Jennifer was given approval to return to Australia for her father's funeral, but her partner wasn't
American Indian and Alaska Native people have died in connection with COVID-19 at nearly twice the rate of white people in a sample of 14 states, according to a new analysis published by the Centers for Disease Control and Prevention.
The data out Thursday comes as federal officials appear on the cusp of approving a COVID-19 vaccine for emergency use in the U.S., and as officials prepare to distribute limited doses.
“Federal, state, tribal, and local partners should consider the AI/AN disparities from COVID-19 and other underlying factors when developing their vaccine allocations strategies,” the new report says. Its authors include representatives from multiple state health agencies and area Indian health boards.
According to CDC data cited in the report, nearly 2,700 COVID-19-associated deaths had occurred among American Indian and Alaska Native people as of Dec. 2. Using data from 14 states that account for nearly half of the country’s AI/AN population, researchers found that the age-adjusted COVID-19-associated mortality rate among AI/AN people from Jan. 1 to June 30 was 55.8 deaths per 100,000, or 1.8 times higher than the rate of 30.3 deaths per 100,000 among whites.
Mortality was higher among men than women in both groups and increased with age, the report shows, peaking among people at least 80 years old. It was higher among AI/AN people than whites in all age groups except that highest bracket. For those 20 to 29 years old, 30 to 39 years old and 40 to 49 years old, mortality rates tied to COVID-19 among AI/AN people were 10.5, 11.6, and 8.2 times those among whites, respectively, the report says.
The report says “long-standing inequities” in areas such as public funding, infrastructure, and access to health care, education and other social determinants of health have contributed to health disparities that put Indigenous people at higher risk from COVID-19.
The researchers said financial and transportation barriers may have prevented Indigenous patients from timely care, resulting in more severe illness. They also noted that the data did not represent all states, yet said AI/AN deaths tied to COVID-19 may have been underreported due to racial misclassification in vital records systems.
In battling COVID-19, the researchers said public health agencies should engage with tribes and urban-dwelling Indigenous communities “to build upon existing community assets and values to enhance health outcomes.”
“Strategies can draw on cultural factors that include protecting elders and ensuring a healthy future for younger generations. Improving the quality of COVID-19 data will be important for
AI/AN communities and their partners to identify populations experiencing excess risk and plan and implement prevention activities and medical countermeasures,” the study says.
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