UK local authorities that experience sustained high levels of COVID-19 are described as areas of enduring prevalence. This research, from Theme 3 of the PROTECT NCS, and published in the BMC journal of Public Health, was carried out to investigate reasons for sustained high prevalence, along with mitigation strategies employed by Directors of Public Health, who lead public health teams.

Interviews were conducted with Directors of Public Health in 19 local authority areas across England, between July and November 2021. This included nine areas identified as areas of enduring prevalence and ten ‘comparison’ areas.

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