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.
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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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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