Trust in physicians and hospitals declined over the course of the COVID-19 pandemic
In surveys completed throughout the COVID-19 pandemic by U.S. adults, trust in physicians and hospitals decreased over time in every socioeconomic group.
NewsOct | 15 | 2020
There is no doubt that the COVID-19 pandemic has had a disproportionate impact on underserved communities. From poverty, to job and food insecurity, to housing instability, many challenges that have been historically prevalent in low-resourced communities have been greatly exacerbated by the COVID pandemic.
In a three-part series, Massachusetts General Hospital explores the frontline efforts of three community coalitions supported by Mass General’s Center for Community Health Improvement (CCHI)—in Chelsea, Revere and Charlestown, all of which are places where residents have been severely impacted by the virus.
The Healthy Chelsea Coalition was established in 2009, and this longstanding partnership with Chelsea city officials, residents and community leaders has allowed for positive actions to be taken in response to the growing health inequities in the city, particularly during the peak of COVID-19.
At its inception, the Healthy Chelsea Coalition worked to address high rates of obesity. Subsequently, the coalition’s work expanded to encompass pressing community health needs including substance use disorders, trauma and mental health, youth substance use prevention and food insecurity. With the pandemic, the issues of hunger and mental health became paramount.
While rates of unemployment were already high, they skyrocketed as a result of the pandemic. "The unemployment rate in Chelsea is now 24%, which is one of the highest unemployment rates in the country, if not the highest," says Ronald Fishman, community coordinator at the Healthy Chelsea Coalition.
The Chelsea community was hit particularly hard by COVID-19. Last spring, infections were on par with New York City and much higher than neighboring Boston, resulting in even greater challenges for residents that included:
Yet, Chelsea contributes mightily to the New England economy. Local homes are warmed, roads de-iced and grocery stores stocked with products that are warehoused in Chelsea, and much of its workforce is made up of blue collar, essential workers. "Boston hums because the residents of Chelsea make everything work," says Fishman.
Jennifer Kelly, LCSWThere's fear of the virus and fear of accessing any services because of public charge. It's a perfect storm of anxiety, depression and isolation.
As people across the country deal with anxiety, stress and feelings of isolation related to the pandemic and subsequent economic crisis, many people in Chelsea are experiencing similar stressors. On top of that can be a lack of basic human needs such as food and shelter. And, in many instances, people are afraid.
"There's fear of the virus and fear of accessing any services because of public charge," says Jennifer Kelly, LCSW, director of Healthy Chelsea. "It's a perfect storm of anxiety, depression and isolation."
She explains that a great deal of the fear is related to the public charge rule that states if non-citizens access services, such as Section 8 housing, Medicare and SNAP benefits (food stamps), it hinders their ability to move toward citizenship. She says that many people are too afraid to pursue any benefits, regardless of whether they are subject to the public charge or not.
Kelly says that not all services are subject to the public charge. For example, food resources that are free for anyone, without consequence, include:
Many organizations have come together in Chelsea to provide food and essential supplies to anyone in the community who needs help. Healthy Chelsea is working tirelessly to make sure that residents are aware of food resources, along with its long-time community partners: the City of Chelsea, the Greater Boston Food Bank, the Salvation Army, local churches and religious organizations, schools, food pantries and various agencies.
Community volunteers and coalition staff have come together to coordinate food distribution during the pandemic. Regional agencies brought in rescued donated food from grocery stores and restaurants to the various pantries. Over 350 tons of food was delivered to the city’s food distribution center from the Greater Boston Food Bank as a child pantry of MGH Chelsea HealthCare’s Food for Families pantry. Volunteers worked through the summer heat to pack boxes of food to hand out and deliver to homes—even when, earlier this year, one of the major pantries had a COVID-19 scare and volunteers had to self-isolate. Instead of closing down the pantry, community members and volunteers stepped up to help.
"It was truly a collaborative effort to feed as many families as possible," says Fishman. "A community church, the Salvation Army and the Chelsea Collaborative came to fill in all the blanks and they didn't miss a beat."
We bring together people and resources to address challenging health problems and foster sustainable improvement.
We promote access to health care for all by minimizing barriers, such as language, ethnicity or ability to pay.
In surveys completed throughout the COVID-19 pandemic by U.S. adults, trust in physicians and hospitals decreased over time in every socioeconomic group.
BCG-treated individuals had a significantly lower rate of COVID-19 infection compared with the placebo group and a significantly lower rate of infectious diseases overall.
Researchers found that a person with a diagnosis of Down syndrome and COVID-19 pneumonia had six times the odds of having a Do Not Resuscitate (DNR) status ordered at hospital admission.
Aram J. Krauson, PhD, of the Department of Pathology at Mass General, is the first author and James Stone, MD, PhD, is the senior author of a new study in NPJ Vaccines, Duration of SARS-CoV-2 mRNA Vaccine Persistence and Factors Associated with Cardiac Involvement in Recently Vaccinated Patients.
Treatment improved blood oxygen levels and lowered the risk of long-term sensory and motor neurologic symptoms.
Results indicate a link between reduced mobility during the pandemic and greater risk for depressive symptoms.