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Out today in @JAMAInternalMed our study led by @ch272n looking at excess mortality in CA in the first 6 months of the pandemic.
Excess Mortality in California During the COVID-19 Pandemic, March-August 2020 https://ja.ma/3aCCIMN via @JAMAInternalMed part of @JAMANetwork
Excess Mortality in California During the COVID-19 Pandemic, March-August 2020 https://ja.ma/3aCCIMN via @JAMAInternalMed part of @JAMANetwork
Nearly 20,000 Californians died between March-August 2020 - in excess of what would have been predicted based on mortality in prior years.
Nearly HALF of those excess deaths occur in adults 75 and older
Relevant for ACIP vaccine prioritization https://www.cdc.gov/vaccines/acip/meetings/slides-2020-12-19-20.html
Nearly HALF of those excess deaths occur in adults 75 and older
Relevant for ACIP vaccine prioritization https://www.cdc.gov/vaccines/acip/meetings/slides-2020-12-19-20.html
Black and Latino Californians had the highest per capita excess mortality over the first 6 months of the pandemic.
Per 1,000,000
Black - 1206 (1041-1369)
Latino - 922 (804-1038)
White - 485 (278-687)
Asian - 476 (367-583)
Per 1,000,000
Black - 1206 (1041-1369)
Latino - 922 (804-1038)
White - 485 (278-687)
Asian - 476 (367-583)
The California-wide lockdown from mid-March to mid-May was associated with a decline in mortality
HOWEVER - Latinos and those without a high school degree never experienced a decline in mortality - highlighting critical inequities in the outcomes of our pandemic policies
HOWEVER - Latinos and those without a high school degree never experienced a decline in mortality - highlighting critical inequities in the outcomes of our pandemic policies
TWO-THIRDS of the excess deaths in the first 6 months of the pandemic were in Californians with just a high school degree or less.
Large impact in both absolute and per capita terms
Those without HS degrees also never saw a decline in mortality following the spring lockdown
Large impact in both absolute and per capita terms
Those without HS degrees also never saw a decline in mortality following the spring lockdown
Appreciate working with @ch272n @MariaGlymour @MKushel @ARCHDrNguyen @AliciaFMD @raycatalano on this work. Appreciate their commitment to science & equity & evidence to inform public health. https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2774273
We also have a pre-print published today where we look more closely at the outsized impact of the pandemic in California’s Latino communities - led by @aliciacita https://www.medrxiv.org/content/10.1101/2020.12.18.20248434v1.article-info
One quarter of all Latino’s in the US live in California.
Latinos make up 40% of the California population
And they have experienced a 31% increase in excess deaths during the #COVID19 pandemic
Latinos make up 40% of the California population
And they have experienced a 31% increase in excess deaths during the #COVID19 pandemic
Excess death were greatest for Latinos born outside US
Mexico (RR 1.44; 95% PI, 1.41, 1.48)
Central America (RR 1.49; 95% PI, 1.37, 1.63)
Working in manufacturing (RR 1.62; 95% PI, 1.52, 1.72) or food/agriculture (RR 1.50; 95% PI, 1.40, 1.61)
& those w multiple risk
Mexico (RR 1.44; 95% PI, 1.41, 1.48)
Central America (RR 1.49; 95% PI, 1.37, 1.63)
Working in manufacturing (RR 1.62; 95% PI, 1.52, 1.72) or food/agriculture (RR 1.50; 95% PI, 1.40, 1.61)
& those w multiple risk
We need interventions to reduce the disproportionate impact of pandemic on Latino immigrants and Latinos in unsafe working conditions - these may include early vaccination, workplace safety enforcement, and expanded access to medical care. @aliciacita https://www.medrxiv.org/content/10.1101/2020.12.18.20248434v1.article-info
