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

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• 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
• Description:
  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.
• Subjects:
  Adolescent Adult Aged Alaska Natives BetacoronaVirus Child Child, Preschool Clinical Laboratory Techniques CoronaVirus Infections COVID-19 Female Health Status Disparities Humans Incidence Indians, North American Infant Infant, Newborn Male Middle Aged Pandemics Pneumonia, Viral Severity Of Illness Index Treatment Outcome Young Adult

  More +
• Source:
  MMWR Morbidity Mortal Weekly Rep. 69(34):1166-1169
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Pubmed ID:
  32853193
• Pubmed Central ID:
  PMC7451969
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Pages in Document:
  4 pdf pages
• Volume:
  69
• Issue:
  34
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:bab01649e739f9e9118e40692860b6b021907623a8d775c07a815f54b8fec9e00530b9b6a5bf196204aafab98fb78e0d38269d3d4a8f82950b23ac85461fabbc
• Download URL:
  https://stacks.cdc.gov/view/cdc/93104/cdc_93104_DS1.pdf
• File Type:
  [PDF - 202.63 KB ]