COVID-19 At-Risk Individuals Resources
Topic Collection
April 1, 2021
Topic Collection: COVID-19 At-Risk Individuals Resources
This Topic Collection focuses on plans, tools, templates, and other immediately implementable resources to help with COVID-19 preparedness, response, recovery, and mitigation efforts, focusing on at-risk individuals vulnerable to COVID-19. Related information can be found on the COVID-19 Behavioral Health Resources Page.
Please refer to CDC’s Coronavirus Disease 2019 webpage for the most up-to-date clinical guidance on COVID19 outbreak management.
If you have COVID-19 best or promising practices, plans, tools, or templates to share with your peers, please visit the ASPR TRACIE Information Exchange COVID-19 Information Sharing Page (registration required) and place your resources under the relevant topic area. Resources specific to at-risk individuals vulnerable to COVID-19 can be placed under the COVID-19 At-Risk Individuals Resources Topic.
General Resources
This resource page includes resources that tribal members need to know about COVID-19, including resources directed toward providers, caregivers, and children; tribe-specific information; and public service announcements and social media materials.
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The HHS emPOWER Map provides monthly de-identified totals of Medicare claims submitted for one or more of the fourteen types of life-maintaining or saving electricity-dependent durable medical and assistive equipment (DME) and certain implanted electricity-dependent cardiac devices, at the national, state, territory, county, and ZIP Code levels. Users have the ability to create unique aggregations by geography and export the data, as well as the ability to access historical HHS emPOWER Map datasets for further analysis. When combined with real-time severe weather and hazard maps, the HHS emPOWER Map gives communities the power to anticipate, plan for, and address the needs of this population prior to, during, and after an incident, emergency, or disaster.
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This document highlights the disproportionate effect COVID-19 has had on African American, Latinx, and Native American populations and other underserved communities. The authors recommend five actions in response: improve access to healthcare coverage and healthcare services; ensure the collection of COVID-19 data by race, ethnicity, and disability by zip code; provide access to affordable COVID-19 testing, prevention, care, and treatment; protect frontline workers; and address social and economic determinants of health.
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This social media outreach toolkit contains graphics and public service announcements in these Native Hawaiian Pacific Islander languages: Chamorro, Tongan, Samoan, Marshallese and Hawaiian.
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This fact sheet outlines how PRAPARE SDOH domains may be associated with individuals’ risk of morbidity and mortality from COVID-19.
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This three-page document is a handout for patients, which provides information on how to use a pulse oximeter to monitor oxygen levels at home and a log sheet for tracking 02 levels. Translations in additional languages can be found on the COVID-19 Provider Page (https://www1.nyc.gov/site/doh/covid/covid-19-providers.page) under the “Pulse Oximeter Program” tab.
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This guidance document was developed for healthcare providers and includes information on the use of home pulse oximeters. It is aimed at facilitating enhanced monitoring of patients at home who are at higher risk for moderate to severe COVID-19 illness.
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Office of Critical Event Preparedness and Response and Emory University School of Medicine. (2020).
Coronavirus Checker.
This online tool allows individuals to answer a series of questions to check their risk for COVID-19. Based on responses, the tool classifies someone as low, intermediate, or high risk and directs them to additional information based on that risk level.
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This resource page provides information for community-based organizations (CBOs) during the COVID-19 pandemic. Resources focus on equipping CBOs to return to work, supporting clients and family caregiving networks, bringing innovation to CBO service, and improving the integration of CBOs.
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This toolkit provides numerous resources specific to Region 3 (DE, DC, MD, PA, VA, WV), for state and local agencies serving vulnerable populations.
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This webpage provides links to federal programs that can help at-risk individuals during the COVID-19 pandemic.
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This document provides guidance to service providers of people who use drugs who need to be isolated or quarantined. The document provides general recommendations followed by specific guidance for: opioids, alcohol, benzodiazepines, gamma hydroxybutyrate, stimulants, tobacco, and non-medical cannabis.
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This fact sheet provides links to steps HHS has taken to address the disparate impact of COVID-19 on African Americans and other racial and ethnic minorities.
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Congregate Settings (e.g., group home facilities, correctional settings)
This ASPR TRACIE document highlights resources for healthcare system emergency preparedness planners and correctional facility workers to use while preparing for and responding to infectious disease outbreaks that may occur in prisons or jails. Considerations and lessons learned from these materials are also gathered and provided as points for consideration in this document.
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This webpage includes various resources for correctional health, including answers to frequently asked questions, information on personal protective equipment, downloadable signage, educational videos and webinars, weekly reports on COVID-19 in correctional facilities, and links to additional resources.
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This page features mass care COVID-19 feeding and sheltering guidelines. It includes a job tool on feeding in COVID-19 congregate shelters as well as information on sheltering in COVID-19 affected areas (considerations, guiding principles, shelter approaches, sheltering teams, set-up, and job tools).
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This report describes reporting from 37 jurisdictions on COVID-19 cases and deaths among those incarcerated or detained and staff members of correctional and detention facilities. The authors emphasize the importance of early case identification, application of infection prevention measures, and adherence to mitigation guidance.
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This report summarizes an assessment of 24 Louisiana correctional and detention facilities with reported COVID-19 cases using the COVID-19 Management Assessment and Response (CMAR) tool. The authors found that facility administrators were aware of and understood guidance related to COVID-19, and in some cases instituted measures beyond those currently recommended, but were challenged in implementing quarantine and social distancing measures in their available physical space.
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This web page includes guidance documents for various congregate settings including foster care group home facilities, jails and detention facilities, and juvenile and behavior rehabilitation facilities. Documents provide elements to include in an infection prevention plan; a template for collecting partner contact information; communication tips for staff, residents, and visitors; and symptoms to watch for.
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Occupational Settings
This ASPR TRACIE document highlights resources for healthcare system emergency preparedness planners and correctional facility workers to use while preparing for and responding to infectious disease outbreaks that may occur in prisons or jails. Considerations and lessons learned from these materials are also gathered and provided as points for consideration in this document.
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This report discusses factors associated with 4,913 cases and 20 deaths reported among workers at 115 meat and poultry processing facilities in 19 states. The authors recommend elimination of hazards and exposure sources, use of engineering controls such as installation of physical barriers, enhancement of infection prevention practices such as hand hygiene and frequent cleaning and disinfection, changes to leave policies that incentivize working while ill, use of personal protective equipment, and worker training in relevant languages.
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This document provides background information on COVID-19 and a checklist to prepare to care for and isolate infected workers, promote healthy habits, and address legal considerations.
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This page includes various resources to protect agricultural worker health during the COVID-19 pandemic. Resources include an agricultural worksite checklist, employer training guide, educational videos, and infographics on worker safety, prevention, symptoms, and hygiene. Most of the resources are available in both English and Spanish.
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Population-Specific Resources: Older Adults
This patient safety primer provides background information on the increased risks to older adults infected by COVID-19. It identifies patient safety problems associated with infection control and prevention, transitions of care, telehealth and telemedicine, and federal guidance and highlights tools and resources for nursing homes.
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This webpage provides information for older adults and their caregivers about COVID-19 and how to ease isolation while practicing social distancing
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The HHS ASPR Addressing the Needs of Older Adults in Disasters Web-Based Training is designed to improve public health and emergency medical responders’ capability to address the access and functional needs of community-dwelling older adults in common disaster situations, including infectious disease outbreaks.
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This document outlines steps to limit exposure of older adults to COVID-19, reduce hospitalizations, and increase the rate of safe hospital discharges focused on community, emergency department, hospital, and post-acute and long-term care goals.
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This report offers six overarching recommendations for support teams to aid COVID-19 preparedness and response in long-term care facilities.
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Minnesota Association of Geriatrics Inspired Clinicians. (2020).
COVID-19 Resources.
(Added 4/15/2020.)
This page includes several resources and recommendations for skilled nursing, long term care, and assisted living facilities on COVID-19 patient management.
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This article provides two patient scenarios to highlight unique aspects of caring for older adults with COVID-19. The authors provide an appendix with 10 key points for patients and 15 key points for emergency department clinicians.
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This page features numerous COVID-19 resources for older adults, their caregivers, and professionals in the aging field.
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This page includes links to government and private sector COVID-19 resources for older adults, their caregivers, and healthcare providers.
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Population-Specific Resources: Children
This page compiles links to interim and updated guidance developed by the AAP on topics related to clinical care for infants, children, and adolescents during the COVID-19 pandemic.
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This guidance was developed to help pediatric practices determine when to test for severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) infection.
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The document provides guidance on following newborn screening recommendations during the COVID-19 pandemic.
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This document provides guidance on the health care that should continue to be provided to children during the COVID-19 pandemic.
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The first webinar in this series focuses on child health and wellness. Panelists discuss resumption of routine care, missed immunizations, lead poisoning screening, sleep issues, and child neglect and abuse.
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This health advisory provides background information and a case definition for multisystem inflammatory syndrome in children.
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This algorithm depicts the clinical pathway for assessing children for Multisystem Inflammatory Syndrome.
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This algorithm depicts the clinical pathway for assessing children with COVID-19.
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This resource page includes materials from a virtual table top exercise on pediatric disaster healthcare surge. Topics covered include educational presentations on regional burn surge and COVID-19, reflections on the COVID-19 pandemic experience, and breakout sessions on a 48 hour shelter in place scenario. Resources available for download include the exercise timeline, virtual exercise plan, and participant handbook.
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Emergency Medical Services for Children Innovation & Improvement Center. (2020).
Coronavirus (COVID-19).
(Added 5/21/2020.)
This page is a compilation of COVID-19 related resources for hospital-based, pre-hospital, and community-based providers. Resources are categorized under Multisystem Inflammatory Response Syndrome in Children, pre-hospital and hospital preparedness, family readiness, school and childcare, personal protective equipment and essential skills, and mental and behavioral health. The page is updated as new resources become available.
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This report describes 570 suspected cases of multisystem inflammatory syndrome in children (MIS-C) reported to the CDC by state and local health departments as of July 29, 2020. The authors used latent class analysis to divide cases into three classes based on different illness manifestations.
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This webinar is part of the National COVID-19 Clinical Rounds hosted by ASPR, Project ECHO, NETEC, and other public-private partners. This special session focused on pediatric clinical care and featured presentations from Children's Healthcare of Atlanta/Emory University and South Thames Retrieval Service/Evelina London.
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These two tip sheets can help caregivers oversee the physical and psychosocial recovery processes for children diagnosed with COVID-19. The resources can be downloaded and customized by individual healthcare providers/facilities.
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This guidance document includes a case definition and clinical management information related to a rare syndrome first identified in pediatric COVID-19 patients by clinicians in Great Britain.
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Population-Specific Resources: People Experiencing Homelessness
This ASPR TRACIE TA response includes guidance resources related to COVID-19 for homeless shelters. It also provides information on states that have opened designated shelters for people experiencing homelessness who have tested positive for COVID-19.
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This plan includes an algorithm for triage, intervention, and management of clients at isolation sites; triage interview questions and immediate intervention steps; and information on the use of telemedicine and telepsychiatry to manage behavioral health and medical needs. The plan applies to supportive housing providers, managed care organizations, health centers, and case management services.
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This web page provides links to multiple resources specifically geared towards individuals experiencing homelessness and COVID-19.
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This issue brief identifies eight critical actions along with strategies and guidance to accomplish them to mitigate the spread of COVID-19 among those experiencing homelessness.
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This issue brief outlines considerations for communities providing respite care to people experiencing homelessness to promote infection prevention or offer a safe place while waiting for COVID-19 test results or recovering from illness. The document includes links to guides, protocols, and handbooks used in some communities.
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This document includes a checklist for homeless shelters to consider when planning for and responding to the COVID-19 outbreak in homeless shelters.
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This web page includes resources to support those experiencing homelessness, including guidance for homeless service providers, frequently asked questions, cleaning and disinfection information, planning guidance, hand washing posters, and street outreach guidelines.
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This document offers guidance to persons experiencing homelessness and the providers that serve them. It provides infection prevention information, identifies staff and resident education needs, lists necessary supplies, provides cleaning instructions, and identifies ways to reduce the likelihood of COVID-19 cases.
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This memo sent to homeless assistance providers emphasizes steps to take to prevent disease spread among clients and staff. It also provides an overview of Project Roomkey, the state’s collaborative effort to ensure access to shelter and medical care for people experiencing homelessness who test positive for COVID-19, have been exposed, or are asymptomatic but at high risk of severe illness.
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This report discusses a COVID-19 outbreak in three affiliated homeless shelters. The authors recommend that homeless shelters with confirmed cases of COVID-19 initiate immediate and repeated testing of all staff and residents to identify additional cases, enhanced surveillance, and isolation of confirmed cases.
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This interim guidance document was developed to support response planning by homeless service providers, including overnight emergency shelters, day shelters, and meal service providers.
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US Interagency Council on Homelessnes. (2020).
COVID-19.
This webpage includes links to interim guidance and other helpful information for people experiencing homelessness and those who serve them.
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This framework identifies strategies and activities related to unsheltered people, shelter, housing, diversion and prevention, and strengthening systems for the future for communities to address through COVID-19 response and recovery funding. Please check here to confirm the most recent version: http://housingequityframework.org/.
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This guidance document was developed to assist homeless shelter facilities in response to the COVID-19 outbreak.
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Population-Specific Resources: People with Access and Functional Needs
This document answers frequently asked questions about COVID-19 vaccine approval, manufacturing, allocation, and distribution for state and local disability leaders.
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The HHS/ASPR Access and Functional Needs (AFN) web-based training defines the concept and requirements for addressing the AFN of at-risk individuals, and provides tools and resources to help you address (AFN) of at-risk individuals in your community during disaster preparedness, response, and recovery activities.
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This document provides best practices and technical requirements for video-based platforms and apps.
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This web pages provides links to multiple resources for individuals with special needs, including a toolkit to support individuals with autism, an emergency picture communication aid and a plain language information sheet on COVID-19 (both resources available in English and Spanish), early prescription refill guidance, and other information.
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This guidance document provides information on how to support individuals with access and functional needs as it pertains to: communication, maintaining health, remaining independent, transportation, and other services.
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This tool is designed to support nurses, social workers, case managers, and others conducting effective discharge planning and care coordination for adults with disabilities who received care or treatment for COVID-19 illness in an acute care setting, are no longer COVID-19 positive, and require continuation or reconnection to supports and services.
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Population-Specific Resources: People with Chronic Medical Conditions
This interim guidance is intended for clinicians and provides special considerations for persons with HIV regarding COVID-19.
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This guide offers steps that oncology practices can take to protect staff and patients while continuing to deliver care during the COVID-19 pandemic.
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The information and resources contained in this Toolkit, developed by nephrologists and nephrology team members, discuss general considerations across nephrology care settings, outpatient dialysis, dialysis in the acute setting, urgent start peritoneal dialysis, home dialysis, and the care of the transplant patient.
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This page includes a checklist to assist outpatient dialysis facilities in their COVID-19 preparedness and response. The page also includes infection control guidance for outpatient hemodialysis facilities.
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This article offers advice to nursing homes that need to send residents to other facilities for dialysis treatment during the COVID-19 pandemic. The author discusses cohorting dialysis patients, limiting tub use, surveillance frequency, transport protocols, symptom reporting, masking, adherence to care plans, and collaborating with dialysis providers.
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This document analyzes the recent actions of the End Stage Renal Disease Community during the COVID-19 pandemic, around four key capabilities - situational assessment, operational communication, operational coordination, and logistics and supply chain management – and proposes corrective actions.
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This document provides COVID-19 specific guidance to facilities providing outpatient hemodialysis.
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Population-Specific Resources: Rural Areas
This ASPR TRACIE resource lists challenges faced by rural areas specific to COVID-19. The challenges are grouped into two main categories: those specific to healthcare facilities, and those related to at-risk populations who reside in rural areas.
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This quick sheet lists strategies for overcoming challenges faced by rural areas specific to COVID-19. The challenges are grouped into two main categories: those specific to healthcare facilities, and those related to at-risk populations who reside in rural areas.
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The Rural Surge Readiness Team/Federal COVID-19 Healthcare Resilience Working Group created this web portal to provide the current and key resources for rural healthcare systems preparing for and responding to a COVID-19 surge. The page includes links to resources by audience and topic.
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Population-Specific Resources: Women and Gender Issues
This resource provides responses to frequently asked questions as it pertains to optimizing obstetric care in the context during the COVID-19 outbreak.
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This guidance document provides recommendations for ultrasound practices as it pertains to COVID-19.
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This document includes an algorithm that can assist healthcare practitioners in evaluating and treating pregnant persons with known exposure and/or those with symptoms consistent with COVID-19 (persons under investigation).
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Agencies and Organizations
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Kidney Community Emergency Response.
COVID-19.
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U.S. Department of Health and Human Services, Office of the Assistant Secretary of Preparedness and Response.
HHS emPOWER Program.
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