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Persistent Identifier
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doi:10.7910/DVN/JFKNEO |
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Publication Date
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2021-02-16 |
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Title
| COVID-19: US federal accountability for entry, spread, and inequities—lessons for the future |
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Author
| Hanage, W.P.Department of Epidemiology, Center for Communicable Disease Dynamics, Harvard T. H. Chan School of Public Health, Boston, MA, USA
Testa, C.,Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA
Chen, J.T.Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA
Davis, LetitiaConsultant, Boston, MA, USA
Pechter, EliseConsultant, Boston, MA, USA
Seminario, PegAFL-CIO (Retired), Washington, DC, USA
Santillana, MauricioComputational Health Informatics Program, Boston Children’s Hospital, Boston, MA, USA
Krieger, NancyDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA |
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Point of Contact
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Use email button above to contact.
(Harvard University)
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Description
| The United States (US) has been among those nations most severely affected by the first—and subsequent—phases of the pandemic of COVID-19, the disease caused by SARS-CoV-2. With only 4% of the worldwide population, the US has seen about 22% of COVID-19 deaths. Despite formidable advantages in resources and expertise, presently the per capita mortality rate is over 585/million, respectively 2.4 and 5 times higher compared to Canada and Germany. As we enter Fall 2020, the US is enduring ongoing outbreaks across large regions of the country. Moreover, within the US, an early and persistent feature of the pandemic has been the disproportionate impact on populations already made vulnerable by racism and dangerous jobs, inadequate wages, and unaffordable housing, and this is true for both the headline public health threat and the additional disastrous economic impacts. In this article we assess the impact of missteps by the Federal Government in three specific areas: the introduction of the virus to the US and the establishment of community transmission; the lack of national COVID-19 workplace standards and enforcement, and lack of personal protective equipment (PPE) for workplaces as represented by complaints to the Occupational Safety and Health Administration (OSHA) which we find are correlated with deaths 16 days later (ρ = 0.83); and the total excess deaths in 2020 to date already total more than 230,000, while COVID-19 mortality rates exhibit severe—and rising—inequities in race/ethnicity, including among working age adults. (2020-11-02) |
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Subject
| Medicine, Health and Life Sciences; Social Sciences |
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Keyword
| COVID-19
mortality rate
pandemic
economic impacts
community transmission
personal protective equipment (PPE)
OSHA
race/ethnicity |
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Related Publication
| Hanage, W.P., Testa, C., Chen, J.T. et al. COVID-19: US federal accountability for entry, spread, and inequities—lessons for the future. Eur J Epidemiol 35, 995–1006 (2020). Link to Harvard DASH
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Notes
| This dataset was deposited by the Harvard Dataverse Repository Curation team on behalf of Nancy Krieger. All questions on the data should be directed to Dr. Krieger using the contact email found at the top of this dataset page. |
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Depositor
| Barbosa, Sonia |
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Deposit Date
| 2020-12-10 |
