Accuracy of Case-Based Seroprevalence of SARS-CoV-2 Antibodies in Maricopa County, Arizona

We conducted a community seroprevalence survey in Arizona, from September 12 to October 1, 2020, to determine the presence of antibodies to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We used the seroprevalence estimate to predict SARS-CoV-2 infections in the jurisdiction by applying the adjusted seroprevalence to the county’s population. The estimated community seroprevalence of SARS-CoV-2 infections was 4.3 times greater (95% confidence interval = 2.2, 7.5) than the number of reported cases. Field surveys with representative sampling provide data that may help fill in gaps in traditional public health reporting. (Am J Public Health. 2022;112(1):38–42. https://doi.org/10.2105/AJPH.2021.306568 )

Mothering Through Mental Illness: Exploring the Experiences of Motherhood for Criminally Involved Women on Mental Health Probation

As the number of criminally involved women has increased substantially over several decades, the prevalence of mothers impacted by criminal justice involvement has also increased. The current paper seeks to examine a specific subset of these criminally involved mothers—those with significant and long-term mental illness. This study explores how these women describe their experiences mothering through semistructured qualitative interviews with 48 women on a specialty mental health caseload in Maricopa County, Arizona. Using an inductive approach inspired by grounded theory to analyze the narrative accounts of criminally involved women with mental illness, the maternal identities of these women are placed at the forefront of the discussion, with an emphasis on examining their experiences beyond motherhood’s influence on desistance.

Precipitation's complicated role in driving the abundance of an emerging disease vector in an urban, arid landscape

Understanding population dynamics of disease vectors is a pressing challenge for human health. A major challenge is that landscape-level models for organisms like mosquitoes must also account for the highly local scale of their reproductive biology. Aedes aegypti, a vector of multiple emerging diseases, has been increasing in abundance and range in desert population centers, where water availability may be limiting. We examined daily precipitation and Ae. aegypti abundance in the urbanized Maricopa County (metropolitan Phoenix), Arizona, USA for >660 trapping locations over 3 years. By connecting daily precipitation to subsequent trapped abundances of mosquitoes through kriging, we determined the timing and amount of precipitation that lead to large outbreaks, and thresholds of interference with mosquito development. In this context, anthropogenic sources of water likely supersede the limiting effect of precipitation by providing constantly available oviposition sites, and could therefore be targeted for disease management.

Wastewater-Based Epidemiology and Long-Read Sequencing to Identify Enterovirus Circulation in Three Municipalities in Maricopa County, Arizona, Southwest United States between June and October 2020

We used wastewater-based epidemiology and amplicon-based long-read high-throughput sequencing for surveillance of enteroviruses (EVs) in Maricopa County, Arizona, Southwest United States. We collected 48 samples from 13 sites in three municipalities between 18 June and 1 October 2020, and filtered (175 mL each; 0.45 µm pore size) and extracted RNA from the filter-trapped solids. The RNA was converted to cDNA and processed through two workflows (Sanger sequencing (SSW) and long-read Illumina sequencing (LRISW)) each including a nested polymerase chain reaction (nPCR) assay. We subjected the ~350 bp amplicon from SSW to Sanger sequencing and the ~1900–2400 bp amplicon from LRISW to Illumina sequencing. We identified EV contigs from 11 of the 13 sites and 41.67% (20/48) of screened samples. Using the LRISW, we detected nine EV genotypes from three species (Enterovirus A (CVA4, EV-A76, EV-A90), Enterovirus B (E14) and Enterovirus C (CVA1, CVA11, CVA13, CVA19 and CVA24)) with Enterovirus C representing approximately 90% of the variants. However, the SSW only detected the five Enterovirus C types. Similarity and phylogenetic analysis showed that multiple Enterovirus C lineages were circulating, co-infecting and recombining in the population during the season despite the SARS-CoV-2 pandemic and the non-pharmaceutical public health measures taken to curb transmission.

Allantoin and Natrosulfatourea, Two New Bat-Guano Minerals from the Rowley Mine, Maricopa County, Arizona, USA

ABSTRACT The new minerals allantoin (IMA2020–004a), C4H6N4O3, and natrosulfatourea (IMA2019–134), Na2(SO4)[CO(NH2)2], were found in the Rowley mine, Maricopa County, Arizona, USA, where they occur together in bat guano in association with aphthitalite and urea. Allantoin properties: colorless, transparent, untwinned blades to 0.3 mm; white streak; vitreous luster; brittle; Mohs hardness 1½; conchoidal fracture; good {100} cleavage; 1.72(2) g/cm3 density; biaxial (+) with α = 1.558(2), β = 1.593(2), γ = 1.715(3); 2V = 60(1)°; slight r > v dispersion; optical orientation: Y = b, Z ^ a = 30° in obtuse β. Natrosulfatourea properties: colorless, transparent, untwinned prisms to 0.3 mm; white streak; vitreous luster; brittle; Mohs hardness 1½; irregular fracture; perfect {100} cleavage; 1.97(2) g/cm3 density; biaxial (+) with α = 1.456(2), β = 1.464(5), γ = 1.524(2); 2V = 42(1)°; no dispersion; optical orientation: X = a, Y = c, Z = b. Quantitative chemical analyses could not be obtained for allantoin. Electron microprobe analyses provided the empirical formula Na2.02(S0.98O4)[CO(NH2)2] for natrosulfatourea. Allantoin is monoclinic, P21/c, a = 8.0304(9), b = 5.1596(5), c = 14.8011(18) Å, β = 93.017(7)°, V = 612.41(11) Å3, and Z = 4. Natrosufatourea is orthorhombic, Pbcn, a = 5.5918(4), b = 18.1814(14), c = 6.7179(5) Å, V = 682.98(9) Å3, and Z = 4. The crystal structure of allantoin (R1 = 0.0432 for 1073 I > 2σI) is the same as that reported for the equivalent organic compound. In the structure of natrosulfatourea (R1 = 0.0413 for 785 I > 2σI) NaO6 polyhedra and SO4 tetrahedra form polyhedral layers. The O atom of the CO(NH2)2 (urea) group ligates to two Na atoms and projects into the space between polyhedral layers, linking adjacent layers through hydrogen bonds.

Recovery support specialists inside the jail: a program description of treatment engagement for opioid use disorder

Purpose People living with opioid use disorder (OUD) disproportionately encounter the criminal justice system. Although incarcerated individuals with OUD face higher risk for withdrawals, relapses and overdoses, most jails fail to offer comprehensive medications for OUD (MOUD), including recovery support services and transition of care to a community provider. The purpose of this paper is to describe the development and implementation of a comprehensive MOUD program at a large county jail system in Maricopa County, Arizona. Design/methodology/approach The authors used the Sequential Intercept Model (SIM) to develop a community-based, multi-organizational program for incarcerated individuals with OUD. The SIM is a mapping process of the criminal justice system and was applied in Maricopa County, Arizona to identify gaps in services and strengthen resources at each key intercept. The program applies an integrated care framework that is person-centered and incorporates medical, behavioral and social services to improve population health. Findings Stakeholders worked collaboratively to develop a multi-point program for incarcerated individuals with OUD that includes an integrated care service with brief screening, MOUD and treatment; a residential treatment program; peer support; community provider referrals; and a court diversion program. Recovery support specialists provide education, support and care coordination between correctional and community health services. Originality/value OUD is a common problem in many correctional health centers. However, many jails do not provide a comprehensive approach to connect incarcerated individuals with OUD treatment. The Maricopa County, Arizona jail system opioid treatment program is unique because of the ongoing support from recovery support specialists during and after incarceration.

Impact of COVID-19 Lockdowns on Sexual Health Care Utilization and STD Reporting, Maricopa County

The Maricopa County Department of Public Health (MCDPH) Sexually Transmitted Disease (STD) Clinic remained operational during a 6-week statewide Coronavirus Disease 2019 (COVID-19) Stay-at-Home Order. The present study sought to evaluate the effect of the Stay-at-Home Order on countywide STD reporting and uptake of sexual health services. We compared countywide daily median STD reporting and MCDPH STD clinic attendance across 3 timeframes; (1) Pre-Lockdown (01/01/2020–03/30/2020); (2) Lockdown (03/31/2020–05/15/2020); and (3) Post-Lockdown (05/16/2020–12/31/2020). STD reporting was characterized as incident chlamydia, gonorrhea, and primary and secondary syphilis. Clinic attendance was characterized as clients visiting through express testing or provider visits. Differences in STD reporting and clinic attendance were evaluated using non-parametric testing. Comparing Pre-Lockdown to Lockdown, we observed significant declines in the daily median chlamydia case reporting (−22%) and clinic express testing attendance (−29%). Comparing Lockdown to Post-Lockdown, we observed significant increases in daily median chlamydia and gonorrhea case reporting (+20%, +15%; respectively) and clinic express testing and provider visits (+42%, +20%; respectively). No significant difference was observed in countywide syphilis reporting across the 3 timeframes. Declines in STD reporting were observed countywide during the lockdown and were concurrent with declines in attendance observed at the MCDPH STD Clinic. Maintenance of clinic operations during the lockdown allowed for continued uptake of STD testing, diagnosis, treatment, and partner services. This study of sexual health care utilization at the public STD clinic in Maricopa County, Arizona, found reduced testing and provider visits contributed to lower countywide STD reporting during the Arizona COVID-19 Stay-at-Home Order.