COVID-19 through a Health Equity Lens - University of Utah · • Community leaders tied into...
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©UNIVERSITY OF UTAH HEALTH COVID-19 through a Health Equity Lens 5.18.20
Transcript of COVID-19 through a Health Equity Lens - University of Utah · • Community leaders tied into...
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COVID-19 through a Health Equity Lens
5.18.20
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USA
https://www.worldometers.info/coronavirus/country/us/
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UTAH COVID19 TESTING
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CASE HISTORY
• Local Latinx professional picks up adult child at airport after serving foreign mission
• Develops fever, chills, cough, shortness of breath• Gets COVID19 test positive• Feels like he is breathing in broken glass, getting hit by
a baseball bat in the ribs• Unable to sleep or eat for almost two weeks• Everyone in family gets COVID19
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4.3% 8.2% 1.1%
14.8% 6.0%
6.9%
UTAH / U.S. / WORLD IN COVID-19 PANDEMIC
#8 #5
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TODAY’S UPDATE
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Personal Communication, Y.Zhang, M.Samore, 5.10.20
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POSITIVE COVID19 CASES BY RACE/ETHNICITY
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
AmericanIndian/Alaska
Native
Asian Black/AfricanAmerican
Hispanic or Latino NativeHawaiian/Pacific
Islander
Other race Unknown White alone, notHispanic or Latino
% of Total Utah Population % of Cases
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UTAH RAW NUMBERS BY RACE/ETHNICITY
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CASES PER 100,000 BY RACE/ETHNICITY
0 100 200 300 400 500 600
American Indian/Alaska Native
Asian
Black/African American
Hispanic or Latino
Native Hawaiian/Pacific Islander
White alone, not Hispanic or Latino
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Redwood Health Center
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MAKING REDWOOD SAFE: UPSTAIRS/DOWNSTAIRS
Downstairs• Childhood Immunizations• OB/Gyn• Occupational Medicine• Non-respiratory face to
face• Endoscopy (5/18)• Lab• Physical Therapy
Upstairs• Respiratory• Virtual visits
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REGISTRY WORK
Reception staff as well as MA staff reaching out to our high-risk patients
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WHAT HAS BEEN HAPPENING AT REDWOOD CLINIC?
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REDWOOD TENT TESTING DATA
• Low English Proficiency (LEP) 29% positive
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REGISTRY EXPANDED TO LANGUAGE
Count Percent non-EnglishSpanish 2264 45.64%Somalian 596 12.01%Arabic 402 8.10%Nepali 193 3.89%Burmese 190 3.83%Karen 155 3.12%Swahili 142 2.86%Bosnian 130 2.22%
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OUTREACHhttps://multicultural.utah.gov/covid-19-language-accessible-resources/
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INFORMATION TRANSLATED AND IN PICTURES
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CDC GUIDANCE
https://www.cdc.gov/coronavirus/2019-ncov/downloads/living-in-close-quarters.pdf• Spanish• Arabic• Somali• Swahili • Burmese
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OUTREACHING TO PATIENTSRobert Welch in partnership with the University of Utah is conducting research to learn the best way to reach people with Low English Proficiency (LEP)
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IN THE MEANTIME…
Redwood Foreign Language patients will receive translated flyers with link or QR code to broader information
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LATINX COVID OUTREACH
• LatinX Population makes up about 14.2% of State• LatinX Population makes up about 38% of COVID Positive Rates
– Oftentimes unable to work from home– Oftentimes have multigenerational families – Oftentimes live in high-density households
Two mailings will go out: 1-University of Utah Health Plans Members ~6,600 2-University of Utah Hospitals & Clinics Patients UP TO 18,000 Letters +
13,000 Emails
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UNIVERSITY OF UTAH HEALTHMagnet
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TELEVISION / RADIODr. Rodríguez had done interviews and public service announcements for:• Telemundo
• Acceso Total: https://youtu.be/XozdJtxt4gQ• Tu Salud: https://youtu.be/8HbkSiPtos0
• Spanish Radio• Mi Preferida 104.7 FM• Placer 107.1 FM
• English ABC 4: https://www.abc4.com/news/community-over-crisis/utahs-local-chinese-community-donates-30000-worth-of-ppe-to-university-of-utah-hospital/
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SOCIAL MEDIA OUTREACH
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MOBILE TESTING
• 2 mobile units– HCI mobile unit– Miller Foundation Diabetes Van
• Retrofitted as mobile COVID19 testing• Have been to community “hot spots”
– Utah State Fair Grounds– Essential businesses
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COMMUNITY PARTNERS• Senator Escamilla• Representative Romero• Consulate of Mexico Salt Lake City• State Department of Multicultural Affairs• Utah Department of Health• Community Health Worker Coalition• Refugee Resettlement Agencies
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PUBLIC HEALTH MESSAGING• Wash your hands• Wear a mask• Practice physical distancing
– Work from home– Worship from home
• Safe quarantining in home with family• Take your medications
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COMMUNITY RESOURCES
• Community leaders tied into health committees/updates
• Mental health and crisis hotlines with interpretation
• DWS and Mutual Aid funds for unemployment, cash, transportation, food delivery and eviction assistance
• Translated flyers
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NECESSARY ACTIONS• Provide sick leave/unemployment for COVID19
positive patients• Provide a safe place to quarantine• Perform adequate contact tracing• Use testing data to inform public health decision
making.• Provide more education materials in multiple
languages/multiple media as updates happen
