Current News

2020 September

Who’s Succeeding Against the Coronavirus and Why - 28-Sep-2020
Eight months after the coronavirus outbreak was declared a global health emergency, countries around the world have seen vastly different results from their efforts to fight the pandemic. The outcomes have been driven by factors both in and out of the control of individual nations, with some common threads emerging

Developing a patient-reported outcome measure for HIV - 28-Sep-2020
A team of clinicians, researchers and people living with HIV has developed a ‘patient-reported outcome measure’ (PROM) for use in HIV care – the Positive Outcomes HIV PROM.

FDA Issues Recommendations for Certain High-Risk Groups Regarding Mercury-Containing Dental Amalgam - 28-Sep-2020
The FDA has found that certain groups may be at greater risk for potential harmful health effects of mercury vapor released from the device. As a result, the agency is recommending certain high-risk groups avoid getting dental amalgam whenever possible and appropriate.

FDA Approves First Drug to Treat Group of Rare Blood Disorders in Nearly 14 Years - 28-Sep-2020
The U.S. Food and Drug Administration approved Nucala (mepolizumab) for adults and children aged 12 years and older with hypereosinophilic syndrome (HES) for six months or longer without another identifiable non-blood related cause of the disease.

COVID-19 cases climbing in US, Europe, Canada - 28-Sep-2020
After a steady decline from summer peaks through the beginning of September, new COVID-19 cases appear to be on the rise again in the United States.

Salmonella Investigation Update - 28-Sep-2020
A CDC food safety alert regarding a multistate outbreak of Salmonella Stanley infections has been posted.

Whole Genome Sequencing Used to Trace COVID-19 Outbreaks - 28-Sep-2020
Whole genome sequencing (WGS) of SARS-CoV-2 by public health laboratories, in collaboration with epidemiologists, can provide vital information about the spread of COVID-19. (Association of Public Health Laboratories)

Food Insecurity During COVID-19: An Acute Crisis With Long-Term Health Implications - 28-Sep-2020

Updated influenza vaccine advice targets protection of elderly and health workers - 25-Sep-2020
Amid a potential global shortage in influenza vaccines and the ongoing COVID-19 pandemic, the UN health agency has advised countries to protect the elderly and health workers first. (United Nations (UN))

Update: Characteristics of Health Care Personnel with COVID-19 — United States, February 12–July 16, 2020 - 25-Sep-2020
Continued surveillance is vital to understand the impact of COVID-19 on essential workers. Ensuring access to personal protective equipment and training, and practices such as universal use of face masks at work, wearing masks in the community, and observing social distancing remain critical strategies to protect HCP and those they serve.

Meningococcal Vaccination: Recommendations of the Advisory Committee on Immunization Practices, United States, 2020 - 25-Sep-2020
This report compiles and summarizes all recommendations from CDC’s Advisory Committee on Immunization Practices (ACIP) for use of meningococcal vaccines in the United States. (Morbidity and Mortality Weekly Report (MMWR))

How do we tackle an ‘infodemic’ amid a pandemic? - 25-Sep-2020
From harmful health advice to rumours and conspiracy theories, disinformation is hampering the fight against COVID-19.

Principles to Practice: How local organizations and INGOs are working locally for an effective pandemic response - 25-Sep-2020
Working directly with local governments and civil society organizations is a key component of an effective pandemic response.

Food market stability: A necessary step for global social and environmental sustainability - 25-Sep-2020
In many places around the world, intensive crop production systems are degrading natural resources and contributing to climate change. It is clear that more sustainable, environmentally-friendly production systems are needed—and efforts to achieve global food security should involve a careful, integrated, collaborative approach to ensure the efficient and sustainable use of land, water, and energy at the global level.

YSPH launches new virtual MPH program, aims to expand accessibility - 25-Sep-2020
In a critical time for the field of public health and virtual learning, the Yale School of Public Health’s new online executive master’s in public health (MPH) program offers a new pathway to acquire an MPH degree.

How Coronavirus Spotlights Public Health Majors - 25-Sep-2020
The COVID-19 pandemic promises to intensify the appeal of this hot field and its growing array of programs at the college level.

NIHB Tribal Public Health report shows Indian Country remains inadequately resourced during COVID-19 pandemic - 25-Sep-2020
Increased support for technical activities, adequate public health workforce needed to improve health and wellbeing of Tribal communities.

Center Awarded OSHA Susan Harwood Training Program Grant - 25-Sep-2020
Through the grant, the center will develop and deliver training to mitigate the risks associated with COVID-19 to approximately 500 essential and non-essential workers in high-hazard industries, including to building management personnel, custodians, and health care workers.

Insurance Coverage and Viral Suppression Among People with HIV, 2018 - 25-Sep-2020
A new data note looks at the rate of uninsurance among individuals with HIV. (Kaiser Family Foundation (KFF))

Trust, community engagement key to COVID-19 response - 24-Sep-2020
Even when a vaccine is available, immunizing the country — and the world — against the coronavirus will take years. Until then, it will take a combination of strategies, not a single solution, to combat and control COVID-19.

FDA warns about serious problems with high doses of the allergy medicine diphenhydramine (Benadryl) - 24-Sep-2020
Teen misuse sparked by dangerous “Benadryl Challenge” promoted on social media

State and Regional Variation in Prescription- and Payment-Related Promoters of Adherence to Blood Pressure Medication - 24-Sep-2020
Medication adherence can improve hypertension management. How blood pressure medications are prescribed and purchased can promote or impede adherence.

Pharmacy Contributions to Improved Population Health: Expanding the Public Health Roundtable - 24-Sep-2020
Success in health care is increasingly being measured by improvements in population health outcomes in response to interventions rather than by services delivered (1). In this new landscape, cross-sectoral collaboration is paramount (2), and the profession of pharmacy is an often-overlooked partner (3). Our vision is that pharmacists and the profession of pharmacy be included as an integral part of the roundtable of health care and public health. (Centers for Disease Control and Prevention (CDC), HHS)

A Cross-Sectional Survey to Evaluate Potential for Partnering With School Nurses to Promote Human Papillomavirus Vaccination - 24-Sep-2020
HPV vaccination rates are low in many states having large medically underserved areas. In such areas, school nurses are a potential partner for improving population health, but their perceptions about HPV, HPV vaccination, and their role in promoting HPV vaccination have not been well documented. (Centers for Disease Control and Prevention (CDC), HHS)

Impact on workers of COVID-19 is ‘catastrophic’: ILO - 24-Sep-2020
COVID-19 has had a “catastrophic” impact on workers, the head of the International Labour Organization (ILO) said on Wednesday, with lost working hours higher than originally forecast, and equivalent to 495 million full-time jobs globally in the second quarter of the year. (United Nations (UN))

Countries urged to act against COVID-19 ‘infodemic’ - 24-Sep-2020
The UN and partners have urged countries to take urgent action to address what they have described as the “infodemic” that has surfaced in tandem with the COVID-19 pandemic, both in the real world and online. “Misinformation costs lives. Without the appropriate trust and correct information, diagnostic tests go unused, immunization campaigns (or campaigns to promote effective vaccines) will not meet their targets, and the virus will continue to thrive”, the partners said in a statement issued on Wednesday. (United Nations (UN))

Insulin-Producing Organoids Offer Hope for Treating Type 1 Diabetes - 24-Sep-2020

Coronavirus (COVID-19) Update: FDA Authorizes First Point-of-Care Antibody Test for COVID-19 - 24-Sep-2020
This authorization means that fingerstick blood samples can now be tested in POC settings like doctor’s offices, hospitals, urgent care centers and emergency rooms rather than having to be sent to a central lab for testing.

Michigan agrees to $600 million settlement in Flint water crisis, with most money going to children - 24-Sep-2020
After 18 months of negotiations, the state of Michigan agreed in August to pay $600 million to individuals and businesses affected by the water crisis in the town of Flint, with close to two-thirds of the money going to children age 6 and under at the time of their first exposure. (Council of State Governments)

Take a Bite Out of Rabies! - 24-Sep-2020
September 28 is World Rabies Day. Established in 2007, it aims to raise awareness about rabies and help the world come together to fight this dreadful, neglected disease. The theme for 2020 is ‘End Rabies: Collaborate, Vaccinate’ (Centers for Disease Control and Prevention (CDC), HHS)

U.S. Public Now Divided Over Whether To Get COVID-19 Vaccine - 23-Sep-2020
About half of U.S. adults (51%) now say they would definitely or probably get a vaccine to prevent COVID-19 if it were available today; nearly as many (49%) say they definitely or probably would not get vaccinated at this time. Intent to get a COVID-19 vaccine has fallen from 72% in May, a 21 percentage point drop. (Pew Charitable Trusts)

As Pandemic Deaths Add Up, Racial Disparities Persist — And In Some Cases Worsen - 23-Sep-2020
Today, as the U.S. has surpassed 200,000 COVID-19 deaths, and reached nearly 7 million confirmed cases, racial data is more complete, and the trend is crystal clear: People of color get sick and die of COVID-19 at rates higher than whites and higher than their share of the population. (National Public Radio (NPR))

Preemption and Its Impact on Policy Responses to COVID-19 - 23-Sep-2020
This brief explores whether there is a relationship between a state's general tendency to preempt municipal laws and the extent of policymakers’ responses to COVID-19. (Urban Institute)

How States are Handling School Vaccination Requirements in a Pandemic - 23-Sep-2020
Beyond the beginning of the school year, effective vaccination practices and policies will be vital to reduce the risk of vaccine-preventable diseases, especially throughout the fall and winter months and among populations most vulnerable to serious illness or death. (Association of State and Territorial Health Officials (ASTHO))

What Factors Led to Adoption of Stay-at-home Orders and Did They Change Public Behavior? - 23-Sep-2020
A new study published in the Journal of Public Health Management and Practice finds that early and late stay-at-home adopters differed politically, as well as in other important ways, including outbreak severity, availability of public health resources, and demographic composition. (Journal of Public Health Management and Practice)

Strategies to Advance Racial Equity in Housing Response and Recovery: A Guide for Cities during the Covid-19 Pandemic: - 23-Sep-2020
This brief provides a set of recommendations to advance racial equity in housing through the implementation of Covid-19 relief and recovery strategies, organized into four areas of action: prevent evictions and protect tenants; address homelessness and advance housing as a human right; sustain and increase community ownership and permanently affordable housing; and divest from the police and invest in racial equity. (PolicyLink)

How COVID-19 Has Changed the Ways Health Centers Treat Diabetes and Other Underlying Conditions - 23-Sep-2020
Though diabetes impacts about 11 percent of the general U.S. population, the disease is almost twice as prevalent among community health center patients. Health centers understand that proactive diabetes care management is key to producing meaningful improvements, in both patient outcomes and cost savings. This is why health center leaders are continuing to prioritize proactive care management while also adapting their systems to cope with the pandemic. As a result, health centers nationwide are moving toward significant — and potentially permanent — changes in how they treat underlying conditions such as diabetes. (National Association of Community Health Centers (NACHC))

Administration Announces $200 million from CDC to Jurisdictions for COVID-19 Vaccine Preparedness - 23-Sep-2020
The Department of Health and Human Services (HHS) is announcing upcoming action by the Centers for Disease Control and Prevention (CDC) to provide $200 million to jurisdictions for COVID-19 vaccine preparedness. (U.S. Department of Health and Human Services (HHS))

Statistics in the Time of Coronavirus: COVID-19-related Nonresponse in the CPS Household Survey - 23-Sep-2020
The COVID-19 pandemic has significantly affected data collection for the nation's primary source of household-level labor force data, the Current Population Survey (CPS). In the first four months of the pandemic (March-June 2020) the average month-over-month nonresponse rate increased by 62 percent, while the size of newly entering cohorts declined by 37 percent relative to the prior 18 months. Together, these factors reduced the overall sample size of the CPS by around 17 percent. (RAND Corporation)

Fourth large-scale COVID-19 vaccine trial begins in the United States - 23-Sep-2020
A fourth Phase 3 clinical trial evaluating an investigational vaccine for coronavirus disease 2019 (COVID-19) has begun enrolling adult volunteers. The trial is designed to evaluate if the investigational Janssen COVID-19 vaccine (JNJ-78436725) can prevent symptomatic COVID-19 after a single dose regimen. Up to 60,000 volunteers will be enrolled in the trial at up to nearly 215 clinical research sites in the United States and internationally. (National Institutes of Health (NIH), HHS)

Beware of Fraudulent Coronavirus Tests, Vaccines and Treatments - 23-Sep-2020
The FDA is working with vaccine and drug manufacturers to develop new vaccines for and find drugs to treat COVID-19 as quickly as possible. Meanwhile, some people and companies are trying to profit from this pandemic by selling unproven and illegally marketed products that make false claims, such as being effective against the coronavirus. (U.S. Food & Drug Administration (FDA), HHS)

Effects of Cocooning on Coronavirus Disease Rates after Relaxing Social Distancing - 23-Sep-2020
As coronavirus disease spreads throughout the United States, policymakers are contemplating reinstatement and relaxation of shelter-in-place orders. By using a model capturing high-risk populations and transmission rates estimated from hospitalization data, we found that postponing relaxation will only delay future disease waves. Cocooning vulnerable populations can prevent overwhelming medical surges. (Centers for Disease Control and Prevention (CDC), HHS)

Two Pandemics, One Challenge—Leveraging Molecular Test Capacity of Tuberculosis Laboratories for Rapid COVID-19 Case-Finding - 23-Sep-2020
In many settings, the ongoing coronavirus (COVID-19) pandemic coincides with other major public health threats, in particular tuberculosis. Using tuberculosis (TB) molecular diagnostic infrastructure, which has substantially expanded worldwide in recent years, for COVID-19 case-finding might be warranted. Study analyze the potential of using TB diagnostic and research infrastructures for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) testing, focusing on quality control by adapting the 12 Quality System Essentials framework to the COVID-19 and TB context. (Centers for Disease Control and Prevention (CDC), HHS)

SARS-CoV-2 Seroprevalence among Healthcare, First Response, and Public Safety Personnel, Detroit Metropolitan Area, Michigan, USA, May–June 2020 - 23-Sep-2020
The CDC collaborated with the Michigan Department of Health and Human Services (MDHHS) Region 2 South and North Healthcare Coalitions to invite personnel working onsite in hospital, first response, and public safety settings to be tested for SARS-CoV-2 antibodies and to complete a web-based survey about workplace, occupation, use of personal protective equipment (PPE), and selected exposures. The primary study objective was to estimate the prevalence of SARS-CoV-2 antibodies among this population. A second objective was to describe associations between seroprevalence and participant and workplace characteristics. (Centers for Disease Control and Prevention (CDC), HHS)

Patterns of COVID-19 testing and mortality by race and ethnicity among United States veterans: A nationwide cohort study - 23-Sep-2020
Study investigated racial and ethnic disparities in patterns of COVID-19 testing (i.e., who received testing and who tested positive) and subsequent mortality in the largest integrated healthcare system in the United States. (Public Library of Science)

Deaths, Hospitalizations, and Emergency Department Visits From Food-Related Anaphylaxis, New York City, 2000-2014: Implications for Fatality Prevention - 23-Sep-2020
Study describes the epidemiology and trends of food-related anaphylaxis requiring emergency treatment during a 15-year span in New York City when public health initiatives to prevent deaths were implemented and to understand the situational circumstances of food-related deaths. (Public Health Reports)

Public Comment on Draft Recommendation Statement and Draft Evidence Review: Screening for Vitamin D Deficiency in Adults - 23-Sep-2020
The U.S. Preventive Services Task Force seeks comments on a draft recommendation statement and draft evidence review on screening for vitamin D deficiency in adults. The Task Force found more research is needed to make a recommendation for or against screening. The draft recommendation statement and draft evidence review are available for review and public comment from September 22, 2020 to October 19, 2020. (U.S. Preventive Services Task Force (USPSTF))

COVID-19 Contact Tracing in Two Counties — North Carolina, June–July 2020 - 22-Sep-2020
During periods of high COVID-19 incidence in North Carolina, 48% of COVID-19 patients reported no contacts, and 25% of contacts were not reached in Mecklenburg County. In Randolph County, 35% of COVID-19 patients reported no contacts, and 48% of contacts were not reached. Median interval from index patient specimen collection to contact notification was 6 days. (Morbidity and Mortality Weekly Report (MMWR))

NIH expands clinical trials to test convalescent plasma against COVID-19 - 22-Sep-2020
Two randomized, placebo-controlled clinical trials funded by the National Institutes of Health (NIH) are expanding enrollment to further evaluate convalescent plasma as a treatment for patients hospitalized with COVID-19. Preliminary observational studies indicate that convalescent plasma may improve outcomes among severely ill and hospitalized patients with COVID-19. (National Institutes of Health (NIH), HHS)

Systemic Racism, Disparities & COVID-19: Impacts on Latino Health - 22-Sep-2020
This infographic identifies risk factors - including disproportionate employment as essential workers, lower rates of health insurance coverage, and language and cultural barriers - and provides actionable solutions to improve the health of Latino Americans. (National Institute for Health Care Management Foundation (NIHCM))

New Data Compares Adult Obesity Rates Across States - 22-Sep-2020
According to the new data, Mississippi has the highest adult obesity rate in the U.S. at 40.8%; Colorado and DC are tied for the lowest at 23.8%. Twelve states have adult obesity rates above 35%: Alabama, Arkansas, Indiana, Kansas, Kentucky, Louisiana, Michigan, Mississippi, Oklahoma, South Carolina, Tennessee and West Virginia. As recently as 2012, no state had an adult obesity rate over 35%. (Robert Wood Johnson Foundation (RWJF))

MedlinePlus to Become the NLM Home for Information in Multiple Languages - 22-Sep-2020
Starting on October 1, 2020, materials that are part of the National Library of Medicine's (NLM) HealthReach will become part of MedlinePlus, NLM's flagship website for health information for patients, families, and the general public. (National Library of Medicine (NLM), NIH)

COVID-19 Vaccinations: Liability and Compensation Considerations Critical for a Successful Campaign - 22-Sep-2020
The authors of this Perspective examine liability and compensation issues as they relate to the future distribution and administration of the COVID-19 vaccine. (RAND Corporation)

Transmission of Severe Acute Respiratory Syndrome Coronavirus 2 During Long Flight - 22-Sep-2020
To assess the role of in-flight transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), this study investigated a cluster of cases among passengers on a 10-hour commercial flight. (Centers for Disease Control and Prevention (CDC), HHS)

In-Flight Transmission of Severe Acute Respiratory Syndrome Coronavirus 2 - 22-Sep-2020
Four persons with severe acute respiratory syndrome coronavirus 2 infection had traveled on the same flight from Boston, Massachusetts, USA, to Hong Kong, China. Their virus genetic sequences are identical, unique, and belong to a clade not previously identified in Hong Kong, which strongly suggests that the virus can be transmitted during air travel. (Centers for Disease Control and Prevention (CDC), HHS)

Cancers Associated with Human Papillomavirus in American Indian and Alaska Native Populations — United States, 2013–2017 - 22-Sep-2020
In data from central cancer registries linked with Indian Health Service patient information, 740 (72%) of 1,030 HPV-associated cancers among AI/AN were estimated to be types targeted by 9-valent HPV vaccine. Oropharyngeal cancers were the most common HPV-associated cancers among AI/AN males, and cervical cancers were the most common among AI/AN females. (Morbidity and Mortality Weekly Report (MMWR))

Racial and Ethnic Disparities in Fetal Deaths — United States, 2015–2017 - 22-Sep-2020
During 2015–2017, the fetal mortality rate among non-Hispanic Black women was more than twice that among non-Hispanic White women and Hispanic women. Fetal mortality rates varied by state and cause of death category. The rate of fetal death attributable to maternal complications among non-Hispanic Black women was three times that among White women. (Morbidity and Mortality Weekly Report (MMWR))

Serial Testing for SARS-CoV-2 and Virus Whole Genome Sequencing Inform Infection Risk at Two Skilled Nursing Facilities with COVID-19 Outbreaks — Minnesota, April–June 2020 - 22-Sep-2020
Serial facility-wide testing at two Minnesota SNFs identified COVID-19 cases among 64% of residents and 33% of HCP. Genetic sequencing found facility-specific clustering of viral genomes from HCP and residents’ specimens, suggesting intrafacility transmission. (Morbidity and Mortality Weekly Report (MMWR))

Preventing COVID-19 Outbreaks in Long-Term Care Facilities Through Preemptive Testing of Residents and Staff Members — Fulton County, Georgia, March–May 2020 - 22-Sep-2020
LTCFs in which testing was conducted after a confirmed case of COVID-19 were found to have significantly higher proportions of infected residents and staff members at initial testing and after 4 weeks of follow-up compared with those testing as a preventive measure. The majority of LTCFs testing as a preventive measure identified an infection, although initial prevalence was significantly lower and fewer cases occurred during follow-up. (Morbidity and Mortality Weekly Report (MMWR))

Decreased Influenza Activity During the COVID-19 Pandemic — United States, Australia, Chile, and South Africa, 2020 - 22-Sep-2020
Following widespread adoption of community mitigation measures to reduce transmission of SARS-CoV-2, the virus that causes COVID-19, the percentage of U.S. respiratory specimens submitted for influenza testing that tested positive decreased from >20% to 2.3% and has remained at historically low interseasonal levels (0.2% versus 1–2%). Data from Southern Hemisphere countries also indicate little influenza activity. (Morbidity and Mortality Weekly Report (MMWR))

E-cigarette Unit Sales, by Product and Flavor Type — United States, 2014–2020 - 22-Sep-2020
During September 2014–May 2020, e-cigarette sales increased by 122.2%. Sales of prefilled cartridges increased during September 2014–August 2019; since then, sales of disposable products have increased. Prefilled mint cartridge e-cigarette sales increased from September 2014 to August 2019, then decreased, as menthol sales increased during August 2019–May 2020. (Morbidity and Mortality Weekly Report (MMWR))

Progress Toward Poliovirus Containment Implementation — Worldwide, 2019–2020 - 22-Sep-2020
Wild poliovirus type 2 was declared eradicated in 2015; 25 countries have designated 73 poliovirus-essential facilities to retain poliovirus type 2 materials. Wild poliovirus type 3 materials have been subject to containment requirements since the virus was declared eradicated in 2019. (Morbidity and Mortality Weekly Report (MMWR))

The World Has Changed: Emerging Challenges for Health Care Research to Reduce Social Isolation and Loneliness Related to COVID-19 - 22-Sep-2020
In this paper, the authors offer a preliminary outline of proposed research priorities to inform strategies to mitigate the health effects of social isolation and loneliness during the COVID-19 pandemic and beyond. (National Academy of Medicine)

COVID-19: Federal Efforts Could Be Strengthened by Timely and Concerted Actions - 22-Sep-2020
The CARES Act includes a provision for GAO to report bimonthly on its ongoing monitoring and oversight efforts related to the COVID-19 pandemic. This third report examines key actions the federal government has taken to address the COVID-19 pandemic and evolving lessons learned relevant to the nation’s response to pandemics. (U.S. Government Accountability Office)

A Century Later: Rural Public Health's Enduring Challenges and Opportunities. - 22-Sep-2020
This article examines rural public health literature from a century ago and its connections to contemporary rural health disparities, describing parallels between current and historical rural public health challenges and discussing how strategies proposed in the early 20th century may inform current policy and practice. (American Public Health Association (APHA))

Community Treatment Centers for Isolation of Asymptomatic and Mildly Symptomatic Patients with Coronavirus Disease, South Korea - 21-Sep-2020
Article describes the operating processes of 3 community treatment centers near Daegu, South Korea, and analyzes the clinical characteristics and disease progression in admitted patients. (Centers for Disease Control and Prevention (CDC), HHS)

Association Between CMS Quality Ratings and COVID-19 Outbreaks in Nursing Homes — West Virginia, March 17–June 11, 2020 - 21-Sep-2020
During March–June 2020, 14 (11%) of 123 West Virginia nursing homes experienced COVID-19 outbreaks. Compared with 1-star–rated (lowest rating) nursing homes, the odds of a COVID-19 outbreak were 87% lower among 2- to 3-star–rated facilities and 94% lower among 4- to 5-star–rated facilities. (Morbidity and Mortality Weekly Report (MMWR))

Promoting Equitable Access To COVID-19 Vaccines—The Role Of Medicaid - 21-Sep-2020
Immediate increases in Medicaid vaccine administration payments to providers would be a valuable first step to prepare for COVID-19 vaccination and to support ongoing efforts to reverse recent COVID-19-related declines in routine vaccination (Health Affairs)

The Risk Of Severe COVID-19 Within Households Of School Employees And School-Age Children - 21-Sep-2020
To better understand the potential health impacts of reopening, study examined how often persons at risk of severe COVID-19 were connected to schools, either as employees or by living in the same households as school employees or school-age children. (Health Affairs)

Urban–rural Differences in Suicide Rates, by Sex and Three Leading Methods: United States, 2000–2018 - 18-Sep-2020
Suicide rates for urban and rural areas increased overall from 2000 through 2018, with the pace of increase greater for rural suicide rates, compared with urban, after 2007. In 2018, the rural male suicide rate (30.7 per 100,000) was higher than the urban male suicide rate (21.5); the rural rate for females (8.0) was higher than the urban rate (5.9). (National Center for Health Statistics, CDC)

Coronavirus Commission on Safety and Quality in Nursing Homes: Commission Final Report (September 2020) - 18-Sep-2020
CMS asked MITRE to convene a commission of experts to address safety and quality in nursing homes in relation to the public health emergency. The main purpose of the independent Coronavirus Commission on Safety and Quality in Nursing Homes (Commission) was to solicit lessons learned from the early days of the pandemic and recommendations for future actions to improve infection prevention and control measures, safety procedures, and the quality of life of residents within nursing homes. This final report, prepared by MITRE, documents the Commission’s output. (Centers for Medicare & Medicaid Services (CMS), HHS)

New CDC data finds adult obesity is increasing - 18-Sep-2020
The 2019 Adult Obesity Prevalence Maps show that twelve states now have an adult obesity prevalence at or above 35%: Alabama, Arkansas, Indiana, Kansas, Kentucky, Louisiana, Michigan, Mississippi, Oklahoma, South Carolina, Tennessee, and West Virginia. This is up from nine states in 2018 and six states in 2017. (Centers for Disease Control and Prevention (CDC), HHS)

Heavy Drinking Among U.S. Adults, 2018 - 18-Sep-2020
In 2018, two-thirds (66.3%) of adults aged 18 and over consumed alcohol in the past year. Among adults aged 18 and over, 5.1% engaged in heavy drinking (consumption of an average of more than 14 alcoholic drinks per week for men or more than 7 drinks per week for women in the past year). (National Center for Health Statistics, CDC)

CDC Announces New HIV Treatment Campaign Resources - 18-Sep-2020
The update emphasizes viral suppression, also known as “being undetectable.” The new campaign products reflect the latest science showing that a person with HIV who takes HIV medicine as prescribed and gets and stays virally suppressed, or undetectable, can stay healthy and has effectively no risk of transmitting HIV through sex to a partner that does not have HIV. (U.S. Department of Health and Human Services (HHS))

Food Insecurity Interventions in Health Care Settings: A Review of the Evidence (August 2020) - 18-Sep-2020
To help inform health sector food insecurity efforts, this issue brief updates and summarizes the results of a published systematic review of peer-reviewed studies of food insecurity-related interventions in the context of health care delivery settings. (Social Interventions Research & Evaluation Network (SIREN))

The COVID-19 Pandemic Has Altered Population Health Management, Creating New Opportunities for Outreach - 17-Sep-2020
A profile of two California community health centers that participated in the Population Health Learning Network (PHLN). These organizations are working to ensure that their patients receive the medical and social care necessary to withstand the pandemic and beyond. (John Snow, Inc.)

Community-derived recommendations for healthcare systems and medical students to support people who are houseless in Portland, Oregon: a mixed-methods study - 17-Sep-2020
The objective of this study was to understand perceptions of how medical students and institutions can meet needs of the self-identified needs of the houseless community. (BioMed Central)

Curriculum Recommendations for Disaster Helath Professionals: Disaster Behavioral Health - 17-Sep-2020
This guidance document was created with the intent to 1) provide a framework upon which to build disaster behavioral health curricula and 2) compile and give access to up-to-date, credible resources to support such curricula. (Uniformed Services University of the Health Sciences (USUHS))

Case-Control Study of Use of Personal Protective Measures and Risk for Severe Acute Respiratory Syndrome Coronavirus 2 Infection, Thailand - 17-Sep-2020
Study evaluated effectiveness of personal protective measures against severe acute respiratory disease coronavirus 2 (SARS-CoV-2) infection. (Centers for Disease Control and Prevention (CDC), HHS)

NIH funds community engagement research efforts in areas hardest hit by COVID-19 - 17-Sep-2020
The National Institutes of Health yesterday announced a $12 million award for outreach and engagement efforts in ethnic and racial minority communities disproportionately affected by the COVID-19 pandemic. The award to RTI International, a non-profit research institution, will support teams in 11 states established as part of the NIH Community Engagement Alliance (CEAL) Against COVID-19 Disparities. These teams have received initial funding to immediately create CEAL programs, and RTI will serve as the Technical and Administrative Support and Coordination (TASC) center. (U.S. Department of Health and Human Services (HHS))

From the Factory to the Frontlines: The Operation Warp Speed Strategy for Distributing a COVID-19 Vaccine (September 2020) - 17-Sep-2020
This report to Congress details a strategy to achieve the principal purpose and objective of Operation Warp Speed (OWS): ensuring that every American who wants to receive a COVID-19 vaccine can receive one, by delivering safe and effective vaccine doses to the American people beginning January 2021. (U.S. Department of Health and Human Services (HHS))

NNIP Partners' Role in the Social Determinants of Health - 17-Sep-2020
This brief explains how cross-sector partnerships can help; describes the significant role of locally embedded, data-driven organizations like the National Neighborhood Indicators Partnership (NNIP) Partners; and provides examples of NNIP Partners that are already taking action on the social determinants of health. (Urban Institute)

Impact of COVID-19 on multidimensional child poverty - 17-Sep-2020
Using data on access to education, healthcare, housing, nutrition, sanitation and water from more than 70 countries, the authors find that around 45 per cent of children were severely deprived of at least one of these critical needs before the coronavirus pandemic even hit. And although the current data paint a dire picture, the situation for children living in multidimensional poverty is likely to worsen unless national governments and the international community step up to soften the blow. (United Nations Children's Fund (UNICEF))

COVID-19 Pandemic Underscores Need for Tobacco Control Policies - 17-Sep-2020
The COVID-19 pandemic has further amplified the need for strong tobacco prevention and cessation policies. Research indicates that tobacco use is associated with increased rate of COVID-19 disease progression and increased likelihood of death among hospitalized patients, and that e-cigarette use is associated with a greatly increased risk of COVID-19 diagnosis in youth and young adults. (Association of State and Territorial Health Officials (ASTHO))

Months After Recovery, COVID-19 Survivors Often Have Persistent Lung Trouble - 17-Sep-2020
A recent study of 55 people recovering from COVID-19 in China offers some early insight into the recovery of lung function. The results make clear that—even in those with a mild-to-moderate infection—the effects of COVID-19 can persist in the lungs for months. In fact, three months after leaving the hospital about 70 percent of those in the study continued to have abnormal lung scans, an indication that the lungs are still damaged and trying to heal. (National Institutes of Health (NIH), HHS)

SARS-CoV-2–Associated Deaths Among Persons Aged <21 Years — United States, February 12–July 31, 2020 - 17-Sep-2020
Among 121 SARS-CoV-2–associated deaths among persons aged <21 years reported to CDC by July 31, 2020, 12 (10%) were infants and 85 (70%) were aged 10–20 years. Hispanic, non-Hispanic Black and non-Hispanic American Indian/Alaskan Native persons accounted for 94 (78%) of these deaths; 33% of deaths occurred outside of a hospital. (Morbidity and Mortality Weekly Report (MMWR))

SARS-CoV-2 Infection Among Hospitalized Pregnant Women: Reasons for Admission and Pregnancy Characteristics — Eight U.S. Health Care Centers, March 1–May 30, 2020 - 17-Sep-2020
Prevalences of prepregnancy obesity and gestational diabetes were higher among pregnant women hospitalized for COVID-19–related illness (e.g., worsening respiratory status) than among those admitted for pregnancy-related treatment or procedures (e.g., delivery) and found to have COVID-19. Intensive care was required for 30% (13 of 43) of pregnant women admitted for COVID-19, and one pregnant woman died from COVID-19. (Morbidity and Mortality Weekly Report (MMWR))

Characteristics and Maternal and Birth Outcomes of Hospitalized Pregnant Women with Laboratory-Confirmed COVID-19 — COVID-NET, 13 States, March 1–August 22, 2020 - 17-Sep-2020
Among 598 hospitalized pregnant women with COVID-19, 55% were asymptomatic at admission. Severe illness occurred among symptomatic pregnant women, including intensive care unit admissions (16%), mechanical ventilation (8%), and death (1%). Pregnancy losses occurred for 2% of pregnancies completed during COVID-19-associated hospitalizations and were experienced by both symptomatic and asymptomatic women. (Morbidity and Mortality Weekly Report (MMWR))

Lessons Learned from a Decade of Investigations of Shiga Toxin–Producing Escherichia coli Outbreaks Linked to Leafy Greens, United States and Canada - 17-Sep-2020
Study reviewed epidemiologic, laboratory, and traceback data from STEC O157 and non–O157 outbreaks in the United States and Canada linked to leafy greens during 2009–2018. It also summarized epidemiologic findings, described barriers to solving outbreaks, and identified research needs to prevent future leafy green outbreaks. (Centers for Disease Control and Prevention (CDC), HHS)

SARS-CoV-2 in Quarantined Domestic Cats from COVID-19 Households or Close Contacts, Hong Kong, China - 17-Sep-2020
Researchers tested 50 cats from coronavirus disease households or close contacts in Hong Kong, China, for severe acute respiratory syndrome coronavirus 2 RNA in respiratory and fecal samples. They found 6 cases of apparent human-to-feline transmission involving healthy cats. Virus genomes sequenced from 1 cat and its owner were identical. (Centers for Disease Control and Prevention (CDC), HHS)

A Pandemic within a Pandemic — Intimate Partner Violence during Covid-19 - 17-Sep-2020
The Covid-19 pandemic has put a spotlight on numerous ongoing public health crises, including violence within the home. As state mandates relax and people begin to live a new version of normal, clinicians, public health officials, and policymakers cannot stop addressing the layers of social inequities in our communities and the ways in which they affect people’s access to care. (New England Journal of Medicine)

COVID-19 Vaccination Program Interim Playbook for Jurisdiction Operations (September 2020) - 17-Sep-2020
This document serves as an interim playbook for state, territorial, and local public health programs and their partners on how to plan and operationalize a vaccination response to COVID-19 within their jurisdictions. The document’s sections cover specific areas of COVID-19 vaccination program planning and implementation and provide key guidance documents and links to resources to assist those efforts (Centers for Disease Control and Prevention (CDC), HHS)

State Suicide Rates Among Adolescents and Young Adults Aged 10–24: United States, 2000–2018 (September 2020) - 16-Sep-2020
This report presents suicide death rates among persons aged 10–24 for the United States and by state for 2000 through 2018 and percent change between 3-year periods of 2007–2009 and 2016–2018. Suicide rates are compared among states for 2016–2018. (National Center for Health Statistics, CDC)

COVID-19 Frequently Asked Questions - 16-Sep-2020
The frequently asked questions (FAQs) on this page are for a general public or consumer audience. (U.S. Food & Drug Administration (FDA), HHS)

Fast Food Intake Among Children and Adolescents in the United States, 2015–2018 - 16-Sep-2020
During 2015–2018, over one-third (36.3%) of children and adolescents consumed fast food on a given day. (National Center for Health Statistics, CDC)

Public Health Preparedness: Information on the Use of Medical Reserve Corps Volunteers during Emergencies - 16-Sep-2020
This report describes (1) the number and type of Medical Reserve Corps volunteers; (2) the types of public health emergencies volunteers have participated in; and (3) how HHS has assisted in developing volunteer capabilities. (U.S. Government Accountability Office)

Lack of Antigen Test Reporting Leaves Country ‘Blind to the Pandemic’ - 16-Sep-2020
So far, most of the COVID tests given in the U.S. have been PCR tests, which are processed in medical labs and can take days to return results. By contrast, antigen tests offer results in minutes outside of labs, appealing to everyone from medical clinics to sports teams and universities. Each relies on swabs to test patients. But unlike using tests run through labs, many providers who would use antigen tests don’t have an easy way to send data electronically to public health authorities. (Kaiser Health News (KHN))

Indicators for Dynamic School Decision-Making - 16-Sep-2020
This document proposes core and secondary indicators that STLTs can use to aid in their decision-making process regarding school reopening for in-person learning. This document is meant to assist STLT officials in making decisions rather than establishing regulatory requirements. (Centers for Disease Control and Prevention (CDC), HHS)

Coverage and Use of Fertility Services in the U.S. - 16-Sep-2020
This brief examines how access to fertility services, both diagnostic and treatment, varies across the U.S., based on state regulations, insurance type, income level and patient demographics. (Kaiser Family Foundation (KFF))

Three Approaches to Opioid Use Disorder Treatment in State Departments of Corrections - 15-Sep-2020
The National Academy for State Health Policy (NASHP) talked to leaders from three states – Kentucky, Maine, and Pennsylvania – about their approaches to SUD treatment within their state prison populations and how these approaches are evolving. (National Academy for State Health Policy (NASHP))

Nonalcoholic Beverage Consumption Among Adults: United States, 2015–2018 - 15-Sep-2020
This report provides estimates of the contribution of beverage types to total nonalcoholic beverage consumption, by grams, for U.S. adults. (National Center for Health Statistics, CDC)

Health of American Indian and Alaska Native Adults, by Urbanization Level: United States, 2014–2018 - 15-Sep-2020
This report examines differences in the percentage of selected health status and conditions by urbanization level between AIAN adults and all U.S. adults. (National Center for Health Statistics, CDC)

Every Body Counts: Measuring Mortality From the COVID-19 Pandemic - 15-Sep-2020
This article discusses the current difficulties of disaster death attribution and describes the strengths and limitations of relying on death counts from death certificates, estimations of indirect deaths, and estimations of excess mortality. (American College of Physicians)

Ebola Outbreaks in the Democratic Republic of Congo: Emergencies or Enduring Threat? (September 2020) - 15-Sep-2020
The prolonged battle to contain the Ebola outbreak in eastern DRC, coupled with what appear to be more frequent outbreaks in the country, raise questions about the allocation of U.S. global health resources and bilateral aid for DRC. (Congressional Research Service, Library of Congress)

The Hidden Impact of Covid-19 on Children: A Global Research Series - 15-Sep-2020
The global study reveals the hidden impacts of pandemic response measures which are impacting children’s health, nutrition, education, learning, protection, wellbeing, family finances and poverty. For the most marginalised and deprived children, those impacts have the potential to be life-altering and potentially devastating. (Save the Children)

Funding and Service Delivery in Rural and Urban Local US Health Departments in 2010 and 2016 - 14-Sep-2020
In this repeated cross-sectional study, researchers examined rural–urban differences in funding and service provision among LHDs over time using 2010 and 2016 National Association of County and City Health Officials data. (American Public Health Association (APHA))

The COVID-19 Pandemic and the Opioid Overdose Epidemic: A Perfect Storm for Workers? - 14-Sep-2020
As the nation grapples with the implications and consequences of the COVID-19 pandemic, safety and health professionals, policymakers, and employers must be even more diligent in confronting the opioid overdose crisis by recognizing the unique factors impacting workers with OUD and protecting individuals who are at higher risk for OUD. (National Institute for Occupational Safety and Health (NIOSH), CDC)

Loneliness Among Older Adults Before and During the COVID-19 Pandemic - 14-Sep-2020
The University of Michigan National Poll on Healthy Aging (NPHA) asked a national sample of U.S. adults age 50–80 about lack of companionship and isolation (loneliness), social interactions, and health behaviors in June 2020. This was a follow-up to a similar NPHA survey conducted in October 2018 among a different national sample. The comparisons that follow show a substantial increase in loneliness among older adults from before the COVID-19 pandemic to the period March–June 2020. (University of Michigan)

Substance use disorders linked to COVID-19 susceptibility - 14-Sep-2020
A National Institutes of Health-funded study found that people with substance use disorders (SUDs) are more susceptible to COVID-19 and its complications. (National Institutes of Health (NIH), HHS)

The COVID-19 Pandemic Is The Time For The Public Sector To Help Build Greater Social Connection - 14-Sep-2020
Post proposes a new national initiative that is designed to address the immediate needs of those afflicted by social disconnection while endeavoring to serve long-term scientific prerequisites. (Health Affairs)

Mortality Rates From COVID-19 Are Lower In Unionized Nursing Homes - 14-Sep-2020
Study used a cross-sectional regression analysis to examine the association between the presence of health care worker unions and COVID-19 mortality rates in 355 nursing homes in New York State. Health care worker unions were associated with a 1.29 percentage point mortality reduction, which represents a 30% relative decrease in the COVID-19 mortality rate compared to facilities without health care worker unions. (Health Affairs)

Substantial underestimation of SARS-CoV-2 infection in the United States - 14-Sep-2020
Accurate estimates of the burden of SARS-CoV-2 infection are critical to informing pandemic response. Confirmed COVID-19 case counts in the U.S. do not capture the total burden of the pandemic because testing has been primarily restricted to individuals with moderate to severe symptoms due to limited test availability. Study uses a semi-Bayesian probabilistic bias analysis to account for incomplete testing and imperfect diagnostic accuracy. (Springer)

The frequencies and disparities of adverse childhood experiences in the U.S. - 14-Sep-2020
Adversity experienced during childhood manifests deleteriously across the lifespan. This study provides updated frequency estimates of ACEs using the most comprehensive and geographically diverse sample to date. (BioMed Central)

Prevalence of Underlying Medical Conditions Among Selected Essential Critical Infrastructure Workers — Behavioral Risk Factor Surveillance System, 31 States, 2017–2018 - 14-Sep-2020
High prevalences of underlying medical conditions increase risks for severe COVID-19 illness among home health aides, other health care support workers, and nursing home, trucking, and transit industry workers. (Morbidity and Mortality Weekly Report (MMWR))

Transmission Dynamics of COVID-19 Outbreaks Associated with Child Care Facilities — Salt Lake City, Utah, April–July 2020 - 14-Sep-2020
Twelve children acquired COVID-19 in child care facilities. Transmission was documented from these children to at least 12 (26%) of 46 nonfacility contacts (confirmed or probable cases). One parent was hospitalized. Transmission was observed from two of three children with confirmed, asymptomatic COVID-19. (Morbidity and Mortality Weekly Report (MMWR))

Revised 10 Essential Public Health Services Framework Centers Equity and Propels the Field into the 21st Century - 14-Sep-2020
On September 9, 2020, the Public Health National Center for Innovations (PHNCI), de Beaumont Foundation, and a Task Force of public health experts revealed a revised 10 Essential Public Health Services (EPHS) framework, updating the recognizable graphic and Essential Services to meet the needs of current and future public health practice. Perhaps the most notable update, and the one that was most requested, is the centering of equity – literally in the graphic and throughout the Framework itself, embedding it as essential in the field in order to protect and promote the health of all people in all communities. (Journal of Public Health Management and Practice)

CDC’s Interim Guidance for General Population Disaster Shelters During the COVID-19 Pandemic - 14-Sep-2020
This interim guidance is based on current information about the transmission and severity of coronavirus disease 2019 (COVID-19). (Centers for Disease Control and Prevention (CDC), HHS)

States Explore Pivoting Hospital Community Benefit Requirements to Address Disparities Exposed by COVID-19 - 14-Sep-2020
States are eager to address the inequities driving disparities in COVID-19 outcomes among racial and ethnic minorities and other historically marginalized populations. One lever available to state policymakers is to require nonprofit hospitals to address health inequities in the community investments they must make in exchange for their significant tax exemptions. (National Academy for State Health Policy (NASHP))

The Role of Public Health in Reducing Suicide Risk During COVID-19 - 14-Sep-2020
Because COVID-19 impacts risk factors for suicide, such as depression, anxiety, substance misuse, and unemployment, the implications for suicide prevention are many. And with September being Suicide Prevention month, it’s a good time to take stock of how public health leaders can reduce suicide risk during this pandemic. (Association of State and Territorial Health Officials (ASTHO))

Kids Are Missing Critical Windows for Lead Testing Due to Pandemic - 11-Sep-2020
Families skipping or delaying pediatric appointments for their young children because of the pandemic are missing out on more than vaccines. Critical testing for lead poisoning has plummeted in many parts of the country. In the Upper Midwest, Northeast and parts of the West Coast — areas with historically high rates of lead poisoning — the slide has been the most dramatic, according to the Centers for Disease Control and Prevention. (Kaiser Health News (KHN))

The Impact of Coronavirus on Households Across America - 11-Sep-2020
The first survey report in a series of five, "The Impact of Coronavirus on Households in Major U.S. Cities," shows that households in the four largest U.S. cities—New York City, Los Angeles, Chicago, and Houston—experienced widespread, serious financial and health problems since the start of the coronavirus outbreak. (Robert Wood Johnson Foundation (RWJF))

Robert Wood Johnson Foundation Health Policy Fellows 2021-2022 Call for Application - 11-Sep-2020
Fellows will attain and use leadership experience to improve health, health care, health policy, and health equity. The fellowship requires a full-time commitment with a minimum 12-month residence in Washington, D.C., which prepares individuals to influence the future of health and health care in the nation. (Robert Wood Johnson Foundation (RWJF))

E-cigarette Use Among Middle and High School Students — United States, 2020 - 11-Sep-2020
In 2020, 19.6% of high school students (3.02 million) and 4.7% of middle school students (550,000) reported current e-cigarette use. Among current e-cigarette users, 38.9% of high school students and 20.0% of middle school students reported using e-cigarettes on 20 or more of the past 30 days; 22.5% of high school users and 9.4% of middle school users reported daily use. Among all current e-cigarette users, 82.9% used flavored e-cigarettes, including 84.7% of high school users (2.53 million) and 73.9% of middle school users (400,000). (Morbidity and Mortality Weekly Report (MMWR))

Coronavirus Self-Checker - 11-Sep-2020
The Coronavirus Self-Checker is an interactive clinical assessment tool that will assist individuals ages 13 and older, and parents and caregivers of children ages 2 to 12 on deciding when to seek testing or medical care if they suspect they or someone they know has contracted COVID-19 or has come into close contact with someone who has COVID-19. (Centers for Disease Control and Prevention (CDC), HHS)

Beyond the Case Count: The Wide-Ranging Disparities of COVID-19 in the United States - 11-Sep-2020
A new Commonwealth Fund survey finds that Black and Latino adults, women, and people with low incomes are facing the greatest mental health challenges during the pandemic. (Commonwealth Fund)

States Take Action to Expand Access to PrEP Through Telehealth - 11-Sep-2020
In July 2019, the PrEP Access and Coverage Act (H.R.3815) was introduced in the U.S. House of Representatives that aimed to expand access to PrEP to by addressing structural barriers to cost. The bill also aimed to initiate a public education campaign to raise awareness about PrEP among high-need and disproportionately affected communities. Several states (including New Jersey, Utah, and New York) have also proposed and/or passed legislation to ensure insurance coverage of PrEP and/or to allow pharmacists to prescribe and dispense it. In addition to efforts addressing cost-related challenges, states can also employ innovative approaches—such as telehealth—to expand access to PrEP services to those in need. (Association of State and Territorial Health Officials (ASTHO))

Rapid real-time tracking of non-pharmaceutical interventions and their association with SARS-CoV-2 positivity: The COVID-19 Pandemic Pulse Study - 11-Sep-2020
Study sampled 1,030 individuals in Maryland from June 17 – June 28, 2020 to capture socio-demographically and geographically resolved information about non-pharmaceutical intervention (NPI) adoption, access to SARS-CoV-2 testing, and examine associations with self-reported SARS-CoV-2 positivity. (Oxford Journals)

Estimating Undercoverage Bias of Internet Users - 11-Sep-2020
Study examined undercoverage bias of internet use by partitioning it into a product of 2 components: proportion of noninternet use and difference in the prevalences of interest (self-reported health, current smoking, and binge drinking) between internet users and noninternet users. (Preventing Chronic Disease, CDC)

Exposure to Secondhand Smoke in Homes and Vehicles Among US Youths, United States, 2011–2019 - 11-Sep-2020
Study reports the prevalence of self-reported secondhand smoke (SHS) exposure in homes and vehicles among US middle and high school students in 2019 and changes in SHS exposure over time. (Preventing Chronic Disease, CDC)

Marijuana Use and Adherence to Smoking Cessation Treatment Among Callers to Tobacco Quitlines - 11-Sep-2020
The purpose of this observational study was to describe marijuana use among quitline callers in states with legalized marijuana. (Preventing Chronic Disease, CDC)

Hurricane Evacuation Laws in Eight Southern U.S. Coastal States — December 2018 - 11-Sep-2020
Analysis of evacuation policies in eight southern U.S. coastal states found that all have laws to execute evacuation orders. However, only four have laws that require informing racially and ethnically diverse populations and persons with disabilities and functional needs of emergency evacuation plans. (Morbidity and Mortality Weekly Report (MMWR))

Delay or Avoidance of Medical Care Because of COVID-19–Related Concerns — United States, June 2020 - 11-Sep-2020
By June 30, 2020, because of concerns about COVID-19, an estimated 41% of U.S. adults had delayed or avoided medical care including urgent or emergency care (12%) and routine care (32%). Avoidance of urgent or emergency care was more prevalent among unpaid caregivers for adults, persons with underlying medical conditions, Black adults, Hispanic adults, young adults, and persons with disabilities. (Morbidity and Mortality Weekly Report (MMWR))

Community and Close Contact Exposures Associated with COVID-19 Among Symptomatic Adults ≥18 Years in 11 Outpatient Health Care Facilities — United States, July 2020 - 11-Sep-2020
Findings from a case-control investigation of symptomatic outpatients from 11 U.S. health care facilities found that close contact with persons with known COVID-19 or going to locations that offer on-site eating and drinking options were associated with COVID-19 positivity. Adults with positive SARS-CoV-2 test results were approximately twice as likely to have reported dining at a restaurant than were those with negative SARS-CoV-2 test results. (Morbidity and Mortality Weekly Report (MMWR))

Newborn Screening Practices and Alpha-Thalassemia Detection — United States, 2016 - 11-Sep-2020
A 2016 survey of NBS programs found that although most programs report at least one form of suspected alpha-thalassemia, the methodologies, thresholds used, forms of disease reported, and processes for reporting vary widely. (Morbidity and Mortality Weekly Report (MMWR))

Infants with Congenital Disorders Identified Through Newborn Screening — United States, 2015–2017 - 11-Sep-2020
This first national report based on reported cases from all 50 states estimates that approximately 12,900 births might be identified each year with an NBS disorder included in the study (34.0 per 10,000 births). (Morbidity and Mortality Weekly Report (MMWR))

Protecting Young People From E-cigarettes - 11-Sep-2020
As back-to-school season begins—whether that means in-person or virtual classes—parents and teachers must juggle many roles and many different concerns about students’ health. Protecting youth and young adults from the harms of using e-cigarettes is one important way you can help keep them healthy. (Centers for Disease Control and Prevention (CDC), HHS)

Preparing for the Worst, Health Agencies Mount Unprecedented Flu Shot Drives - 11-Sep-2020
Since the mid-1940s, public health officials have tried every year to ensure the entire U.S. population 6 months and older get vaccinated. And every year, only half do. State and local health agencies want this year to be different.This year, every state is launching some type of program to address those longstanding disparities in the distribution of flu shots. (Pew Charitable Trusts)

Schools Find Success in Reducing Sodium in Meals - 10-Sep-2020
This new issue brief from Healthy Eating Research examines the recent history of sodium standards for school meals. (Robert Wood Johnson Foundation (RWJF))

Sugary Drinks Harm Kids’ Health - 10-Sep-2020
This special feature highlights the latest data and trends on sugary drink consumption and facts about how sugary drinks impact kids’ health. It summarizes efforts and recommendations for reducing consumption, recent research, and stories of communities taking action. (Robert Wood Johnson Foundation (RWJF))

HRSA’s Ryan White HIV/AIDS Program Discusses Engaging the Criminal Legal System to End the HIV Epidemic - 10-Sep-2020
The Health Resources and Services Administration (HRSA) HIV/AIDS Bureau (HAB), which oversees the Ryan White HIV/AIDS Program (RWHAP), convened a Technical Expert Panel (TEP) earlier this year to identify barriers and facilitators in providing HIV services to people who are incarcerated. Participants in the panel identified issues related to provision of HIV care in correctional settings and others specific to re-entry. (Health Resources and Services Administration (HRSA), HHS)

Contact Tracing: Training New Workers and Connecting with Rural Residents - 10-Sep-2020
Across the country, contact tracing continues to be an important step in combatting the coronavirus pandemic, especially as schools and businesses open up and as community members become more active outside the home. (Rural Health Information Hub)

Seattle’s Sugary Drink Tax Helps Feed Local Families Hit Hardest by COVID-19 - 10-Sep-2020
Amid the COVID-19 pandemic, Seattle’s sugary drink tax has put $5 million worth of grocery vouchers into the hands of those who need them most. (Robert Wood Johnson Foundation (RWJF))

How the Census Bureau Measures Income and Poverty - 10-Sep-2020
The U.S. Census Bureau releases income, poverty and health insurance statistics from its Current Population Survey Annual Social and Economic Supplement, known as CPS ASEC, every September. It also releases one-year statistics from the 2019 American Community Survey (ACS) later this month. The national statistics from these surveys are not identical because they collect income data differently. (U.S. Census Bureau)

Comparison of Clinical Features of COVID-19 vs Seasonal Influenza A and B in US Children - 10-Sep-2020
In this cohort study of 315 children with COVID-19 and 1402 children with seasonal influenza, there were no statistically significant differences in the rates of hospitalization, admission to the intensive care unit, and mechanical ventilator use between the 2 groups. More patients with COVID-19 than with seasonal influenza reported fever, diarrhea or vomiting, headache, body ache, or chest pain at the time of diagnosis. (American Medical Association (AMA))

Guidance to Improve Care for Infants with Neonatal Abstinence Syndrome and Their Families - 09-Sep-2020
Guidance includes states' best practices for innovative or evidence-based payment models, recommendations for states on financing opportunities through Medicaid and CHIP, guidance to state Medicaid agencies on additional flexibilities for screening, prevention, and post discharge services, and guidance on suggested terminology and ICD codes to identify infants with NAS and neonatal opioid withdrawal syndrome. (Centers for Medicare & Medicaid Services (CMS), HHS)

Antidepressant Use Among Adults: United States, 2015-2018 - 09-Sep-2020
During 2015–2018, 13.2% of adults aged 18 and over used antidepressant medications in the past 30 days. Use was higher among women (17.7%) than men (8.4%). (National Center for Health Statistics, CDC)

Swinomish Tribe Assesses Climate Change Impact - 09-Sep-2020
The Swinomish Indian Tribal Community conducted a health assessment to address climate change impacts on first foods, incorporating local knowledge and tribal values within the scientific research process. (Centers for Disease Control and Prevention (CDC), HHS)

A Guide to Methods for Assessing Childhood Obesity - 09-Sep-2020
Guide describes six methods commonly used to assess body composition in children and highlights procedures, validity and reliability, reference data, accessibility, cost, and participant burden and risk. (National Collaborative on Childhood Obesity Research (NCCOR))

Timing of State and Territorial COVID-19 Stay-at-Home Orders and Changes in Population Movement — United States, March 1–May 31, 2020 - 08-Sep-2020
States and territories that issued mandatory stay-at-home orders experienced decreased population movement in most counties. The period after the first state relaxed a stay-at-home order was associated with increased population movement in states or territories that had not relaxed a stay-at-home order in the same period. (Morbidity and Mortality Weekly Report (MMWR))

Vital Signs: Characteristics of Drug Overdose Deaths Involving Opioids and Stimulants — 24 States and the District of Columbia, January–June 2019 - 08-Sep-2020
Illicitly manufactured fentanyls (IMFs), heroin, cocaine, or methamphetamine (alone or in combination) were involved in 83.8% of overdose deaths during January–June 2019; at least one potential opportunity for intervention was identified in 62.7% of overdose deaths. (Morbidity and Mortality Weekly Report (MMWR))

Hydroxychloroquine and Chloroquine Prescribing Patterns by Provider Specialty Following Initial Reports of Potential Benefit for COVID-19 Treatment — United States, January–June 2020 - 08-Sep-2020
New prescriptions by specialists who did not typically prescribe these medications (defined as specialties accounting for ≤2% of new prescriptions before 2020) increased from 1,143 prescriptions in February 2020 to 75,569 in March 2020, an 80-fold increase from March 2019. (Morbidity and Mortality Weekly Report (MMWR))

What is Nootkatone? A Primer on the New Tool to Defend against Mosquitoes and Ticks - 08-Sep-2020
The Environmental Protection Agency (EPA) recently announced approval of the CDC-discovered and CDC-developed compound nootkatone for manufacturing use into insecticides and repellents. The hope is that nootkatone can help address these two needs in vector-borne disease prevention and control. Nootkatone is a compound found in minute quantities in Alaska yellow cedar trees and grapefruit skin. (Association of State and Territorial Health Officials (ASTHO))

Genome Data Help to Track COVID-19 Superspreading Event - 08-Sep-2020
When it comes to COVID-19, anyone, even without symptoms, can be a “superspreader” capable of unknowingly infecting a large number of people and causing a community outbreak. That’s why it is so important right now to wear masks when out in public and avoid large gatherings, especially those held indoors, where a superspreader can readily infect others with SARS-CoV-2, the virus responsible for COVID-19. Driving home this point is a new NIH-funded study on the effects of just one superspreader event in the Boston area: an international biotech conference held in February, before the public health risks of COVID-19 had been fully realized. Almost a hundred people were infected. But it didn’t end there. (National Institutes of Health (NIH), HHS)

Improving Maternal Health Access, Coverage, and Outcomes in Medicaid: A Resource for State Medicaid Agencies and Medicaid Managed Care Organizations - 08-Sep-2020
This report reflects the Institute for Medicaid Innovation’s ambitious national project to answer critical questions that are needed to advance maternal health, specific to the midwifery-led model of care, for the Medicaid population. (Institute for Medicaid Innovation)

WIC Infant and Toddler Feeding Practices Study 2: Fourth Year Report - 08-Sep-2020
Overall, the study examines child-feeding practices, associations between WIC services and those practices, and the health and nutrition outcomes of children who received WIC around birth. This report, the fifth in the series generated from this study, focuses on the dietary intake patterns and weight status of children during the fourth year of life. The report also examines families’ WIC experiences and their perceptions of the program’s impact. (U.S. Department of Agriculture (USDA))

Number of Physically Inactive Adults With Arthritis in the United States Who Could Improve Physical Function and Pain Control by Exercising - 08-Sep-2020
Study estimated the number of physically inactive US adults with arthritis by state and nationally who could improve their physical function and pain control by participating in an exercise program. (Preventing Chronic Disease, CDC)

The Navajo Nation Healthy Diné Nation Act: A Two Percent Tax on Foods of Minimal-to-No Nutritious Value, 2015–2019 - 08-Sep-2020
This study summarizes tax revenue and disbursements from the Navajo Nation Healthy Diné Nation Act of 2014, which included a 2% tax on foods of minimal-to-no nutritional value (junk food tax), the first in the United States and in any sovereign tribal nation. (Preventing Chronic Disease, CDC)

Disparities in the Healthfulness of School Food Environments and the Nutritional Quality of School Lunches - 08-Sep-2020
To better understand the extent of disparities in the school food environment after the Healthy, Hunger-Free Kids Act (HHFKA), this paper examined differences in the healthfulness of school food environments and the nutritional quality of school lunches by the school poverty level and racial/ethnic composition of students using data from the School Nutrition and Meal Cost Study. (Mathematica Policy Research, Inc.)

State Watchdogs Plan to Monitor COVID-19 Data Accuracy - 08-Sep-2020
Concerned about the accuracy and uniformity of COVID-19 data, a bipartisan coalition of fiscal watchdogs have banded together to try to help make sure states are compiling and tracking information the same way. (Pew Charitable Trusts)

The Role of Law and Ethics in Recent Preparedness and Response for Vaccine-Preventable Illness - 04-Sep-2020
Most, but not all, of the challenges to local vaccine hesitancy response efforts have been decided in ways reinforcing and deferring to foundational legal and ethical public health principles. A review of recent vaccine-related agency, legislature, and court activity using these principles can help assess the scope, limits, and vulnerabilities of US public health agencies’ authority to protect the public from vaccine-preventable illnesses and to address infectious disease threats such as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), for which no vaccines or treatments are available. (Public Health Reports)

Genetics Home Reference Merged into MedlinePlus - 03-Sep-2020
As of October 1, 2020, the National Library of Medicine (NLM) will no longer offer Genetics Home Reference as a stand-alone website. Most of the content from Genetics Home Reference will be available in MedlinePlus, the NLM flagship website for health information for patients, families, and the general public. Please visit to access genetics content in MedlinePlus. (National Library of Medicine (NLM), NIH)

Fighting Compassion Fatigue During Public Health Epidemics (August 2020) - 03-Sep-2020
This brief will examine the opioid overdose epidemic as a case study in compassion fatigue during public health epidemics. (Association of State and Territorial Health Officials (ASTHO))

Promoting mask-wearing during the COVID-19 pandemic: A Policymaker's Guide (August 2020) - 03-Sep-2020
This document draws on scientific evidence from the COVID-19 pandemic and from prior public health research on behavior change, with the purpose of empowering governments to measure face mask use in their jurisdictions and promote widespread adoption of masks in the general population. (Johns Hopkins Center for Health Security)

Health Officials Worry Nation’s Not Ready for COVID-19 Vaccine - 03-Sep-2020
Dozens of doctors, nurses and health officials interviewed by KHN and The Associated Press expressed concern about the country’s readiness to conduct mass vaccinations, as well as frustration with months of inconsistent information from the federal government. (Kaiser Health News (KHN))

COVID-19 Information Metrics for Response Leadership's Decision Making - 03-Sep-2020
This document aims to provide critical COVID-19 information metrics by technical area that response leaders in non-U.S. settings can request to aid in informing COVID-19 response decisions. This document includes a set of core metrics within 10 technical areas for response leaders to help monitor response progress and guide decision making. (Centers for Disease Control and Prevention (CDC), HHS)

2019 BRFSS Survey Data and Documentation - 03-Sep-2020
The CDC has just released the 2019 edition of the Behavioral Risk Factor Surveillance System (BRFSS). The BRFSS is a system of ongoing health-related telephone surveys designed to collect data on health-related risk behaviors, chronic health conditions, and use of preventive services from the noninstitutionalized adult population (≥ 18 years) residing in the United States. (Centers for Disease Control and Prevention (CDC), HHS)

Medicare and Medicaid Programs, Clinical Laboratory Improvement Amendments (CLIA), and Patient Protection and Affordable Care Act; Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency - 02-Sep-2020
This interim final rule with comment period (IFC) revises regulations to strengthen CMS' ability to enforce compliance with Medicare and Medicaid long-term care (LTC) facility requirements for reporting information related to coronavirus disease 2019 (COVID-19), establishes a new requirement for LTC facilities for COVID-19 testing of facility residents and staff, establishes new requirements in the hospital and critical access hospital (CAH) Conditions of Participation (CoPs) for tracking the incidence and impact of COVID-19 to assist public health officials in detecting outbreaks and saving lives, and establishes requirements for all CLIA laboratories to report COVID-19 test results. (Centers for Medicare & Medicaid Services (CMS), HHS)

Temporary Halt in Residential Evictions to Prevent the Further Spread of COVID-19 - 02-Sep-2020
The CDC announces the issuance of an Order under Section 361 of the Public Health Service Act to temporarily halt residential evictions to prevent the further spread of COVID-19. This Order is effective through December 31, 2020. (Centers for Disease Control and Prevention (CDC), HHS)

Introducing the Long-Term Care COVID Tracker: Tracing COVID-19’s Dramatic Toll on a Uniquely Vulnerable Population - 02-Sep-2020
This new dataset shows how COVID-19 has travelled through the nation’s long-term care facilities. The virus has killed one out of every 28 long-term care residents in the United States. (The Atlantic)

Key Questions About the Impact of Coronavirus on Long-Term Care Facilities Over Time - 02-Sep-2020
This analysis evaluates trends of long-term care cases and deaths between April and August 2020 to evaluate where and when the pandemic has hit long-term care facilities the hardest, how the share of cases and deaths attributed to long-term care facilities has changed over time, and whether states continue to report new cases and deaths in these facilities at the same rate now as they did back in April. (Kaiser Family Foundation (KFF))

State Levers to Support Dental Care in COVID-19’s Public Health and Economic Emergency - 02-Sep-2020
COVID-19 has greatly impacted dental care and oral health access in the United States. From closed offices to an increased need for personal protective equipment (PPE), states and providers are both facing challenges to connect patients to dental care. With reduced tax revenue and looming budget crises, states are also facing difficult budget decisions – despite the knowledge that dental benefits can lead to health care savings. As states confront these challenges, they are using innovative solutions, such as teledentistry, to support providers and connect patients with dental care. (National Academy for State Health Policy (NASHP))

Integrating the Science of Aging and Environmental Health Research: Proceedings of a Workshop–in Brief (2020) - 02-Sep-2020
Brief summary of a June 2020 workshop to explore how environmental exposures influence or mediate aging and how aging influences environmentally mediated health outcomes. (National Academies of Science, Engineering, and Medicine (NASEM))

Discussion Draft of the Preliminary Framework for Equitable Allocation of COVID-19 Vaccine (2020) - 02-Sep-2020
On September 1, 2020, the National Academies of Sciences, Engineering, and Medicine invited public comment on the Discussion Draft of the Preliminary Framework for Equitable Allocation of COVID-19 Vaccine, commissioned by the Centers for Disease Control and the National Institutes of Health. Input from the public, especially communities disproportionately affected by the COVID-19 pandemic, is essential to produce a final report that is objective, balanced, and inclusive. The public comment period will be open for 4 days, from 12:00 p.m. ET on Tuesday, September 1, until 11:59 p.m. ET on Friday, September 4. (National Academies of Science, Engineering, and Medicine (NASEM))

Virus Imperils Health Care Safety Net - 02-Sep-2020
Even as the coronavirus has exposed and deepened racial health disparities, it also has imperiled the health care providers that many minority and poor communities rely on for the medical care they receive. (Pew Charitable Trusts)

Guide to Infection Control in the Healthcare Setting: COVID-19, the 2019-Novel Coronavirus (2019-NCOV, SARS-COV-2) - 02-Sep-2020
It is important to realize and adhere to the routine practice of early identification, triaging suspected patients, and promptly isolating them. Personnel at country entry ports who are taking the temperature of arrivals may only need hand hygiene (alcohol-based handrub/ABHR) if more than 1 meter away behind a desk or partition. For those coming in contact with asymptomatic contacts, a surgical face mask is adequate. In healthcare facilities where there is no high risk aerosol generating procedure involved, face mask, gloves, and aprons are recommended. (International Society for Infectious Diseases)

Coming Soon: NLM Classification Redesign - 02-Sep-2020
There will soon be a new look and feel to the NLM Classification. The new interface will be released in late September as part of the 2020 Summer edition update. With this new design and modified organizational structure will come a new URL, which will be announced when it is available. The old URL will automatically be redirected to the new one. The new site functions best in Chrome or Firefox. Be on the lookout for more announcements. (National Library of Medicine (NLM), NIH)

COVID-19 Racism and Mental Health in Chinese American Families - 02-Sep-2020
This study demonstrates that high proportions of Chinese American youth and adults experienced COVID-19 racial discrimination across multiple dimensions. Associations with lower psychological well-being and higher internalizing and externalizing problems were found. Children/adolescents were also vulnerable to their parents’ experiences. (American Academy of Pediatrics (AAP))

Well-being of Parents and Children During the COVID-19 Pandemic: A National Survey - 02-Sep-2020
Results from a June 2020 national survey of parents with children age <18 to measure changes in health status, insurance status, food security, use of public food assistance resources, child care, and use of health care services since the pandemic began. (American Academy of Pediatrics (AAP))

NIH-supported study to track prevalence and impact of SARS-CoV-2 among pregnant women in low- and middle-income countries - 02-Sep-2020
The National Institutes of Health has launched a study to track the prevalence and impact of SARS-CoV-2 infection among approximately 16,000 pregnant women in seven low- and middle-income countries. The study will follow women through pregnancy and 12 months after childbirth to compare maternal, fetal and newborn outcomes of participants who have been infected with the virus to those of pregnant women who have not been infected. (National Institutes of Health (NIH), HHS)

September is National Childhood Obesity Month - 02-Sep-2020
About 1 in 5 (19%) children in the United States has obesity. Certain groups of children are more affected than others. National Childhood Obesity Awareness Month provides a chance for all of us to learn more about this serious health condition. While there is no simple solution, there are many ways communities can support children with their journey to good health. (Centers for Disease Control and Prevention (CDC), HHS)

SARS-CoV-2 Testing and Changes in Primary Care Services in a Multistate Network of Community Health Centers During the COVID-19 Pandemic - 02-Sep-2020
Study describes SARS-CoV-2 testing, individuals with positive test results, and changes in select primary care services in a multistate network of CHCs in the first weeks of the pandemic. (American Medical Association (AMA))

Supporting Wellness at Pantries (SWAP): changes to inventory in six food pantries over one year - 01-Sep-2020
The aim of the Supporting Wellness at Pantries (SWAP) system is to rank, label, and organize food pantry items according to whether they should be consumed often (green), sometimes (yellow), or rarely (red), using a stoplight system in accordance with the 2015–2020 Dietary Guidelines for Americans. This study assessed the nutritional quality of inventory available at six food pantries before and after implementing SWAP. The hypothesis was that the intervention would encourage efforts to procure healthier foods. (University of Connecticut, Rudd Center for Food Policy & Obesity)

Adverse Childhood Experiences (ACEs): Health Impact of ACEs in Ohio - 01-Sep-2020
This brief summarizes current research on how ACEs impact health and well-being and provides new data and analysis on the prevalence of ACEs in Ohio and the impact of ACEs on the health of Ohioans. (Health Policy Institute of Ohio)

Estimates of State Supplemental Nutrition Assistance Program Participation Rates in 2017 - 01-Sep-2020
This report, part of an annual series, presents estimates, by state, of the percentage of eligible persons and working poor individuals who participated in SNAP during an average month in fiscal year (FY 2017) and the two previous fiscal years. (U.S. Department of Agriculture (USDA))

Proposed Data Collection Submitted for Public Comment and Recommendations: Availability, Use, and Public Health Impact of Emergency Supply Kits among Disaster-Affected Populations - 01-Sep-2020
The goal of this study is to determine the efficacy and public health impact of emergency supply kits among disaster-affected populations to understand how emergency supply kits are used during and after a natural disaster, if public health outcomes are associated with access to emergency supply kits, and what the most useful items to include in an emergency supply kit are across different types of disasters. Written comments must be received on or before October 27, 2020. (Centers for Disease Control and Prevention (CDC), HHS)

Digital contact tracing technologies in epidemics: a rapid review - 01-Sep-2020
Rapid review assesses the benefits, harms, and acceptability of personal digital contact tracing solutions for identifying contacts of an identified positive case of an infectious disease. (The Cochrane Collaboration)

Conversations on Science: In Depth With Dr. Fauci - 01-Sep-2020
In the first episode of our new season “Conversations on Science,” Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, discusses the importance of science in our daily lives, especially amid the pandemic, and shares his own story about how he fell in love with science. (Pew Charitable Trusts)

How to mitigate COVID-19 transmission in densely populated areas globally - 01-Sep-2020
This document provides suggestions for community mitigation measures in densely populated, international, low-resource settings and describes implementation considerations associated with each measure. (Centers for Disease Control and Prevention (CDC), HHS)

COVID-19: Brief Update on Initial Federal Response to the Pandemic - 01-Sep-2020
The CARES Act includes a provision for GAO to report bimonthly on its ongoing monitoring and oversight efforts related to COVID-19. This second report examines federal spending on the COVID-19 response; indicators for monitoring public health and the economy; and the status of matters for congressional consideration and recommendations from GAO’s June 2020 report (GAO-20-625). (U.S. Government Accountability Office)

Considerations for Use of SARS-CoV-2 Antigen Testing in Nursing Homes - 01-Sep-2020
This document provides a summary of considerations for use of SARS-CoV-2 (the virus that causes COVID-19) antigen testing in nursing homes and is intended for nursing home providers and state and local public health departments. (Centers for Disease Control and Prevention (CDC), HHS)

Underfunded And Under Threat - 01-Sep-2020
A series examining how the U.S. public health front lines have been left understaffed and ill-prepared to save us from the coronavirus pandemic. (Kaiser Health News (KHN))

America at a glance: Social isolation and loneliness during the first wave of COVID-19 - 01-Sep-2020
To learn more about how COVID-19 and related responses (i.e. stay-at-home orders) may contribute to feelings of social isolation and loneliness among people with disabilities, study compared data from two cross-sectional samples collected before and after the first wave of “stay-at-home” orders. (University of Montana)

Pulse survey on continuity of essential health services during the COVID-19 pandemic: interim report, 27 August 2020 - 01-Sep-2020
The Pulse survey on continuity of essential health services during the COVID-19 pandemic aimed to gain initial insight from country key informants into the impact of the COVID-19 pandemic on essential health services across the life course. The survey results in this interim report can improve our understanding of the extent of disruptions across all services, the reasons for disruptions, and the mitigation strategies countries are using to maintain service delivery. (World Health Organization (WHO))

Rural Versus Urban Prevalence of Intimate Partner Violence Related Emergency Department Visits, 2009-2014 (August 2020) - 01-Sep-2020
The purpose of this study was to determine rural-urban disparities in prevalence of intimate partner violence-related emergency department visits using a nationally representative sample of emergency room visits for the years 2009-2014. Differences by U.S. Census region and gender were also analyzed. (Southwest Rural Health Research Center)


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