Perspectives in Primary Care features writing from practitioners, activists, and community members representing organizations, practices, and institutions across the United States and around the world.

Child Care and Early Education is a Social Determinant of Health—For Children and Adults

More than six months into the COVID-19 pandemic, child care solutions for families remain scarce. A high-stakes problem typically confined to parents with children younger than five, lack of child care has now become a near-universal challenge, with remote K-12 learning upending care infrastructure for families with school-aged children as well. Consistent failure to provide public funding to the child care and early education sector—both traditionally and in this moment of crisis—is taking a heavy toll:

Situating the Continuum of Overdose Risk in the Social Determinants of Health

The United States remains in the throes of an escalating drug overdose crisis. Data show that overdoses increased yet again in 2019, and are now soaring amid the COVID-19 pandemic, which ...

Food Access via Small Stores on Navajo Nation: COVID-19 & Beyond

It’s a calm sunny day as I sit with John McCulloch in front of his store in Teec Nos Pos, Arizona. The store has served his community since 1905. The English name Teec Nos Pos is derived from the Navajo T'iisnasbas, a name inspired by a grove of trees growing in a circle in the area. As we sit and talk, community members file in and out of the store. They’re greeted with large florescent posters asking customers to wear a mask while in the store, to stay home if they feel sick, and to respect the maximum occupancy level of eight people in the store at one time. ...

Racial and Ethnic Disparities in COVID-19 Mortality Among Children and Teens

Due to early misconceptions that COVID-19 didn’t lead to severe disease or death in children, US state surveillance dashboards were not set up to track the course of the pandemic among age-specific groups. Over time, state reporting for children has gradually improved, and The COVKID Project has been synthesizing and sharing data for children and teens since late April 2020. Although 49 of 50 states now report COVID-19 case counts by age (with New York being the exception), only 2 ...

Eye Care Globally Amidst the COVID-19 Pandemic

As COVID-19 continues to wreak havoc—infecting more than 33 million people globally—it has also caused significant disruptions in eye health services, with a particular emphasis on ophthalmologic care for cataracts. This disruption is alarming, especially since untreated cataracts are the

20 Years of Mifepristone: Medication Abortion in the Time of COVID

Despite 20 years of safety data, mifepristone—the first of two medications used in medication abortion—remains subject to ...

A Health Equitable COVID-19 Response Starts with Housing Justice

It’s the middle of the month, and rent is almost due again. An estimated 30-40 million people are at risk of eviction in the next several months—and

The COVID-19 Pandemic: Now is the Time for Primary Care to Address Loneliness

With more than 6 million diagnosed cases and nearly 200,000 deaths in the United States, the novel coronavirus is our nation’s most pressing public health crisis. And further, physical distancing measures have resulted in significant

Impacts of COVID-19 on Relief-Seeking Immigrant Children

In times of crisis, the most vulnerable populations are often the ones most affected. Prior to the COVID-19 pandemic, immigrant children arriving to the United States already faced difficulties navigating a complex and intimidating system to seek refuge. However, in the six months since the COVID pandemic fundamentally altered our way of life, the
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