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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001) higher risk of SARS-CoV-2 positivity than staff working in single care homes (39/227, 17%). WGS identified SARS-CoV-2 clusters involving staff only, including some that included staff working across different care homes.
SARS-CoV-2 positivity was significantly higher among staff working across different care homes than those who were working in the same care home. We found local
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Metastasis is the main cause of cancer related deaths, and unfolding the molecular mechanisms underlying metastatic progression is critical for the development of novel therapeutic approaches. Notch is one of the key signaling pathways involved in breast tumorigenesis and metastasis. Notch activation induces pro-metastatic processes such as migration, invasion and epithelial to mesenchymal transition (EMT). However, mol
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3%) died during ECMO due to the underlying disease for which ECMO was required, and three (13.6%) died after weaning from ECMO. Multivariate regression analysis showed that awake ECMO and long-term ECMO support were significantly associated with life-threatening mechanical complications (p less then 0.01). Our algorithm safely managed catastrophic ECMO problems without event-related deaths.Anticoagulation in extracor
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Baculoviruses are a group of insect viruses with large circular dsDNA genomes exploited in numerous biotechnological applications, such as the biological control of agricultural pests, the expression of recombinant proteins or the gene delivery of therapeutic sequences in mammals, among others. Their genomes encode between 80 and 200 proteins, of which 38 are shared by all reported species. Thanks to multi-omic studies, ther
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Abdominal obesity has been shown to be a superior measure over overall obesity for detecting cardiovascular risk.
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Body mass index (BMI) and waist circu
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3rd, we prove how to use such designs in theoretical circumstances taking into consideration the effect on the town’s predicted evolutionary trajectory whenever current possibilities of neighbourhood changes or distributions of neighbourhood types would hypothetically change. Markov different types of transition patterns show to be highly precise in predicting the final
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시알리스는 남성의 성 기능 개선을 위해 널리 사용되는 약물입니다. 최근에 시알리스에 대한 관심이 높아지면서 많은 사람들이 이 약물의 효과와 구매 방법에 대해 궁금해하고 있습니다. 시알리스는 성적인 만족을 향상시키는 데 도움을 주며, 필요할 때 사용할 수 있는 편리함 덕분에 많은 이들에게 사랑받고 있습니다.
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The purpose of this study was to explore the changes in blood pressure in patients with concurrent gastric cancer and hypertension after gastrectomy, and to identify the factors that affect the changes in blood pressure.
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Online marketing has become an essential part of how businesses operate in today’s digital age. Whether you are a business owner, a marketing professional, or simply someone looking to enhance their expertise, understanding the core concepts of digital marketing is crucial. It offers a plethora of opportunities to connect with potential customers and grow you
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This study demonstrated the significance of focus on intestinal parasites in hospitalized patients and highlighted the necessity of improving the insight in health care providers about the occurrence of parasitic infections especially strongyloidiasis in these patients.Emerging and re-emerging viral diseases can create devastating effects on human lives and may also lead to economic crises. The ongoing COVID-1
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In an constantly interconnected world, expressive dialogue is an critical skill that affects our relationships and careers alike. Whether you’re leading a team at work, the ability to convey your thoughts can decide the outcome of your endeavors. In this article, we’ll dive into step-by-step guidance to sharpen your communication skills
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The density of the innervation of the meibomian glands and the detection of various neuropeptides suggest an influence of the nervous system on the function of the glands. To what extent these may play a role in the modulation of glandular function and the pathogenesis of dry eye disease, or perhaps even represent a possible therapeutic approach, needs further investigation.
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. At final follow-up, major curve correction from pre-fusion was similar between groups (high ID 14.5° vs. low ID 15.5° vs. ultra-low ID 9.7°, p = 0.14). At final follow-up, there was no difference in T1-T12 length gain (p = 0.85), T1-S1 length gain (p = 0.68), coronal balance (p = 0.56), or sagittal balance (p = 0.71). The revision rate was significantly higher in the ultra-low ID group (13.8%; 11/80) versus the high ID group (2/39; 5.1%) an
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Finally, we show that the application of fluid shear stress allows the long-term culture of this intestinal epithelium. Our device represents a new biomimetic tool that captures key features of the gut complexity and could be used to study gut pathophysiology.A novel DNA-microgel hybrid system with dual thermal responsiveness is introduced uitilizing covalent coupling of single stranded DNA (ssDNA) to therm
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In today’s rapidly changing world, psychological well-being has emerged as a significant issue for individuals of all ages. Understanding the concepts surrounding psychological wellness is crucial for leading a balanced life. This article aims to clarify psychological well-being, granting perspective that is helpful across various aspects of life.
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