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COVID-19 At-Risk Individuals Resources
Topic Collection
August 3, 2020

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.

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Center for American Indian Health. (2020). COVID-19 Materials Developed for Tribal Use. (Added 4/30/2020.) Johns Hopkins Bloomberg School of Public Health.
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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COVID-19 Healthcare Resilience Task Force. (2020). COVID-19 Hospital Resource Package.
This document lists key COVID-19 guidance and resources for hospital administrators, hospital emergency planners, and infection control practitioners in the following topical areas: hospital surge, crisis standards of care, staffing surge and resilience, workforce protection, regulatory relief, equipment supply surge, and telemedicine. Each section contains links to Federal and non-Federal guidance to help hospitals prepare for and respond to a COVID-19 outbreak.
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Dyal, J., Grant, M., Broadwater, K., et al. (2020). COVID-19 Among Workers in Meat and Poultry Processing Facilities -19 States, April 2020. Morbidity and Mortality Weekly Report. 69(18):557-561.
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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Infectious Disease Society of America and HIV Medicine Association. (2020). COVID-19 and Health Disparities in the United States. (Added 6/29/2020)
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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North Carolina Department of Health and Human Services. (2020). Interim Coronavirus 2019 (COVID-19) Guidance for Migrant Farmworkers, Their Employers, and Housing Providers.
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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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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Office of the Assistant Secretary for Preparedness and Response. (2020). Community-Based Organizations during COVID-19. (Added 7/13/2020.) U.S. Department of Health and Human Services.
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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San Francisco Department of Public Health. (2020). Interim Guidance for Providers: Addressing Needs of People Who Use Alcohol, Tobacco, or Other Drugs Who are Sheltering in Place or Require Isolation or Quarantine Related to COVID-19.
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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U.S. Department of Health and Human Services. (2020). HHS Initiatives to Address the Disparate Impact of COVID-19 on African Americans and Other Racial and Ethnic Minorities. (Added 7/2/2020)
This document describes initiatives to address the disparate effects of COVID-19 on racial, ethnic, and underserved communities. Actions are focused on: improving understanding of COVID-19's impact on minorities, making testing and treatment more accessible and affordable, tailoring guidance for individuals and communities most at risk, expanding telehealth options to ensure access to needed care, and strengthening outreach and effective communication on COVID-19 to minority communities.
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U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. (2020). Federal Resource Toolkit for State and Local Agencies Serving Vulnerable Populations During the COVID-19 Emergency.
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U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. (2020). HHS emPOWER Map 3.0.
Healthcare providers, electric company representatives, and community members can use this map to find the monthly total of Medicare beneficiaries with electricity-dependent equipment claims at the U.S. state, territory, county, and zip code level and enable “real-time” NOAA severe weather tracking services to identify areas and populations that may be at risk of/impacted by power outages.
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Western Center for Agricultural Health and Safety. (2020). COVID-19 Resources for Agriculture. (Added 5/15/2020.) University of California Davis.
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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Congregate Settings (e.g., group home facilities, correctional settings)

ASPR TRACIE. (2020). Resources on Infectious Disease Outbreaks and Incarcerated Populations.
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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National Commission on Correctional Health Care. (2020). COVID-19 Coronavirus: What You Need to Know in Corrections. (Added 6/12/2020.)
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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National Mass Care Strategy. (2020). COVID-19 Resources. (Added 5/5/2020.)
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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Wallace, M., Hagan, L., Curran, K., et al. (2020). COVID-19 in Correctional and Detention Facilities - United States, February-April 2020. (Added 6/12/2020.) Morbidity and Mortality Weekly Report. 69(19):587-590.
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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Wallace, M., Marlow, M., Simonson, S., et al. (2020). Public Health Response to COVID-19 Cases in Correctional and Detention Facilities - Louisiana, March-April 2020. Morbidity and Mortality Weekly Report. 69(19):594-598.
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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Washington State Department of Health. (2020). COVID-19 Resources and Recommendations.
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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Population-Specific Resources: Children

American Academy of Pediatrics. (2020). Guidance on Newborn Screening During COVID-19.
The document provides guidance on following newborn screening recommendations during the COVID-19 pandemic.
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American Academy of Pediatrics. (2020). Guidance on Providing Pediatric Well-Care During COVID-19.
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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Centers for Disease Control and Prevention. (2020). Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with Coronavirus Disease 2019 (COVID-19). (Added 5/15/2020.) U.S. Department of Health and Human Services.
This health advisory provides background information and a case definition for multisystem inflammatory syndrome in children.
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Children's Hospital of Philadelphia. (2020). Emergency Department, ICU and Inpatient Clinical Pathway for Evaluation of Possible Multisystem Inflammatory Syndrome (MIS-C). (Added 5/29/2020.)
This algorithm depicts the clinical pathway for assessing children for Multisystem Inflammatory Syndrome.
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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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Office of the Assistant Secretary for Preparedness and Response. (2020). National COVID-19 Clinical Rounds: Special Session - Pediatrics (5/22/2020). U.S. Department of Health and Human Services.
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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Rainbow Babies and Children's Hospital, Burkhart, K., and Ievers-Landis, C. (2020). Pediatric Exit Care Instructions (COVID-19).
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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Royal College of Paediatrics and Child Health. (2020). Guidance: Paediatric Multisystem Inflammatory Syndrome Temporally Associated with COVID-19. (Added 5/19/2020.)
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: Older Adults

Agency for Healthcare Research and Quality. (2020). Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults. (Added 4/29/2020.) U.S. Department of Health and Human Services.
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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Institute for Healthcare Improvement. (2020). Age-Friendly Health Systems Design to Address COVID-19. (Added 6/23/2020.)
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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Meyer, D., LaFave, S., Hart, A., et al. (2020). Recommendations for a Metropolitan COVID-19 Response Special Emphasis Series: Guidance on Protecting Individuals Residing in Long-Term Care Facilities. (Added 5/13/2020.) Johns Hopkins Bloomberg School of Public Health.
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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The Geriatric Emergency Department Collaborative. (2020). COVID-19 in Older Adults: Key Points for Emergency Department Providers.
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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The John A. Hartford Foundation. (2020). Coronavirus Disease (COVID-19) Resources for Older Adults, Family Caregivers and Health Care Providers. (Added 6/23/2020.)
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: People with Chronic Medical Conditions

AIDSinfo. (2020). Interim Guidance for COVID-19 and Persons with HIV. U.S. Department of Health and Human Services.
This interim guidance is intended for clinicians and provides special considerations for persons with HIV regarding COVID-19.
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American Society of Clinical Oncology. (2020). A Guide to Cancer Care Delivery During the COVID-19 Pandemic.
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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Centers for Disease Control and Prevention. (2020). Coronavirus Disease 2019 (COVID-19) Outpatient Dialysis Facility Preparedness Assessment Tool. U.S. Department of Health and Human Services.
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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Davis, C.. (2020). How to Manage Residents Who Receive Dialysis When COVID-19 is at the Door. American Association of Post-Acute Care Nursing.
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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San Francisco Department of Public Health. (2020). Interim Guidance: Prevention, Screening, and Management of Possible COVID-19 Cases in Outpatient Hemodialysis Centers.
This document provides COVID-19 specific guidance to facilities providing outpatient hemodialysis.
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Washington State Department of Health. (2020). Guidance for Persons Who are at Higher Risk for Serious Illness.
This resource provides information to individuals who are at higher risk for developing complications from COVID-19, including how to prepare for specific health needs and what to do if you become ill.
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Population-Specific Resources: People Experiencing Homelessness

ASPR TRACIE. (2020). Homeless Shelter Resources for COVID-19.
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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Corporation for Supportive Housing. (2020). Suggested Support Plan for Clients in Isolation Units and Leveraging Tele-Health. (Added 5/15/2020.)
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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National Health Care for the Homeless Council. (2020). COVID-19 and the HCH Community: Needed Actions from Public Health and Emergency Response Systems. (Added 4/29/2020.)
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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National Health Care for the Homeless Council. (2020). Medical Respite Care and Alternate Care Sites. (Added 5/15/2020.)
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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North Carolina Department of Health and Human Services. (2020). Interim Coronavirus Disease 2019 (COVID-19) Guidance for Homeless Shelters and Service Providers.
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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Office of the Assistant Secretary for Preparedness and Response, At-Risk Individuals Program. (2020). COVID-19. U.S. Department of Health and Human Services.
This webpage includes links to interim guidance and other helpful information for people experiencing homelessness and those who serve them.
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Public Health – Seattle & King County. (2020). Healthcare for the Homeless Network (HCHN) COVID-19 Resources.
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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San Francisco Department of Public Health. (2020). Interim Guidance: Preventing and Managing COVID-19 Transmission in Shelters and Navigation Centers.
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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State of California, Consumer Services and Housing Agency. (2020). Interim Guidance for Homeless Assistance Providers on Novel Coronavirus (COVID-19). (Added 6/12/2020.)
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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Tobolowsky, F., Gonzales, E., Self, J., et al. (2020). COVID-19 Outbreak Among Three Affiliated Homeless Service Sites - King County, Washington, 2020. Morbidity and Mortality Weekly Report. 69(17):523-526.
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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U.S. Department of Housing and Urban Development. (2020). Interim Guidance for Homeless Service Providers to Plan and Respond to Coronavirus Disease 2019 (COVID-19).
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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Washington State Department of Health. (2020). Recommendations for Homeless Shelter Facilities during a COVID-19 Outbreak.
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

North Carolina Council on Developmental Disabilities. (2020). COVID-19 Resources for People with Disabilities.
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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North Carolina Emergency Management. (2020). North Carolina Emergency Management Guidance on Considerations of People with Disabilities and Other Access and Functional Needs for COVID-19.
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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Population-Specific Resources: Rural Areas

ASPR TRACIE. (2020). Rural Health and COVID-19.
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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ASPR TRACIE. (2020). Rural Health and COVID-19: Quick Sheet.
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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Rural Health Information Hub. (2020). Rural Healthcare Surge Readiness.
The Rural Health Information Hub created this webpage 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

Society for Maternal-Fetal Medicine. (2020). The Society for Maternal-Fetal Medicine COVID-19 Ultrasound Practice Suggestions.
This guidance document provides recommendations for ultrasound practices as it pertains to COVID-19.
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The American Colleague of Obstetrician and Gynecologists. (2020). COVID-19 FAQs for Obstetrician-Gynecologists, Obstetrics.
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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The American Colleague of Obstetrician and Gynecologists, and Society for Maternal-Fetal Medicine. (2020). Outpatient Assessment and Management for Pregnant Women with Suspected or Confirmed Novel Coronavirus (COVID-19).
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

Administration for Community Living. Coronavirus Disease 2019 (COVID-19). U.S. Department of Health and Human Services.
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American Academy of Pediatrics. Critical Updates on COVID-19.
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American Diabetes Association. COVID-19.
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American Geriatrics Society. Coronavirus Disease 2019 (COVID-19) Information Hub.
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American Heart Association. COVID-19 Content: An AHA Compendium.
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American Society of Nephrology. COVID-19 Information.
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American Society of Transplantation. COVID-19 Resources for the Transplant Community.
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Better Care Playbook. Addressing Complex Care Needs Amid COVID-19.
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HealthinAging.org. Coronavirus (COVID-19).
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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Kidney Community Emergency Response. COVID-19.
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National Association of Area Agencies on Aging. COVID-19 Resources.
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National Health Care for the Homeless Council. COVID-19 Resources.
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National Perinatal Association. COVID-19.
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Office of the Assistant Secretary for Preparedness and Response. HHS emPOWER Map 3.0. U.S. Department of Health and Human Services.
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The American College of Obstetricians and Gynecologists. Novel Coronavirus 2019 (COVID-19).
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The Geriatric Emergency Department Collaborative. COVID-19 Links and Resources.
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U.S. Department of Housing and Urban Development. COVID-19 Response and Homelessness: An Action and Resource Guide.
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