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Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Am+Coll+Emerg+Physicians+Open 2020 ; 1 (4): 527-32 Nephropedia Template TP
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Epidemiology of the 2020 pandemic of COVID?19 in the state of Georgia: Inadequate critical care resources and impact after 7 weeks of community spread #MMPMID32838368
Moore JX; Langston ME; George V; Coughlin SS
J Am Coll Emerg Physicians Open 2020[Aug]; 1 (4): 527-32 PMID32838368show ga
Objectives: Novel coronavirus (COVID?19) is a global pandemic currently spreading rapidly across the United States. We provide a comprehensive look at COVID?19 epidemiology across the state of Georgia, which includes vast rural communities that may be disproportionately impacted by the spread of this infectious disease. Methods: All 159 Georgia counties were included in this study. We examined the geographic variation of COVID?19 in Georgia from March 3 through April 24, 2020 by extracting data on incidence and mortality from various national and state datasets. We contrasted county?level mortality rates per 100,000 population (MRs) by county?level factors. Results: Metropolitan Atlanta had the overall highest number of confirmed cases; however, the southwestern rural parts of Georgia, surrounding the city of Albany, had the highest bi?weekly increases in incidence rate. Among counties with >10 cases, MRs were highest in the rural counties of Randolph (233.2), Terrell (182.5), Early (136.3), and Dougherty (114.2). Counties with the highest MRs (22.5?2332 per 100,000) had a higher proportion of: non?Hispanic Blacks residents, adults aged 60+, adults earning <$20,000 annually, and residents living in rural communities when compared with counties with lower MRs. These counties also had a lower proportion of the population with a college education, lower number of ICU beds per 100,000 population, and lower number of primary care physicians per 10,000 population. Conclusions: While urban centers in Georgia account for the bulk of COVID?19 cases, high mortality rates and low critical care capacity in rural Georgia are also of critical concern.