NDLI: Areas of enduring COVID-19 prevalence: drivers of prevalence and mitigating strategies

Content Provider	Springer Nature : BioMed Central
Author	Lewis, Catherine Johnson, Sheena Hartwig, Angelique Ubido, Janet Coleman, Anna Gartland, Nicola Kamal, Atiya Gaokar, Amit Armitage, Christopher J. Fishwick, David van Tongeren, Martie
Abstract	Background UK local authorities that experienced sustained high levels of COVID-19 between 1st March 2020 and 28th February 2021 were described by the UK Scientific Advisory Group for Emergencies as areas of enduring prevalence. This research was carried out in order to examine the views of local authority Directors of Public Health, who played a crucial role in the local response to COVID-19, on reasons for sustained high levels of prevalence in some areas, alongside an investigation of the mitigation strategies that they implemented during the course of the pandemic. Methods Interviews were conducted with Directors of Public Health in 19 local authority areas across England, between July and November 2021. This included nine areas identified as areas of enduring prevalence and ten ‘comparison’ areas. Results The outcomes of this study suggests that the geographical differences in prevalence rates are strongly influenced by health inequalities. Structural factors including deprivation, employment, and housing, due to their disproportionate impact on specific groups, converged with demographic factors, including ethnicity and age, and vaccination rates, and were identified as the main drivers of enduring prevalence. There are key differences in these drivers both within and, to a lesser extent, between local authorities. Other than these structural barriers, no major differences in facilitators or barriers to COVID-19 mitigation were identified between areas of varying prevalence. The main features of successful mitigation strategies were a locally tailored approach and partnership working involving local authority departments working with local health, community, voluntary and business organisations. Conclusions This study is the first to add the voices of Directors of Public Health, who played a crucial role in the local COVID-19 response. Areas of enduring prevalence existed during the pandemic which were caused by a complex mix of structural factors related to inequalities. Participants advised that more research is needed on the effectiveness of mitigation strategies and other measures to reduce the impact of structural inequalities, to better understand the factors that drive prevalence. This would include an assessment of how these factors combine to predict transmission and how this varies between different areas.
Related Links	https://bmcpublichealth.biomedcentral.com/counter/pdf/10.1186/s12889-023-15723-7.pdf
Ending Page	17
Page Count	17
Starting Page	1
File Format	HTM / HTML
ISSN	14712458
DOI	10.1186/s12889-023-15723-7
Journal	BMC Public Health
Issue Number	1
Volume Number	23
Language	English
Publisher	BioMed Central
Publisher Date	2023-06-21
Access Restriction	Open
Subject Keyword	Public Health Medicine Epidemiology Biostatistics Vaccine Environmental Health Community engagement COVID-19 Deprivation Employment Health inequalities Partnership working Medicine/Public Health
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health
Journal Impact Factor	3.5/2023
5-Year Journal Impact Factor	3.9/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Connect, collaborate and tailor: a model of community engagement through infographic design during the COVID-19 pandemic

Drivers of COVID-19 vaccine uptake among rural populations in Madagascar: a cross-sectional study

Epidemiological intelligence community network intervention: a community response for COVID-19 community transmission

“Community members have more impact on their neighbors than celebrities”: leveraging community partnerships to build COVID-19 vaccine confidence

An investigation of the impact of ‘Living with COVID’ on workplace COVID-19 transmission risk, response and resilience - lessons learnt and future challenges

Precarious work on the rise

Infecting minds: socio-contextual drivers of vaccine perceptions and attitudes among young and older adults living in urban and rural areas in KwaZulu-Natal, South Africa

COVID Stress, socioeconomic deprivation, and intimate partner aggression during the COVID-19 pandemic

Inclusive health: modeling COVID-19 in correctional facilities and communities

Areas of enduring COVID-19 prevalence: drivers of prevalence and mitigating strategies

Similar Documents

Connect, collaborate and tailor: a model of community engagement through infographic design during the COVID-19 pandemic

Drivers of COVID-19 vaccine uptake among rural populations in Madagascar: a cross-sectional study

Epidemiological intelligence community network intervention: a community response for COVID-19 community transmission

“Community members have more impact on their neighbors than celebrities”: leveraging community partnerships to build COVID-19 vaccine confidence

An investigation of the impact of ‘Living with COVID’ on workplace COVID-19 transmission risk, response and resilience - lessons learnt and future challenges

Precarious work on the rise

Infecting minds: socio-contextual drivers of vaccine perceptions and attitudes among young and older adults living in urban and rural areas in KwaZulu-Natal, South Africa

COVID Stress, socioeconomic deprivation, and intimate partner aggression during the COVID-19 pandemic

Inclusive health: modeling COVID-19 in correctional facilities and communities

Areas of enduring COVID-19 prevalence: drivers of prevalence and mitigating strategies