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  1. Article ; Online: Towards Eliminating Nonmedical Vaccination Exemptions Among School-Age Children.

    Goldstein, Neal D / Suder, Joanna S

    Delaware journal of public health

    2022  Volume 8, Issue 1, Page(s) 84–88

    Abstract: The increase in childhood vaccine hesitancy and corresponding use of nonmedical exemptions to abstain from vaccination has deleteriously impacted the public's health. This has many in the field calling for widespread elimination of nonmedical school- ... ...

    Abstract The increase in childhood vaccine hesitancy and corresponding use of nonmedical exemptions to abstain from vaccination has deleteriously impacted the public's health. This has many in the field calling for widespread elimination of nonmedical school-entry exemptions, as has been done in six states to date: West Virginia, Mississippi, California, New York, Maine, and Connecticut. By eliminating nonmedical exemptions, vaccination rates can be improved, with the corresponding decline in vaccine-preventable disease incidence. Yet the path towards widespread adoption of these policies presents legislative and judicial implications which evolve with the changing political landscape. In this this article, we discuss legislative actions concerning the expansion of exemptions, whether the widespread elimination of nonmedical exemptions would be effective from a practical and legal end, and how the COVID-19 pandemic has influenced such legislation, with specific focus on Delaware.
    Language English
    Publishing date 2022-03-29
    Publishing country United States
    Document type Journal Article
    ISSN 2639-6378
    ISSN (online) 2639-6378
    DOI 10.32481/djph.2022.03.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Application of state law in the public health emergency response to COVID-19: an example from Delaware in the United States.

    Goldstein, Neal D / Suder, Joanna S

    Journal of public health policy

    2020  Volume 42, Issue 1, Page(s) 167–175

    Abstract: The unprecedented COVID-19 pandemic of 2019-2020 generated an equally unprecedented response from government institutions to control contagion. These legal responses included shelter in place orders, closure of non-essential businesses, limiting public ... ...

    Abstract The unprecedented COVID-19 pandemic of 2019-2020 generated an equally unprecedented response from government institutions to control contagion. These legal responses included shelter in place orders, closure of non-essential businesses, limiting public gatherings, and mandatory mask wearing, among others. The State of Delaware in the United States experienced an outbreak later than most states but a particularly intense one that required a rapid and effective public health response. We describe the ways that Delaware responded through the interplay of public health, law, and government action, contrasting the state to others. We discuss how evolution of this state's public heath legal response to the pandemic can inform future disease outbreak policies.
    MeSH term(s) COVID-19/epidemiology ; Communicable Disease Control/legislation & jurisprudence ; Delaware/epidemiology ; Emergencies ; Humans ; Pandemics ; Public Health/legislation & jurisprudence ; SARS-CoV-2 ; State Government
    Keywords covid19
    Language English
    Publishing date 2020-09-28
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 603208-4
    ISSN 1745-655X ; 0197-5897
    ISSN (online) 1745-655X
    ISSN 0197-5897
    DOI 10.1057/s41271-020-00257-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Application of state law in the public health emergency response to COVID-19

    Goldstein, Neal D. / Suder, Joanna S.

    Journal of Public Health Policy ; ISSN 0197-5897 1745-655X

    an example from Delaware in the United States

    2020  

    Keywords Public Health, Environmental and Occupational Health ; Health Policy ; covid19
    Language English
    Publisher Springer Science and Business Media LLC
    Publishing country us
    Document type Article ; Online
    DOI 10.1057/s41271-020-00257-8
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Book ; Online: Application of state law in the public health emergency response to COVID-19

    Goldstein, Neal D. / Suder, Joanna S.

    An example from Delaware

    2020  

    Abstract: ... in the state, 2) the evolution of a state’s legal response as the crisis became pandemic in scope, 3) how ...

    Abstract This article discusses the evolution of the public health response to COVID-19 and how law has helped to guide this process at a state level. We focus on Delaware as the prototypical jurisdiction, and examine 1) early coordination between public health and health law prior to any confirmed cases in the state, 2) the evolution of a state’s legal response as the crisis became pandemic in scope, 3) how a state enacts and enforces isolation, quarantine, and shelter in place orders, and 4) the rights of the public during these unprecedented government actions. The application of state law in the time of public health emergencies has historic precedent and will continue to evolve as does COVID-19.
    Keywords COVID-19 ; SARS-CoV-2 ; public health emergency ; pandemic ; outbreak response ; covid19
    Publishing date 2020-04-02
    Publishing country eu
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article: Application of state law in the public health emergency response to COVID-19: an example from Delaware in the United States

    Goldstein, Neal D / Suder, Joanna S

    J. public health policy

    Abstract: The unprecedented COVID-19 pandemic of 2019-2020 generated an equally unprecedented response from government institutions to control contagion. These legal responses included shelter in place orders, closure of non-essential businesses, limiting public ... ...

    Abstract The unprecedented COVID-19 pandemic of 2019-2020 generated an equally unprecedented response from government institutions to control contagion. These legal responses included shelter in place orders, closure of non-essential businesses, limiting public gatherings, and mandatory mask wearing, among others. The State of Delaware in the United States experienced an outbreak later than most states but a particularly intense one that required a rapid and effective public health response. We describe the ways that Delaware responded through the interplay of public health, law, and government action, contrasting the state to others. We discuss how evolution of this state's public heath legal response to the pandemic can inform future disease outbreak policies.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #807048
    Database COVID19

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  6. Article ; Online: Association of Vaccine-Preventable Disease Incidence With Proposed State Vaccine Exemption Legislation.

    Goldstein, Neal D / Purtle, Jonathan / Suder, Joanna S

    JAMA pediatrics

    2019  Volume 174, Issue 1, Page(s) 88–89

    MeSH term(s) Follow-Up Studies ; Humans ; Incidence ; Retrospective Studies ; United States/epidemiology ; Vaccination/legislation & jurisprudence ; Vaccine-Preventable Diseases/epidemiology ; Vaccines/pharmacology
    Chemical Substances Vaccines
    Language English
    Publishing date 2019-12-20
    Publishing country United States
    Document type Journal Article ; Multicenter Study
    ZDB-ID 2701223-2
    ISSN 2168-6211 ; 2168-6203
    ISSN (online) 2168-6211
    ISSN 2168-6203
    DOI 10.1001/jamapediatrics.2019.4365
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The Politics of Eliminating Nonmedical Vaccination Exemptions.

    Goldstein, Neal D / Suder, Joanna S / Bendistis, Brett E

    Pediatrics

    2017  Volume 139, Issue 3

    Language English
    Publishing date 2017
    Publishing country United States
    Document type Letter
    ZDB-ID 207677-9
    ISSN 1098-4275 ; 0031-4005
    ISSN (online) 1098-4275
    ISSN 0031-4005
    DOI 10.1542/peds.2016-4248
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Trends and Characteristics of Proposed and Enacted State Legislation on Childhood Vaccination Exemption, 2011-2017.

    Goldstein, Neal D / Suder, Joanna S / Purtle, Jonathan

    American journal of public health

    2018  Volume 109, Issue 1, Page(s) 102–107

    Abstract: Objectives. ...

    Abstract Objectives.
    MeSH term(s) Child ; Health Policy ; Humans ; Immunity, Herd ; Public Health ; State Government ; United States ; Vaccination/legislation & jurisprudence ; Vaccination/trends
    Language English
    Publishing date 2018-11-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 121100-6
    ISSN 1541-0048 ; 0090-0036 ; 0002-9572
    ISSN (online) 1541-0048
    ISSN 0090-0036 ; 0002-9572
    DOI 10.2105/AJPH.2018.304765
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Geospatial Disparities in Youth Sexually Transmitted Infections During COVID-19.

    Min, Jungwon / Bonett, Stephen / Tam, Vicky / Makeneni, Spandana / Goldstein, Neal D / Wood, Sarah

    American journal of preventive medicine

    2024  

    Abstract: Introduction: Early in the COVID-19 pandemic, routine sexually transmitted infection (STI) screenings decreased, and test positivity rates increased due to limited screening appointments, national-level STI testing supply shortages, and social ... ...

    Abstract Introduction: Early in the COVID-19 pandemic, routine sexually transmitted infection (STI) screenings decreased, and test positivity rates increased due to limited screening appointments, national-level STI testing supply shortages, and social distancing mandates. It is unclear if adolescent preventive STI screening has returned to pre-pandemic levels and if pre-existing disparities worsened in late-pandemic.
    Methods: This cross-sectional study examined 22,974 primary care visits by 13-19-year-olds in the Philadelphia metropolitan area undergoing screening for gonorrhea and chlamydia in a 31-clinic pediatric primary care network during 2018-2022. Using interrupted-time-series analysis and logistic regression, pandemic-related changes in the asymptomatic STI screening rate and test positivity were tracked across patient demographics. Neighborhood moderation was investigated by census-tract-level Child Opportunity Index in 2023.
    Results: The asymptomatic STI screening rate dropped by 27.8 percentage points (pp) and 13.5pp when the pandemic and national STI test supply shortage began, respectively, but returned to pre-pandemic levels after supply availability was restored in early 2021. Non-Hispanic-Black adolescents had a significant pandemic drop in STI screening rate, and it did not return to prep-andemic levels (-3.6 pp in the late-pandemic period, p<0.01). This decrease was more pronounced in socioeconomically and educationally disadvantaged neighborhoods (7.5 pp and 9.9 pp lower, respectively) than in advantaged neighborhoods (both p<0.001), controlling for sex, age, insurance type and clinic characteristics.
    Conclusions: Neighborhood socioeconomic and educational disadvantage amplified racial-ethnic disparities in STI screening during the pandemic. Future interventions should focus on improving primary care utilization of non-Hispanic-Black adolescents to increase routine STI screening and preventive care utilization.
    Language English
    Publishing date 2024-02-28
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 632646-8
    ISSN 1873-2607 ; 0749-3797
    ISSN (online) 1873-2607
    ISSN 0749-3797
    DOI 10.1016/j.amepre.2024.02.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Controversies in pathology in early-stage breast cancer.

    Goldstein, S Neal

    Seminars in radiation oncology

    2011  Volume 21, Issue 1, Page(s) 20–25

    Abstract: Breast-conserving therapy is a reliable, evidenced-based approach for early-stage breast carcinoma. This article reviews the issues and limitations related to simple margin measurements, data supporting the association between the amount of carcinoma ... ...

    Abstract Breast-conserving therapy is a reliable, evidenced-based approach for early-stage breast carcinoma. This article reviews the issues and limitations related to simple margin measurements, data supporting the association between the amount of carcinoma near the margin, and ipsilateral breast failure risk. Additional factors pertinent to radiation oncologists include extensive intraductal carcinoma, lymphovascular space invasion, atypical ductal hyperplasia, and molecular clonality of ipsilateral breast failures as they relate to outcome.
    MeSH term(s) Breast Neoplasms/pathology ; Breast Neoplasms/radiotherapy ; Breast Neoplasms/surgery ; Carcinoma, Intraductal, Noninfiltrating/pathology ; Carcinoma, Intraductal, Noninfiltrating/radiotherapy ; Carcinoma, Intraductal, Noninfiltrating/surgery ; Female ; Humans ; Mastectomy, Segmental ; Neoplasm Recurrence, Local/pathology ; Neoplasm Recurrence, Local/radiotherapy ; Neoplasm Recurrence, Local/surgery ; Neoplasm Staging ; Neoplasm, Residual/pathology ; Neoplasm, Residual/radiotherapy ; Neoplasm, Residual/surgery ; Prognosis
    Language English
    Publishing date 2011-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1146999-7
    ISSN 1532-9461 ; 1053-4296
    ISSN (online) 1532-9461
    ISSN 1053-4296
    DOI 10.1016/j.semradonc.2010.08.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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