COVID-19 Among American Indian and Alaska Native Persons — 23 States, January 31–July 3, 2020

Details

• Personal Author:
  Hatcher, Sarah M. ; Agnew-Brune, Christine ; Anderson, Mark ; Zambrano, Laura D. ; Rose, Charles E. ; Jim, Melissa A. ; Baugher, Amy ; Liu, Grace S. ; Patel, Sadhna V. ; Evans, Mary E. ; Pindyck, Talia ; Dubray, Christine L. ; Rainey, Jeanette J. ; Chen, Jessica ; Sadowski, Claire ; Winglee, Kathryn ; Penman-Aguilar, Ana ; Dixit, Amruta ; Claw, Eudora ; Parshall, Carolyn ; Provost, Ellen ; Ayala, Aurimar ; Gonzalez, German ; Ritchey, Jamie ; Davis, Jonathan ; Warren-Mears, Victoria ; Joshi, Sujata ; Weiser, Thomas ; Echo-Hawk, Abigail ; Dominguez, Adrian ; Poel, Amy ; Duke, Christy ; Ransby, Imani ; Apostolou, Andria ; McCollum, Jeffrey
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• Corporate Authors:
  CDC COVID-19 Response Team. ; Association of Schools and Programs of Public Health. ; Oak Ridge Institute for Science and Education. ; Albuquerque Area Southwest Tribal Epidemiology Center. ; Alaska Native Epidemiology Center. ; California Tribal Epidemiology Center. ; Great Lakes Inter-Tribal Epidemiology Center. ; Inter Tribal Council of Arizona. Tribal Epidemiology Center. ; Northwest Tribal Epidemiology Center. ; Portland Area Indian Health Service. ; Urban Indian Health Institute. ; United South and Eastern Tribes. Tribal Epidemiology Center. ; United States Indian Health Service. ; SciMetrika.
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• Description:
  What is already known about this topic? American Indian and Alaska Native (AI/AN) persons appear to be disproportionately affected by the COVID-19 pandemic; however, limited data are available to quantify the disparity in COVID-19 incidence, severity, and outcomes among AI/AN persons compared with those among other racial/ethnic groups. ; What is added by this report? In 23 states with adequate race/ethnicity data, the cumulative incidence of laboratory-confirmed COVID-19 among AI/AN persons was 3.5 times that among non-Hispanic white persons. A large percentage of missing data precluded Analysis of some characteristics and outcomes. ; What are the implications for public health practice? Adequate health care and public health infrastructure resources are needed to support a culturally responsive public health effort that sustains the strengths of AI/AN communities. These resources would facilitate the collection and reporting of more complete case report data to support evidence-based public health efforts. ; Although non-Hispanic American Indian and Alaska Native (AI/AN) persons account for 0.7% of the U.S. population,* a recent Analysis reported that 1.3% of coronaVirus disease 2019 (COVID-19) cases reported to CDC with known race and ethnicity were among AI/AN persons (1). To assess the impact of COVID-19 among the AI/AN population, reports of laboratory-confirmed COVID-19 cases during January 22†–July 3, 2020 were analyzed. The Analysis was limited to 23 states§ with >70% complete race/ethnicity information and five or more laboratory-confirmed COVID-19 cases among both AI/AN persons (alone or in combination with other races and ethnicities) and non-Hispanic white (white) persons. Among 424,899 COVID-19 cases reported by these states, 340,059 (80%) had complete race/ethnicity information; among these 340,059 cases, 9,072 (2.7%) occurred among AI/AN persons, and 138,960 (40.9%) among white persons. Among 340,059 cases with complete patient race/ethnicity data, the cumulative incidence among AI/AN persons in these 23 states was 594 per 100,000 AI/AN population (95% confidence interval CI = 203–1,740), compared with 169 per 100,000 white population (95% CI = 137–209) (rate ratio RR = 3.5; 95% CI = 1.2–10.1). AI/AN persons with COVID-19 were younger (median age = 40 years; interquartile range IQR = 26–56 years) than were white persons (median age = 51 years; IQR = 32–67 years). More complete case report data and timely, culturally responsive, and evidence-based public health efforts that leverage the strengths of AI/AN communities are needed to decrease COVID-19 Transmission and improve patient outcomes. ; Suggested citation for this article: Hatcher SM, Agnew-Brune C, Anderson M, et al. COVID-19 Among American Indian and Alaska Native Persons — 23 States, January 31–July 3, 2020. MMWR Morb Mortal Wkly Rep. ePub: 19 August 2020 ; mm6934e1.htm?s_cid=mm6934e1_w ; mm6934e1-H.pdf
• Subjects:
  • Alaska Natives
  • CoronaVirus Infections
  • COVID-19
  • Health Status Disparities
  • Healthcare Disparities
  • Indians, North American
  • Pandemics
  • Pneumonia, Viral
• Source:
  MMWR: Morbidity and Mortality Weekly Report 2020; v. 69 Early Release
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Pages in Document:
  4 pdf pages
• Volume:
  69
• Download URL:
  https://stacks.cdc.gov/view/cdc/92230/cdc_92230_DS1.pdf
• File Type:
  [PDF - 215.28 KB]
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:0e66e887b4967cacbec7e5a071a66cf4c710bb2297a31d0a50c1b959dbc51ce74a7a426c6ee335256ae1a9075f6f04045c8fda08c1eef5efeaf7ee076c35a2a1