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Rural Health
Resources by Topic: Infectious diseases

COVID-19 Outbreaks in Correctional Facilities with Work-Release Programs — Idaho, July–November 2020
Reports on COVID-19 outbreaks among incarcerated people at five Idaho correctional facilities with work-release programs. The work-release sites included an agriculture-related rural work camp and two food processing plants. Discusses the increased risk of COVID-19 exposure related to work-release programs, as well as correctional facility mitigation activities and outbreak control.
Author(s): Eileen M. Dunne, Ellie Morgan, Bruce Wells-Moore, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(16), 589-594
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Critical Access Hospital Response to COVID-19
Webinar recording summarizing results of a survey of Critical Access Hospital (CAH) executives in eight states regarding the hospitals' ability to respond to the COVID-19 pandemic from February-August 2020. Covers survey findings related to CAH finance, federal waivers and regulatory flexibilities, capacity for treatment, workforce, and partnerships. Discusses opportunities for future research on COVID-19 response and preparedness for future disasters and public health emergencies.
Additional links: Presentation Slides
Author(s): Madeleine Pick, Megan Lahr, Ira Moscovice
Date: 04/2021
Type: Video/Multimedia
Sponsoring organization: Flex Monitoring Team
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Coronavirus Aid, Recovery, and Economic Security (CARES) Act & Related Legislation and Administrative Action Impacting Rural Health
Provides an overview of legislation passed by Congress regarding COVID-19. Identifies provisions relevant to rural healthcare providers, including the Paycheck Protection Program, funding for public health and rural workforce programs, telehealth flexibilities, and more.
Date: 04/2021
Type: Document
Sponsoring organization: National Rural Health Association
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Oversight Hearing "Examining the COVID-19 Response in Native Communities: Native Health Systems One Year Later"
Recording of an oversight hearing of the Senate Committee on Indian Affairs evaluates the response of native healthcare systems to the COVID-19 one year into the pandemic. Features testimonies by representatives of the Indian Health Service, the National Indian Health Board, the National Council of Urban Indian Health, the Papa Ola Lōkahi organization, and the Alaska Native Medical Center.
Additional links: Michael Toedt Testimony, Robert Onders Testimony, Sheri-Ann Daniels Testimony, Walter Murillo Testimony, William Smith Testimony
Date: 04/2021
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Indian Affairs
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Promising Flex Program Initiatives to Support Critical Access Hospitals during the COVID-19 Pandemic
Reports on promising State Flex Program (SFP) strategies to support Critical Access Hospitals (CAHs) and address priority needs during the COVID-19 pandemic. Highlights initiatives implemented by SFPs in seven states: Alaska, Arizona, Idaho, Kentucky, Montana, Pennsylvania, and Wyoming. Discusses strategies regarding support for frontline staff, staff communication, communication to rural communities, clinical and service improvement, and CAH and Rural Health Clinic financial performance. Discusses ongoing considerations and concerns.
Author(s): Celia Jewell, Sara Kahn-Troster, John Gale
Date: 04/2021
Type: Document
Sponsoring organization: Flex Monitoring Team
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COVID-19: Efforts to Increase Vaccine Availability and Perspectives on Initial Implementation
Examines the federal government's efforts related to COVID-19 vaccines between October 2020 and April 2021, including vaccine development and vaccination program implementation. Describes challenges to vaccine implementation and steps taken by the government in response.
Additional links: Full Report
Date: 04/2021
Type: Document
Sponsoring organization: Government Accountability Office
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Notes from the Field: COVID-19 Case Investigation and Contact Tracing Program — Spirit Lake Tribe, North Dakota, September–November 2020
Reports on how the CDC helped the Spirit Lake Tribe build a tribally managed program to address increasing COVID-19 cases through comprehensive case investigations, case notification, contact tracing, contact testing, and contact management. Describes the work of Spirit Lake community members who served as investigators and contact tracers, providing culturally appropriate advice about the need to isolate or quarantine. Discusses housing challenges that impacted isolation and quarantine efforts.
Author(s): James Matthias, Tracy Charboneau, Cheri Schaffer, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(14), 533-534
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Use of Stay-at-Home Orders and Mask Mandates to Control COVID-19 Transmission — Blackfeet Tribal Reservation, Montana, June–December 2020
Reports on the impact of community mitigation resolutions passed and enforced by the Blackfeet Tribal Business Council on COVID-19 incidence in the Blackfeet Tribal Reservation. Mitigation measures included case investigation, contact tracing, a mandatory stay-at-home order, and required mask use in public.
Author(s): Caroline Q. Pratt, Anna N. Chard, Rosaula LaPine, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(14), 514-518
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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COVID-19 Incidence and Mortality Among American Indian/Alaska Native and White Persons — Montana, March 13–November 30, 2020
Examines COVID-19 incidence and mortality rates among American Indian/Alaska Native (AI/AN) and White people in Montana. Discusses factors that may have contributed to greater incidence and mortality for the AI/AN population and the need for culturally appropriate public health measures and vaccine allocation strategies to address disparities.
Author(s): Laura L. Williamson, Todd S. Harwell, Todd M. Koch, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(14), 510-513
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Care Systems COVID-19 Impact Assessment: Lessons Learned and Compelling Needs
Explores the clinical and public health responses and experiences of hospitals and health systems during the COVID-19 pandemic. Presents policy actions and policy considerations to leverage the lessons of the pandemic to improve health system financing, infrastructure, and coordination. Includes information on challenges and priority areas for consideration for rural hospitals and Critical Access Hospitals.
Author(s): Jeffrey Balser, Jaewon Ryu, Michelle Hood, et al.
Date: 04/2021
Type: Document
Sponsoring organization: National Academy of Medicine
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