Like I’ve mentioned in a few of my previous posts, this pandemic has brought on a lot of changes for everyone– but there is variation in how COVID-19 has impacted different groups of people. The experience of racial and ethnic minorities during this pandemic has been very different from other groups and is reflective of health outcomes that often exist for minorities in the U.S.
COVID-19
In New York City, the death rates for Black/African American individuals is much higher due to the virus, than it is for other racial/ethnic groups (1). The chart below shows the disproportionality of the effects of COVID on the population of African American individuals in a few states. 
Compared to the total state population, the majority of patients affected by COVID are African American (2).
These disparities exist not only during this pandemic, but in healthcare in general:
Reasons for the Disparity
People who belong to racial or ethnic minority groups experience the health care system differently than others– many of the existing disparities in society lead to poorer health outcomes, as well as greater vulnerability to viruses and other illnesses. Many minority groups live in heavily populated areas or live in households with multiple generations, where social distancing might not be possible (1). Many work hourly, so health benefits are not part of the package and health services become difficult to access (2). There is also a much higher population of racial and ethnic minorities in jails, prisons, etc. which are again, places that increase the risk of spread of viruses and other illnesses (1).
Also, because of the social distancing measures that have to be taken because of the pandemic, there has been a decrease in quality of care for patients who don’t speak English (4). Before, interpreters/translators could be present in person during a patient’s visit, which makes it much easier to translate and understand the patient’s concerns and symptoms. Now, a lot of interpreters have to work over the phone and it’s possible that a lot of information is getting lost in translation because it’s just harder to have a conversation and understand each other that way.
While the pandemic has affected everyone in one way or another, it has not affected everyone equally. The social determinants of health that I talked about in my first blog, in addition to factors such as racism, geographic location, and poverty, play a large part in deciding how an individual is affected. Unfortunately, the same level and quality of healthcare are not available to every person. Moving towards a system that addresses these disparities and provides excellent health care to each patient will involve first resolving the inequalities that exist in health care delivery in general and access to healthier food, exercise, etc. Additionally, training healthcare providers to better understand cultural differences and barriers to care could improve health outcomes for minority groups (3).
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Objectives To report 1st neuropathological study of ephedrone poisoning. Methods The brain of a 33-year-old Ukrainian female ex-ephedrone addict with a lengthy history of l-dopa-unresponsive parkinsonism with dysarthria, dystonia, serious postural instability, coc
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This paper outlines a framework in order to provide a reliable and up-to date local precipitation dataset over Sistan and Baluchestan province, one of the poorly rain gauged areas in Iran. Initially, the accuracy of GPCC data, as the reference dataset, was evaluated. Next, the performance of eight gridded precipitation products (namely, CHIRPS, CMORPH-RAW, ERA5, ERA-Interim, GPM-IMERG, GSMaP-MVK, PERSIANN and T
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The development of osteoarthritis (OA) correlates with a rise in the number of senescent cells in joint tissues, and the senescence-associated secretory phenotype (SASP) has been implicated in cartilage degradation and OA. Age-related mitochondrial dysfunction and associated oxidative stress might induce senescence in joint tissue cells. However, senescence is not the only driver of OA, and the mechanisms by which senescent cells contribute
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Copyright © 2020 Juhász, Gáspári and Pongor.The introduction of two distinct dopants in a microporous zeotype framework can lead to the formation of isolated, or complementary catalytically active sites. Careful selection of dopants and framework topology can facilitate enhancements in catalysts efficiency in a range of reaction pathways, leading to the use of sustainable precursors (bioethanol) for plastic prod
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The sweetpotato whitefly Bemisia tabaci is a polyphagous crop pest distributed worldwide and frequent exposure to many different defensive secondary metabolites in its host plants. To counteract these defensive plant secondary metabolites, B. tabaci elevate their production of detoxification enzymes, including cytochrome P450 monooxygenases. Besides their tolerance to phytotoxin, B. tabaci have quick
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Purpose Multiple myeloma (MM) treatment has changed tremendously, with significant improvement in patient out-comes. One group with a suboptimal benefit is patients with high-risk cytogenetics, as tested by conventional karyotyping or fluorescence in situ hybridization (FISH). Methodology for these tests has been published, but not necessarily standardized. Methods We address variability in t
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Sepsis is a systemic inflammatory response that can lead to the dysfunction of many organs. The aberrant expression of miRNAs is associate
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Kaohsiung, a bustling city in southern Taiwan, is known for its rich culture, stunning coastal views, and vibrant urban life. Whether you’re planning a tour with family, friends, or colleagues, a 高雄遊覽車出租 (Kaohsiung bus rental) can provide a convenient and enjoyable way to explore the city and its surroundings. This article highlights the many benefits of renting a bus in Kaohsiung and why it’s a great
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Neuromuscular diseases (NMD) are a heterogeneous group of motor unit disorders. Common to all is the main clinical symptom of muscle weakness. Depending on entity and phenotype, a broad range of disorders of neuronal, junctional or myocytic structures occurs. In addition to a weakness of the skeletal musculature, NMD can also affect throat musculature, respiratory and heart muscles. The
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Lf possesses a wide range of immunomodulatory and anti-inflammatory properties against different aseptic and septic inflammatory pathologies, including IBDs. Moreover, Lf exerts anti-adhesive, anti-invasive and anti-survival activities against several microbial pathogens that colonize intestinal mucosa of IBDs patients. This review focuses on those activities of Lf potentially useful for the prevention/treat
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These results indicate that there may be multiple biological pathways involved in AD development, suggesting the need for more holistic approaches to mitigate AD-development risk.
These results indicate that there may be multiple biological pathways involved in AD development, suggesting the need for more holistic approaches to mitigate AD-development risk.Randomized clinical trials (RCT
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Laboratory astrochemists have generated infrared (IR) data for nearly all common classes of organic compounds, but ethers in the solid phase continue to be neglected despite detections of ethers in the interstellar medium by radio astronomers and uncertainty in how extraterrestrial ethers are formed. To address this paucity of data, here we present new mid-IR spectra of amorphous and crystalline dimethyl e
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Within the therapeutic alliance concepts of health coaching were discussed but these conceptualisations sometimes contradicted descriptions of experiences. This research may encourage physiotherapists to reflect on their perceptions of, and role in HP.
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