학술논문
San Francisco's Citywide COVID-19 Response: Strategies to Reduce COVID-19 Severity and Health Disparities, March 2020 Through May 2022.
Document Type
Article
Author
Source
Subject
*HEALTH policy
*COVID-19
*PUBLIC health
*COMMUNITY support
*INFECTION control
*EMERGENCY management
*HUMAN services programs
*SEVERITY of illness index
*RISK assessment
*INTERPROFESSIONAL relations
*HEALTH equity
*HEALTH care rationing
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Language
ISSN
0033-3549
Abstract
San Francisco implemented one of the most intensive, comprehensive, multipronged COVID-19 pandemic responses in the United States using 4 core strategies: (1) aggressive mitigation measures to protect populations at risk for severe disease, (2) prioritization of resources in neighborhoods highly affected by COVID-19, (3) timely and adaptive data-driven policy making, and (4) leveraging of partnerships and public trust. We collected data to describe programmatic and population-level outcomes. The excess all-cause mortality rate in 2020 in San Francisco was half that seen in 2019 in California as a whole (8% vs 16%). In almost all age and race and ethnicity groups, excess mortality from COVID-19 was lower in San Francisco than in California overall, with markedly diminished excess mortality among people aged >65 years. The COVID-19 response in San Francisco highlights crucial lessons, particularly the importance of community responsiveness, joint planning, and collective action, to inform future pandemic response and advance health equity. [ABSTRACT FROM AUTHOR]