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Integrating US National Guard with Public Health Partners at COVID-19 Testing Sites in West Virginia Counties with
Jaymie Brooks Dumproff1, John Bishara1, Neil Copeland1
1Jaymie Brooks Dumproff, MPH, MS, is a Public Health Officer; John Bishara, DO, is a Medical Doctor; Neil Copeland, MD, is a Flight Surgeon; and Todd Fredricks, DO, is a State Surgeon; all in the West Virginia Air and Army National Guard, Charleston, WV. Jaymie Brooks Dumproff is also a DrPH Student, Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. John Bishara and Neil Copeland are also Assistant Professors, Department of Pediatrics, West Virginia University School of Medicine Charleston Campus, Charleston, WV. Todd Fredricks is also an Associate Professor of Primary Care, Ohio University Heritage College of Osteopathic Medicine, Athens, OH.
Abstract:
This article analyzes the decisionmaking, communication, and outcomes of collaboration between the West Virginia National Guard (WVNG) and state and county organizations in hosting state-prioritized COVID-19 testing site events from May 22 to December 30, 2020. The United States Census Bureau designated 34 of the 55 counties in West Virginia as rural. For this study, we classified 23 counties as rural-identified counties, 14 counties as minority-identified counties and 14 counties as both rural and minority-identified counties. This resulted in a total 51 of the 55 counties receiving a rural, minority, or both rural and minority-identified county designation. Through collaboration between the WVNG and public health partners, 98,846 COVID-19 tests were conducted between May 22 and December 30, 2020, making up 7% of the total of 1,414,373 COVID-19 tests conducted in the entire state of West Virginia during that time frame. A total of 349 (68.2%) of the 512 WVNG-supported testing sites occurred in either rural or minority-identified counties: 185 (36.1%) in rural counties, 134 (26.2%) in minority-identified counties, and 30 (5.9%) in counties designated as both rural and minority-identified. The novel use of the WVNG to support county health departments in rural and minority-identified counties allowed more COVID-19 testing site events to occur. This demonstrates the use of the National Guard as a force multiplier, helping to reach the state's most vulnerable and underserved populations.
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