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Limited data are available about transmission of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), among youths. During June 17-20, an overnight camp in Georgia (camp A) held orientation for 138 trainees and 120 staff members; staff members remained for the first camp session, scheduled during June 21-27, and were joined by 363 campers and three senior staff members on June 21. Camp A adhered to the measures in Georgia's Executive Order* that allowed overnight camps to operate beginning on May 31, including requiring all trainees, staff members, and campers to provide documentation of a negative viral SARS-CoV-2 test ≤12 days before arriving. Camp A adopted most components of CDC's Suggestions for Youth and Summer Camps to minimize the risk for SARS-CoV-2 introduction and transmission. Measures not implemented were cloth masks for campers and opening windows and doors for increased ventilation in buildings. Cloth masks were required for staff members. Camp attendees were cohorted by cabin and engaged in a variety of indoor and outdoor activities, including daily vigorous singing and cheering. On June 23, a teenage staff member left camp A after developing chills the previous evening. The staff member was tested and reported a positive test result for SARS-CoV-2 the following day (June 24). Camp A officials began sending campers home on June 24 and closed the camp on June 27. On June 25, the Georgia Department of Public Health (DPH) was notified and initiated an investigation. DPH recommended that all attendees be tested and self-quarantine, and isolate if they had a positive test result.

In 2018, the Centers for Disease Control and Prevention (CDC)’s Division of Diabetes Translation and the Division for Heart Disease and Stroke Prevention launched DP18–1815 (1815), Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke. Recipients responded as follows to address barriers and improve sustainability: 1) developed promotional materials to increase awareness of DSMES among PWD and health care providers (74%); 2) strengthened referral pathways for health care providers to refer PWD to pharmacy-based DSMES programs (16%); 3) provided tailored technical assistance for pharmacists at DSMES sites (16%); and 4) aided in the establishment of a DSMES billing infrastructure, such as implementing pharmacy billing support mechanisms (10%). States that applied this approach were able to establish subsites at locations ranging from local health departments to health care practices to community pharmacies. States’ CQI activities identified several key findings, including: PWD referred to DSMES services regularly cited transportation as the most significant barrier to DSMES attendance, prompting 17% of DSMES providers to explore telehealth platforms; PWD needed to be contacted up to 4 times via multiple modes of communication (eg, text, phone calls, electronic health record [EHR] platforms) to begin the DSMES intake process, resulting in 33% of health care systems reformatting their referral process and incorporating multiple outreach efforts; and There was a lack of familiarity of both DSMES and how to make referrals, prompting SHDs to provide ongoing training for health care providers on the benefits of DSMES and successfully navigating the referral system using existing EHR systems (31%).

During January 1, 2020-August 10, 2020, an estimated 5 million cases of coronavirus disease 2019 (COVID-19) were reported in the United States.* Published state and national data indicate that persons of color might be more likely to become infected with SARS-CoV-2, the virus that causes COVID-19, experience more severe COVID-19-associated illness, including that requiring hospitalization, and have higher risk for death from COVID-19 (1-5). CDC examined county-level disparities in COVID-19 cases among underrepresented racial/ethnic groups in counties identified as hotspots, which are defined using algorithmic thresholds related to the number of new cases and the changes in incidence. Disparities were defined as difference of ≥5% between the proportion of cases and the proportion of the population or a ratio ≥1.5 for the proportion of cases to the proportion of the population for underrepresented racial/ethnic groups in each county. During June 5-18, 205 counties in 33 states were identified as hotspots; among these counties, race was reported for ≥50% of cumulative cases in 79 (38.5%) counties in 22 states; 96.2% of these counties had disparities in COVID-19 cases in one or more underrepresented racial/ethnic groups. Hispanic/Latino (Hispanic) persons were the largest group by population size (3.5 million persons) living in hotspot counties where a disproportionate number of cases among that group was identified, followed by black/African American (black) persons (2 million), American Indian/Alaska Native (AI/AN) persons (61,000), Asian persons (36,000), and Native Hawaiian/other Pacific Islander (NHPI) persons (31,000). Examining county-level data disaggregated by race/ethnicity can help identify health disparities in COVID-19 cases and inform strategies for preventing and slowing SARS-CoV-2 transmission. More complete race/ethnicity data are needed to fully inform public health decision-making. Addressing the pandemic's disproportionate incidence of COVID-19 in communities of color can reduce the community-wide impact of COVID-19 and improve health outcomes.

Introduction Diabetes self-management education and support (DSMES) services provide information and skills for people to manage diabetes (1), as they reduce average hemoglobin A1c levels (2), improve quality of life (3), and improve the psychosocial aspects of managing diabetes (4). Barriers to use include limited access to services, distance from services, underdeveloped telehealth programs, lack of awareness about the benefits of DSMES, financial constraints, and limited health care provider referrals (8,9). Despite the possibility of crossing county boundaries to access DSMES services, distance to available programs is a barrier to use (8,10). Because 70.5% of counties in the Appalachian region do not have DSMES programs, unless programs provide services in multiple counties, substantial lack of coverage is possible in this region. Diabetes self-management education and support in adults with type 2 diabetes: a consensus report of the American Diabetes Association, the Association of Diabetes Care and Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association.

The pharmacy sector is a key partner in the National Diabetes Prevention Program (National DPP), as pharmacists frequently care for patients at high risk for type 2 diabetes. The Centers for Disease Control and Prevention aimed to increase pharmacist involvement in the program by leveraging partnerships with national pharmacy stakeholders. Continuous stakeholder engagement helped us to better understand the pharmacy sector and its needs. With stakeholders, we developed a guide and promotional campaign. By following a systematic process and including key stakeholders at every step of development, we successfully engaged these valuable partners in national type 2 diabetes prevention efforts. More pharmacy sites (n = 87) are now offering the National DPP lifestyle change program compared to before release of the guide (n = 27).