Becker's Clinical Quality & Infection Control

31 QUALITY IMPROVEMENT & MEASUREMENT Racial disparities & COVID-19: Why it matters in healthcare By Gabrielle Masson R acial disparities in the U.S. affect every aspect of life, including healthcare. Amid the COVID-19 pandemic, individuals of color have been disproportion- ately affected by the virus. Below are eight key findings revealing the connection between race and healthcare. Editor's note: is is not an exhaustive compilation. Who: People of color have been dispropor- tionately affected by COVID-19. About 26 percent of COVID-19 patients in the U.S. have been black, while white people account for 52.2 percent and Asian people account for 4.6 percent, according to CDC data updated June 1. e data is based on 718,254 COVID-19 cases in which race was specified. According to U.S. Census esti- mates from 2019, white people account for 76.5 percent of the nation's population, while black individuals account for 13.4 percent and Asian people account for 5.9 percent. Nationwide, 26 percent of Latino adults said they know someone who has died from COVID-19, compared to just 10 percent of white adults, according to an ABC News-Ip- sos survey published May 22. In Maryland, Virginia and Washington, D.C., Latinos represent about 10 percent of the population but account for one-third of cases, according to an analysis by e Washington Post. What: COVID-19 infection, hospitaliza- tion and death rates within communities of color. Majority-black counties have reported tri- ple the infection rate and nearly six times the rate of deaths as majority-white coun- ties, according to an analysis published April 7 by e Washington Post. Black COVID-19 patients are nearly three times as likely to be hospitalized as their white counterparts, according to a study published May 21 in Health Affairs. Researchers examined 1,052 COVID-19 patients at Sacramento, Calif.-based Sutter Health from Jan. 1 to April 8. Of black pa- tients with COVID-19, 52.5 percent were hospitalized, compared to 25.7 percent of white patients, which "may indicate that African Americans have more advanced or severe illness at the time of presenting for COVID-19 testing and medical care," researchers said. Also, a higher proportion of black patients (24.6 percent) were trans- ferred to intensive care units than white patients (10.7 percent). Where: While racial disparities occur everywhere in the U.S. and beyond, three specific studies have documented the disparity in nursing homes and two Southern states. Nursing homes with a large proportion of black or Latino residents are twice as likely to experience a COVID-19 outbreak as facil- ities with mostly white residents, according to an analysis from e New York Times. e analysis of internal data on COVID-19 cases and data from the CMS Nursing Home Compare site found about 60 percent of nursing homes where at least a quarter of the population is black or Latino have had at least one COVID-19 case. In comparison, just 32 percent of facilities with a predom- inantly white population reported at least one infection. e racial disparity persisted regardless of nursing home size and location. Over 80 percent of hospitalized COVID-19 patients in Georgia are black, according to a study conducted by the CDC, Georgia De- partment of Public Health and eight Georgia hospitals. Data from hospitalized adults with COVID-19 admitted in March revealed about 83 percent of 297 patients with known race/ ethnicity were non-Hispanic black, while nearly 11 percent were non-Hispanic white, 3.4 percent were Hispanic and 2.7 percent were non-Hispanic Asian or Pacific Islander. Nearly 77 percent of the COVID-19 patients hospitalized from March to early April in New Orleans-based Ochsner Health's network were black, according to a study published in e New England Journal of Medicine. Researchers examined data from 3,481 COVID-19 patients seen at an Ochsner facility between March 1 and April 11. Ochsner's total patient population is about 31 percent black, according to data on 522,679 patients who received care within the system in the last year. Nearly 40 percent of the patients with COVID-19 were hospitalized, and of those hospitalized, 76.9 percent were black. Of the 326 COVID-19 patients who died, 70.6 percent were black. Why: Racial injustice affects every aspect of life, but here are four reasons black Americans are disproportionately affected by COVID-19. ere are four main reasons black Amer- icans are dying at a faster rate than other groups, as explained by e Washington Post. Black Americans have higher rates of underlying health conditions and less access to care; they are more likely to work in "essential" jobs; black communities receive insufficient and inconsistent information from government leaders; and housing dis- parities put black residents at a greater risk for contracting illnesses. n PH: 1-800-842-7771 Email: biocontrols@rgf.com Web: www.rgf.com/rgf-biocontrols MICROCON ® MAP 400/800 FDA 510(k) Compliant MICROCON ® HEPA air purification systems offer flexible patient isolation solutions REDUCE INFECTIOUS AIRBORNE PATHOGENS

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