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

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Personal Author:
  Arrazola, Jessica ; Masiello, Matthew M. ; Joshi, Sujata ; Dominguez, Adrian E. ; Poel, Amy ; Wilkie, Crisandra M. ; Bressler, Jonathan M. ; McLaughlin, Joseph ; Kraszewski, Jennifer ; Komatsu, Kenneth K. ; Peterson Pompa, Xandy ; Jespersen, Megan ; Richardson, Gillian ; Lehnertz, Nicholas ; LeMaster, Pamela ; Rust, Britney ; Keyser Metobo, Alison ; Doman, Brooke ; Casey, David ; Kumar, Jessica ; Rowell, Alyssa L. ; Miller, Tracy K. ; Mannell, Mike ; Naqvi, Ozair ; Wendelboe, Aaron M. ; Leman, Richard ; Clayton, Joshua L. ; Barbeau, Bree ; Rice, Samantha K. ; Warren-Mears, Victoria ; Echo-Hawk, Abigail ; Apostolou, Andria ; Landen, Michael
• Description:
  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.
• Subjects:
  Adult Alaska Natives American Indians Or Alaska Natives CoronaVirus Infections COVID-19 Female Health Status Disparities Humans Male Middle Aged Young Adult

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• Source:
  MMWR Morbidity Mortal Weekly Rep. 69(49):1853-1856
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Pubmed ID:
  33301432
• Pubmed Central ID:
  PMC7737685
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Pages in Document:
  4 pdf pages
• Volume:
  69
• Issue:
  49
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:1757b50660b924d476933fd32c648f6cddfe7edaf137c19b47efb5a15cf2214228935c44d03d3b6deca6f068824d60eb1e1f3fdbdca1df86275937254c93f954
• Download URL:
  https://stacks.cdc.gov/view/cdc/99500/cdc_99500_DS1.pdf
• File Type:
  [PDF - 198.17 KB ]