However, this has been brewing for some time. Misinformation was at the core of many of these crises-and is central to much of the chaos over the past four years. healthcare system, economy, and collective psyche. We're coming off a year of contentious politics, the first global pandemic in more than 100 years, and a battered U.S. Asian Americans Facing High COVID-19 Case Fatality.Our democracy was pushed to its absolute limit last week when rioters stormed the U.S.
(20)30485-0Ĭount Native Hawaiian And Pacific Islanders In COVID-19 Data-It’s An OMB Mandate | Health Affairs. Quantification and interpretation of attributable mortality in core clinical infectious disease journals. Von Cube M, Timsit J-F, Schumacher M, Motschall E, Schumacher M. Provisional Death Counts for Coronavirus Disease (COVID-19): Weekly State-Specific Data Updates | Data | Centers for Disease Control and Prevention. Webb Hooper M, Nápoles AM, Pérez-Stable EJ. Johns Hopkins Coronavirus Resource Center.
This would improve prevention, mitigate spread, and provide better healthcare for Asians and NHPIs whose lives and livelihoods have been overlooked and harmed by incomplete or missing data.ĬOVID-19 Map. Over the course of this pandemic, public health departments must provide access to COVID-19 testing, case, death, hospitalization data by primary language, and disaggregated race/ethnicity. The Office of Management and Budget requires that agencies receiving federal funding report Asians as a separate category from NHPIs, while some states continue to categorize Asians and NHPIs as one category, and others aggregate Asians, NHPIs, and AIANs under “Other.” 5 We must correct this. Our analysis uncovering Asian and NHPI attributable COVID-19 deaths by age is significant as this disaggregated data is not available in many public datasets. 2, 5 The higher attributable death among Asians may also be due to a heightened xenophobia that may have discouraged Asians from seeking timely testing and treatment, particularly among 60% of the population who are immigrants and 23% who are limited English proficient. Similar to many communities of color, Asians and NHPIs may have worse COVID-19 mortality because they disproportionately work in healthcare and other essential jobs, have underlying medical comorbidities, and are more likely to live in denser, multi-generational households. Asians, Latinx, and Black Americans had the three highest COVID-19 attributable deaths, with frequencies at least twice that of Whites. Our findings are consistent with others reporting the disproportionate burden of COVID-19 among Latinx and Black Americans, but our analysis raises concern about the lack of policy attention of the COVID-19 burden among Asians and NHPIs. Stata 16 (College Station, TX) was used to analyze the data. We assessed statistical significance at the 0.05 level. To determine whether differences by race/ethnicity were statistically significant, we regressed attributable mortality on race as a categorical variable with non-Hispanic Whites as the referent. Hispanic is a mutually exclusive group from race all racial groups are tabulated as non-Hispanic. We compared the attributable death from COVID-19 by known race/ethnicity overall, and then across age categories. 4 We defined COVID-19 attributable death as the proportion of COVID-19 deaths out of the total number of deaths from all causes, including COVID-19, for each group of focus. We examined the burden of disease from COVID-19 using attributable mortality, which accounts for not only the effect of infection on mortality but also the prevalence within the population of interest. Data included COVID-19 deaths between February 1 and October 10, 2020. We used data from the National Center for Health Statistics (NCHS), 3 which provides weekly updated, national data on the count and distribution of COVID-19 deaths and total deaths by age and race/ethnicity.
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