Last data update: Oct 28, 2024. (Total: 48004 publications since 2009)
Records 1-4 (of 4 Records) |
Query Trace: Rose MA[original query] |
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COVID-19 response by the Hopi Tribe: impact of systems improvement during the first wave on the second wave of the pandemic.
Humeyestewa D , Burke RM , Kaur H , Vicenti D , Jenkins R , Yatabe G , Hirschman J , Hamilton J , Fazekas K , Leslie G , Sehongva G , Honanie K , Tu'tsi E , Mayer O , Rose MA , Diallo Y , Damon S , Zilversmit Pao L , McCraw HM , Talawyma B , Herne M , Nuvangyaoma TL , Welch S , Balajee SA . BMJ Glob Health 2021 6 (5) The Hopi Tribe is a sovereign nation home to ~7500 Hopi persons living primarily in 12 remote villages. The Hopi Tribe, like many other American Indian nations, has been disproportionately affected by COVID-19. On 18 May 2020, a team from the US Centers for Disease Control and Prevention (CDC) was deployed on the request of the tribe in response to increases in COVID-19 cases. Collaborating with Hopi Health Care Center (the reservation's federally run Indian Health Service health facility) and CDC, the Hopi strengthened public health systems and response capacity from May to August including: (1) implementing routine COVID-19 surveillance reporting; (2) establishing the Hopi Incident Management Authority for rapid coordination and implementation of response activities across partners; (3) implementing a community surveillance programme to facilitate early case detection and educate communities on COVID-19 prevention; and (4) applying innovative communication strategies to encourage mask wearing, hand hygiene and physical distancing. These efforts, as well as community adherence to mitigation measures, helped to drive down cases in August. As cases increased in September-November, the improved capacity gained during the first wave of the pandemic enabled the Hopi leadership to have real-time awareness of the changing epidemiological landscape. This prompted rapid response coordination, swift scale up of health communications and redeployment of the community surveillance programme. The Hopi experience in strengthening their public health systems to better confront COVID-19 may be informative to other indigenous peoples as they also respond to COVID-19 within the context of disproportionate burden. |
Trends in Use of Telehealth Among Health Centers During the COVID-19 Pandemic - United States, June 26-November 6, 2020.
Demeke HB , Merali S , Marks S , Pao LZ , Romero L , Sandhu P , Clark H , Clara A , McDow KB , Tindall E , Campbell S , Bolton J , Le X , Skapik JL , Nwaise I , Rose MA , Strona FV , Nelson C , Siza C . MMWR Morb Mortal Wkly Rep 2021 70 (7) 240-244 Telehealth can facilitate access to care, reduce risk for transmission of SARS-CoV-2 (the virus that causes coronavirus disease 2019 [COVID-19]), conserve scarce medical supplies, and reduce strain on health care capacity and facilities while supporting continuity of care. Health Resources and Services Administration (HRSA)-funded health centers* expanded telehealth(†) services during the COVID-19 pandemic (1). The Centers for Medicare & Medicaid Services eliminated geographic restrictions and enhanced reimbursement so that telehealth services-enabled health centers could expand telehealth services and continue providing care during the pandemic (2,3). CDC and HRSA analyzed data from 245 health centers that completed a voluntary weekly HRSA Health Center COVID-19 Survey(§) for 20 consecutive weeks to describe trends in telehealth use. During the weeks ending June 26-November 6, 2020, the overall percentage of weekly health care visits conducted via telehealth (telehealth visits) decreased by 25%, from 35.8% during the week ending June 26 to 26.9% for the week ending November 6, averaging 30.2% over the study period. Weekly telehealth visits declined when COVID-19 cases were decreasing and plateaued as cases were increasing. Health centers in the South and in rural areas consistently reported the lowest average percentage of weekly telehealth visits over the 20 weeks, compared with health centers in other regions and urban areas. As the COVID-19 pandemic continues, maintaining and expanding telehealth services will be critical to ensuring access to care while limiting exposure to SARS-CoV-2. |
Telehealth Practice Among Health Centers During the COVID-19 Pandemic - United States, July 11-17, 2020.
Demeke HB , Pao LZ , Clark H , Romero L , Neri A , Shah R , McDow KB , Tindall E , Iqbal NJ , Hatfield-Timajchy K , Bolton J , Le X , Hair B , Campbell S , Bui C , Sandhu P , Nwaise I , Armstrong PA , Rose MA . MMWR Morb Mortal Wkly Rep 2020 69 (50) 1902-1905 Early in the coronavirus disease 2019 (COVID-19) pandemic, in-person ambulatory health care visits declined by 60% across the United States, while telehealth* visits increased, accounting for up to 30% of total care provided in some locations (1,2). In March 2020, the Centers for Medicare & Medicaid Services (CMS) released updated regulations and guidance changing telehealth provisions during the COVID-19 Public Health Emergency, including the elimination of geographic barriers and enhanced reimbursement for telehealth services(†) (3-6). The Health Resources and Services Administration (HRSA) administers a voluntary weekly Health Center COVID-19 Survey(§) to track health centers' COVID-19 testing capacity and the impact of COVID-19 on operations, patients, and staff. CDC and HRSA analyzed data from the weekly COVID-19 survey completed by 1,009 HRSA-funded health centers (health centers(¶)) for the week of July 11-17, 2020, to describe telehealth service use in the United States by U.S. Census region,** urbanicity,(††) staffing capacity, change in visit volume, and personal protective equipment (PPE) supply. Among the 1,009 health center respondents, 963 (95.4%) reported providing telehealth services. Health centers in urban areas were more likely to provide >30% of health care visits virtually (i.e., via telehealth) than were health centers in rural areas. Telehealth is a promising approach to promoting access to care and can facilitate public health mitigation strategies and help prevent transmission of SARS-CoV-2 and other respiratory illnesses, while supporting continuity of care. Although CMS's change of its telehealth provisions enabled health centers to expand telehealth by aligning guidance and leveraging federal resources, sustaining expanded use of telehealth services might require additional policies and resources. |
Social determinants of HIV/AIDS and sexually transmitted diseases among black women: implications for health equity
Sharpe TT , Voute C , Rose MA , Cleveland J , Dean HD , Fenton K . J Womens Health (Larchmt) 2011 21 (3) 249-54 Recent epidemiologic reports show that black women are at risk for HIV infection and other sexually transmitted diseases (STDs). In this report, we go beyond race and consider a number of social and economic trends that have changed the way many black women experience life. We discuss poverty, loss of status and support linked to declining marriage participation, and female-headed single-parent household structure-all of which influence sexual risks. We also discuss the Centers for Disease Control and Prevention-led national efforts to advance consideration of social determinants of health (SDH) and promotion of health equity in public health activities that may have impact on black and other women. |
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- Page last updated:Oct 28, 2024
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