Societal disruptions and child mental health: evidence from ADHD diagnosis during the COVID-19 pandemic

We study how the societal disruptions of the COVID-19 pandemic impacted diagnosis of a prevalent childhood mental health condition, Attention Deficit Hyperactivity Disorder (ADHD). Using both nationwide private health insurance claims and a single state's comprehensive electronic health records, we compare children exposed to the pandemic to same aged children prior to the pandemic. We find the pandemic reduced new ADHD diagnoses by 8.6% among boys and 11.0% among girls nationwide through February 2021. We further show that higher levels of in-person schooling in Fall 2020 dampened the decline for girls but had no moderating effect for boys.

Long COVID in the United States

Although yet to be clearly identified as a clinical condition, there is immense concern at the health and wellbeing consequences of long COVID. Using data collected from nearly half a million Americans in the period June 2022-December 2022 in the US Census Bureau's Household Pulse Survey (HPS), we find 14 percent reported suffering long COVID at some point, half of whom reported it at the time of the survey. It peaks in midlife in the same way as negative affect. Ever having had long COVID is strongly associated with negative affect (anxiety, depression, worry and a lack of interest in things). The effect is larger among those who currently report long COVID, especially if they report severe symptoms. In contrast, those who report having had short COVID report higher wellbeing than those who report never having had COVID. Long COVID is also strongly associated with physical mobility problems, and with problems dressing and bathing. It is also associated with mental problems as indicated by recall and understanding difficulties. Again, the associations are strongest among those who currently report long COVID, while those who said they had had short COVID have fewer physical and mental problems than those who report never having had COVID. Vaccination is associated with lower negative affect, including among those who reported having had long COVID.

Economies of community in local agriculture: farmers in New London, Connecticut, respond to the COVID-19 pandemic

The COVID-19 pandemic highlighted the weaknesses of the U.S. national food system, with grocery store shelves emptied in March and April 2020 and COVID outbreaks reported throughout the summer of 2020 at meat processing plants across the country. Fleetingly, Americans turned to local farms to ensure they could access food safely in a time of uncertainty. This paper examines the economies of community that formed around local farms and how direct engagements between consumers and producers in the face of the pandemic deepened these economic structures that often put community well-being above profits. Within a capitalist system that prioritizes efficient mass production, economies of community illustrate that solidarity can improve local food system resilience. Based on qualitative and quantitative research carried out in the summer of 2020 in New London County in southeastern Connecticut, this research draws on ethnographic interviews with small-scale farmers who developed innovative ways to feed some of their community's most vulnerable members. Community economies show that we should not only depend on standardized large-scale farms and giant retail distribution;the American food system needs to continue to cultivate small-scale local production in order to improve resilience and food access. At present, the sustainability of producing and distributing food occurs at the farmer's expense. The government needs to support local food producers so they can continue to play an integral part in community well-being.

The experience of Vermont local food businesses during the first year of the COVID-19 pandemic

The COVID-19 pandemic tested the resilience of food system actors at all levels and across all geographies. This study focuses on the experience of Vermont local food businesses by combining two surveys conducted in the first half of 2021: one of foodservice operations that procure food locally and one of Vermont farms that sell directly to consumers. We analyzed descriptive statistics, open responses, and conducted Kruskal-Wallis rank sum tests to assess which factors were related tobusinesses'financial statusesbefore and since the pandemic. Pre-pandemic financial status was related with business type, whether the business went on to receive emergency funds, and financial status since the pandemic. The only significant factor for financial status since the pandemic was prepandemic financial status. We close with recommendations for policy and future research.

Safety of the live at attenuated vaccine avishield IB GI-13 against infectious bronchitis in SPF chickens during laying period

Avian infectious bronchitis (IB) is an economically important, highly contagious, acute disease of Chickens caused by a single-stranded positive RNA Virus that belongs to the Coronaviridae family. The Virus can replicate in the oviduct and cause permanent damage in young hens resulting in the false layer occurrence. In laying hens, infectious bronchitis Virus (IBV) infections can cause a severe decline in egg production and a number of effects on egg quality and reduced hatchability. The most effective means of controlling IB in poultry is vaccination. In the areas with increased pressure of circulating field challenge Virus, live attenuated vaccines are also used during the laying period with the intention of keeping local protection of the respiratory tract at a high level. The vaccine strain IB V-173/11 contained in Avishield IB GI-13 vaccine is a strain that genetically (S1 gene) belongs to GI-13 lineage and antigenically to 793B IBV serotype. Viral infections of this serotype occur frequently in Europe and therefore most vaccination programs in broilers, layers and breeders along a live IBV vaccine of the Massachusetts serotype also include a live vaccine of the 793B serotype, GI-I3 lineage. In this paper, results of a safety evaluation of live attenuated IB vaccine strain V-173/11, when administered by spray method in a ten-fold maximum dose repeated by one maximum dose in 28-week-old specific pathogen free (SPF) layer Chickens are presented. As a control, non-vaccinated SPF layer chickens were included in the study. The vaccine is considered to be safe when used in laying period because no vaccinated chicken showed abnormal local or systemic reactions or signs of IB related disease, no chicken died from the causes attributable to the vaccine, egg quality was not altered, and there was no statistically significant difference in. egg production between the vaccinated and non-vaccinated group.

Special Issue: Public health interventions to address health disparities associated with structural racism. (Special Issue: Public health interventions to address health disparities associated with structural racism.)

This special issue includes 15 articles focusing on how public health professionals at local, state, and federal agencies and at academic institutions can address the pervasive structural racism against Asians by making them visible. Topics discussed are: anti-Latino racism, the racial state, and revising approaches to racial disparities;conquering the health disparities of structural racism;embedding equity in a local government's Response to COVID-19;the Massachusetts racial equity data road map;the power of community in addressing infant mortality inequities;disparities across income and health insurance in a national sample of US adults;community-informed mobile COVID-19 testing model to addressing health inequities.

New evidence of genetic factors related to severe infection of novel Coronavirus

Since the end of 2019, new coronavirus pneumonia caused by infection with a new type of coronavirus has become widespread in the world, posing a serious threat to life and health. However, after individuals are infected with SARS-CoV-2, significantly different outcomes occur, which can manifest as simple, mild, common, severe, and dangerous pneumonia. Previous research published in the New England Journal of Medicine suggested that severe infections in individuals may be related to genetic variation, but the genetic contribution and associated mechanisms of severe COVID-19 is still not well understood. Recently, JeanLaurent Casanova's team at Rockefeller University performed genomic testing on 1,193 patients with new coronary pneumonia and found that the critically ill patients carried rare harmful mutations. These mutations originate from 13 loci and related genes that are enriched in the TLR3/IRF7-dependent type I interferon pathway. Further studies of the function of all 118 non-synonymous mutations at these 13 loci revealed that cells harboring these mutations were more susceptible to SARS-CoV-2. This study suggests that TLR3/IRF7-dependent interferon immunity associated with dsRNA sensing may play an important role in the control of SARS-CoV-2, and that genetic defects in these genes are implicated in immunity may be responsible for the development of severe COVID-19 in some individuals.

Epidemiology of enforcing travel restrictions in US peninsular regions during the COVID-19 pandemic

This study evaluated the effectiveness of enforced travel restrictions on COVID-19 case burden and deaths, epidemiologic data from Barnstable and Monroe County. As of 25 May, 2020, Barnstable County, MA had 1277 reported cases of COVID-19 and 110 related deaths. Barnstable County had a case rate of 600 infections per 100,000 population. For the same period, Monroe County, FL had 107 cases and four deaths. Monroe County had a case rate of 144 infections per 100,00 population. In Florida, the Monroe County Emergency Manager established a travel ban to the Florida Keys on 20 March, 2020. Phase 1 of Florida re-opening, the "Safe, Smart, Step-by-Step Plan for Recovery" was implemented 4 May, 2020;travel restrictions within the Florida Keys were lifted but travel to the Florida Keys remains restricted at time of this report. While local citizen organizations pushed for the closure of bridges to Cape Cod in Barnstable County, no transportation-limiting quarantine measures were put into effect. Although no policy statement for why travel restrictions were not in place in Barnstable but were for Monroe, it was suspected that the differences in policy stem from the feasibility of implementation and existing infrastructure. While a travel ban has been disruptive to the Keys economy, heavily reliant on tourism, the normalization of emergency measures likely lowered barriers to the implementation of travel restrictions. In Cape Cod, such restrictions may have been seen as a much more extreme measure due to the infrequency of severe natural disasters. In the beginning of the pandemic, Barnstable COVID-19 cases were not at elevated as those in nearby Massachusetts counties, likely limiting the perceived need for restricted access. Additionally, the perceived risk of population influx following COVID-19's pandemic designation may have been different in the two locations. In Monroe County, this timing corresponded with the beginning of Spring Break tourist season and implementing a peninsular lockdown may have seemed more critical. However, in Barnstable County, March and April are typically low tourism months and the risk of peninsular traffic may have seemed lower as a result.