Incorporating Health Equity Into COVID-19 Reopening Plans: Policy Experimentation in California.

American Journal of Public Health
Emily A LargentMonica Peek

Abstract

California has focused on health equity in the state's COVID-19 reopening plan. The Blueprint for a Safer Economy assigns each of California's 58 counties into 1 of 4 tiers based on 2 metrics: test positivity rate and adjusted case rate. To advance to the next less-restrictive tier, counties must meet that tier's test positivity and adjusted case rate thresholds. In addition, counties must have a plan for targeted investments within disadvantaged communities, and counties with more than 106 000 residents must meet an equity metric. California's explicit incorporation of health equity into its reopening plan underscores the interrelated fate of its residents during the COVID-19 pandemic and creates incentives for action. This article evaluates the benefits and challenges of this novel health equity focus, and outlines recommendations for other US states to address disparities in their reopening plans.

References

May 14, 2020·JAMA Pediatrics·Dimitri A Christakis
May 22, 2020·Health Affairs·Kristen M J AzarAlice R Pressman
Jul 25, 2020·American Journal of Preventive Medicine·Wil Lieberman-CribbinEmanuela Taioli
Jul 30, 2020·The New England Journal of Medicine·Meira LevinsonMarc Lipsitch
Aug 19, 2020·Spatial and Spatio-temporal Epidemiology·Jack Cordes, Marcia C Castro
Sep 4, 2020·MMWR. Morbidity and Mortality Weekly Report·Amanda MorelandUNKNOWN CDC COVID-19 Response Team, Mitigation Policy Analysis Unit
Dec 23, 2020·American Journal of Public Health·Monica E PeekBrownsyne Tucker Edmonds
Jan 27, 2021·JAMA : the Journal of the American Medical Association·Margaret A HoneinJohn T Brooks

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