US With COVID-19, rural testing deserts should be our immediate priority

03:50  01 july  2020
03:50  01 july  2020 Source:   thehill.com

Covid-19: Morocco sets up a field hospital after the appearance of several outbreaks

 Covid-19: Morocco sets up a field hospital after the appearance of several outbreaks © AFP / FADEL SENNA Several rural communities in this region of west Morocco have been placed in quarantine. Morocco is taking action against the coronavirus. The kingdom has erected a field hospital in the province of Kenitra (in the west of the country), which will welcome as early as Sunday some 700 confirmed cases of Covid-19 recorded in epidemiological centers.

COVID - 19 ’s effects on rural elderly Americans go further than just whether or not they will contract the disease, but whether or not they can get through any potential lockdown should contagion numbers become untenable. “How will they get food and supplies efficiently?” says Graham.

that they have COVID - 19 should isolate at home, COVID - 19 can be spread by people who do not have More information about cloth face coverings can be found on our cloth face coverings site. COVID - 19 can look different in different people. For many people, being sick with COVID - 19 would

Whether you call what's happening across America right now the second wave of COVID-19, or an unfinished first, one thing is certain: not all communities are impacted by the virus in the same way. A community in Monroe County, Ala., for example, which has large swaths of poverty and people with pre-existing illnesses, may suffer more lasting economic damage from a COVID-19 outbreak than a similar-sized community in San Juan County, Wash., where residents' economic security and employment is more stable.

coronavirus covid-19 COVID-19 pandemic spread analysis testing clinical CNN Center for Infectious Disease Research and Policy (CIDRAP) u minnesota © John Moore/Getty Images coronavirus covid-19 COVID-19 pandemic spread analysis testing clinical CNN Center for Infectious Disease Research and Policy (CIDRAP) u minnesota

Or a community in Lincoln County, Ark. - with spotty health system capacity, less access to transportation, and more crowded households - would have a harder time coping than Kent County, Md., where people have better housing and transit options, and hospitals are more prepared.

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In addition, testing for COVID - 19 also informs our understanding of the pandemic and the risks it poses in different populations. This knowledge is important if we are to properly assess the interventions that should be implemented, including very costly interventions such as social distancing and the

How COVID - 19 spreads, quarantine, self-isolation, isolation, wearing a mask, ways you can stop or slow you have been diagnosed with COVID - 19 , or are waiting to hear the results of a lab test for Canadians should continue to think ahead about the actions that they can take to stay healthy and

All of these elements contribute to vulnerability, a term we define as a community's ability to weather a COVID-19 outbreak based on a number of structural, socioeconomic, and health-related factors. This notion of vulnerability is such an important factor to consider in response efforts that the CDC now features our COVID-19 Community Vulnerability Index as a resource for federal, state, and local responders.

And these days, while we're hearing more about how the virus is infiltrating rural communities, we aren't hearing enough about the most vulnerable of these areas - the little towns hit hard by hospital shutdowns, diseases of despair, or record unemployment. Imagine a COVID-19 outbreak compounding this mix of problems in a rural town. This is exactly what's happening across pockets of rural America.

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check the pandemic COVID - 19 travel health notice before travelling and know the health risks for your destination. As of June 19, 2020, the restriction on all discretionary travel at the Canada-U.S. border that was initially Potential travellers should consult the Border Information Service for information.

The COVID - 19 pandemic is far more than a health crisis: it is affecting societies and econ-omies at their core. Immediate development responses in this crisis must be undertaken with an eye to the future. Development trajectories in the long-term will be affected by the choices coun-tries make now and the

While 15 percent of America's urban population lives in counties we've deemed "highly vulnerable" to COVID-19, more than a third (41 percent) of America's rural population does. The scale-up of COVID-19 testing in these counties has also been inadequate - and shows yet another dimension of racial disparities.

Of the entire rural population with no access to a COVID-19 testing site, 8.5 million people live in highly vulnerable rural communities. More than a quarter (34 percent) of this population in testing deserts live in four states: Kentucky, Mississippi, North Carolina, and Arkansas. And rural Black Americans are 1.7 times more likely to live in these testing deserts and nearly three times more likely to live in a vulnerable testing desert than other rural Americans.

These are the places where we should focus the next front in our fight against COVID-19. But how do we start?

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Letter co -creator and infectious disease specialist Rachel Bender Ignacio told Slate its aims are to provide public health officials with narrative-friendly answers to media questions about the implications of the protests on Covid - 19 , as well as to soothe public concerns about whether the protests are

The transmission of diseases, like the Novel Coronavirus COVID - 19 , between animals and humans (zoonoses) threatens economic development, animal and human well- being , and ecosystem integrity. The United Nations Environment Programme supports global efforts to protect biodiversity, to put an

Admittedly, the very issues that make any community vulnerable present challenges that won't be easily be solved. We see many facets of this vulnerability in the counties that ranked highest on our list of the 20 rural testing deserts hit hardest by COVID-19.

In the top county on our list - Terrell County, Ga. - socioeconomic and healthcare system factors are the driving factors of vulnerability, while in Northampton County, Va.- second on our list - vulnerability is derived primarily from greater minority and non-English speaking populations and access to housing and transportation.

Addressing those broad, systemic issues that contribute to vulnerability is important, but that takes time we just don't have. Right now, we must focus on emergency solutions we can implement quickly: allocating our limited resources on "high-vulnerability" rural areas where COVID-19 prevalence is low but could increase quickly.

As we explained in a recent white paper to Congress, ramping up testing, contact tracing and social isolation (TTSI) is highly vulnerable areas that have yet to be hit hard by the virus will save lives and keep COVID-19 from exploding in areas that can't afford for that to happen.

LA County now leads the nation in coronavirus cases

  LA County now leads the nation in coronavirus cases As of Wednesday morning, Los Angeles County led the nation with the number of coronavirus cases.With over 88,000 residents diagnosed with COVID-19, LA County is about 12,000 cases behind the entire state of Florida.

Visit our coronavirus hub and follow our live updates page for the most recent information on the “We look to others to get cues of how we should behave,” Thornton said. “While the coronavirus is a For accurate information about the novel coronavirus and COVID - 19 , visit the Centers for Disease

COVID - 19 Testing Sites. State of Illinois Community-Based Testing Sites. Open to all regardless of symptoms. Sites may close due to weather conditions. All sites will be closed on Saturday, July 4, 2020 in observance of the holiday.

We also know, based on analyses we've conducted of Americans' assessment of COVID-19 risk and social distancing behavior, that people in these highly vulnerable rural areas tend to be more politically conservative, less likely to see themselves as at-risk and do less social distancing. In these areas, we must supplement our TTSI strategy by encouraging more responsible communications from local officials we know residents trust - in other words, no more fights about, or shaming people for, wearing masks.

While urban areas, when considered per capita, still have more COVID-19 cases and deaths than rural areas, the pattern we are seeing in rural America is troubling. With vulnerable rural counties now seeing as many new cases per week as urban America, the damage inflicted on these communities will be devastating. We must immediately prioritize rural testing deserts. We can't afford to ignore the best tool we have in our arsenal - speed. If we fail now, it's a clear sign that we have not learned from our early mistakes.

Dr. Sema Sgaier is co-founder and executive director of Surgo Foundation and adjunct assistant professor at the Harvard T.H. Chan School of Public Health.

Miami-Area Covid-19 Patients on Ventilators Hit New High .
Miami-Dade County, Florida’s most populous, reported the highest numbers of Covid-19 hospitalizations, intensive-care patients and ventilator use since at least early May. © Bloomberg A medical worker wearing PPE assists a person at a Covid-19 drive-thru testing site in Miami Gardens, Florida. The county said Tuesday that it has 1,202 people with Covid-19 in hospitals, an increase of 53 from a day earlier. The number of virus patients in intensive-care unit beds rose to 245 from 236, according to a report. There are 103 Covid-19 patients on ventilators, up from 90 a day earlier.

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