![]() ![]() 12, 13 To avoid risk of exposure to COVID-19, many people delayed or avoided seeking medical care, 14 potentially increasing the risk of poor mental health, substance use, and violence outcomes. ![]() 1, 3, 4, 5, 6, 7, 8, 9, 10, 11 Furthermore, the shutdown of businesses, schools, and other public entities resulted in reduced or modified access to mental health treatment, addiction and recovery support services, and services designed to support families experiencing or at risk for violence victimization. 1, 2, 3, 4 Economic stress, including financial hardship and job loss, may worsen mental health and contribute to increases in suicide, substance use, and violence. Research suggests that the social isolation that resulted from these measures, coupled with fear of contagion, may have a detrimental effect on mental health. The novel coronavirus disease 2019 (COVID-19) pandemic resulted in major disruption to public health infrastructure and societal norms and necessitated physical distancing measures (eg, stay-at-home orders) to slow spread of the virus. Median rates during the same period were significantly higher in 2020 compared with 2019 for all outcomes except IPV. ![]() Conversely, ED visit rates increased beginning the week of March 22 to 28, 2020. Total ED visit volume decreased after COVID-19 mitigation measures were implemented in the US beginning on March 16, 2020. Other-Development of measures: D’Inverno.Ĭonflict of Interest Disclosures: None reported.ĭisclaimer: The findings and conclusions in this report are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention or the Agency for Toxic Substances and Disease Registry.Īdditional Contributions: We acknowledge state, local, and jurisdictional health departments participating in the Centers for Disease Control and Prevention’s National Syndromic Surveillance Program, as well as the facilities working closely with these health departments to build statewide syndromic surveillance systems.įrom December 30, 2018, to October 10, 2020, a total of 187 508 065 total ED visits (53.6% female and 46.1% male) were captured 6 018 318 included at least 1 study outcome (visits not mutually exclusive). ![]() Supervision: Holland, Jones, Hoots, Law, Puddy, Dowling, Houry. Statistical analysis: Holland, Idaikkadar, Hoots, Law, Adjemian, Thomas.Īdministrative, technical, or material support: Holland, Vivolo-Kantor, Yard, Swedo, Chen, Petrosky, Martinez, Stone, Coletta, Puddy, Peacock, Dowling. Holland, PhD, MPH, Division of Overdose Prevention, National Center for Injury Prevention and Control, 4770 Buford Hwy, Atlanta, GA 30341 ( Contributions: Dr Holland and Mr Idaikkadar had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.Ĭoncept and design: Holland, Jones, Vivolo-Kantor, Zwald, Hoots, Swedo, Board, Law, Thomas, Peacock, Dowling.Īcquisition, analysis, or interpretation of data: Holland, Vivolo-Kantor, Idaikkadar, Hoots, Yard, D’Inverno, Swedo, Chen, Petrosky, Martinez, Stone, Law, Coletta, Adjemian, Thomas, Puddy, Dowling, Houry.ĭrafting of the manuscript: Holland, Jones, Vivolo-Kantor, Swedo, Law, Houry.Ĭritical revision of the manuscript for important intellectual content: All authors. ![]()
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