A disproportionate epidemic: COVID-19 cases and deaths among essential workers in Toronto, Canada.
A disproportionate epidemic: COVID-19 cases and deaths among essential workers in Toronto, Canada.
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一种不成比例的流行病：加拿大多伦多基本工人的案件和死亡。
DOI：
10.1016/j.annepidem.2021.07.010
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发表时间：
2021-11
影响因子：
5.6
通讯作者：
Mishra S
中科院分区：
文献类型：
--
作者：
Rao A;Ma H;Moloney G;Kwong JC;Jüni P;Sander B;Kustra R;Baral SD;Mishra S
包括加拿大多伦多在内的COVID19应对战略的核心是就地避难和关闭非必要业务。加拿大约有一半的工作人口从事不允许远程工作的职业，这表明为减轻新冠肺炎收购和后续传播风险以及相关的发病率和死亡率而提出的一些战略的影响可能有限。我们比较了2020年1月23日至2021年1月24日期间多伦多各社区的人均新冠肺炎病例和死亡率，并按从事基本服务的人口比例进行了比较。我们使用了实验室确认的新冠肺炎社区病例和死亡的个人层面的数据，以及社区层面的人口普查数据。在基本工人最集中的社区，新冠肺炎的累积人均发病率和死亡率分别高出3.3倍和2.5倍。研究结果表明，在整个新冠肺炎中继续服务于社会基本需求的人群承担了不成比例的传播和死亡负担。综上所述，这些结果表明，需要采取积极的干预战略，补充限制性措施，以优化新冠肺炎应对措施的公平性和有效性。
Shelter-in-place mandates and closure of nonessential businesses have been central to COVID19 response strategies including in Toronto, Canada. Approximately half of the working population in Canada are employed in occupations that do not allow for remote work suggesting potentially limited impact of some of the strategies proposed to mitigate COVID-19 acquisition and onward transmission risks and associated morbidity and mortality. We compared per-capita rates of COVID-19 cases and deaths from January 23, 2020 to January 24, 2021, across neighborhoods in Toronto by proportion of the population working in essential services. We used person-level data on laboratory-confirmed COVID-19 community cases and deaths, and census data for neighborhood-level attributes. Cumulative per-capita rates of COVID-19 cases and deaths were 3.3-fold and 2.5-fold higher, respectively, in neighborhoods with the highest versus lowest concentration of essential workers. Findings suggest that the population who continued to serve the essential needs of society throughout COVID-19 shouldered a disproportionate burden of transmission and deaths. Taken together, results signal the need for active intervention strategies to complement restrictive measures to optimize both the equity and effectiveness of COVID-19 responses.