lunes, 28 de septiembre de 2020

COVID-19 GPH|Home|PHGKB

COVID-19 GPH|Home|PHGKB
Conoravirus Disease Portal
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Disparities in COVID-19 Incidence, Hospitalizations, and Testing, by Area-Level Deprivation - Utah, March 3-July 9, 2020.
Lewis Nathaniel M et al. MMWR. Morbidity and mortality weekly report 2020 Sep 69(38) 1369-1373
Odds of infection increased with level of deprivation and were two times greater in high-deprivation areas (weighted OR = 2.08; 95% confidence interval [CI] = 1.99-2.17) and three times greater (weighted OR = 3.11; 95% CI = 2.98-3.24) in very high-deprivation areas, compared with those in very low-deprivation areas.
We estimate that 26.3% [95% CI, 20.1% to 32.5%] of excess deaths between February 1 and September 23, 2020 were ascribed to causes of death other than Covid-19 itself. Excess deaths not assigned to Covid-19 were even higher than predicted by our model in counties with high income inequality, low homeownership, and high percentages of Black residents.
In this systematic review and meta-analysis including 32 studies, children and adolescents younger than 20 years had 44% lower odds of secondary infection with SARS-CoV-2 compared with adults 20 years and older; this finding was most marked in those younger than 10 to 14 years. Data were insufficient to conclude whether transmission of SARS-CoV-2 by children is lower than by adults.
Racism, Not Race, Drives Inequity Across the COVID-19 Continuum
R Khazanchi et al, JAMA Network Open, September 25, 2020
Researchers must interrogate structural racism and its sociopolitical consequences as a root cause of the racial health disparities we observe.8 Short-term and long-term interventions to ameliorate health inequity must address the synergistic interactions of clinical and structural risk conditions, including compounding spillover effects.

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