The District of Columbia, like the nation, has long experienced persistent racial, ethnic, income, and health disparities. These have been exacerbated by the coronavirus pandemic, which first took hold in mid-March 2020. At that point, Americans experienced major disruptions in the nation’s critical infrastructure, social support services, and health care system. To reduce transmission of COVID-19 and ensure hospital capacity for those in need of critical care, many elective and non-COVID-related medical services were limited or shut down. In turn, 36 states suspended the provision of elective medical procedures through the end of April 2020, with some suspensions lasting into May. Many patients began curtailing their use of health care in response to limitations imposed by clinical facilities, due to a desire to avoid exposure to the often severe and deadly consequences of infection. While the health care impact was severe, the pandemic also had profound effects on people’s everyday lives, which in turn affected overall health. Many families in the US experienced loss or instability of housing, employment, food, and education along with other increased stressors and grief that also weighed on health and well-being.
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