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JAMA Network Open (JCorrection external icon on August 24, 2020). Comparison of weighted and unweighted population data to assess inequities in coronavirus disease 2019 deaths by race/ethnicity reported by the US Centers for Disease Control and Prevention external icon. Reference category is county-level proportion of racial/ethnic minorities of 3.0%-17.9%. Adjusted rate ratios (RR) compare COVID-19 incident cases per 100,000 residents in counties with more or less poverty and by racial/ethnic quartiles in the county. Limitations: County-level health data do not necessarily reflect risk or outcomes among individuals. Counties were classified as “more-poverty” if >10.7% of residents were living below the poverty level. Racial/ethnic quartiles were calculated using percent of racial/ethnic minorities for each county: “substantially White” (3.0%-17.9%), “less diverse” (18.0%-29.4%), “more diverse” (29.5%-44.5%), and “substantially non-White” (>44.5%). Methods: 158 counties in 10 US urban centers containing 63.5% of COVID-19 cases as of were used for the study.

The death rate from COVID-19 was higher in counties with the highest proportions of racial and ethnic minorities, compared to counties with the highest proportions of White residents.

Counties with the highest proportions of racial and ethnic minorities had higher COVID-19 rates than counties with highest proportions of White residents (Figure).

Assessment of community-level disparities in Coronavirus disease 2019 (COVID-19) infections and deaths in large US metropolitan areas external icon. Below, we summarize two papers addressing estimates of racial and ethnic disparities in COVID-19 outcomes, as well as methods for ascertaining those disparities.Ī. Racial and ethnic disparities characterize COVID-19 morbidity and mortality, as they do many aspects of health in the US. Such patients are high priority to receive targeted prevention strategies to reduce their risk of exposure to SARS-CoV-2 infection for example, social distancing for prolonged periods of time. Implications: Patients with BMI ≥40 kg/m 2 are at high risk for poor outcomes from COVID-19, particularly those < 65 years. Limitations: BMI was missing for 28% of patients.

Primary endpoint was in-hospital intubation or death. Patients were followed for at least 47 days. Methods: Retrospective cohort study among 2,466 adults admitted with laboratory-confirmed SARS-CoV-2 infection, between March 10 and April 24, 2020, presenting to emergency departments at two hospitals in New York City.

BMI was not correlated with higher levels of biomarkers of inflammation (C-reactive protein, erythrocyte sedimentation rate), cardiac injury or fibrinolysis at time of hospital admission.

Obesity was associated with higher risk for intubation or death among patients <65 years (Figure 2).

Adult patients with body mass index (BMI) ≥40 kg/m 2 had higher risk for intubation or death, hazard ratio, 1.6 (95% CI 1.1-2.1) adjusted for age, sex, race/ethnicity and co-morbidities (Figure 1).

Annals of Internal Medicine (July 29, 2020). Licensed under CC-BY.īody mass index and risk for intubation or death in SARS-CoV-2 infection external icon. SARS-Cov-2 rates among asymptomatic clinical health care workers (HCW), non-clinical HCW, and community residents, stratified by the degree to which they interact with patients hospitalized with COVID. Implications: Higher infection rates among COVID-19–facing clinical HCWs suggest nosocomial infection and highlight the need for consistent infection control and testing throughout hospital systems.

Limitations: Potential ascertainment bias from convenience sampling. Staff were categorized as clinical HCW working in COVID-19 wards (n = 1,992) or other wards (n = 625), or as non-clinical (n = 170).

NP swabs were collected from study participants and tested by PCR. Methods: Cross-sectional study in 2,787 staff from one academic medical center and 5 hospitals and 85 community residents in Houston, TX who reported no symptoms of COVID-19. Among 2,617 clinical healthcare workers (HCW), SARS-CoV-2 infection was associated with working with COVID-19 patients (Figure):.Overall test positivity across 5 weeks was 3.9% (95% CI 3.2%-4.7%).Prevalence of SARS-CoV-2 infection among asymptomatic health care workers in the greater Houston, Texas, Area external icon.