Thread by @shaw_natsui, Lowest income neighborhoods in NYC are hardest hit by #COVID19. Quick thoughts [...]

Shaw Natsui, MD MPA

shaw_natsui

Lowest income neighborhoods in NYC are hardest hit by #COVID19. Quick thoughts after a whirlwind first four weeks of this marathon.

1/x thread https://www.nytimes.com/interactive/2020/04/01/nyregion/nyc-coronavirus-cases-map.html">https://www.nytimes.com/interacti...

A Month of Coronavirus in New York City: See the Hardest Hit Areas

New data released by the city shows that lower-income neighborhoods have been most affected by the virus.

https://www.nytimes.com/interactive/2020/04/01/nyregion/nyc-coronavirus-cases-map.html

Like many health outcomes, what we see in #SouthBronx and #Queens is no accident and very much tied to structural risk. #LincolnHospital #ElmhurstHospital

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Many immigrant families & lower-income families living in close quarters in small apartments. Whether speaking w concerned 311 #COVID19 callers or caring for patients in our NYC EDs, this was the #1 fear I heard from folks with limited options for self isolation.

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With #SocialDistancing and a Stay-At-Home directive, we saw how white-collar communities could be early adopters of telecommuting, while working class neighborhoods still had significant subway commutes. Hard to "bend the curve."

4/x https://nypost.com/2020/04/01/nyc-map-shows-percentage-of-patients-with-coronavirus-by-zip-code/">https://nypost.com/2020/04/0...

NYC map shows percentage of patients with coronavirus by ZIP code

A new city map showing percentage of patients testing positive for coronavirus by ZIP code suggests the poorest New Yorkers are hardest hit by the pandemic. The wealthiest parts of the city, including

https://nypost.com/2020/04/01/nyc-map-shows-percentage-of-patients-with-coronavirus-by-zip-code/

The ED serves all pts, irrespective of socioeconomics. When we opened ExpressCares, we made urgent care a real option for the un-/under-insured. But in #COVID19, ppl w financial means can more easily access #telemedicine, while others rely on the ED once more (= travel, crowds).

The surge of critically ill we are seeing in these neighborhoods is staggering. All the while keeping in mind other vulnerable groups with also limited ability to safely self isolate: shelter & street homeless individuals and those in NYC jails and correctional health.

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Grateful for the dedication and spirit of the so many people working hard across the entire city and health systems to take care of all NYers.

Fin/

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