The
United States is on track to hit a grim COVID-19 milestone. Soon, over one
million people will have lost their lives to the pandemic.[1],[2] While daily death rates have fallen,
the average number of daily cases is back on the rise – increasing 49% in the
past two weeks.[3]
Throughout the pandemic, these case rates and death tolls have not been evenly
distributed[4] – a
pattern further expanded upon by the authors of a Research Letter recently published in JAMA Internal Medicine. The
study attempts to explore the pandemic’s full, societal-level impact on
mortality for racial and ethnic minority populations. The authors leveraged
monthly death data for external causes of death (i.e., drug overdose,
transportation, homicide, and suicide) from the Centers for Disease Control and
Prevention.[5]
Starting
with a forecast of expected deaths from external causes (which was derived from
monthly death count data between January 2015 and February 2020), the
researchers calculated the number of “excess deaths” from March to December
2020 by subtracting their forecasted death number from the number of actual
observed deaths during that period.[6]
Their findings revealed over 17,000 excess deaths from all external causes in
the US. The researchers estimate these excess deaths were highest among Black
and American Indian or Alaska Native individuals. Black individuals,
furthermore, had the highest estimated excess homicide deaths per capita (6.7
per 100,000 population), which was more than double the rate of the next
highest group (American Indian or Alaska Native individuals). [7] Meanwhile, excess transportation-related
deaths (auto accidents, etc.) were only evident among Black and Hispanic
individuals.
The
researchers suggest that “the pandemic contributed to these disparities through
both direct and indirect mechanisms.” Structural racism was identified as the
root cause of the disparities in excess deaths from external causes. The
researchers also note that discrimination against Black and American Indian or
Alaska Native populations produced communities that were especially vulnerable
to the consequences of the pandemic, such as unemployment, housing instability,
and reduced access to health care. The authors emphasize the importance of
addressing structural determinants of violence, substance abuse, and
transportation deaths among racial and ethnic minority groups.
___________________
[1] CDC. CDC COVID Data tracker.
Centers for Disease Control and Prevention. (Updated May 11, 2022). Available
at: from https://covid.cdc.gov/covid-data-tracker/#datatracker-home
[2] Parker, J. E. The 'five pandemics' driving 1 million
U.S. covid deaths. STAT. (May 10, 2022). Available at: https://www.statnews.com/2022/05/10/the-five-pandemics-driving-1-million-u-s-covid-deaths/
[3] The New York Times.
Coronavirus in the U.S.:
Latest Map and Case Count. (Updated May 10, 2022). Available at: https://www.nytimes.com/interactive/2021/us/covid-cases.html
[4] CDC. Health Equity Considerations and Racial
and Ethnic Minority Groups. Centers for Disease Control and
Prevention. (Updated January 25, 2022). Available at: https://www.cdc.gov/coronavirus/2019-ncov/community/health-equity/race-ethnicity.html
[5] Ling, I., Del
Rosario, M., & Gross, C. P. The
COVID-19 Pandemic and Racial and Ethnic Disparities in Estimated Excess
Mortality from External Causes. Editor's Note. (May 9, 2022).
Available at: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2791683?guestaccesskey=0e24d0b4-7d02-496b-a97b-4ac908f24fea&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamainternalmedicine&utm_content=olf&utm_term=050922
[6] Chen, R., Aschmann,
H. E., & Chen, Y.-H. Racial
and Ethnic Disparities in Estimated Excess Mortality from External Causes in
the US, March to December 2020. JAMA Internal Medicine. (May 9,
2022). Available at: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2791682?widget=personalizedcontent&previousarticle=2791683
[7] Ibid.
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