As the novel 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.
In Milwaukee County, 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, 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, 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, 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, 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.

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.”

[Has someone close to you died from covid-19? Share their story with The Post.]

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.”

On Monday, the Lawyers’ Committee for Civil Rights Under Law and hundreds of doctors joined a group of Democratic lawmakers, 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.]
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 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.
On Wednesday, the agency published the study, which examined nearly 1,500 hospitalized coronavirus patients across 14 states. The CDC had race data for just 580 of those patients, but the limited information showed a similar disparity: even though African Americans accounted for 18 percent of the population, they made up 33 percent of people hospitalized.
Health departments nationwide report coronavirus cases to the CDC using a standardized form 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 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.

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