Monday, September 20, 2021

roughly 1 in 500 Americans have died from the coronavirus

 

begin quote from:

https://www.washingtonpost.com/health/interactive/2021/1-in-500-covid-deaths/

The pandemic marks another
grim milestone: 1 in 500
Americans have died of covid-19

At a certain point, it was no longer a matter of if the United States would reach the gruesome milestone of 1 in 500 people dying of covid-19, but a matter of when. A year? Maybe 15 months? The answer: 19 months.

Given the mortality rate from covid and our nation’s population size, “we’re kind of where we predicted we would be with completely uncontrolled spread of infection,” said Jeffrey D. Klausner, clinical professor of medicine, population and public health sciences at the University of Southern California’s Keck School of Medicine. “Remember at the very beginning, which we don’t hear about anymore, it was all about flatten the curve.”

Emilio Carbajal, a driver for Guerra Gutierrez Mortuary, moves a body of a covid-19 victim Jan. 12 from a refrigerated truck at Emanate Health Queen of the Valley Hospital in West Covina, Calif.
Emilio Carbajal, a driver for Guerra Gutierrez Mortuary, moves a body of a covid-19 victim Jan. 12 from a refrigerated truck at Emanate Health Queen of the Valley Hospital in West Covina, Calif. (Philip Cheung for The Washington Post)

[CDC: Unvaccinated 11 times more likely to die of covid-19]

The idea, he said, was to prevent “the humanitarian disaster” that occurred in New York City, where ambulance sirens were a constant as hospitals were overwhelmed and mortuaries needed mobile units to handle the additional dead.

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The goal of testing, mask-wearing, keeping six feet apart and limiting gatherings was to slow the spread of the highly infectious virus until a vaccine could stamp it out. The vaccines came but not enough people have been immunized, and the triumph of science waned as mass death and disease remain. The result: As the nation’s covid death toll exceeded 663,000 this week, it meant roughly 1 in every 500 Americans had succumbed to the disease caused by the coronavirus.

People older than 85 make up only 2 percent of the population, but a quarter of the total death toll. One in 35 people 85 or older died of covid, compared with 1 in 780 people age 40 to 64.

One death in...

Age 85+

35 people

Higher death rate

Age 65 to 84

150

Age 40 to 64

780

While covid’s death toll overwhelms the imagination, even more stunning is the deadly efficiency with which it has targeted Black, Latino, and American Indian and Alaska Native people in their 30s, 40s and 50s.

Death rates for younger groups, 40 to 64 years old, are much lower, but racial inequities grow larger.

One death in...

Native Americans

Hispanics

Blacks

Asians

Whites

240 people

390

Higher death rate

480

1,300

1,300

Death at a younger age represents more lost years of life. Lost potential. Lost scholarship. Lost mentorship. Lost earnings. Lost love.

Neighborhoods decimated. Families destroyed.

Ricky Franklin and his wife, Caylenn Franklin, center, are comforted by Anglea Jackson on Aug. 6 in West Memphis, Ark. The Franklins' 11-year-old daughter, Jordyn, died of covid.
Ricky Franklin and his wife, Caylenn Franklin, center, are comforted by Anglea Jackson on Aug. 6 in West Memphis, Ark. The Franklins' 11-year-old daughter, Jordyn, died of covid. (Michael S. Williamson/The Washington Post)

“So often when we think about the majority of the country who have lost people to covid-19, we think about the elders that have been lost, not necessarily younger people,” said Abigail Echo-Hawk, executive vice president at the Seattle Indian Health Board and director of the Urban Indian Health Institute. “Unfortunately, this is not my reality nor that of the Native community. I lost cousins and fathers and tribal leaders. People that were so integral to building up our community, which has already been struggling for centuries against all these things that created the perfect environment for covid-19 to kill us.”

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[Covid-19 proves especially lethal to younger Latinos]

Six of Echo-Hawk’s friends and relatives — all under 55 — have died of covid.

“This is trauma. This is generational impact that we must have an intentional focus on. The scars are there,” said Marcella Nunez-Smith, chair of President Biden’s COVID-19 Health Equity Task Force and associate dean for health equity research at Yale University. “We can’t think that we’re going to test and vaccinate our way out of this deep pain and hurt.”

In the younger working-age group, 18 to 39 years old, the racial differences are even greater, with covid killing Blacks and Hispanics more than three times as often as Whites, and Native Americans almost nine times as much.

One death in...

1,800 people

Native Americans

Hispanics

Blacks

Asians

Whites

Higher death rate

4,700

4,900

16,000

16,000

The pandemic has brought into stark relief centuries of entwining social, environmental, economic and political factors that erode the health and shorten the lives of people of color, putting them at higher risk of the chronic conditions that leave immune systems vulnerable to the coronavirus. Many of those same factors fuel the misinformation, mistrust and fear that leave too many unprotected.

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Take the suggestion that people talk to their doctor about which symptoms warrant testing or a trip to the hospital as well as the safety of vaccines. Seems simple. It’s not.

Many people don’t have a physician they see regularly due in part to significant provider shortages in communities of color. If they do have a doctor, it can cost too much money for a visit even if insured. There are language barriers for those who don’t speak English fluently and fear of deportation among undocumented immigrants.

Friends and family of coronavirus victim John Paul Bigman prepare for his funeral Jan. 11 in Monument Valley, Ariz.
Friends and family of coronavirus victim John Paul Bigman prepare for his funeral Jan. 11 in Monument Valley, Ariz. (Ramsay de Give for The Washington Post)

[The racial gap in vaccinations]

“Some of the issues at hand are structural issues, things that are built into the fabric of society,” said Enrique W. Neblett Jr., a University of Michigan professor who studies racism and health.

Essential workers who cannot avoid the virus in their jobs because they do not have the luxury of working from home. People living in multigenerational homes with several adult wage-earners, sharing housing because their pay is so low. Even the fight to be counted among the covid casualties — some states and hospitals, Echo-Hawk said, don’t have “even a box to check to say you are American Indian or Alaskan Native.”

It can be difficult to tackle the structural issues influencing the unequal burden of the pandemic while dealing with the day-to-day stress and worry it ignites, which, Neblett said, is why attention must focus on both long-term solutions and “what do we do now? It’s not just that simple as, ‘Oh, you just put on your mask, and we’ll all be good.’ It’s more complicated than that.”

Rates in states and the District

One death in...

330 people

Mississippi

New Jersey

Louisiana

New York

Arizona

Massachusetts

Rhode Island

Alabama

Arkansas

Oklahoma

Connecticut

South Dakota

Florida

Georgia

Indiana

New Mexico

Pennsylvania

South Carolina

Michigan

Nevada

Illinois

North Dakota

Tennessee

Texas

Iowa

Delaware

Kansas

Kentucky

Ohio

West Virginia

Missouri

Montana

California

Maryland

District of Columbia

Wyoming

Wisconsin

North Carolina

Virginia

Minnesota

Idaho

Colorado

Nebraska

New Hampshire

Washington

Oregon

Utah

Maine

Alaska

Hawaii

Vermont

330

350

The New York deaths were predominantly recorded in the early months of the pandemic, when the nation's densest area was the first ravaged by the coronavirus. Covid has killed 1 in every 210 people in the Bronx, 1 in every 220 in Queens, and 1 in every 240 in the state's largest county, Brooklyn.

360

380

380

380

390

410

410

420

420

440

440

450

Higher death rate

450

450

450

460

460

470

480

490

490

500

510

510

550

550

550

560

580

590

590

610

660

Although nationally there is no difference in death rates between urban, suburban and rural areas, states with the lowest death rates are mostly sparser areas, such as Vermont and Utah.

680

690

700

710

720

790

820

940

1,100

1,200

1,200

1,400

1,600

2,100

2,100

The exacting toll of the last year and a half — covid’s stranglehold on communities of color and George Floyd’s murder — forced the country to interrogate the genealogy of American racism and its effect on health and well-being.

“This is an instance where we finally named it and talked about structural racism as a contributing factor in ways that we haven’t with other health disorders,” Neblett said.

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But the nation’s attention span can be short. Polls show there was a sharp rise in concern about discrimination against Black Americans by police following Floyd’s murder, including among White Americans. That concern has eroded some since 2020, though it does remain higher than years past.

“This mistaken understanding that people have, almost this sort of impatience like, ‘Oh, we see racism. Let’s just fix that,’ that’s the thing that gives me hives,” Nunez-Smith said. “This is about generational investments and fundamental changes in ways of being. We didn’t get here overnight.”

About this story

Source: Centers for Disease Control and Prevention.

Scott Clement, Naema Ahmed and Madison Dong contributed to this report.

Dan Keating analyzes data for projects, stories, graphics and interactive online presentations.
Akilah Johnson is a national reporter exploring the effect of racism and social inequality on health for The Washington Post. She joined The Post in 2021 after working at ProPublica, where she won a George Polk award, National Magazine award, and was Pulitzer finalist for examining covid-19's toll on Black Americans.
Monica Ulmanu joined The Washington Post in 2018 as a graphics assignment editor with a focus on climate change and the environment. She often leads projects that explore new technologies.

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