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New York State, New York City, New Jersey, Puerto Rico, and the US Virgin Islands' Health Department Experiences Promoting Health Equity During the Initial COVID-19 Omicron Variant Period, 2021-2022.
Cox, Heidi; Gebru, Yonathan; Horter, Libby; Palomeque, Francisco S; Myers, Kristopher; Stowell, Daniel; Easterling, Torian; de Noguera, Nayeli Salazar; Medina-Forrester, Amanda; Bravo, Josely; Pérez, Siomara; Chaparro, Jaikiz; Ekpo, Lisa La Place; Cranford, Hannah; Santibañez, Scott; Valencia, Diana.
Afiliação
  • Cox H; Heidi Cox, MPH, is a Public Health Analyst; in the Division of Preparedness and Emerging Infections, National Center for Emerging and Zoonotic Infectious Diseases, US Centers for Disease Control and Prevention (CDC), Atlanta, GA.
  • Gebru Y; Yonathan Gebru, MPH, is a Public Health Advisor; in the Division of Preparedness and Emerging Infections, National Center for Emerging and Zoonotic Infectious Diseases, US Centers for Disease Control and Prevention (CDC), Atlanta, GA.
  • Horter L; Libby Horter, MPH, is a Data Manager; in the Division of Preparedness and Emerging Infections, National Center for Emerging and Zoonotic Infectious Diseases, US Centers for Disease Control and Prevention (CDC), Atlanta, GA.
  • Palomeque FS; Francisco S. Palomeque, MPH, is a Health Scientist, Division of State and Local Readiness, National Center for Emerging and Zoonotic Infectious Diseases, CDC, Atlanta, GA.
  • Myers K; Kristopher Myers, PhD, was a Consultant Data Manager, State, Tribal, Local, and Territorial Support Task Force, CDC, Atlanta, GA. He is currently a Data Manager, Goldbelt, C6, LLC, Chesapeake, VA.
  • Stowell D; Daniel Stowell, MPH, is a Public Health Analyst, Center for Global Health, CDC, Atlanta, GA.
  • Easterling T; Torian Easterling, MD, PhD, is First Deputy Commissioner and Chief Equity Officer, New York City Department of Health and Mental Hygiene, New York, NY.
  • de Noguera NS; Nayeli Salazar de Noguera, PhD, is a Program Management Officer, the New Jersey Department of Health, Trenton, NJ.
  • Medina-Forrester A; Amanda Medina-Forrester, MPH, is Executive Director of Office of Minority and Multicultural Health; the New Jersey Department of Health, Trenton, NJ.
  • Bravo J; Josely Bravo, MPH, is a COVID-19 Vaccine Equity Official; the Puerto Rico Department of Health, San Juan, PR.
  • Pérez S; Siomara Pérez, DrPH, is a Project Manager; the Puerto Rico Department of Health, San Juan, PR.
  • Chaparro J; Jaikis Chaparro, MSW, is Director of Health Equity Program; the Puerto Rico Department of Health, San Juan, PR.
  • Ekpo LP; Lisa La Place Ekpo, DrPH, is Epidemiologists, US Virgin Islands Department of Health, Saint Thomas, USVI.
  • Cranford H; Hannah Cranford, MPH, is Epidemiologists, US Virgin Islands Department of Health, Saint Thomas, USVI.
  • Santibañez S; Scott Santibañez, MD, MPHTM, is Chief Medical Officer and Associate Director for Science; in the Division of Preparedness and Emerging Infections, National Center for Emerging and Zoonotic Infectious Diseases, US Centers for Disease Control and Prevention (CDC), Atlanta, GA.
  • Valencia D; Diana Valencia, MS, is a Health Scientist; in the Division of Preparedness and Emerging Infections, National Center for Emerging and Zoonotic Infectious Diseases, US Centers for Disease Control and Prevention (CDC), Atlanta, GA.
Health Secur ; 21(S1): S25-S34, 2023 Sep.
Article em En | MEDLINE | ID: mdl-37590481
In this case study, we aim to understand how health departments in 5 US jurisdictions addressed health inequities and implemented strategies to reach populations disproportionately affected by COVID-19 during the initial Omicron variant period. We used qualitative methods to examine health department experiences during the initial Omicron surge, from November 2021 to April 2022, assessing successful interventions, barriers, and lessons learned from efforts to promote health equity. Our findings indicate that government leadership supported prioritizing health equity from the beginning of the pandemic, seeing it as a need and vital part of the response framework. All jurisdictions acknowledged the historical trauma and distrust of the government. Health departments found that collaborating and communicating with trusted community leaders helped mitigate public distrust. Having partnerships, resources, and infrastructure in place before the pandemic facilitated the establishment of equity-focused COVID-19 response activities. Finally, misinformation about COVID-19 was a challenge for all jurisdictions. Addressing the needs of diverse populations involves community-informed decisionmaking, diversity of thought, and delivery measures that are tailored to the community. It is imperative to expand efforts to reduce and eliminate health inequities to ensure that individuals and communities recover equitably from the effects of COVID-19.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Equidade em Saúde / COVID-19 Tipo de estudo: Prognostic_studies / Qualitative_research Aspecto: Equity_inequality Limite: Humans País/Região como assunto: America do norte / Caribe / Caribe ingles / Islas virgenes de los estados unidos / Puerto rico Idioma: En Revista: Health Secur Ano de publicação: 2023 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Equidade em Saúde / COVID-19 Tipo de estudo: Prognostic_studies / Qualitative_research Aspecto: Equity_inequality Limite: Humans País/Região como assunto: America do norte / Caribe / Caribe ingles / Islas virgenes de los estados unidos / Puerto rico Idioma: En Revista: Health Secur Ano de publicação: 2023 Tipo de documento: Article País de publicação: Estados Unidos