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MMWR Morb Mortal Wkly Rep . Multidisciplinary Community-Based Investigation of a COVID-19 Outbreak Among Marshallese and Hispanic/Latino Communitie

tetano

Editor, Senior Moderator
MMWR Morb Mortal Wkly Rep


. 2020 Dec 4;69(48):1807-1811.
doi: 10.15585/mmwr.mm6948a2.
Multidisciplinary Community-Based Investigation of a COVID-19 Outbreak Among Marshallese and Hispanic/Latino Communities - Benton and Washington Counties, Arkansas, March-June 2020

Katherine E Center, Juliana Da Silva, Angela L Hernandez, Kristyn Vang, Daniel W Martin, Jerry Mazurek, Emily A Lilo, Nichole K Zimmerman, Elisabeth Krow-Lucal, Ellsworth M Campbell, Janet V Cowins, Chastity Walker, Kenneth L Dominguez, Bill Gallo, Jayleen K L Gunn, Donald McCormick, Cassie Cochran, Michelle R Smith, Jennifer A Dillaha, Allison E James

Abstract

By June 2020, Marshallese and Hispanic or Latino (Hispanic) persons in Benton and Washington counties of Arkansas had received a disproportionately high number of diagnoses of coronavirus disease 2019 (COVID-19). Despite representing approximately 19% of these counties' populations (1), Marshallese and Hispanic persons accounted for 64% of COVID-19 cases and 57% of COVID-19-associated deaths. Analyses of surveillance data, focus group discussions, and key-informant interviews were conducted to identify challenges and propose strategies for interrupting transmission of SARS-CoV-2, the virus that causes COVID-19. Challenges included limited native-language health messaging, high household occupancy, high employment rate in the poultry processing industry, mistrust of the medical system, and changing COVID-19 guidance. Reducing the COVID-19 incidence among communities that suffer disproportionately from COVID-19 requires strengthening the coordination of public health, health care, and community stakeholders to provide culturally and linguistically tailored public health education, community-based prevention activities, case management, care navigation, and service linkage.
 
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