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Taken together these essays reveal both synergies and contradictions between and within immigration and welfare policies. Several common themes emerge. Firstly, while access to the welfare state is an important signifier of membership, in practice claiming certain state benefits is accompanied by suspicion, surveillance and stigma. The good citizen is a worker citizen. Secondly, the importance of the welfare state in putting the nation into the nation-state: the normative national community imagined as the rightful subject of welfare states is racialised and classed. Thirdly, deservingness functions in both welfare states and immigration regimes to prioritise victimhood rather than rights and redistribution. [ABSTRACT FROM AUTHOR]

Among adults, COVID-19 hospitalization rates increase with age. Data from the COVID-19–Associated Hospitalization Surveillance Network were analyzed to estimate populationbased COVID-19–associated hospitalization rates during October 2023–April 2024 and identify demographic and clinical characteristics of adults aged ≥18 years hospitalized with COVID-19. Adults aged ≥65 years accounted for 70% of all adult COVID-19–associated hospitalizations, and their COVID-19–associated hospitalization rates were higher than those among younger adult age groups. Cumulative rates of COVID-19–associated hospitalization during October 2023–April 2024 were the lowest for all adult age groups during an October–April surveillance period since 2020– 2021. However, hospitalization rates among all adults aged ≥75 years approached one COVID-19–associated hospitalization for every 100 persons. Among adults hospitalized with COVID-19, 88.1% had not received the 2023–2024 formula COVID-19 vaccine before hospitalization, 80.0% had multiple underlying medical conditions, and 16.6% were residents of long-term care facilities (LTCFs). Guidance for adults at high risk for severe COVID-19 illness, including adults aged ≥65 years and residents of LTCFs, should continue to focus on adopting measures to reduce risk for contracting COVID-19, advocating for receipt of recommended COVID-19 vaccinations, and seeking prompt outpatient antiviral treatment after receipt of a positive SARS-CoV-2 test result. [ABSTRACT FROM AUTHOR]

Infants aged <6 months are at increased risk for severe COVID-19 disease but are not yet eligible for COVID-19 vaccination; these children depend upon transplacental transfer of maternal antibody, either from vaccination or infection, for protection. COVID-19–Associated Hospitalization Surveillance Network (COVID-NET) data were analyzed to estimate COVID-19–associated hospitalization rates and identify demographic and clinical characteristics and maternal vaccination status of infants aged <6 months hospitalized with laboratory-confirmed COVID-19. During October 2022– April 2024, COVID-NET identified 1,470 COVID-19– associated hospitalizations among infants aged <6 months. COVID-19–associated hospitalization rates among young infants were higher than rates among any other age group, except adults aged ≥75 years, and are comparable to rates among adults aged 65–74 years. The percentage of hospitalized infants whose mothers had been vaccinated during pregnancy was 18% during October 2022–September 2023 and decreased to <5% during October 2023–April 2024. Severe outcomes among infants hospitalized with COVID-19 occurred frequently: excluding newborns hospitalized at birth, approximately one in five young infants hospitalized with COVID-19 required admission to an intensive care unit, nearly one in 20 required mechanical ventilation, and nine infants died during their COVID-19–associated hospitalization. To help protect pregnant persons and infants too young to be vaccinated, prevention for these groups should focus on ensuring that pregnant persons receive recommended COVID-19 vaccines. [ABSTRACT FROM AUTHOR]

This article uses the lens of state control over mobilities of residents both migrants and citizens to move away from assumptions that position them as competitors for the privileges of membership. I begin by critiquing the migrant/citizen binary, claiming that it promotes as actuality Fantasy Citizenship of equality and accessible rights when the reality is one of banal citizenship. This Fantasy citizen is a Worker Citizen. However, the substance of the 'right to work' is the right to the welfare safety net and the banal citizen finds access to this safety net restricted by the 'duty to work'. Taking the example of the UK and specifically, England, I examine how citizens' mobility is restricted and controlled, firstly by social housing allocation policies which effectively turns citizens into 'migrants' via worker citizenship, and secondly through the restrictions of COVID-19 including its racialised policing. In this way, I suggest closer attention to state restrictions on the mobilities of citizens can help draw out connections in practice between the citizen and the migrant, connections that are obscured by Fantasy Citizenship and the migrant citizen binary. [ABSTRACT FROM AUTHOR]

The ILR Review invited this group of scholars who work within the fields of sociology, history, and urban planning to share their perspective on the politics of skills. We called on their expertise to draw attention to the politics that drive the definition and development of skill and its use in shaping the rights and voice of workers. The essays in this forum explore the politics of skill along three lines. First, they interrogate the definition and assessment of skill, with particular attention to the ways that structural markers of social difference—such as race, gender, class, and immigration status—shape the valuation of skill. Second, they analyze the ways that the interpretation of skill is shaped by power dynamics at the worksite and in the broader economy. This line of analysis also considers possibilities for industrial renewal and labor mobilization. And third, the essays explore how skill classifications are used to narrow political and civil rights and to justify forms of exploitation and dehumanization. [ABSTRACT FROM AUTHOR]

This paper explores how wealthy countries' reliance on migrant workers is not restricted to migrants working within their borders but extends, through global supply chains, to migrants employed in lower-income countries. It provides an exploratory discussion of how migration, labour, and trade systems interact to argue for the expansion of research on dependence on migrant labour – a 'widening of the lens' – beyond national systems effects. Using the COVID-19 pandemic and associated concern with the provision of essential goods and services, we consider how the employment of migrants in global supply chains, and by extension societal resilience of higher-income countries, is shaped by trade policies and agreements regulating flows of essential products across countries; labour markets and conditions in low- and middle-income countries producing essential products for export; and migration systems between and within low- and middle-income countries. Thus, we tentatively explore how national systems and institutions interlock with those of other states, and also with transnational and international institutions. We illustrate our arguments with a case study of the Malaysian production and export of rubber gloves, an essential good during the COVID-19 pandemic that is heavily dependent on migrant labour. [ABSTRACT FROM AUTHOR]

Current outcomes of immigration enforcement policies and apparatuses call for rethinking the ethics behind our understanding of community belonging, human rights and just society. The ethics at work are often presented as emotions creating particular affective atmosphere that permit the ongoing implementation of enforcing migration. This Special Issue tackles emotions as processes of organizing that are mobilized in support of certain ethics. In the context of immigration enforcement, these emotions are not self-explanatory, but they can justify the potential for violence and even deem it necessary. The emotions or affects of enforcers (as opposed to migrants) have been less addressed, and this Special Issue aims to be a novel collection. The articles pay particular attention to racism and to the understanding of institutional racism within state structures. They reveal the ways in which emotions are instrumental to the operations of state bureaucracy within the repressive migration apparatus and point to the ethics that allows individuals to conform state structures of oppression. [ABSTRACT FROM AUTHOR]

Persons with HIV (PWH) are at increased risk for bacterial infections, and previous publications document an increased risk for invasive meningococcal disease (IMD) in particular. This analysis provides evidence that PWH face a 6-fold increase in risk for IMD based on Active Bacterial Core surveillance data collected during 2009–2019. [ABSTRACT FROM AUTHOR]

Unstable housing among persons diagnosed with HIV (PDWH) has been consistently linked to poor HIV-related care engagement. We examined the relationship between enrollment in a supportive housing program and health care utilization (use of outpatient services, emergency department (ED) visits, and hospitalizations) for a group of unstably housed, Medicaid and Health Homes (HH)-enrolled PDWH in New York State. We analyzed monthly longitudinal data consisting of linked supportive housing data, HH data, and Medicaid claims from New York State (excluding New York City) between 2012 and 2017 using time series models. Participants who had at least six consecutive months of supportive housing at month t had 20% higher odds of using an outpatient service, 19% lower odds of visiting the ED, and 24% lower odds of being hospitalized compared to those with less than six consecutive months of supportive housing after adjusting for covariates. Supportive housing may promote better medical management by increasing outpatient visits among chronically homeless PDWH. [ABSTRACT FROM AUTHOR]

UK integration policy has attempted to respond to some of the critiques of the integration framework, and policymakers are pursuing an approach that focusses on the local. This paper examines this response with a particular focus on the city of Bristol. It first sets out the fundamental critiques of the integration paradigm and connects these to more general concerns in migration research about methodological nationalism and scholarly engagement with policy making. It notes different responses to these critiques including a turn to place-based approaches. It describes the history of integration policy as a background to understanding contemporary policy and observes the overlooked importance of community. The paper then describes the ESRC Everyday Integration project and the city and neighbourhood context of Bristol before moving to discuss the findings from the project's fieldwork. We find that 'community' was a very important reference point when our interviewees discussed what integration means. Talking about integration helps turns neighbourhoods into 'communities', but it also foregrounds 'national communities'. Integration discourse elides these two meanings of 'community', and locates connections between race and class in the challenge of problematic cultures. [ABSTRACT FROM AUTHOR]

The article focuses on estimating the effectiveness of the JYNNEOS vaccine (Modified Vaccinia Ankara vaccine) against monkeypox (mpox) during an international outbreak in New York outside of New York City. Topics discussed include the deployment of the vaccine and presents the results of a case-control study conducted by the New York State Department of Health (NYSDOH) to estimate the vaccine's effectiveness.

Objectives: Achieving accurate, timely, and complete HIV surveillance data is complicated in the United States by migration and care seeking across jurisdictional boundaries. To address these issues, public health entities use the ATra Black Box—a secure, electronic, privacy-assuring system developed by Georgetown University—to identify and confirm potential duplicate case records, exchange data, and perform other analytics to improve the quality of data in the Enhanced HIV/AIDS Reporting System (eHARS). We aimed to evaluate the ability of 2 ATra software algorithms to identify potential duplicate case-pairs across 6 jurisdictions for people living with diagnosed HIV. Methods: We implemented 2 matching algorithms for identifying potential duplicate case-pairs in ATra software. The Single Name Matching Algorithm examines only 1 name for a person, whereas the All Names Matching Algorithm examines all names in eHARS for a person. Six public health jurisdictions used the algorithms. We compared outputs for the overall number of potential matches and changes in matching level. Results: The All Names Matching Algorithm found more matches than the Single Name Matching Algorithm and increased levels of match. The All Names Matching Algorithm identified 9070 (4.5%) more duplicate matches than the Single Name Matching Algorithm (n = 198 828) and increased the total number of matches at the exact through high levels by 15.4% (from 167 156 to 192 932; n = 25 776). Conclusions: HIV data quality across multiple jurisdictions can be improved by using all known first and last names of people living with diagnosed HIV that match with eHARS rather than using only 1 first and last name. [ABSTRACT FROM AUTHOR]

Background: Complex manifestation of stigma across personal, community, and structural levels and their effect on HIV outcomes are less understood than effects in isolation. Yet, multilevel approaches that jointly assesses HIV criminalization and personal sexual behavior stigma in relation to HIV testing have not been widely employed or have only focused on specific subpopulations. The current study assesses the association of three types of MSM-related sexual behavior-related stigma (family, healthcare, general social stigma) measured at both individual and site levels and the presence/absence of laws criminalizing HIV transmission with HIV testing behaviors to inform HIV surveillance and prevention efforts among HIV-negative MSM in a holistic and integrated way.Methods: We included nine National HIV Behavioral Surveillance (NHBS) 2017 sites: Baltimore, MD; Denver, CO; Detroit, MI; Houston, TX; Long Island/Nassau-Suffolk, NY; Los Angeles, CA; Portland, OR; San Diego, CA; and Virginia Beach and Norfolk, VA. Multivariable generalized hierarchical linear modeling was used to examine how sexual behavior stigmas (stigma from family, anticipated healthcare stigma, general social stigma) measured at the individual and site levels and state HIV criminalization legislation (no, HIV-specific, or sentence-enhancement laws) were associated with past-year HIV testing behaviors across sites (n = 3,278).Results: The majority of MSM across sites were tested for HIV in the past two years (n = 2,909, 95.4%) with the average number of times tested ranging from 1.79 (SD = 3.11) in Portland, OR to 4.95 (SD = 4.35) in Los Angeles, CA. In unadjusted models, there was a significant positive relationship between stigma from family and being tested for HIV in the past two years. Site-level HIV-specific criminalization laws were associated with an approximate 5% reduction in the prevalence of receiving any HIV test in the past two years after individual level stigma and sociodemographic covariate adjustments (PR = 0.94, 95% CI, 0.90-0.99).Conclusions: Structural barriers faced by MSM persist and ending the HIV epidemic in the US requires a supportive legal environment to ensure effective engagement in HIV services among MSM. Home-based solutions, such as self-testing, used to deliver HIV testing may be particularly important in punitive settings while legal change is advocated for on the community and state levels. [ABSTRACT FROM AUTHOR]

Men who have sex with men (MSM) in the United States are stigmatized for their same-sex practices, which can lead to risky sexual behavior, potentiating risk for human immunodeficiency virus (HIV) infection. Improved measurement is necessary for accurately reporting and mitigating sexual behavior stigma. We added 13 sexual behavior stigma items to local surveys administered in 2017 at 9 sites in the Centers for Disease Control and Prevention's National HIV Behavioral Surveillance system, which uses venue-based, time-sampling procedures to survey cisgender MSM in US Census Metropolitan Statistical Areas. We performed exploratory factor analytical procedures on site-specific (Baltimore, Maryland; Denver, Colorado; Detroit, Michigan; Houston, Texas; Nassau-Suffolk, New York; Portland, Oregon; Los Angeles, California; San Diego, California; and Virginia Beach-Norfolk, Virginia) and pooled responses to the survey items. A 3-factor solution—"stigma from family" (α = 0.70), "anticipated health-care stigma" (α = 0.75), and "general social stigma" (α = 0.66)—best fitted the pooled data and was the best-fitting solution across sites. Findings demonstrate that MSM across the United States experience sexual behavior stigma similarly. The results reflect the programmatic utility of enhanced stigma measurement, including tracking trends in stigma over time, making regional comparisons of stigma burden, and supporting evaluation of stigma-mitigation interventions among MSM across the United States. [ABSTRACT FROM AUTHOR]

Many of the 'essential workers' during the Covid-19 pandemic are migrants, playing an important role for the continued functioning of basic services – notably health services, social care, and food supply chains. We argue that this role should be taken into account when assessing the impacts of migrant workers and in the design of labour migration and related public policies. Existing studies highlight how the employment of migrant workers in essential services is shaped by interests of employers, sectoral policies, and national institutions. Considerations of how migrants may affect the systemic resilience of essential services – in a pandemic or similar crises – are pervasively absent, not only in policy-making but also in research. Drawing on several disciplines, we outline the concept of systemic resilience and develop implications for the analysis and regulation of labour migration. We call for shifting the focus from the role of migrants in specific occupations and sectors in particular countries to transnational systems of production and service provision. To study how migrant workers affect systemic resilience, we propose an agenda for comparative research along three lines: comparing migrants to citizens within the same system, comparing migrants' roles across systems, and comparing strategies for resilience adopted in different systems. [ABSTRACT FROM AUTHOR]

The "Undetectable = Untransmittable" campaign indicates that persons living with Human Immunodeficiency Virus (HIV) who maintain a suppressed viral load cannot sexually transmit the virus. However, there is little knowledge of the percent of individuals at a population level who sustain viral suppression long term. The aims of this study were to: (1) establish a baseline of persons living with diagnosed HIV who resided in New York and had consecutive suppressed viral load tests; (2) describe the risk of virologic failure among those who were consecutively suppressed; and (3) gain an understanding of the length of time between consecutive viral suppression to virologic failure. A total of 102,339 New Yorkers aged 13–90 years were living with diagnosed HIV at the beginning of 2012; 47.9% were consecutively suppressed (last two HIV viral load test results from 2010–2011 that were < 420 days apart and < 200 copies/mL). Of consecutively suppressed individuals, 54.3% maintained viral suppression for the entire study period and 33.6% experienced virologic failure during the study period. Among persons who experienced virologic failure, 82.6% did so six or more months after being consecutively suppressed. Our findings support the need for ongoing viral load monitoring, adherence support, and ongoing risk reduction messaging to prevent forward HIV transmission. [ABSTRACT FROM AUTHOR]

There is a growing trend of animal-assisted intervention (AAI) programs on college campuses to improve mental health among college students through human–animal interactions. The purpose of this preliminary research was to evaluate one program to determine if AAI improved participants' short-term emotional state as well as influenced the quality of the human–animal interaction. Quantitative data were collected using the Positive and Negative Affect Scale and the Human–Animal Interaction Scale. Results indicated a positive change in students' emotional state after interactions with therapy animals. Time spent interacting with the therapy animals had a significant effect on the human–animal interaction score but no effect on affect. These findings support the utility of human–animal relationships in improving college student mental health. [ABSTRACT FROM AUTHOR]

Algorithms are regularly used to identify persons living with diagnosed human immunodeficiency virus (HIV) (PLWDH) in Medicaid data. To our knowledge, there are no published reports of an HIV algorithm from Medicaid claims codes that have been compared with an HIV surveillance system to assess its sensitivity, specificity, positive predictive value, and negative predictive value in identifying PLWDH. Therefore, our aims in this study were to 1) develop an algorithm that could identify PLWDH in New York State Medicaid data from 2006–2014 and 2) validate this algorithm using the New York State HIV surveillance system. Classification and regression tree analysis identified 16 nodes that we combined to create a case-finding algorithm with 5 criteria. This algorithm identified 86,930 presumed PLWDH, 88.0% of which were verified by matching to the surveillance system. The algorithm yielded a sensitivity of 94.5%, a specificity of 94.4%, a positive predictive value of 88.0%, and a negative predictive value of 97.6%. This validated algorithm has the potential to improve the utility of Medicaid data for assessing health outcomes and programmatic interventions. [ABSTRACT FROM AUTHOR]

Older persons living with diagnosed HIV (PLWDH) are also at risk for age-related chronic conditions. With conflicting results on studies assessing health literacy and durable viral suppression, this study is the first in assessing this relationship using representative data on older in-care HIV-diagnosed persons with multimorbidity. Weighted data collected 2009–2014 from the Medical Monitoring Project (MMP) was used. Health literacy was assessed using the three-item Brief Health Literacy Screen (BHLS). The mean health literacy score was 11.22 (95% CI 10.86–11.59), and the mean multimorbidity was 4.75 (SE = 0.32). After adjusting, health literacy (OR 0.87, 95% CI 0.77–0.99) was found to be significantly associated with durable viral suppression. Adequate health literacy can help with achieving durable viral suppression. For these persons, addressing health literacy might increase their ability to access and navigate the healthcare system, thereby helping them stay engaged and maintain adherence to HIV care. [ABSTRACT FROM AUTHOR]

Since implementation of Standard Precautions* for the prevention of bloodborne pathogen transmission in 1985, health care-associated transmission of human immunodeficiency virus (HIV) in the United States has been rare (1). In October 2017, the New York City Department of Health and Mental Hygiene (NYCDOHMH) and the New York State Department of Health (NYSDOH) were notified by a clinician of a diagnosis of acute HIV infection in a young adult male (patient A) without recognized risk factors (i.e., he was monogamous, had an HIV-negative partner, and had no injection drug use) who had recently been hospitalized for a chronic medical condition. The low risk coupled with the recent hospitalization and medical procedures prompted NYSDOH, NYCDOHMH, and CDC to investigate this case as possible health care-associated transmission of HIV. Among persons with known HIV infection who had hospitalization dates overlapping those of patient A, one person (patient B) had an HIV strain highly similar to patient A's strain by nucleotide sequence analysis. The sequence relatedness, combined with other investigation findings, indicated a likely health care-associated transmission. Nucleotide sequence analysis, which is increasingly used for detecting HIV clusters (i.e., persons with closely related HIV strains) and to inform public health response (2,3), might also be used to identify possible health care-associated transmission of HIV to someone with health care exposure and no known HIV risk factors (4). [ABSTRACT FROM AUTHOR]

Background: Historically, older people who inject drugs (PWID) have had the highest hepatitis C virus (HCV) burden; however, young PWID now account for recent increases. We assessed factors associated with past or present HCV infection (HCV antibody [anti-HCV] positive) among young (≤35 years) and older (>35 years) PWID.Methods: We calculated adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs) to examine sociodemographic and past 12-month injection behaviors associated with HCV infection.Results: Of 4094 PWID, 55.2% were anti-HCV positive. Among young PWID, anti-HCV prevalence was 42.1% and associated with ≤high school diploma/General Education Development diploma (GED) (aPR, 1.17 [95% CI, 1.03-1.33]), receptive syringe sharing (aPR, 1.37 [95% CI, 1.21-1.56]), sharing injection equipment (aPR, 1.16 [95% CI, 1.01-1.35]), arrest history (aPR, 1.14 [95% CI, 1.02-1.29]), and injecting speedball (aPR, 1.37 [95% CI, 1.16-1.61]). Among older PWID, anti-HCV prevalence was 62.2% and associated with ≤high school diploma/GED (aPR, 1.08 [95% CI, 1.02-1.15]), sharing injection equipment (aPR, 1.08 [95% CI, 1.02-1.15]), high injection frequency (aPR, 1.16 [95% CI, 1.01-1.34]), and injecting speedball (aPR, 1.09 [95% CI, 1.01-1.16]).Conclusions: Anti-HCV prevalence is high among PWID and varies with age. Scaling up direct-acting antiviral treatment, syringe service programs, and medication-assisted therapy is critical to mitigating transmission risk and infection burden. [ABSTRACT FROM AUTHOR]

Existing data dissemination structures primarily rely on top-down approaches. Unless designed with the end user in mind, this may impair data-driven clinical improvements to Human Immunodeficiency Virus (HIV) prevention and care. In this study, we implemented a data visualization activity to create region-specific data presentations collaboratively with HIV providers, consumers of HIV care, and New York State (NYS) Department of Health AIDS Institute staff for use in local HIV care decision-making. Data from the NYS HIV Surveillance Registry (2009-2013) and HIV care facilities (2010-2015) participating in a Health Resources and Services Administration (HRSA) Systems Linkages and Access to Care project were used. Each data package incorporated visuals for: linkage to HIV care, retention in care and HIV viral suppression. End-users were vocal about their data needs and their capacity to interpret public health data. This experience suggests that data dissemination strategies should incorporate input from the end user to improve comprehension and optimize HIV care. [ABSTRACT FROM AUTHOR]

Exchanging sex for money or drugs is known to increase risk for HIV among persons who inject drugs (PWID). To better understand determinants of exchange sex among PWID we examined factors associated with exchange sex in the New York metropolitan area—defined as New York City (NYC), NY; Newark, NJ; and Long Island, NY—using data from the 2012 National HIV Behavioral Surveillance system cycle on injection drug use. Of the 1160 PWID in this analysis, 24% reported exchange sex, with differences in gender and sexual identity by location. In multivariable analysis gay/bisexual men, heterosexual women, and lesbian, gay, or bisexual (LGB) women were more likely to exchange sex compared to heterosexual men. Exchange sex was also associated with race/ethnicity, homelessness, incarceration, location, and non-injection crack and cocaine use. We find that heterosexual women and LGB women who injected drugs residing in Newark were more likely to report exchange sex compared to NYC. This study highlights how local conditions impact exchange sex. [ABSTRACT FROM AUTHOR]

Recent migration ‘crises’ raise important geopolitical questions. Who is ‘the migrant’ that contemporary politics are fixated on? How are answers to ‘who counts as a migrant’ changing? Who gets to do that counting, and under what circumstances? This forum responds to, as well as questions, the current saliency of migration by examining how categories of migration hold geopolitical significance—not only in how they are constructed and by whom, but also in how they are challenged and subverted. Furthermore, by examining how the very concepts of ‘migrant’ and ‘refugee’ are used in different contexts, and for a variety of purposes, it opens up critical questions about mobility, citizenship and the nation state. Collectively, these contributions aim to demonstrate how problematising migration and its categorisation can be a tool of enquiry into other phenomena and processes. [ABSTRACT FROM AUTHOR]

This paper reconsiders Stephen Castle’s classic paperWhy Migration Policies Fail. Beginning with the so-called migration crisis of 2015 it considers the role of numbers is assessing success or failure. It argues that in the UK public debates about immigration changed with European Union (EU) Enlargement in 2004, when the emphasis shifted from concerns about asylum to concerns about EU mobility. Concerns were exacerbated by the government’s failure to meet its promise to reduce net migration. This policy is hampered by the general problem of definition of “migrant” and the gap between statistical measures and popular usage in which “migration” signifies problematic mobility. In fact, concern about migration has become a placeholder for concerns about globalization and democratic accountability. A new politics of migration must make connections between migrants and citizens, but also between migration and other global processes, particularly outsourcing and the exploitation of labour and resources in the global south. [ABSTRACT FROM PUBLISHER]