Water Shutoff Moratoria Lowered COVID-19 Infection and Death Across U.S. States.
Water Shutoff Moratoria Lowered COVID-19 Infection and Death Across U.S. States.
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DOI：
10.1016/j.amepre.2021.07.006
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发表时间：
2022-03
影响因子：
5.5
通讯作者：
Grant M
中科院分区：
文献类型：
--
作者：
Zhang X;Warner ME;Grant M
于二零二零年三月至五月期间，美国共有34个州政府暂停停水，以确保在COVID-19疫情期间公平获得用水。然而，到2020年底，这些暂停措施大多已到期，数百万人面临断水的风险。本研究探讨了水公平与公共卫生之间的联系，并为改善水的获取和健康公平提供了政策建议。事件研究用于分析2020年4月17日至2020年12月31日期间暂停停水对COVID-19每日感染增长率和每日死亡增长率的影响。这些数据是在州一级收集的。该模型控制了口罩的要求，高危人群（西班牙裔人口的百分比，基本工人的百分比）和健康保险覆盖率。于研究期间，暂停停水令显著降低COVID-19感染每日增长率0. 235%，并显著降低死亡增长率0. 135%。此外，覆盖所有供水系统（公共和私人）的全面暂停将感染增长率显著降低了0.169%，将死亡增长率显著降低了0.228%。这项研究引起了人们对水资源公平的重要性的关注，并呼吁政府采取行动，在所有州建立更统一的保护措施，防止停水。水公平的综合办法可以保护所有社区的健康和安全。
A total of 34 U.S. state governments imposed moratoria on water shutoffs between March and May 2020 to ensure equitable access to water during the COVID-19 pandemic. However, by the end of 2020, most of these moratoria had expired, and millions of people were exposed to the risk of water disconnections. This study examines the linkage between water equity and public health and provides policy recommendations for improving water access and health equity. Event study was used to analyze the impact of a water shutoff moratorium on COVID-19 daily infection growth rate and daily death growth rate from April 17, 2020 to December 31, 2020. The data were collected at the state level. The model controlled for mask mandates, at-risk groups (percentage Hispanic population, percentage essential workers), and percentage health insurance coverage. During the study period, having a water shutoff moratorium in place significantly lowered the COVID-19 infection daily growth rate by 0.235% and significantly lowered the death growth rate by 0.135%. In addition, a comprehensive moratorium covering all water systems (public and private) significantly lowered the infection growth rate by 0.169% and significantly lowered the death growth rate by 0.228%. This study raises attention to the importance of water equity and the need for government actions to create more uniform protections from water shutoffs across all states. A comprehensive approach to water equity can protect the health and safety of all communities.
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