It really makes little sense. Despite the fact that Blacks, Hispanics and
Native Americans are being hospitalized and dying at considerably higher rates than
whites in the U.S., the Center for Disease Control recently changed its
definition of Covid-19 high risk groups to exclude these groups.[i] Why?
Because they have concluded that the high virus rates are not due to
genetics, and they want to avoid stigmatizing these groups as “Covid carriers.” By taking this action, the CDC can now remove
their priority status for the delivery of health services – a disturbing action
that suggests the injection of partisan politics.
Let’s consider the
fact that older persons were initially identified among the high-risk groups
and remain in that category for good reasons. Indeed, one would not argue that
their high-risk status should be changed because they often reside in nursing
or retirement homes that have been plagued by the coronavirus. The purpose of
identifying key demographic characteristics that are associated with the
prevalence of a disease or virus is to target intervention strategies towards
such groups as quickly as possible to mitigate the spread of the disease or
illness – regardless of the circumstances that created their vulnerability –
such as social determinants like comorbidities, living arrangements and working
conditions.
The CDC’s justification for re-defining the high-risk
categories – to avoid stigmatizing these groups as “Covid carriers” – is
specious. Communities of color have long
been stigmatized in many industries for the wrong reasons, including their skin
color, language and many other attributes.
Assigning a high-risk category for Covid-19 is a health-related
assessment, not a stigma, and should not be used as a basis for denying
health-related services as the CDC is apparently proposing.
What seems plainly obvious is that the Trump administration
has forced the hand of the CDC experts once again. First by re-directing the reporting of
Covid-19 hospitalizations from the CDC to the Dept. of Health and Human
Services to the great dismay of the national health community. Secondly, by pressuring the CDC to moderate
the perceived risk of attending schools in person despite the increasing
infection rates in many communities. And now by re-defining Covid-19 high risk
groups with a questionable rationale.
These actions are setting the stage in the U.S. for the
unfair distribution of the Covid-19 vaccine once it becomes available, a
disturbing scenario that is likely to deprive the vaccine from communities of
color and other groups that have been re-defined as lower risk by the CDC. By
allowing this new definition of risk by the CDC to continue unchallenged,
communities of color can expect a longer period of infections and mortalities
from the pandemic, and more limited access to a vaccine once it becomes
available. There is a clear need for
strong advocacy from civic, business and community groups that represent
communities of color to challenge and correct the direction that the CDC has
taken in defining high-risk groups for Covid-19.
References
[i]
Associated Press (2020, July 25). US agency vows steps to address COVID-19
inequalities. WFAA, accessed at https://www.wfaa.com/article/news/health/coronavirus/coronavirus-inequalities-cdc/507-a770cfc8-9967-4359-b84d-12684c6aa46f
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