"You're an inmate just deal with it": experiences of formerly incarcerated individuals in New York City during the COVID-19 pandemic
The onset of the COVID-19 pandemic posed uniquely dire challenges in New York City’s jails. Rates of infection and fatality well exceeded those of the general population as the virus spread through congregate residences, heightening the city's status as an early epicenter. Using an inductive, grounded theory approach, we conduct 12 in-depth interviews with persons incarcerated in these jails early in the pandemic to elicit their perspectives on the carceral system’s ability to deliver healthcare services and a safe residence. Participants describe concerns of overcrowding, insufficient protective equipment, and difficulty accessing healthcare through a lens of interpersonal hierarchy, illustrating how their relationships with one another and with jail staff determined their access to public health measures. The data highlight how incarceration revokes individuals’ autonomy and imposes a power dependent, hierarchical relational structure. That context complicates or precludes the development of mutual trust needed for effective public health interventions. We posit entrusting external entities with health communication during a disease outbreak as a mitigation strategy.
- Discussion
19
- 10.1016/s2666-5247(22)00227-0
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The pandemic legacy of antimicrobial resistance in the USA
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42
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Preventing COVID-19 and Its Sequela: “There Is No Magic Bullet... It's Just Behaviors”
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- 10.1111/ajt.16377
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39
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Human Immunodeficiency Virus Pre-Exposure Prophylaxis: Is it the Answer?
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- Apr 22, 2022
- Health security
Innovations in Fatality Management During the COVID-19 Pandemic.
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8
- 10.1016/j.jpeds.2021.04.001
- Apr 3, 2021
- The Journal of Pediatrics
French Pediatric Societies Call for School to Stay Open amid the Coronavirus Disease 2019 Pandemic
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15
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- Jan 1, 2022
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Overlapping heat and COVID-19 risk in New York City
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1
- 10.1097/mlr.0000000000001872
- Jun 8, 2023
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espanolLa politica europea de energia lleva varios anos en primera linea de actuacion de la UE. Su incorporacion al Tratado de Lisboa, asi como su relacion estrecha con otras politicas de la UE tales como competencia, mercado interior, tecnologia o medio ambiente, han convertido a la energia en un actor principal en lo que respecta a la accion y legislacion europeas y hay que mencionar las politicas y actuacion en el campo internacional, incluida la ayuda al desarrollo. No debe olvidarse en este contexto el transporte como gran consumidor de energia y uno de los mayores responsables de emision de gases de efecto invernadero. Tampoco hay que dejar de lado la tecnologia como tal. Las tres dimensiones de la politica de energia, competitividad, sostenibilidad y seguridad de abastecimiento, estan al mismo nivel de importancia, pero el equilibrio que se establezca entre las tres necesita decisiones politicas cuidadosas, que no suponen necesariamente alcanzar los optimos individuales de manera separada. La dimension exterior habria de anadirse a las tres anteriores. La UE persigue ejercer un cierto liderazgo mundial en relacion con sus objetivos para los horizontes 2020 y 2050. EnglishEuropean energy policy has been at the forefront of EU action for several years now. Its inclusion in the Lisbon Treaty, as well as its connection with other key EU policies such as competition, internal market, technology or environment, has made energy a major player in terms of EU action and legislation, let alone in its international policies and action including development aid. Transport as a major energy user - and greenhouse gas emitter - should not be forgotten in this context. Neither should technology as such. The three pillars of energy policy, that is to say competitiveness, sustainability, and security of supply are on an equal footing, but the balance to be struck between them requires delicate political set-offs, which means that the optimum objective for each of them separately is unlikely to be attainable. A pillar on external relations should also be added to the former three. The EU pursues exert world leadership in view of its 2020 and 2050 objectives.
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19
- 10.1089/hs.2020.0227
- Aug 3, 2021
- Health security
Japan has the highest proportion of older adults worldwide but has fewer critical care beds than most high-income countries. Although the COVID-19 infection rate in Japan is low compared with Europe and the United States, by the end of 2020, several infected people died in ambulances because they could not find hospitals to accept them. Our study aimed to examine the Japanese healthcare system's capacity to accommodate critically ill COVID-19 patients during the pandemic. We created a model to estimate bed and staff capacity at 3 levels of pandemic response (conventional, contingency, and crisis), as defined by the US National Academy of Medicine, and the function of Japan's healthcare system at each level. We then compared our estimates of the number of COVID-19 patients requiring intensive care at peak times with the national health system capacity using expert panel data. Our findings suggest that Japan's healthcare system currently can accommodate only a limited number of critically ill COVID-19 patients. It could accommodate the surge of pandemic demands by converting nonintensive care unit beds to critical care beds and using nonintensive care unit staff for critical care. However, bed and staff capacity should not be expanded uniformly, so that the limited number of physicians and nurses are allocated efficiently and so staffing does not become the bottleneck of the expansion. Training and deploying physicians and nurses to provide immediate intensive care is essential. The key is to introduce and implement the concept and mechanism of tiered staffing in the Japanese healthcare system. More importantly, most intensive care facilities in Japanese hospitals are small-scaled and thinly distributed in each region. The government needs to introduce an efficient system for smooth dispatching of medical personnel among hospitals regardless of their founding institutions.
- Research Article
2
- 10.1142/s2345737621500093
- May 6, 2021
- Journal of Extreme Events
The onset and aftermath of COVID-19 can be understood as an extreme event within the context of New York City, in terms of urban planning and design, public health, and the cross-section of the two. Over the course of a few months since early March, 2020, infection rates, illness, hospitalizations, and deaths from COVID-19 swept through New York rapidly. It also became apparent early on that people were not being exposed to the SARS-CoV-2 virus equally, nor was COVID-19 spreading over a level-playing field. In this commentary, we examine what role COVID-19 played in a “social biopsy” of long-standing structural inequity in New York City, to reveal a deep, metastasizing tumor underneath the extreme wealth. We tell the story of the historical context in low-income public and non-profit housing and urban planning in New York City leading up to the pandemic’s outbreak, how the structural inequity was built into place over time by design, how the COVID-19 pandemic has shifted our understanding of equitable and sustainable New York City for New Yorkers, and ways that the pandemic has reinforced our individual and collective sense of uncertainty in the future and distrust in a common good. We then discuss how we can recover, restore and rebuild from the urban planning and public health perspectives, for New York City and beyond. Rebuilding will require reimagining a new normal, and we suggest unique but tried-and-true, complementary and collaborative roles for community stakeholders.
- Research Article
- 10.1377/hlthaff.2010.0758
- Sep 1, 2010
- Health Affairs
Averting A ‘Group Grope’ Response To Public Health Catastrophes
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15
- 10.1097/phh.0000000000000558
- May 25, 2017
- Journal of public health management and practice : JPHMP
The 2015 New York City Legionnaires' Disease Outbreak: A Case Study on a History-Making Outbreak.
- Research Article
3
- 10.4018/ijskd.2022040103
- Sep 14, 2021
- International Journal of Sociotechnology and Knowledge Development
In March of 2020, the United States activated nationwide pandemic response protocols due to the swift spread of Novel Coronavirus Disease 2019, also known as COVID-19. Amidst the domestic response, urgency surrounded the need to build collective awareness of the signs, symptoms, and preventive measures of the virus. As the virus spread and historically marginalized communities were disproportionately impacted with rates of infection, the need to explore the presence of disparities in health communication, health education, and personal health literacy surfaced. The research contained within this study examines the root cause of the gap in health literacy for communities of color and presents actionable next steps to increase positive healthcare outcomes for all.
- Research Article
8
- 10.1111/maq.12624
- Dec 1, 2020
- Medical Anthropology Quarterly
Medical Anthropology in the Time of COVID-19.
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