The impact of the COVID-19 pandemic on California farmworkers: Better local data collection and reporting will improve strategic response

Abstract

Providing the public with relevant and reliable statistical information about the impact of COVID-19 on vulnerable populations is a crucial weapon in effective public health system response. This article examines the reporting challenges confronted by local public health agencies based on a case study of farmworker communities of the San Joaquin Valley, Eastern Coachella Valley, and Salinas Valley. The analysis includes a quantitative estimate of the impact COVID-19 has on farmworker households and highlights how socioeconomic factors and housing conditions give rise to health disparities. The importance of local data collection and reporting as the foundation for a national epidemiological tracking system is emphasized. Current shortcomings stemming from flawed national guidance and local political pressures are noted. The discussion includes detailed recommendation for improved reporting including: more systematic tabulations of available data, an expanded set of indicators to monitor public health system response, promising approaches to improve representativeness of test-derived data on COVID-19 by making it easier to access testing and support services, coupled with messaging to broaden farmworkers' and other socio-politically marginalized populations' willingness to seek testing. Understanding the challenges faced and lessons learned in the San Joaquin Valley region have practical implications for a wide range of countries.