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10.1177/0033354921990372

http://scihub22266oqcxt.onion/10.1177/0033354921990372
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33601984!8580398!33601984
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suck abstract from ncbi


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pmid33601984      Public+Health+Rep 2021 ; 136 (3): 327-337
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  • Participatory COVID-19 Surveillance Tool in Rural Appalachia : Real-Time Disease Monitoring and Regional Response #MMPMID33601984
  • Runkle JD; Sugg MM; Graham G; Hodge B; March T; Mullendore J; Tove F; Salyers M; Valeika S; Vaughan E
  • Public Health Rep 2021[May]; 136 (3): 327-337 PMID33601984show ga
  • INTRODUCTION: Few US studies have examined the usefulness of participatory surveillance during the coronavirus disease 2019 (COVID-19) pandemic for enhancing local health response efforts, particularly in rural settings. We report on the development and implementation of an internet-based COVID-19 participatory surveillance tool in rural Appalachia. METHODS: A regional collaboration among public health partners culminated in the design and implementation of the COVID-19 Self-Checker, a local online symptom tracker. The tool collected data on participant demographic characteristics and health history. County residents were then invited to take part in an automated daily electronic follow-up to monitor symptom progression, assess barriers to care and testing, and collect data on COVID-19 test results and symptom resolution. RESULTS: Nearly 6500 county residents visited and 1755 residents completed the COVID-19 Self-Checker from April 30 through June 9, 2020. Of the 579 residents who reported severe or mild COVID-19 symptoms, COVID-19 symptoms were primarily reported among women (n = 408, 70.5%), adults with preexisting health conditions (n = 246, 70.5%), adults aged 18-44 (n = 301, 52.0%), and users who reported not having a health care provider (n = 131, 22.6%). Initial findings showed underrepresentation of some racial/ethnic and non-English-speaking groups. PRACTICAL IMPLICATIONS: This low-cost internet-based platform provided a flexible means to collect participatory surveillance data on local changes in COVID-19 symptoms and adapt to guidance. Data from this tool can be used to monitor the efficacy of public health response measures at the local level in rural Appalachia.
  • |*Internet-Based Intervention[MESH]
  • |*Self Report[MESH]
  • |*Symptom Assessment[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Appalachian Region/epidemiology[MESH]
  • |COVID-19/*epidemiology[MESH]
  • |Data Collection/*methods[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Patient Participation[MESH]
  • |Public Health Surveillance/*methods[MESH]
  • |SARS-CoV-2[MESH]


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