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
Title: COVID-19 Among American Indian and Alaska Native Persons — 23 States, January 31–July 3, 2020 Cord-id: esmih9j8 Document date: 2020_8_28
ID: esmih9j8
Snippet: 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/ethnici
Document: 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.
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