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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
1/x thread 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/
4/x 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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