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Sinha MS, Parmet WE, Gonsalves GS. Déjà Vu All Over Again - Refusing to Learn the Lessons of Covid-19. N Engl J Med 2024; 391:481-483. [PMID: 39047237 DOI: 10.1056/nejmp2406427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/27/2024]
Affiliation(s)
- Michael S Sinha
- From the Center for Health Law Studies, St. Louis University School of Law, St. Louis (M.S.S.); the Center for Health Policy and Law, Northeastern University School of Law, Boston (W.E.P.); and the Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT (G.S.G.)
| | - Wendy E Parmet
- From the Center for Health Law Studies, St. Louis University School of Law, St. Louis (M.S.S.); the Center for Health Policy and Law, Northeastern University School of Law, Boston (W.E.P.); and the Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT (G.S.G.)
| | - Gregg S Gonsalves
- From the Center for Health Law Studies, St. Louis University School of Law, St. Louis (M.S.S.); the Center for Health Policy and Law, Northeastern University School of Law, Boston (W.E.P.); and the Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT (G.S.G.)
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Wolf DA, Monnat SM, Wiemers EE, Sun Y, Zhang X, Grossman ER, Montez JK. State COVID-19 Policies and Drug Overdose Mortality Among Working-Age Adults in the United States, 2020. Am J Public Health 2024; 114:714-722. [PMID: 38696735 PMCID: PMC11153954 DOI: 10.2105/ajph.2024.307621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/03/2024] [Indexed: 05/04/2024]
Abstract
Objectives. To identify relationships between US states' COVID-19 in-person activity limitation and economic support policies and drug overdose deaths among working-age adults in 2020. Methods. We used county-level data on 140 435 drug overdoses among adults aged 25 to 64 years during January 2019 to December 2020 from the National Vital Statistics System and data on states' COVID-19 policies from the Oxford COVID-19 Government Response Tracker to assess US trends in overdose deaths by sex in 3138 counties. Results. Policies limiting in-person activities significantly increased, whereas economic support policies significantly decreased, overdose rates. A 1-unit increase in policies restricting activities predicted a 15% average monthly increase in overdose rates for men (incident rate ratio [IRR] = 1.15; 95% confidence interval [CI] = 1.09, 1.20) and a 14% increase for women (IRR = 1.14; 95% CI = 1.09, 1.20). A 1-unit increase in economic support policies predicted a 3% average monthly decrease for men (IRR = 0.97; 95% CI = 0.95, 1.00) and a 4% decrease for women (IRR = 0.96; 95% CI = 0.93, 0.99). All states' policy combinations are predicted to have increased drug-poisoning mortality. Conclusions. The economic supports that states enacted were insufficient to fully mitigate the adverse relationship between activity limitations and drug overdoses. (Am J Public Health. 2024;114(7):714-722. https://doi.org/10.2105/AJPH.2024.307621).
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Affiliation(s)
- Douglas A Wolf
- Douglas A. Wolf, Emily E. Wiemers, Yue Sun, and Jennifer Karas Montez are with the Aging Studies Institute, Syracuse University, Syracuse, NY. Shannon M. Monnat and Xue Zhang are with the Lerner Center for Public Health Promotion and Population Health, Syracuse University. Elyse R. Grossman is with the Epidemiology Research Branch, US National Institute on Drug Abuse, Gaithersburg, MD
| | - Shannon M Monnat
- Douglas A. Wolf, Emily E. Wiemers, Yue Sun, and Jennifer Karas Montez are with the Aging Studies Institute, Syracuse University, Syracuse, NY. Shannon M. Monnat and Xue Zhang are with the Lerner Center for Public Health Promotion and Population Health, Syracuse University. Elyse R. Grossman is with the Epidemiology Research Branch, US National Institute on Drug Abuse, Gaithersburg, MD
| | - Emily E Wiemers
- Douglas A. Wolf, Emily E. Wiemers, Yue Sun, and Jennifer Karas Montez are with the Aging Studies Institute, Syracuse University, Syracuse, NY. Shannon M. Monnat and Xue Zhang are with the Lerner Center for Public Health Promotion and Population Health, Syracuse University. Elyse R. Grossman is with the Epidemiology Research Branch, US National Institute on Drug Abuse, Gaithersburg, MD
| | - Yue Sun
- Douglas A. Wolf, Emily E. Wiemers, Yue Sun, and Jennifer Karas Montez are with the Aging Studies Institute, Syracuse University, Syracuse, NY. Shannon M. Monnat and Xue Zhang are with the Lerner Center for Public Health Promotion and Population Health, Syracuse University. Elyse R. Grossman is with the Epidemiology Research Branch, US National Institute on Drug Abuse, Gaithersburg, MD
| | - Xue Zhang
- Douglas A. Wolf, Emily E. Wiemers, Yue Sun, and Jennifer Karas Montez are with the Aging Studies Institute, Syracuse University, Syracuse, NY. Shannon M. Monnat and Xue Zhang are with the Lerner Center for Public Health Promotion and Population Health, Syracuse University. Elyse R. Grossman is with the Epidemiology Research Branch, US National Institute on Drug Abuse, Gaithersburg, MD
| | - Elyse R Grossman
- Douglas A. Wolf, Emily E. Wiemers, Yue Sun, and Jennifer Karas Montez are with the Aging Studies Institute, Syracuse University, Syracuse, NY. Shannon M. Monnat and Xue Zhang are with the Lerner Center for Public Health Promotion and Population Health, Syracuse University. Elyse R. Grossman is with the Epidemiology Research Branch, US National Institute on Drug Abuse, Gaithersburg, MD
| | - Jennifer Karas Montez
- Douglas A. Wolf, Emily E. Wiemers, Yue Sun, and Jennifer Karas Montez are with the Aging Studies Institute, Syracuse University, Syracuse, NY. Shannon M. Monnat and Xue Zhang are with the Lerner Center for Public Health Promotion and Population Health, Syracuse University. Elyse R. Grossman is with the Epidemiology Research Branch, US National Institute on Drug Abuse, Gaithersburg, MD
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Mello MM, Jiang D, Platt E, Moran-McCabe K, Burris S. Legal infrastructure for pandemic response: lessons not learnt in the US. BMJ 2024; 384:e076269. [PMID: 38346813 DOI: 10.1136/bmj-2023-076269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/15/2024]
Affiliation(s)
- Michelle M Mello
- Stanford Law School, Stanford, CA, USA
- Department of Health Policy, Stanford University School of Medicine, Stanford, USA
| | | | - Elizabeth Platt
- Center for Public Health Law Research, Temple University Beasley School of Law, Philadelphia, PA, USA
| | - Katie Moran-McCabe
- Center for Public Health Law Research, Temple University Beasley School of Law, Philadelphia, PA, USA
| | - Scott Burris
- Center for Public Health Law Research, Temple University Beasley School of Law, Philadelphia, PA, USA
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Hodge JG. "Out Like a Lion:" Terminating the COVID-19 National Public Health Emergency. THE JOURNAL OF LAW, MEDICINE & ETHICS : A JOURNAL OF THE AMERICAN SOCIETY OF LAW, MEDICINE & ETHICS 2023; 51:443-447. [PMID: 37655578 PMCID: PMC10881264 DOI: 10.1017/jme.2023.71] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
Abstract
From its inception, the COVID-19 pandemic has been a disruptive force on U.S. health care and public health systems. President Biden's announced termination of the national public health emergency on May 11, 2023 portends a return to normalcy and relief for Americans from the greatest infectious disease scourge the nation has ever faced. In reality, closing out this pandemic presents a tempest of legal and practical complications.
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Abstract
This JAMA Forum discusses innovative efforts in various states to improve public health by providing more funding and programs with input and support for reform from local residents, businesses, and community organizations.
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Affiliation(s)
- Joshua Sharfstein
- Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
| | - Katherine Surko
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
| | - Jeffrey Levi
- Department of Health Policy and Management, Milken Institute School of Public Health, George Washington University, Washington, DC
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