My county is very small and the population is very elderly compared to state and national averages. (Its also very rural which is almost certainly a protective factor on its own).
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My rural community is beating expectations on COVID cases and I have a theory about why: A Meals on Wheels outreach that called everyone over 65 in the county and offered meal delivery and personal shopping to all.
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The Meals on Wheels outreach had three seperate potential positive effects: 1. Direct assistance: Older people stay in their homes bc of food delivery. 2. Direct social effect: Older people who refused deliveries hear COVID is serious, warranting calls/offers of help.
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3. Indirect social effect: Relatives and friends of those called hear about the call. Relatives and friends of those with deliveries hear about deliveries. Anyone who hears about the effort get the message: Our community takes COVID seriously.
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In a county of 65,000, these kinds of effects are greatly magnified. Neighbors talk to neighbors, parents to children, friends to friends. The result: I rarely see anyone w/o a mask, 42 total cases so far.
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End of conversation
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