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Federal Register/Vol. 87, No. 18/Thursday, January 27, 2022/Rules and Regulations 4351
<br /> workers,improved ventilation systems, substance use to cope with stress related libraries, and other public spaces.57
<br /> and other health and safety measures. to COVID-19 and 26 percent reported Similarly, Los Angeles County will
<br /> The need for public health measures having symptoms of trauma-and further invest in its "Care First,Jails
<br /> to respond to COVID-19 will continue stressor-related disorder(TRSD)related Last"program which seeks to replace
<br /> moving forward. This includes the to the pandemic.50 "arrest and incarceration"responses
<br /> continuation of vaccination campaigns Another public health challenge with health interventions.58
<br /> for the general public,booster doses, exacerbated by the pandemic was While the pandemic affected
<br /> and children.This also includes violent crime and gun violence,which communities across the country,it
<br /> monitoring the spread of COVID-19 increased during the pandemic and has disproportionately impacted some
<br /> variants,understanding the impact of disproportionately impacted low- demographic groups and exacerbated
<br /> these variants, developing approaches to income communities.51 According to health inequities along racial, ethnic,
<br /> respond, and monitoring global COVID— the Federal Bureau of Investigation and socioeconomic lines.59 The CDC
<br /> 19 trends. Finally,the long-term health has found that racial and ethnic
<br /> impacts of COVID-19 will continue to (FBI),although the property crime rate minorities are at increased risk for
<br /> require a public health response, fell 8 percent in 2020,the violent crime infection,hospitalization,and death
<br /> includingmedical services for rate increased 6 percent in 2020
<br /> from COVID-19,with Hispanic or
<br /> individuals with"long COVID," and compared to 2019 data.52 In particular, Latino and Native American or Alaska
<br /> research to understand how COVID-19 the estimated number of aggravated Native patients at highest risk.so
<br /> impacts future health needs and raises assault offenses rose 12 percent,while Similarly,low-income and socially
<br /> risks for the tens of millions of murder and manslaughter increased 30 vulnerable communities have seen the
<br /> Americans who have been infected. percent from 2019 to 2020.53 The most severe health impacts. For
<br /> The COVID-19 pandemic also proportion of homicides committed
<br /> p example,counties with high poverty
<br /> negatively impacted other areas of with firearms rose from 73 percent in rates also have the highest rates of
<br /> public health,particularly mental health 2019 to 76 percent in 2020. Exposure infections and deaths,with 308 deaths
<br /> and substance use. In January 2021, over to violence can create serious short-term per 100,000 compared to the U.S.
<br /> 40 percent of American adults reported and long-term harmful effects to health average of 238 deaths per 100,000, as of
<br /> symptoms of depression or anxiety,up and development,and repeated December 2021.61 Counties with high
<br /> from 11 percent in the first half of exposure to violence may be connected social vulnerability,as measured by
<br /> 2019.46 The mental health impacts of to negative health outcomes.55 factors such as poverty and educational
<br /> the pandemic have been particularly Addressing community violence as a attainment,have also fared more poorly
<br /> acute for adults ages 18 to 24,racial and public health issue may help prevent than the national average,with 325
<br /> ethnic minorities,caregivers for adults, and even reduce additional harm to deaths per 100,000 as of December
<br /> and essential workers,with all reporting individuals,households,and 2021.62 Over the course of the
<br /> significantly higher rates of considering communities.56
<br /> suicide.47 The proportion of children's Many communities are using SLFRF 57 St.Louis,MO Recovery Plan,https://
<br /> emergency department visits related to funds to invest in holistic approaches in www•stlouis-mo.gov/government/recovery/covid-19/
<br /> mental health has also risen violence prevention that are rooted in arpa/plan/.
<br /> noticeably.48 Similarly,rates of p Los Angeles County,CA Recovery Plan,http://
<br /> substance use and overdose deaths have targeted outreach and addressing root file.lacounty.gov/SDSInter/bos/supdocs/
<br /> spiked:Preliminary data from the CDC causes. For example,the City of St. 160391.pdf.
<br /> p y Louis is planning to invest in expanding 59 Office of the White House,National Strategy for
<br /> <<show a nearly 30 percent increase in the COVID-19 Response and Pandemic
<br /> drug overdose mortality from April 2020 a community responder model Preparedness(Jan.21,2021),https://
<br /> to April 2021,bringing the estimated designed to provide clinical help and to www.whltehouse.gov/wp-content/uploads/2021/01/
<br /> overdose death toll for a 12-month divert non-violent calls away from the National-Strategy for-the-COVID-19-Response-and-
<br /> police department. Additionally,the Pandemic-Preparedness.pdf.
<br /> period over 100,000 for the first time 60In a study of 13 states from October to
<br /> ever.49 The CDC also found that 13 city will expand access to mental health December 2020,the CDC found that Hispanic or
<br /> percent of adults started or increased services,allowing residents to seek Latino and Native American or Alaska Native
<br /> support at city recreation centers, individuals were 1.7 times more likely to visit an
<br /> 46 Nirmita Panchal et al.,The Implications of emergency room for COVID-19 than White
<br /> COVID-19 for Mental Health and Substance Abuse 50 Panchal,supra note 46;Mark E.Czeisler et al., individuals,and Black individuals were 1.4 timesmore likely to do so than White individuals.See
<br /> (Feb.10,2021),https://www.kff.orglcoronavirus supra note 46. Sebastian D.Romano et al.,Trends in Racial and
<br /> covid-19/issue-brief/the-implications-of-covid-19- 51 The White House,FACT SHEET:More Details Ethnic Disparities in COVID-19 Hospitalizations,
<br /> for-mental-health-and-substance-use/#:---:text= on the Biden-Harris Administration's Investments March—December 2020 by Region—United States, ,
<br /> Oldero%20adults%2o0are%20als00%20 more, in Community Violence Interventions(April 7, MMWR Morb Mortal Wkly Rep 2021,70:560-565
<br /> rior/o20to/o20the/o20current/o20crisis;Mark E.
<br /> p 2021),https://www.whitehouse.gov/briefing-room/ (Apr.16,2021),https://www.cdc.govlmmwr/
<br /> Czeisler et al.,Mental Health,Substance Abuse,and statements-releasesl2021/04/07lfact-sheet-more- volumes/70/wrlmm7015e2.htm?s_cid=mm7015e2_
<br /> Suicidal Ideation During COVID-19 Pandemic— details-on-the-biden-harris-administrations-
<br /> United States,June 24-30 2020,Morb.Mortal. W.
<br /> United
<br /> Re 69 32 e 249-5704,2020, 1. s:// investments-in-community-violence-interventions/. 61 Centers for Disease Control and Prevention,
<br /> Wkly. p ( ) (Aug.( g ) p 52 Federal Bureau of investigation,FBI Releases
<br /> www.cdc.gov/mmwr/vo1umes/69/wr/ g COVID Data Tracker:Trends in COVID-19 Cases
<br /> mm6932a1.htm. 2020 Crime Statistics(September 27,2021)https:// and Deaths in the United States,by County-level
<br /> 47Id www.fbi.gov/news/pressrel/press-releases/fbi-releases-2020-crime-statistics. population Factors,https://covid.cdc.gov/covid-
<br /> 48 Rebecca T.Leeb et al.,Mental Health-Related data-tracker/#pop factors_totaldeaths(last visited
<br /> 53 jQ1 Emergency Department Visits Among Children December 7,2021).
<br /> Aged<18 Years During the COVID Pandemic— 54Id• 62 The CDC's Social Vulnerability Index includes
<br /> United States,January 1—October 17,2020,Morb. 55 The Educational Fund to Stop Gun Violence, fifteen variables measuring social vulnerability,
<br /> Mortal.Wkly.Rep.69(45):1675-80(Nov.13,2020), Community Gun Violence,https://efsgv.org/learn/ including unemployment,poverty,education
<br /> https://www.cdc.gov/mmwr/volumes/69/wr/ type-of-gun-violence/community-gun-violence/(last levels,single-parent households,disability status,
<br /> mm6945a3.htm. visited November 9,2021). non-English speaking households,crowded
<br /> 49 Centers for Disease Prevention and Control, 56 Giffords Law Center,Healing Communities in housing,and transportation access.
<br /> National Center for Health Statistics,Provisional Crisis:Lifesaving Solutions to the Urban Gun Centers for Disease Control and Prevention,
<br /> Drug Overdose Death Counts,https://www.cdc.govl Violence Epidemic(March 2016),https://giffords. COVID Data Tracker:Trends in COVID-19 Cases
<br /> nchs/nvss/vsrr/drug-overdose-data.htm(last visited org/wp-content/uploads/2019/01Mealing- and Deaths in the United States,by Social
<br /> May 8 December 6,2021). Communities-in-Crisis.pdf. Continued
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