COVID-19 Infections and Mortality in Florida Counties: Roles of Race, Ethnicity, Segregation, and 2020 Election Results

Communities of Knowledge in Trouble

The community-of-knowledge framework explains the extraordinary success of the human species, despite individual members' demonstrably shallow understanding of many topics, by appealing to outsourcing. People follow the cues of members of their community because understanding of phenomena is generally distributed across the group. Typically, communities do possess the relevant knowledge, but it is possible in principle for communities to send cues despite lacking knowledge-a weakness in the system's design. COVID-19 in the United States offered a natural experiment in collective-knowledge development because a novel phenomenon arrived at a moment of intense division in political partisanship. We review evidence from the pandemic showing that the thought leaders of the two partisan groups sent radically different messages about COVID, which were, in turn, reinforced by close community members (family, friends, etc.). We show that although actual understanding of the individual plays a role in a key COVID-mitigation behavior (vaccination), it plays a smaller role than perceived understanding of thought leaders and beliefs about COVID-related behaviors of close community members. We discuss implications for theory and practice when all communities are in the same epistemic circumstance-relying on the testimony of others.

Characterization of persons with reported SARS-CoV-2 infection in the Oklahoma City tri-county area: Evidence from the first 12 months of transmission

Background

To describe characteristics, hospitalization, and death for reported cases of SARS-CoV-2 infection in the Oklahoma City tri-county area.

Methods

We extracted notified cases of SARS-CoV-2 infection for our study area and used descriptive statistics and modeling to examine case characteristics and calculate the odds of hospitalization and death in relation to a range of explanatory variables.

Results

Between March 12th, 2020 and February 28th, 2021, 124,925 cases of SARS-CoV-2 infection were reported from the study region. Being male, White or Black/African American, aged 50 years or older, presenting with apnea, cough, and shortness of breath, and having diabetes was associated with increased odds of hospitalization. The odds of dying were significantly associated with being Black/African American, presenting with cough and fever, having kidney disease and diabetes and being aged 70 years or older.

Conclusions

The first cohort analysis of SARS-CoV-2 positive individuals in the Oklahoma City tri-county area confirms comorbidities and age as important predictors of COVID-19 hospitalization or death. As a novel aspect, we show that early symptoms of breathing difficulties in particular are associated with hospitalization and death. Initial case assessment and SARS-CoV-2 guidelines should continue to focus on age, comorbidities, and early symptoms.