Coronavirus in rural America (Part CXXXV): On the racial shift in pandemic deaths (with a geographic angle, too)

Akilah Johnson and Dan Keating reported this week in the Washington Post on the racial shift in pandemic deaths.  The headline is "Whites now more likely to die from covid than Blacks: Why the pandemic shifted."  Some key excerpts follow:  

The imbalance in death rates among the nation’s racial and ethnic groups has been a defining part of the pandemic since the start. To see the pattern, The Washington Post analyzed every death during more than two years of the pandemic. Early in the crisis, the differing covid threat was evident in places such as Memphis and Fayette County [Tennessee]. Deaths were concentrated in dense urban areas, where Black people died at several times the rate of White people.

Over time, the gap in deaths widened and narrowed but never disappeared — until mid-October 2021, when the nation’s pattern of covid mortality changed, with the rate of death among White Americans sometimes eclipsing other groups.

A Post analysis of covid death data from the Centers for Disease Control and Prevention from April 2020 through this summer found the racial disparity vanished at the end of last year, becoming roughly equal. And at times during that same period, the overall age-adjusted death rate for White people slightly surpassed that of Black and Latino people.

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After delta’s peak in September 2021, the racial differences in covid deaths started eroding. The Post analysis found that Black deaths declined, while White deaths never eased, increasing slowly but steadily, until the mortality gap flipped. From the end of October through the end of December, White people died at a higher rate than Black people did, The Post found.

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The easy explanation is that it reflects the choices of Republicans not to be vaccinated, but the reasons go deeper. The Post interviewed historians and researchers who study the effects of White racial politics and social inequality on health, spoke with relatives and friends of those lost to covid, and compiled data from federal databases and academic studies.

What emerged is a story about how long-standing issues of race and class interacted with the physical and psychological toll of mass illness and death, unprecedented social upheaval, public policies — and public opinion.

Resilience gave way to fatigue. Holes left by rural hospital closures deepened. Medical mistrust and misinformation raged. Skeptics touted debunked alternatives over proven treatments and prevention. Mask use became a victim of social stigma.

Many Republicans decided they would rather roll the dice with their health than follow public health guidance — even when provided by President Donald Trump, who was booed after saying he had been vaccinated and boosted.

The human face of this story is a paramedic out of Somerville, Tennessee, population 3,415.  Don't miss the entire feature, which is deeply reported, with a strong human interest angle.