Collateral Impacts of the COVID-19 Pandemic: The New York City Experience.
J Public Health Manag Pract
; 29(4): 547-555, 2023.
Article
in English
| MEDLINE | ID: covidwho-2256391
ABSTRACT
OBJECTIVE:
To adapt an existing surveillance system to monitor the collateral impacts of the COVID-19 pandemic on health outcomes in New York City across 6 domains access to care, chronic disease, sexual/reproductive health, food/economic insecurity, mental/behavioral health, and environmental health.DESIGN:
Epidemiologic assessment. Public health surveillance system.SETTING:
New York City.PARTICIPANTS:
New York City residents. MAIN OUTCOMEMEASURES:
We monitored approximately 30 indicators, compiling data from 2006 to 2022. Sources of data include clinic visits, surveillance surveys, vital statistics, emergency department visits, lead and diabetes registries, Medicaid claims, and public benefit enrollment.RESULTS:
We observed disruptions across most indicators including more than 50% decrease in emergency department usage early in the pandemic, which rebounded to prepandemic levels by late 2021, changes in reporting levels of probable anxiety and depression, and worsening birth outcomes for mothers who identified as Asian/Pacific Islander or Black. Data are processed in SAS and analyzed using the R Surveillance package to detect possible inflections. Data are updated monthly to an internal Tableau Dashboard and shared with agency leadership.CONCLUSIONS:
As the COVID-19 pandemic continues into its third year, public health priorities are returning to addressing non-COVID-19-related diseases and conditions, their collateral impacts, and postpandemic recovery needs. Substantial work is needed to return even to a suboptimal baseline across multiple health topic areas. Our surveillance framework offers a valuable starting place to effectively allocate resources, develop interventions, and issue public communications.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
COVID-19
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
Limits:
Humans
Country/Region as subject:
North America
Language:
English
Journal:
J Public Health Manag Pract
Journal subject:
Public Health
/
Health Services
Year:
2023
Document Type:
Article
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