  
Lorna E. Thorpe ◽  
Nadia Islam ◽  
Amy Freeman ◽  
...  
Keyword(s):  
United States ◽  
Risk Factors ◽  
Cardiovascular Disease ◽  
New York ◽  
New York City ◽  
Health Insurance ◽  
York City ◽  
The United States ◽  
Nutrition Examination Survey ◽  
Health And Nutrition

Objectives Immigrant adults tend to have better health than native-born adults despite lower incomes, but the health advantage decreases with length of residence. To determine whether immigrant adults have a health advantage over US-born adults in New York City, we compared cardiovascular disease (CVD) risk factors among both groups. Methods Using data from the New York City Health and Nutrition Examination Survey 2013-2014, we assessed health insurance coverage, health behaviors, and health conditions, comparing adults ages ≥20 born in the 50 states or the District of Columbia (US-born) with adults born in a US territory or outside the United States (immigrants, following the National Health and Nutrition Examination Survey) and comparing US-born adults with (1) adults who immigrated recently (≤10 years) and (2) adults who immigrated earlier (>10 years). Results For immigrant adults, the mean time since arrival in the United States was 21.8 years. Immigrant adults were significantly more likely than US-born adults to lack health insurance (22% vs 12%), report fair or poor health (26% vs 17%), have hypertension (30% vs 23%), and have diabetes (20% vs 11%) but significantly less likely to smoke (18% vs 27%) (all P < .05). Comparable proportions of immigrant adults and US-born adults were overweight or obese (67% vs 63%) and reported CVD (both 7%). Immigrant adults who arrived recently were less likely than immigrant adults who arrived earlier to have diabetes or high cholesterol but did not differ overall from US-born adults. Conclusions Our findings may help guide prevention programs and policy efforts to ensure that immigrant adults remain healthy.

Stylistic variation among mobile speakers: Using old and new regional variables to construct complex place identity

2018 ◽  
Vol 30 (2) ◽  
pp. 175-202 ◽  
Author(s):  
Jennifer Nycz
Keyword(s):  
United States ◽  
New York ◽  
New York City ◽  
Positive Affect ◽  
York City ◽  
The United States ◽  
Place Identity ◽  
Washington Dc ◽  
Stylistic Variation ◽  
Show Evidence

AbstractThis paper examines stylistic variation in the (oh), (o), (aw), and (ay) classes among native speakers of Canadian English living in or just outside either New York City or Washington, DC. Speakers show evidence of change toward US norms for all four vowels, though only (aw) shows consistent style shifting: prevoiceless (aw) is realized with higher nuclei when speakers express ambivalence about or distance from the United States, and lower nuclei when closeness to or positive affect about the United States is being conveyed. Canadians in New York also show topic- and stance-based shift in (oh): (oh)s are higher when expressing positive affect or closeness to New York City and lower when expressing negative affect or distance. These results suggest that mobile speakers continue to exploit the socioindexical links in their native dialect while learning and using new links in their adopted dialect—but only if those links are socially salient.

scholarly journals “For Heart, Patriotism, and National Dignity”: The Italian Language Press in New York City and Constructions of Africa, Race, and Civilization

2011 ◽  
Vol 34 (1) ◽  
pp. 89-105
Author(s):  
Peter G. Vellon
Keyword(s):  
United States ◽  
New York ◽  
New York City ◽  
York City ◽  
The United States ◽  
Moral Outrage ◽  
Italian Language ◽  
Racial Hierarchy ◽  
The Press ◽  
Dark Continent

“For Heart, Patriotism, and National Dignity”: The Italian Language Press in New York City and Constructions of Africa, Race, and Civilization” examines how mainstream and radical newspapers employed Africa as a trope for savage behavior by analyzing their discussion of wage slavery, imperialism, lynching, and colonialism, in particular Italian imperialist ventures into northern Africa in the 1890s and Libya in 1911-1912. The Italian language press constructed Africa as a sinister, dark, continent, representing the lowest rung of the racial hierarchy. In expressing moral outrage over American violence and discrimination against Italians, the press utilized this image of Africa to emphatically convey its shock and disgust. In particular, Italian prominenti newspapers capitalized on this racial imagery to construct a narrative of Italianness and Italian superiority in order to combat unflattering depictions of Italian immigrants arriving in the United States.

Sign in / Sign up

Export Citation Format

Share Document