Showing posts with label black covid-19 mortalities. Show all posts
Showing posts with label black covid-19 mortalities. Show all posts

Sunday, March 14, 2021

Texas Governor Gregg Abbott: Creating Crises as a Political Strategy

Texas has received considerable attention lately for experiencing back-to-back crises – the energy crisis that resulted over 50 deaths and significant damage to the state’s infrastructure;  a second crisis that is creating mass confusion among Texans by lifting the mask mandate; and a third crisis by falsely claiming that the recent surge of migrants at the Texas border will accelerate the spread of COVID-19 into in the future.  Interestingly, what these “crises” have in common is that they have been generated as a direct consequence of Gov. Abbott’s poor leadership.  Let’s review the facts.

The Energy Crisis: In the case of the recent energy crisis, it is the general consensus of energy experts that the breakdown of the state’s energy providers resulted directly from the state’s inaction to require energy system providers to winterize their equipment in preparation for extreme weather conditions. Pat Wood, a former chair of Texas’ Public Utility Commission testified Thursday at a Senate hearing that the misery suffered last month as blackouts left millions of Texans freezing in the dark for days could have been averted — if the state and its utilities had heeded a decade of advice to prepare for extreme weather.[1]. Federal regulators warned state lawmakers a decade ago that Texas needed to weatherize its power plants and grid.  In fact, in its 2020/2021 Winter Reliability Assessment, the North American Electric Reliability Corp (NERC) warned of:  

“…the potential for extreme generation resource outages in ERCOT due to severe weather in winter and summer, and the potential need for grid operators to employ operating mitigations or energy emergency alerts to meet peak demand.”

While most of the members of the Public Utilities Commission have resigned, they were appointed by Gov. Abbott. Rather than accept some responsibility for the crisis, However, Gov. Abbott opted to shift blame to the renewable energy sector, which was widely disputed by energy experts.

The COVID-19 Mask Mandate Crisis:  On March 2, 2021 Gov. Abbott announced that the state mandate requiring masks was lifted, thus increasing the capacity of all businesses and facilities in the state to 100 percent. The announcement was met with considerable rejection by the medical community and created considerable confusion among Texas residents and business establishments. 

In Gov. Abbott’s judgment, Texans had made sufficient progress in terms of recoveries, vaccinations, reduced hospitalizations, and safe practices related to COVID-19 that justified relaxing the mask requirement.  However, recent statistics by Johns Hopkins University  [2] show that Texas has one of the lowest vaccination rates at 9 percent and a high vaccine positivity rate of 13.4 percent.  In addition, the Texas Department of Health reported that Hispanic mortalities from COVID-19 were four times higher than the rate for whites, while Black mortality rates were twice as high as the rate of whites. [3]    In a surprise action, Gov. Abbott also threatened to block the distribution of vaccines allocated to Dallas County because local public officials were planning to target vaccines to the more vulnerable Black and Latino zip codes. [4]  Gov. Abbott’s indifference to these mounting mortalities has created a second crisis for Texas Latinos and Blacks who already experienced greater exposure to COVID-19 due to their jobs, housing arrangements, and limited access to vaccination sites.  

In anticipation of criticism that the lifting of the mask mandate would lead to increases in COVID-19 infections, hospitalizations and mortalities, Gov. Abbott addressed this dilemma by creating a third crisis by falsely claiming that the surge of migrants at the Texas border would lead to a rise in the spread of COVID-19. 

Migrant Surge Crisis:
 Gov. Abbott recently accused the Biden administration of callously releasing sick migrants into Texas and increasing the spread of the virus.  As Gov. Abbott commented on a conservative talk radio program recently: “We’ve got our own challenge with COVID-19….only to be challenged with the influx of people coming in from the border who could be increasing the spread of COVID-19. The Biden administration must stop this illegal immigration program they’ve opened.”  [5]

In response to Gov. Abbott’s new “crisis,” White House press secretary Jen Psaki countered that Gov. Abbott was trying to deflect attention from the catastrophic power outages that left many Texans freezing for several days and resulted in many deaths.  Psaki also pointed out that Abbott has refused federal funds that Texas, local governments and nonprofits could use to test all migrants for the virus. Several public officials in South Texas confirmed that migrants entering the U.S. through their border were routinely quarantined and tested for COVID-19 prior to entry and release. 

Historically, the flow of migrants seeking refuge in the U.S. has been a challenge to several past administrations and is not a new phenomenon. During the Trump administration, many asylum seekers were denied entry into the U.S. and forced to wait in Mexico during the application process for asylum. Also, the Trump administration closed many of the organizations that had the responsibility of matching migrant children with families in the U.S. Consequently, what appears as a recent “surge” includes thousands of families that were denied entry into the U.S. by the policies of the Trump administration.   

In creating the fictitious crisis of immigrants spreading COVID-19, Gov. Abbott is following the Trump playbook for the “immigration and crime crisis” that was effective in convincing nearly half of Americans that immigrants make crime worse. However, studies addressing this issue in Texas [6] and throughout the U.S. have confirmed that immigrants commit fewer crimes, on average, than native-born Americans [7,8]. Figure 1 below shows the results of a large-scale analysis relating violent crime rates and growth of the immigrant population in 200 U.S. metropolitan areas.

Figure 1: Immigrant Population and Violent Crime by U.S. Metro Areas 


Note: Study analyzed violent crime rates and immigration levels in 200 U.S. metropolitan areas

Following are the conclusions reached by the study investigators who represented four universities:

“In 136 metro areas, almost 70 percent of those studied, the immigrant population increased between 1980 and 2016 while crime stayed stable or fell. The number of areas where crime and immigration both increased was much lower — 54 areas, slightly more than a quarter of the total. The 10 places with the largest increases in immigrants

Clearly, fabricating a crisis to generate hysteria can be politically beneficial to public officials, especially during a time when many Americans readily embrace the various distortions of reality promoted routinely by public officials.  Ethically speaking, however, the voting public deserves to know the truth and reject the hysteria that often accompanies political campaigns.

Gov. Abbott, it is time for you to show some courage and accept responsibility for your poor judgment in these areas.   Your administration presided over the decisions regarding the energy crisis that led to the deaths of many Texans and caused significant damage to the state’s infrastructure. Your administration blocked the allocation of vaccines to vulnerable Black and Latino communities in Dallas County. And your administration lifted the mask mandate despite objections by medical experts, an action that is likely to increase the mortality rates of Texas Blacks and Latinos.   

In planning for the Texas gubernatorial race that begins in 2022, let’s hope that voters will remember the series of “crises” that Gov. Abbott has manufactured to shift attention away from his failure in leadership.  


Reference Notes

[1] Gillman, T.J. and Thompson, E. (2021, March 11). U.S. Senate hearing focuses on Texas’ overdue need for grid upgrades after Arctic blast triggered blackouts.  The Dallas Morning News, Accessed at: https://www.dallasnews.com/news/politics/2021/03/11/after-texas-blackouts-senate-probes-need-to-prepare-grid-for-extreme-weather/?outputType=amp 

[2] John Hopkins University Coronavirus Resource Center,  Accessed at: https://coronavirus.jhu.edu/region/us/texas

[3] Morris, A. (2021, February 2).  Report highlights disparities. The Dallas Morning News,   https://www.pressreader.com/usa/the-dallas-morning-news/20210202/281522228766766

[4]  Krause, K. and Morris, A. (2021, February 21). Texas officials cut number of COVID-19 shots for Dallas residents, county says. The Dallas Morning News, Accessed at:  https://www.dallasnews.com/news/2021/02/20/texas-officials-cut-number-of-covid-19-shots-for-dallas-county-residents/

[5]  Gillman, T. J. (2021, March 3). Abbott-Biden tilt continues. The Dallas Morning News, Washington Bureau, Accessed at https://edition.pagesuite.com/popovers/dynamic_article_popover.aspx?artguid=80998d0b-9ca9-4aa4-b5d6-6bb7a9150f6b&appid=3565

[6] Nowraster, A. (2018, February 26). Criminal immigrants in Texas.  The CATO Institute, Accessed at: https://www.cato.org/sites/cato.org/files/pubs/pdf/irpb-4-updated.pdf

[7] Kurbin, C., Ousey, G.C., Reid, L., and Adelman, R. (2017, February 11).   Does immigration lead to more crime?  Not according to data. Newsweek, Accessed at:  https://sports.yahoo.com/news/does-immigration-lead-more-crime-101002691.html?guccounter=1&guce_referrer=aHR0cHM6Ly93d3cuZ29vZ2xlLmNvbS8&guce_referrer_sig=AQAAAGmvQhce8atAQZLKo9yOU-zQP_Hj8rmKABZIl8UeaEeGDftMTccfpJLMG1Qgv_nhl4B6beW7ihnkKrzJhS-EcxKS6wILtLXj7HUH1c1-iUz50sZvS8yASNWwOuL0siZgRcRN1gBtFNR1nIgPZPOg9p5XH_bedrESZSlfcsgIYAgU

[8]  Flagg, A. (2018, March 30). The myth of the criminal immigrant. The Marshall Project. Accessed at:  https://www.themarshallproject.org/2018/03/30/the-myth-of-the-criminal-immigrant

Sunday, March 7, 2021

For Texas Latinos and Blacks, wearing a mask is a life or death issue.

 

For a number of reasons, Texas Latinos and Blacks would be wise to reject Gov. Abbott’s recent announcement to lift the mask mandate and open up all businesses.

In the first place, the announcement has stunned medical experts, local public officials and various other stakeholders who have been trying to promote the use of masks to mitigate the spread of the virus. For example, Dr. Anthony Fauci recently described the decision as “inexplicable” while Dallas County Judge Clay Jenkins called it “unfortunate.” Public officials in South Texas called it “hypocritical.” With little exception, the decisions by the Texas governor as well as several other states to lift the mask mandate was considered premature and a threat to the progress made thus far in vaccination rates. In my opinion, Gov. Abbott’s decision presents a potential danger that is likely to accelerate the COVID-19 death rates of Texas Latinos and Blacks.

Secondly, Gov. Abbott has been acquiring a habit for poor decision making. For example, Gov. Abbott’s decision on the mask mandate follows other questionable decision making that allowed energy providers the option of weatherizing their equipment for extreme weather conditions.  An estimated 40 deaths have been traced to the energy crisis thus far, while damage to the state’s water supplies and infrastructure has been devastating to many communities.  Rather than take responsibility, Gov. Abbott opted to blame the non-renewable energy sector for the crisis -- a tactic that was roundly rejected by energy experts. Texas lawmakers are still struggling to find a solution to the devastation caused by the energy crisis and the best path forward for ensuring that the crisis is not repeated.

Thirdly, although national improvements in COVID-19 elated hospitalizations and mortalities have been made recently, a recent picture of Texas COVID-19 mortality rates are alarming and should encourage Latinos and Blacks to reject Gov. Abbott’s recent order to lift the mask mandate.  As shown by Table 1 below, Hispanics (133.9 rate) were four times more likely to die from COVID-19 than whites (35.2 rate), while Blacks (72.5 rate) were twice as likely to die from COVID-19 than whites.  

Table 1:  COVID-19 Mortality Rates in Texas by Race-Ethnicity



Gov. Abbott recently launched an extensive media campaign to announce his decision to lift the mask mandate as the best way to revive the Texas economy, but appears indifferent to the differential impact that this decision will have on Latino and Black COVID-19 mortality rates.  Instead, Gov. Abbott is now blaming President Biden for allowing new migrants to spread the virus in the U.S. as reflected in a Dallas Morning News story:

“The Biden Administration is recklessly releasing hundreds of illegal immigrants who have COVID into Texas communities” [1]

 

Despite this claim, Gov. Abbott has failed to accept federal assistance to test migrants entering Texas for the virus. Public officials and community organizations in South Texas that routinely process migrants for entry into the U.S. countered that they quarantine and test migrants for COVID-19, and do not allow entry of any migrants that test positive for the virus. They felt that Gov. Abbott was using inflammatory language about immigrants that fuels hate crimes such as the recent incident where a lone gunman killed 23 people and wounded dozen more in an El Paso Walmart.  The shooter was motivated by the desire to “stop the Hispanic invasion of Texas.”

Lastly, Latinos and Blacks should not be blamed entirely on a lack of interest in getting vaccinated as they have  experienced barriers in accessing vaccination sites in Texas, which have been often located in wealthier white communities.[2], [3].   In addition, Gov. Abbott acted in bad faith when he threatened to withhold vaccines allocated to Dallas County when public officials announced a program to expand vaccinations to zip codes that included vulnerable populations like Blacks and Latinos. [4] The impact of these practices on vaccination rates has been noteworthy.  A recent report by the Kaiser Family Foundation examining vaccination rates in 35 states [5] revealed the following about Texas (see Table 2 below):

·       Only 7 percent of Blacks were vaccinated which was lower than their share (12%) of the population.

·       Only 23 percent of Hispanics were vaccinated which was lower than their share (40%) of the population.

·       The percentage of whites that were vaccinated (51%) was higher than their share (41%) of the population.

Across the 35 states included in this report, the vaccination rate among Whites was over two and a half times higher than the rate for Hispanic people (13% vs. 5%) and nearly twice as high as the rate for Black people (13% vs. 7%).

Table 2:  Race-Ethnicity of Texas COVID-19 Vaccinations, Cases, and Deaths, March 3, 2021

 

Race/Ethnicity

Percent of Vaccinations

Percent of Cases

Percent of Deaths

Percent of Total Population (2019)

Black

7%

19%

10%

12%

Hispanic

23%

41%

46%

40%

Asian

7%

1%

2%

5%

White

51%

38%

42%

41%

Missing

12%

1%

-

2%

Total

100%

100%

100

100%

, March 3, 20213, 2021

In my opinion, Latino and Black business, civic and religious leaders should launch an aggressive campaign to counter Gov. Abbott’s recent decision about the mask mandate and make Latino and Black residents aware that they are likely to face an increased risk of exposure and death from the relaxation of the mask requirements.  Latino and Black Texans should be encouraged to reject Gov. Abbott’s mandate and show continued discipline in wearing the mask. Of course, we all die eventually but it makes little sense to accelerate our death because our governor lacked the will to continue the mask mandate a bit longer as recommended by the medical experts.  

 

Reference Notes



[1] Thompson, E. and Corchado, A. Gov. Abbott blames immigrants for spreading COVID in rhetoric that advocates dismiss as xenophobic. Dallas Morning News, Accessed at  https://www.dallasnews.com/news/politics/2021/03/05/gov-abbott-blames-immigrants-for-spreading-covid-in-what-advocates-dismiss-as-rhetoric-at-its-best/

[2] Morris, A.  (2021, February 2).  Report highlights disparities – but proposals targeting effects on minorities months away.  The Dallas Morning News, Accessed at: https://www.pressreader.com/usa/the-dallas-morning-news/20210202/281522228766766

[3] Goodnough, A. and Hoffman, J.  The wealthy are getting more vaccinations, even in poorer neighborhoods. New York Times, Accessed at:  https://www.nytimes.com/2021/02/02/health/white-people-covid-vaccines-minorities.html

[4]  Choi, J. (2021, Jan. 21).  Texas threatened to reduce vaccine supply to Dallas County over plan to focus on 'vulnerable' ZIP codes.  The Hill.   Accessed at: https://thehill.com/homenews/state-watch/535294-texas-threatened-to-reduce-vaccine-supply-to-dallas-county-over-plan-to

[5] Ndugga, N., Pham,O., Hill, L., Artiga, S., and Mengistu, S. (2021, March 3).  Latest data on COVID-19 vaccinations Race/Ethnicity. Kaiser Family Foundation, Accessed at:  https://www.kff.org/coronavirus-covid-19/issue-brief/latest-data-on-covid-19-vaccinations-race-ethnicity/

 


Wednesday, February 3, 2021

Pharmacies, Not Local Public Officials, May Ensure Race Equity in Vaccination Rates


The release of a long-awaited report on Texas COVID-19 facilities by race-ethnicity was shocking.[1] Not because our community was unaware of race-ethnic disparities in vaccination rates but rather the large size of these disparities in Texas.  As the numbers for age-adjusted death rates per 100,000 revealed, Hispanics were nearly four times more likely to die (133.9) from the coronavirus than whites (35.2), while Blacks (72.5) were twice as likely to die as whites.  Asian death rates (33.3) were slightly lower than whites.

Texas State Rep. Shawn Thierry along with other lawmakers have been advocating for the release of this report in order to mobilize statewide efforts to target vulnerable groups like Blacks and Hispanics, although state officials have been reluctant to act more aggressively. In response to the release of this report, Rep. Thierry explained that the findings underscored the need to target resources to communities of color, especially since other data shows that white residents are getting vaccinated at higher rates than Blacks and Latinos. [2]

Given the high death rates for Latinos and Blacks, it is especially surprising that Texas state officials recently threatened to withhold vaccine doses that were allocated to Dallas County if they proceeded with a plan to target vaccinations to zip codes that included higher numbers of vulnerable Black and Latino residents.

Indeed, efforts to block targeted interventions to vulnerable communities contradicted recommendations by the National Academy of Sciences that recommended that “priority be given to ‘people who are considered to be the most disadvantaged or the worst off’ as defined by measures such as the Social Vulnerability Index created by the Centers for Disease Control and Prevention.” [3]

The announcement that the Biden administration will begin shipping vaccines to pharmacies throughout the U.S. was a major sight of relief for two reasons.  First, it minimizes the involvement of local politicians in the equitable distribution of the vaccines who have largely bungled the job in its communications, registration and distribution – resulting in higher vaccination rates of higher-income whites than lower-income Blacks and Latinos.  Texas politicians will also have less influence in threatening to withhold vaccines to jurisdictions that want to more aggressively vaccinate the more vulnerable communities of color.

Secondly, pharmacies are much easier to access for the elderly, Blacks and Latinos who encounter more barriers in registrations and obtaining vaccinations.  The Mega Centers are innovative in terms of providing a centralized location to vaccinate thousands of residents more rapidly; however, not all residents can travel to these Mega Centers or wait in line for hours during cold weather without access to restrooms or food.  The distribution of vaccines by pharmacies will not solve all the problems experienced thus far but should lead to significant improvements.

Given the gravity of the higher death rates for Texas Latinos and Blacks, it is disturbing to learn that Texas state officials are delaying any targeted interventions for these groups for several months.  Even more disturbing is that state officials threatened to withhold vaccine doses to Dallas County for attempting to follow the science by targeting the more vulnerable groups of Black and Latino zip codes.  The State of Texas deserves no praise for their callous response to the lives of its Black and Latino residents.

     

Reference Notes


[1] Morris, A.  (2021, February 2).  Report highlights disparities – but proposals targeting effects on minorities months away.  The Dallas Morning News, Accessed at: 

[2] Ibid.

[3] Cited in Warren, R.C. D.D.Sl, Dr.PH.H., M.Div., Forrow M.D., L., Hodge Sr., D.Min., Ph.D., and Truog, M.D., R.D.  (2020, November 26).  Trustworthiness before trust – COVID-19 vaccine trials and the Black community.  The New England Journal of Medicine.  Accessed at: https://www.nejm.org/doi/full/10.1056/NEJMp2030033      














Friday, January 15, 2021

Careless Decision Making Creates Race-Ethnic Disparities in Distribution of COVID-19 Vaccine

 

The recent story in The Dallas Morning News was clear and disturbing: 

”COVID vaccines at Fair Park aren’t going to Black, Latino residents as officials hoped” [1] 

The story chronicles the missteps in public communications efforts to schedule large-scale vaccinations to historically disenfranchised neighborhoods, which are mostly Black and Latino and below Interstate 30 – groups that have experienced a higher number of illnesses, hospitalizations and mortalities during the pandemic.  Instead, however, the thousands of residents that showed up for the vaccinations at Fair Park were mostly white North Texans from higher-income neighborhoods following mixed messages to the public – many showing up in their Mercedes, Infiniti and BMW automobiles. 

Dallas City Mayor Eric Johnson blamed County Judge Clay Jenkins for the confusion generated by the announcement to register online with the county to receive a vaccine appointment at the South Dallas Mega Center – an announcement that was apparently not coordinated with the Mayor’s office. Word of mouth spread rapidly that an appointment was not needed for residents 75 and older – which left thousands of others on a waiting list and encouraged many out-of-town residents to show up for a vaccine.  County officials pointed out that a significant number of residents who showed up were able to access an unsecured web link that allowed them to book an appointment, regardless of age or status.  Other residents who showed up also pointed to emails received from the county encouraging them to sign up for an appointment.

Interestingly, Dallas County was not prepared to release a demographic profile of those that received vaccinations, a report that would have been very useful in evaluating the extent of the exclusion of more deserving Black and Hispanic residents in the targeted community.  As an apparent after-thought to expand access to the intended Black and Hispanic residents,  Jenkins and his staff began reaching out to leaders in those communities, including elected officials, faith leaders and other organizations that work in communities where the coronavirus was most prevalent.

The vaccine distribution fiasco in Dallas County is not an isolated one as many communities throughout the U.S. are struggling to coordinate the vaccinations using a confusing set of federal guidelines that are implemented inconsistently thoughout the nation.  In a previous blogpost, I had warned about potential problems that could complicate the distribution of the vaccines once they became available.  For example:

·        The Center for Disease Control decided to exclude Blacks and Hispanics from the category of “high-risk” groups, thus reducing their priority level for intervention strategies. Why?  Because the CDC concluded that the high virus rates are not due to genetics, and they want to avoid stigmatizing these groups as “COVID carriers.” [2]

·        Race-ethnic information is missing for many of the cases, hospitalizations and mortalities recorded for COVID-19, which obscures the accurate reporting of this information for Black and Hispanic communities – a consequence of lax mandates for recording race-ethnic information. The absence of this information obscures the true picture of community spread of the virus. [3]

·        Access to testing sites in states like Texas is problematic since these sites are more commonly located in white communities than the more vulnerable Black and Hispanic communities. [4]

It is also disturbing to learn that states like Florida have relaxed the requirements for vaccine eligibility by allowing anyone over the age of 65 years to obtain a vaccine, which has encouraged many tourists and out-of-town residents to drain the vaccine supplies at the expense of more deserving local residents.

In the case of Dallas County and the City of Dallas, it was unfortunate that better coordination was not in place to implement such an important vaccine intervention program at the Fair Park Mega Center.  However, even if the communications had been better coordinated, there is still one important tactical decision that could have produced a different outcome.

In my opinion, it was a major mistake to rely primarily on a web-based strategy to encourage Black and Latino residents in the targeted communities to register for the Mega Center vaccination. From their recent experience to encourage response rates to the Census 2020, both Dallas County and City of Dallas officials were aware that Black and Latino residents, especially immigrants, were excluded in large numbers from completing the Census questionnaire which also primarily relied on the Internet.  Our past research in multicultural communities confirms that Blacks and Hispanics are more likely to respond by telephone, mail and personal contacts when completing surveys and Census questionnaires but least likely to respond by using the Internet. Lastly, a Census population pyramid easily illustrates that a much larger proportion of whites are concentrated in ages 65 and older than Hispanics or Blacks – which would provide whites a distinct advantage when using eligibility criteria based on age alone.

For damage control, Jenkins reportedly began outreach to community elected officials, faith leaders and other organizations in the targeted zip codes – an approach that should have been followed initially. Whether by intent or just careless decision-making, Mr. Johnson was correct in stating that the county was “promoting a system that gave preferential treatment” – that is, to white, higher-income residents who were not the intended target audience of the Mega Center.

With COVID-19 vaccinations, there is less room for error in the fair distribution of a life-saving solution.  Let’s hope that public officials agree to improve the coordination of public vaccination campaigns by improving their communication strategies in culturally diverse communities.

 

Reference Notes

[1] Garcia, N. and Bailey, E. (2021, January 14). COVID vaccines at Fair Park aren’t going to Black, Latino residents as hoped.  The Dallas Morning News.  Accessed at: https://www.dallasnews.com/news/public-health/2021/01/14/dallas-mayor-eric-johnson-blasts-county-after-walkups-allowed-at-covid-19-vaccine-mega-site/

[2] Rincon, E.T. (2020, July 30) CDC blunders in excluding communities of color among high risk groups for COVID-19. https://thecultureofresearch.blogspot.com/2020/07/cdc-blunders-in-excluding-communities.html

[3] Rincon, E.T. (2020, April 16). Missing race-ethnicity data complicates COVID-19 mortality counts, but the solution is simple. Accessed at: https://thecultureofresearch.blogspot.com/2020/04/missing-race-ethnicity-data-complicates.html

[4] Fanning, R. (2020, May 29). Across Texas, black and Hispanic neighborhoods have fewer coronavirus testing sites. Texas Standard. Accessed at: https://www.texasstandard.org/stories/across-texas-black-and-hispanic-neighborhoods-have-fewer-coronavirus-testing-sites/

Tuesday, June 30, 2020

Governor Greg Abbott Fumbles the Ball on Covid-19


As the leading quarterback in Texas, Gov. Abbott has shown a repeated tendency to fumble the ball as Covid-19 infections have surged in Texas. Instead of following the advice of the nation’s top experts on controlling the spread of Covid-19, Gov. Abbott has opted instead to place the lives of many Texans at risk by following the GOP party line of opening the Texas economy.  The governor was warned repeatedly by the commissioners in Dallas and Harris counties that Texas was not ready to re-open its businesses, but their advice was ignored and sometimes ridiculed by Abbott.  The consequences of this oversight have been devastating. Not surprisingly, the Texas Democratic Party described the governor’s strategy as “reckless.” [1]

After the governor authorized the re-opening of Texas businesses, Travis, Harris and Dallas counties experienced record high cases for two weeks, surging to 4,739 on Thursday morning (June 25th) and tripling since Memorial Day.[2] These three counties are now reviving plans for temporary hospital facilities to prepare for overwhelmed hospitals.  Gov. Abbott finally acknowledged that the opening of businesses was perhaps a bit premature and should be “paused” to ease the burden on Texas hospitals.  As a result, he issued an executive order to close all bars in Texas and reduce the restaurant capacity to 50 percent.   Unfortunately, a definitive action to mandate the use of face masks in public – considered highly effective in slowing the spread of Covid-19 -- did not emerge.

As the governor recently explained: “The last thing we want to do is go backwards and close down businesses…the pause will help our state corral the spread.”  Indeed, the Covid-19 spread does not pause simply by closing business establishments but will continue to seek other victims, especially those that are unprotected by face masks, meeting or working indoors in groups, and persons with existing comorbidities. 

The Covid-19 statistics in Texas are quite grim:  137,624 reported cases; 2,324 fatalities, and 59,018 active cases.[3]  How many more lives need to be sacrificed before Governor Abbott decides to more aggressively slow the spread of Covid-19?  Interestingly, while Governor Abbott continues to fumble with his hit-or-miss strategy, other states like New York, New Jersey and Connecticut that have more successfully controlled the spread of Covid-19 are requiring a 14-day quarantine for visitors from states like Texas with big outbreaks of the virus. [4]

Impact on Communities of Color in Texas
The consequences of these poor judgements by Governor Abbott have been compounded by two other factors:  the common victims of Covid-19 and the state’s demographic composition. Various studies have confirmed that Covid-19 infections and mortalities are disproportionately impacting Blacks [5] and Hispanics [6] in communities throughout the U.S.   For example, an analysis of recent Dallas County Covid-19 cases by UT Southwestern Medical Center revealed that Hispanics comprised 60 percent of all new cases while their county population was 40 percent. [7]  
Various explanations have been proposed to explain the heightened vulnerability of Blacks and Hispanics to Covid-19, including the types of jobs held (i.e., factories, food service); living in crowded situations with less options for social distancing; lack of Covid-19 testing; and skepticism about medical doctors.

The urgency of acting more quickly in Texas is compounded by the fact that Hispanics (39.2%) and Blacks (11.7%) collectively comprise half (50.9%) of the state’s population [8] -- a demographic reality suggesting that the consequences of Covid-19 for these two segments of the Texas population are likely to be more severe as a result of Abbott’s continued failure to follow the advice of health experts.

To this point, there is evidence that Blacks and Hispanics are struggling more than whites and Asians to meet important daily needs since the pandemic started. In a major effort to help the nation monitor post-Covid-19 experiences on a weekly basis, the Census Bureau along with several federal agencies began surveys with samples of residents in 15 metropolitan areas and has made the results of these surveys available to the public.[9]  The survey, provided in English and Spanish, was designed as a timely and periodic measure of the impact of coronavirus (COVID-19) on the following topics:

  •         Employment status
  •          Food security
  •          Housing security
  •          Education disruptions
  •          Physical and mental well-being

Our analysis of the 1,586 surveys completed in the Dallas/Ft. Worth metropolitan area during the week of June 11, 2020 revealed the following race-ethnic differences on three of the topical areas:
·       Food security:  Hispanics (16.9%) and Blacks (15.5%) were more likely than whites (3.3%) and Asians (3.5%) to state that they were not at all confident about their ability to afford the kinds of food that they needed for the next four weeks.  Hispanics (12.4%) were more likely than whites (5.1%), Blacks (1.9%) and Asians (5.0%) to agree that it was often true that their children were not eating enough because they could not afford enough food.  Hispanics (15.8%) and Blacks (16.0%) were more likely than whites (6.5%) and Asians (2.3%) to agree that they sometimes/often did not have enough food to eat during the past seven days.
·       Employment status:  Hispanics (65.4%) and Blacks (51.9%) were more likely than whites (43.1%) and Asians (32.9%) to state that they or someone in their household had experienced a loss of employment income since March 3, 2020. In addition, Hispanics (48.5%) and Blacks (45.4%) were more likely than whites (24.0%) and Asians (17.8%) to state that they or someone in their household expected a loss of employment income over the next four weeks.
·       Housing security:  Hispanics (27.9%) and Blacks (30.8%) were more likely than whites (9.2%) and Asians (15.8%)  to state that they had no confidence/slight confidence that their household would be able to pay their next rent or mortgage payment on time.

Absence of a Safety Net

For Blacks and Hispanics, surviving the pandemic is analogous to avoiding a torpedo that has already been launched given their history of comorbidities, the jobs that they hold, and other limitations.  Their dilemma is further amplified by the absence of a safety net for healthcare, economic and social services.  Hispanic immigrants are especially vulnerable to the consequences of Covid-19 because they are:
·       Unable to participate in Medicare or Medicaid;
·       Unable to obtain Social Security benefits despite the millions in contributions that employees make annually;
·       Not eligible to obtain food stamps;
·       Not eligible for stimulus payments due to the pandemic;
·       Not eligible for unemployment benefits; and
·       Often working in hazardous environments since their employers are infrequently inspected by OSHA for compliance with Covid-19 standards.[10]
Making matters worse, the State of Texas has joined the Trump administration in requesting that the U.S. Supreme Court end Obamacare – a cruel action that will leave many Texans without the care that they need to recover from the devastation caused by the pandemic.  
Although some reports have indicated that the Covid-19 death rates are not increasing along with increasing infection rates, we should not take any comfort with this trend because race-ethnic information is often missing from death certificates.  The actual mortality rates for Blacks and Hispanics could be much higher than currently reported. [11]

A Different Approach to Stimulating the Texas Economy

The irony in Governor Abbott’s quest to stimulate the Texas economy is not lost here.  Would it not make better sense to more aggressively stop the spread of Covid-19, give residents the opportunity to restore their health and return to jobs at businesses that have been certified as safe from Covid-19 exposure? Texas Hispanics and Blacks, for example, comprise a large segment of the state’s workforce in various industries. Moreover, aggregate household income in 2018 -- $184 billion for Hispanics [12] and $73 billion for Blacks [13] – represents a substantial contribution to the Texas economy. The increasing loss of Hispanics and Blacks from the Texas workforce due to Covid-19 infections and mortalities would substantially slow down the economy and possibly negate the progress expected by Abbott in re-opening business establishments.

In the absence of a safety net, it might be a good idea for private corporations in Texas to collectively create a special fund that could be used to support vulnerable groups like Blacks and Hispanics who need financial support during this difficult period. After all, the substantial consumer spending of these two segments has contributed to the profitability of many Texas retailers and manufacturers, such as Walmart, Mission Foods, Fiesta Supermarkets, Kroger, H-E-B, Sherwin-Williams, Home Depot, and various others.  The contributed funds could be distributed to Black and Hispanic families during this difficult period with the goal of maintaining their good health; returning to work in businesses that the state has certified as safe and free of Covid-19 exposure; and continuing their consumer spending at Texas businesses.  This makes more sense – scientifically and economically.

Final Message to Governor Abbott

The following recent quote in The Washington Post accurately summarizes the failure in leadership by Governor Abbott and other leaders that are following the same Covid-19 strategy:

“A record surge in new cases is the clearest sign yet of the historic failure in the United States to control the virus – exposing a crisis in governance extending from the Oval Office to state capitals to city council.” (Page 2) [14]
It is especially perplexing that the pandemic battle in Texas has been presented in news  stories as an ongoing fight between the Governor and judges in Dallas and Harris counties – a pattern that has muted the voices of the Hispanic and Black communities where the virus is likely to have the most devastating impact. The media should assume more responsibility for including the voices of Hispanic and Black leaders in Texas who are supporting the scientific solution that has been advocated by Judge Jenkins and Judge Hidalgo. They could use some help.  
  
Governor Abbott, you have a responsibility to protect the lives of all Texans without delay, especially during a pandemic.  You should forget about party loyalty and act decisively according to the advice of the nation’s health experts.  In case you forgot, start by ordering the following:
·       Mandate the use of face masks in public and impose fines on people that refuse to obey the law;
·       Discipline public officials that refuse to comply with the law;
·       Re-institute the stay-at-home order;
·       Close dining options at restaurants and allow only take-out or delivery;
·       Prohibit the use of group meetings in public facilities (i.e., conventions) and encourage churches to conduct virtual masses instead of masses attended by their membership;
·       Allow schools to open only if they are required to use face masks and adhere to social distancing guidelines. Older or more vulnerable teachers should be assigned to teach online classes;
·       Authorize more financial resources to expand the state’s testing capabilities to avoid the long lines and waiting periods for residents who are becoming increasingly motivated to measure their Covid-19 exposure;
  •  Launch a public relations campaign that shows all public officials wearing a mask and reminding Texas residents that wearing a mask is required by law and not an option. Going forward, the campaign should avoid using the familiar phrase “Wearing a face mask is a good idea” and replace it with a clearer message like “Wearing a face mask is a life or death issue – obey the law;” and
  • Lastly, consider placing Dallas County Judge Clay Jenkins and Harris County Judge Lina Hidalgo to lead a Covid-19 commission composed of the state’s top healthcare experts to manage the state’s Covid-19 strategy going forward. Both judges have been more forceful in warning Governor Abbott against re-opening Texas businesses and showing the appropriate respect for science to protect the health of Texas residents.  Importantly, the unbiased and more objective management of the Covid-19 strategy by this commission should ensure that political considerations are removed from future decisions related to the distribution of Covid-19 treatments and vaccines as they become available.   


End Notes


[1]  Champagne, S.R. (2020 June 25). Gov. Greg Abbott pauses Texas’ reopening, bans elective surgeries in four counties to preserve bed space for coronavirus patients. Texas Tribune. Accessed at: https://www.texastribune.org/2020/06/25/texas-elective-surgeries-coronavirus-greg-abbott/
[2] Champagne, S.R. (2020 June 25). Ibid.
[3] Texas Department of State Health Services, DSHS Covid-19 Dashboard, Data reported as of June 27, 2020. Accessed at: https://txdshs.maps.arcgis.com/apps/opsdashboard/index.html#/ed483ecd702b4298ab01e8b9cafc8b83
[4] Goodman J.D. (2020 June 24). N.Y. Will Impose Quarantine on Visitors From States With Big Outbreaks,  Accessed at https://www.nytimes.com/2020/06/24/nyregion/ny-coronavirus-states-quarantine.html
[5]  Associated Press (2020 June 19). OVID-19 Is Ravaging America's Vulnerable Latino Communities, New York Times. Accessed at:  https://www.nytimes.com/aponline/2020/06/19/us/ap-us-virus-outbreak.html
[6] Ollove, M. & Vestal, C.  (2020 May 27)  COVID-19 Is Crushing Black Communities. Some States Are Paying Attention. Accessed at: https://www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2020/05/27/covid-19-is-crushing-black-communities-some-states-are-paying-attention
[7] Hacker, H.K., Ambrose, S. and Keomoungkhoun, N. (2020 June 22) ‘Alarming’ trend of Dallas County COVID-19 cases could worsen by Fourth of July, UTSW experts say UT Southern Medical Center. Dallas Morning News. Accessed at: https://www.dallasnews.com/news/public-health/2020/06/22/ut-southwestern-experts-predict-surge-in-coronavirus-cases-hospitalizations-before-fourth-of-july/
[8] Census Bureau (2018).  ACS Demographic and Housing Estimates, Table DP05, 2018 5-Year Estimates. Accessed at www.data.census.gov.
[9]  U.S. Census Bureau. Measuring Household Experiences during the Coronavirus (COVID-19) Pandemic Accessed 5-29-2020 at: https://www.census.gov/householdpulsedata
[10] Held, L. (2020 June 16).  OSHA faulted for not doing more to protect workers from Covid-19. Civil Eats, accessed at https://civileats.com/2020/06/16/osha-faulted-for-not-doing-more-to-protect-workers-from-covid-19/
[11]  Rincon, E.T. (2020, April 16).  Missing Race-Ethnicity Data Complicates Covid-19 Mortality Counts, But the Solution is Simple. Accessed at: https://www.blogger.com/blogger.g?blogID=4666951909336256447#editor/target=post;postID=242538682071119357;onPublishedMenu=template;onClosedMenu=template;postNum=2;src=postname
[13] Census Bureau. Aggregate income in the past 12 months – Hispanic households. Table B19313.  Accessed at: www.data.census.gov
[14] Hawkins, D., Birnbaum, M., Kornfield, M., O’Grady, S., Copeland, K. Lati, M. and Sonmez, F. (2020 June 29). Arizona, Florida, Texas are latest coronavirus epicenters. The Washington Post. Accessed at:  http s://www.washingtonpost.com/nation/2020/06/28/coronavirus-live-updates-us/