Evidence Synthesis Program (ESP) Center
Portland VA Health Care System Portland, OR Devan Kansagara, MD, MCR, Director
Kondo KK, Ayers CK, Williams BE, Kansagara D, Smith M, Mackey KM,
Advani S, Saha S. Health Inequalities in Infectious Disease Epidemics Predating COVID-19 in the
United States. Washington, DC: Evidence Synthesis Program, Health Services Research and
Development Service, Office of Research and Development, Department of Veterans Affairs. VA ESP
Project #05-225; 2020.
We conducted a systematic review of infectious disease epidemics predating COVID-19 to better understand the potentially modifiable factors that may have contributed to differential infection rates and health outcomes, as well as the interventions and programs implemented to mitigate them.
Key Question 1: What factors contribute to disparate infection rates and health-related outcomes among different segments of the population during infectious disease epidemics or pandemics in the United States?
Key Question 2: What interventions or intervention components have been used to reduce health inequalities (or identified in preliminary studies) in infectious disease transmission or health outcomes in disasters, or infectious disease epidemics or pandemics in the United States?