COVID-19

Doctors facing grim choice over ventilators told to put patients with disabilities at the back of the line
COVID-19, HEALTH & WELLNESS, Journalism

Doctors facing grim choice over ventilators told to put patients with disabilities at the back of the line

As cases related to the novel coronavirus continue to strain hospitals, doctors face difficult choices about rationing scarce medical resources like ventilators – choices that will likely determine who lives and who dies. Several states’ policies tell providers to allocate scarce resources to those most likely to benefit. For example, Washington state recently adopted a policy that favors “the survival of young otherwise healthy patients more heavily than that of older, chronically debilitated patients.” Similar new guidelines have been issued in Massachusetts as well. In several other states, existing policies that were developed in anticipation of an emergency – including pandemics – recommend rationing that prioritizes giving ventilators to otherwise healthy people who are most likely...
8 ways veterans are particularly at risk from the coronavirus pandemic
COVID-19

8 ways veterans are particularly at risk from the coronavirus pandemic

From the elderly who are facing deadly outbreaks in nursing homes to communities of color facing higher infection and death rates, different groups face different challenges from the coronavirus pandemic. Among the most hard-hit are veterans, who are particularly susceptible to both health and economic threats from the pandemic. These veterans face homelessness, lack of health care, delays in receiving financial support and even death. I have spent the past four years studying veterans with substance use and mental health disorders who are in the criminal justice system. This work revealed gaps in health care and financial support for veterans, even though they have the best publicly funded benefits in the country. Here are the eight ways the pandemic threatens veterans: 1. Age and othe...
What policing during the pandemic can tell us about crime rates and arrests
COVID-19, IN OTHER NEWS

What policing during the pandemic can tell us about crime rates and arrests

Social distancing orders in place across the U.S. have added to the long list of low-level offenses that police are charged with enforcing as a routine part of their job. There are about 18,000 law enforcement agencies in the United States, with close to 800,000 police officers. To date most appear to be exercising judgment and restraint in taking action against those occupying public spaces during the current pandemic. But then, of course, there are the exceptions. I was a Boston police officer for 27 years before becoming an academic. My career on the force began with the large-scale unrest that accompanied Boston’s school desegregation and busing crisis of the 1970s and ended with the massive redeployment of police resources for the city’s hosting of the 2004 Democratic National Conve...
Screens are keeping us connected now – but they’re still disruptive to in-person communication
COVID-19, TECHNOLOGY, VIDEO REELS

Screens are keeping us connected now – but they’re still disruptive to in-person communication

Digital technology has been a lifeline during the COVID-19 health crisis. Yet, its impact on human relationships remains complex. It allows for work and connection in many domains, but does so in ways that are often intrusive, exhausting and potentially corrosive to face-to-face relationships. The debate about technology’s effect on overall mental health rages on. Some researchers claim smartphones have destroyed a generation, while others argue screen time doesn’t predict mental health at all. After years of research on the topic, I have come to the conclusion that screen time can disrupt a fundamental aspect of our human experience – paying attention to one another’s eyes. Smartphones, even more than older technologies like television, have been aggressively designed to control and ca...
Coronavirus lockdowns are pushing mass transit systems to the brink – and low-income riders will pay the price
COVID-19, VIDEO REELS

Coronavirus lockdowns are pushing mass transit systems to the brink – and low-income riders will pay the price

Low-income Americans have borne the brunt of the coronavirus pandemic. They may also get left behind in the recovery. CC BY-ND Steep declines in ridership during the crisis have pushed public transit systems across the U.S. into deep financial distress. Though Congress included allocations for transit in the CARES Act, cities said it won’t be nearly enough. Even major systems in large metro areas like New York City and Washington, D.C., have serious concerns about long-term survival without more sustained support. Failure of transit systems would be a disaster for the large proportion of low income households that depend on buses and trains to get to work and elsewhere – not only in urban areas, but in rural ones too. I’m currently in the middle of a two-year study of transport inequalit...
Videoconferencing keeps people connected while the coronavirus keeps them inside – but privacy and security are far from perfect
COVID-19, HEALTH & WELLNESS, TECHNOLOGY

Videoconferencing keeps people connected while the coronavirus keeps them inside – but privacy and security are far from perfect

If, before COVID-19, you were concerned about all the data that technology companies had about you, just wait. As stay-at-home orders push more professional and social activities online, it’s becoming harder to remain in control. Look no further than Zoom, which suffered dual security and privacy crises in the past few weeks. Lawsuits alleging data sharing violations and hackers have descended on the software, which has led Google and school districts to ban Zoom for professional use. I’m a researcher who investigates how these concerns affect the use of online platforms. The first thing to understand is that privacy and security are two different things, and they have different consequences for using videoconferencing platforms. Privacy versus security Privacy refers to individuals’ uni...
US pharmacists can now test for coronavirus. They could do more if government allowed it
COVID-19, IN OTHER NEWS

US pharmacists can now test for coronavirus. They could do more if government allowed it

As Italy’s death toll from the novel coronavirus climbed to one of the highest in the world, its doctors made a plea to other countries: Manage the pandemic in the community, not in hospitals and emergency rooms. When people with COVID-19 show up at hospitals, they can spread the virus to other patients and health care workers. Italian authorities believe that the instinct to go to the emergency room first, even when the symptoms aren’t severe, contributed to the country’s current disaster. Like Italy’s, the United States’ health system is hospital-centered. As a result, pandemics can quickly overwhelm the hospital system, limiting its capacity to deal with other urgent medical conditions. But an alternative exists that could help manage the pandemic among the majority of COVID-19 patie...
Terrorists, militants and criminal gangs join the fight against the coronavirus
COVID-19

Terrorists, militants and criminal gangs join the fight against the coronavirus

The favelas of Rio de Janeiro are a toxic mix of tight quarters, few if any health services and little clean water for residents to wash their hands. In these conditions ripe for the spread of the coronavirus, the Brazilian national government has yet to impose a curfew – but the criminal gangs who rule the favelas have. Gang members have been driving around their communities announcing to residents: “We’re imposing a curfew because nobody is taking this seriously. Whoever is in the street screwing around or going for a walk will receive a corrective and serve as an example.” This curfew is part of a growing phenomenon across the globe, where criminal gangs, insurgents and terrorist groups are mounting efforts against the pandemic. What are they doing? In Lebanon, the militant group Hez...
COVID-19 is hitting black and poor communities the hardest, underscoring fault lines in access and care for those on margins
COVID-19, VIDEO REELS

COVID-19 is hitting black and poor communities the hardest, underscoring fault lines in access and care for those on margins

As the COVID-19 epidemic continues to ravage the American public, an unsurprising story emerges: Poor communities are hot spots for COVID transmission. The death rate from COVID-19 appears to be staggeringly high among African Americans compared to whites. The Washington Post reports, for example, that while 14% of the Michigan population is black, 40% of COVID-19 deaths are among blacks. This is a familiar pattern to a social and infectious disease epidemiologist like myself. It is evidence of centuries of segregation and discrimination that have disproportionately placed people of color in communities without access to health care, with degraded and crowded living conditions and a lack of basic opportunities for health and wellness. In the context of the current pandemic, blacks are mo...
Older Americans are risking coronavirus exposure to get their medications
COVID-19, HEALTH & WELLNESS, Journalism

Older Americans are risking coronavirus exposure to get their medications

It’s been nearly a month since the U.S. government began urging older Americans to stay home to avoid exposure to the new coronavirus. That means many older adults may be running out of their usual 30-day supplies of medication. As the pandemic continues to spread, they increasingly face a difficult challenge: how to get the medications they need without putting themselves at risk. As health services researchers at the University of Michigan, we recently conducted a national survey to see how Americans over age 65 were responding to that dilemma. The results should be a call to action, both for older adults and for those who care about them. A national survey shines light on risky choices The Centers for Disease Control and Prevention recommends that older adults and anyone with chronic ...