washingtonpost.com 
<https://www.washingtonpost.com/nation/2020/04/07/coronavirus-is-infecting-killing-black-americans-an-alarmingly-high-rate-post-analysis-shows/?arc404=true>
  


The coronavirus is infecting and killing black Americans at an alarmingly high 
rate


By Reis Thebault , Reis Thebault National and breaking news reporter Email Bio 
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10-12 minutes

  _____  

As the novel coronavirus 
<https://www.washingtonpost.com/health/2020/02/28/what-you-need-know-about-coronavirus/>
  sweeps across the United States, it appears to be infecting and killing black 
Americans at a disproportionately high rate, according to a Washington Post 
analysis of early data from jurisdictions across the country.

The emerging stark racial disparity led the surgeon general Tuesday to 
acknowledge in personal terms the increased risk for African Americans amid 
growing demands that public-health officials release more data on the race of 
those who are sick, hospitalized and dying of a contagion that has killed more 
than 12,000 people in the United States.

A Post analysis of available data and census demographics shows that counties 
that are majority-black have three times the rate of infections and almost six 
times the rate of deaths as counties where white residents are in the majority.


African Americans by percentage of population and share of coronavirus deaths


Only a few jurisdictions publicly report coronavirus cases and deaths by race.




In Milwaukee County 
<https://www.arcgis.com/apps/opsdashboard/index.html#/018eedbe075046779b8062b5fe1055bf>
 , home to Wisconsin’s largest city, African Americans account for about 70 
percent of the dead but just 26 percent of the population. The disparity is 
similar in Louisiana <http://ldh.la.gov/coronavirus/> , where 70 percent of the 
people who have died were black, although African Americans make up just 32 
percent of the state’s population.

In Michigan 
<https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173---,00.html> , 
where the state’s 845 reported deaths outrank all but New York’s and New 
Jersey’s, African Americans account for 33 percent of cases and roughly 40 
percent of deaths, despite comprising only 14 percent of the population. The 
state does not offer a breakdown of race by county or city, but more than a 
quarter of deaths occurred in Detroit, where African Americans make up 79 
percent of the population.

And in Illinois <http://www.dph.illinois.gov/covid19/covid19-statistics> , a 
disparity nearly identical to Michigan’s exists at the state level, but the 
picture becomes far starker when looking at data just from Chicago 
<https://www.chicago.gov/city/en/sites/covid-19/home/latest-data.html> , where 
black residents have died at a rate six times that of white residents. Of the 
city’s 118 reported deaths, nearly 70 percent were black — a share 40 points 
greater than the percentage of African Americans living in Chicago.

[Sign up for our Coronavirus Updates newsletter to track the outbreak. All 
stories linked in the newsletter are free to access. 
<https://subscribe.washingtonpost.com/newsletters/#/bundle/health?method=SURL&location=ART_IS>
 ]


County majority

Counties

Cases per 100k

Deaths per 100k


Asian

6

19.5

.4


Black

131

137.5

6.3


Hispanic

124

27.2

.6


White

2,879

39.8

1.1


Note: Data per 100k based on averages.


Source: Johns Hopkins University and American Community Survey.


President Trump publicly acknowledged for the first time the racial disparity 
at the White House task force briefing Tuesday.

“We are doing everything in our power to address this challenge, and it’s a 
tremendous challenge,” Trump said. “It’s terrible.” He added that Anthony S. 
Fauci, director of the National Institute of Allergy and Infectious Diseases, 
“is looking at it very strongly."

“Why is it three or four times more so for the black community as opposed to 
other people?” Trump said. “It doesn’t make sense, and I don’t like it, and we 
are going to have statistics over the next probably two to three days.” 

Detailed data on the race of coronavirus patients has been reported publicly in 
fewer than a dozen states and several more counties.

African Americans’ higher rates of diabetes, heart disease and lung disease are 
well-documented, and Louisiana Gov. John Bel Edwards (D) noted that those 
health problems make people more vulnerable to the new respiratory disease. But 
there never has been a pandemic that brought the disparities so vividly into 
focus.

The crisis is “shining a bright light on how unacceptable” those disparities 
are, Fauci said at the briefing. “There is nothing we can do about it right now 
except to try and give” African Americans “the best possible care to avoid 
complications.” 

“I’ve shared myself personally that I have high blood pressure,” said Surgeon 
General Jerome Adams, who is 45, “that I have heart disease and spent a week in 
the [intensive care unit] due to a heart condition, that I actually have asthma 
and I’m prediabetic, and so I represent that legacy of growing up poor and 
black in America.” 

Adams added, “It breaks my heart” to hear about higher covid-19 death rates in 
the black community, emphasizing that recommendations to stay at home to slow 
the spread are for everyone to follow.

On Monday 
<https://www.washingtonpost.com/politics/government-urged-to-release-race-ethnicity-data-on-covid-19-cases/2020/04/06/7891aba0-7827-11ea-b6ff-597f170df8f8_story.html>
 , the Lawyers’ Committee for Civil Rights Under Law and hundreds of doctors 
joined a group of Democratic lawmakers 
<https://www.warren.senate.gov/imo/media/doc/2020.03.27%20Letter%20to%20HHS%20re%20racial%20disparities%20in%20COVID%20response.pdf>
 , including Sens. Elizabeth Warren (Mass.), Cory Booker (N.J.) and Kamala D. 
Harris (Calif.), in demanding that the federal government release daily race 
and ethnicity data on coronavirus testing, patients and their health outcomes.

To date, the Centers for Disease Control and Prevention has only released 
figures by age and gender.

[Covid-19 is ravaging black communities. A Milwaukee neighborhood is figuring 
out how to fight back. 
<https://www.washingtonpost.com/politics/covid-19-is-ravaging-black-communities-a-milwaukee-neighborhood-is-figuring-out-how-to-fight-back/2020/04/06/1ae56730-7714-11ea-ab25-4042e0259c6d_story.html>
 ]

Legislators, civic advocates and medical professionals say the information is 
needed to ensure that African Americans and other people of color have equal 
access to testing and treatment, and also to help to develop a public-health 
strategy to protect those who are more vulnerable.

In its letter  
<https://lawyerscommittee.org/wp-content/uploads/2020/04/DHHS-Letter-COVID-19.pdf>
 to Health and Human Services Secretary Alex Azar, the Lawyers’ Committee said 
the Trump administration’s “alarming lack of transparency and data is 
preventing public health officials from understanding the full impact of this 
pandemic on Black communities and other communities of color.” 

As pressure mounted, a CDC spokesman said Tuesday that the agency plans to 
include covid-19 hospitalizations by race and ethnicity in its next Morbidity 
and Mortality Weekly Report, more than six weeks after the first American died 
of the disease.

Health departments nationwide report coronavirus cases to the CDC using a 
standardized form  
<https://www.cdc.gov/coronavirus/2019-ncov/downloads/pui-form.pdf> that asks 
for a range of demographic information, including race and ethnicity. However, 
fields are often left blank and those local agencies are “under a tremendous 
amount of strain to collect and report case information,” said Scott Pauley, a 
CDC spokesman.

As the disease has spread in the United States, information on age, gender and 
county of residence also has been reported inconsistently and sporadically.

In some regions, lawmakers are pushing to fill the data gap on their own. 
Virginia reports  
<https://public.tableau.com/views/VirginiaCOVID-19Dashboard/VirginiaCOVID-19Dashboard?:embed=yes&:display_count=yes&:showVizHome=no&:toolbar=no>
 the racial breakdown of its cases but not of its deaths. In neighboring 
Maryland, Gov. Larry Hogan (R) said Tuesday the state would begin to release 
data about race, a day after more than 80 members of the House of Delegates 
sent him a letter asking for the information.

Del. Nick Mosby, a Democrat who represents Baltimore, has pushed for the data 
for weeks after he started hearing from friends, colleagues and his Omega Psi 
Phi fraternity brothers about black men who were infected or were dying of 
covid-19.

“It was kind of frightening,” Mosby said. “I started receiving calls about 
people I knew personally.” 

In Washington, D.C., this week, district officials released race data for the 
first time, showing that the disease has killed African Americans in 
disproportionately high numbers. Nearly 60 percent of the District’s 22 
fatalities were black, but African Americans make up about 46 percent of the 
city’s population.

Like many other jurisdictions, the District’s health officials don’t know the 
race of many people who have tested positive. In an interview with MSNBC on 
Tuesday, Mayor Muriel E. Bowser (D) said that the city lacked race data on half 
of all positive cases but that the existing data was enough for her to be “very 
fearful of the impact that this virus is going to have disproportionately on 
African Americans in our country.” 

“We know that underlying conditions, like hypertension and diabetes and heart 
disease, this virus is particularly hard on,” Bowser said. “And we know that 
African Americans are living with those underlying conditions every day, 
probably in larger proportions than most of our fellow Americans."

Although the disparities have garnered national attention in recent days, some 
predominantly black communities have been rocked by the outbreak for the past 
several weeks — and not just in the nation’s urban cities.

Dougherty County and the city of Albany, in rural southwest Georgia, have 
recorded the highest number of deaths in Georgia. Dougherty, with a population 
of 90,000, had 973 positive cases and 56 deaths as of Tuesday.

By contrast, Fulton County, which includes Atlanta and has a population of more 
than 1 million, had 1,185 cases and 39 deaths. Black residents make up 70 
percent of Dougherty’s population and more than 90 percent of coronavirus 
deaths, said county coroner Michel Fowler.

“Historically, when America catches a cold, black America catches pneumonia,” 
Albany City Commissioner Demetrius Young said last week 
<https://www.washingtonpost.com/politics/a-funeral-sparked-a-covid-19-outbreak--and-led-to-many-more-funerals/2020/04/03/546fa0cc-74e6-11ea-87da-77a8136c1a6d_story.html>
 .

Elected officials and public-health experts have pointed to generations of 
discrimination and distrust between black communities and the health-care 
system. African Americans are also more likely to be uninsured and live in 
communities with inadequate health-care facilities.

As a result, African Americans have historically been disproportionately 
diagnosed with chronic diseases such as asthma, hypertension and diabetes — 
underlying conditions that experts say make covid-19 more lethal.

Critics of the public-health response have cited confusing messaging about how 
the virus is transmitted, such as an early emphasis on overseas travel, and 
have noted that some public officials were slow to issue stay-at-home 
directives to encourage social distancing.

Even then, some activists argued, black people might have been more exposed 
because many held low-wage or essential jobs, such as food service, public 
transit and health care, that required them to continue to interact with the 
public.

“This outbreak is exposing the deep structural inequities that make communities 
pushed to the margins more vulnerable to health crises in good times and in 
bad,” Dorianne Mason, the director of health equity at the National Women’s Law 
Center, said in a statement. “These structural inequities in our health care 
system do not ignore racial and gender disparities — and neither should our 
response to this pandemic.” 

David Montgomery, Ovetta Wiggins, Samantha Pell and Darran Simon contributed to 
this report.

 

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