COVID-19 Mortality Among American Indian and Alaska Native Persons — 14 States, January–June 2020

Autor: Jessica Arrazola, Matthew M Masiello, Abigail Echo-Hawk, Jennifer Kraszewski, Andria Apostolou, Richard Leman, Samantha K Rice, David Casey, Brooke Doman, Crisandra M Wilkie, Joshua L Clayton, Sujata Joshi, Kenneth Komatsu, Ozair Naqvi, Victoria Warren-Mears, Mike Mannell, Aaron M. Wendelboe, Pamela LeMaster, Alyssa L Rowell, Tracy K Miller, Nicholas Lehnertz, Jessica Kumar, Megan Jespersen, Amy Poel, Samantha Jh Rolland, Alison Keyser Metobo, Jonathan Bressler, Adrian Dominguez, Joe McLaughlin, Michael Landen, Bree Barbeau, Gillian Richardson, Britney Rust, Xandy Peterson Pompa
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Morbidity and Mortality Weekly Report
ISSN: 1545-861X
0149-2195
Popis: American Indian/Alaska Native (AI/AN) persons experienced disproportionate mortality during the 2009 influenza A(H1N1) pandemic (1,2). Concerns of a similar trend during the coronavirus disease 2019 (COVID-19) pandemic led to the formation of a workgroup* to assess the prevalence of COVID-19 deaths in the AI/AN population. As of December 2, 2020, CDC has reported 2,689 COVID-19-associated deaths among non-Hispanic AI/AN persons in the United States.† A recent analysis found that the cumulative incidence of laboratory-confirmed COVID-19 cases among AI/AN persons was 3.5 times that among White persons (3). Among 14 participating states, the age-adjusted AI/AN COVID-19 mortality rate (55.8 deaths per 100,000; 95% confidence interval [CI] = 52.5-59.3) was 1.8 (95% CI = 1.7-2.0) times that among White persons (30.3 deaths per 100,000; 95% CI = 29.9-30.7). Although COVID-19 mortality rates increased with age among both AI/AN and White persons, the disparity was largest among those aged 20-49 years. Among persons aged 20-29 years, 30-39 years, and 40-49 years, the COVID-19 mortality rates among AI/AN were 10.5, 11.6, and 8.2 times, respectively, those among White persons. Evidence that AI/AN communities might be at increased risk for COVID-19 illness and death demonstrates the importance of documenting and understanding the reasons for these disparities while developing collaborative approaches with federal, state, municipal, and tribal agencies to minimize the impact of COVID-19 on AI/AN communities. Together, public health partners can plan for medical countermeasures and prevention activities for AI/AN communities.
Databáze: OpenAIRE