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Source: US COVID-19 Crisis  Apr 14, 2020  4 years, 3 days, 15 hours, 51 minutes ago

US COVID-19 Crisis: Northwestern Cardiologists Explain Heart Disease And Racial Disparities

US COVID-19 Crisis: Northwestern Cardiologists Explain Heart Disease And Racial Disparities
Source: US COVID-19 Crisis  Apr 14, 2020  4 years, 3 days, 15 hours, 51 minutes ago
US COVID-19 Crisis: Initially, there was only reports COVID-19 lung damage. Then came revelations of cardiovascular complications in patients with the SARS-CoV-2 coronavirus. Now, the COVID-19 crisis is highlighting how certain populations, namely African-Americans, in some cities are dying from COVID-19 at higher rates than other populations.


Dr. Clyde Yancy (left) and Dr. Robert Bonow (right). Credit: Northwestern University

 Cardiovascular experts from Northwestern Medicine discuss how racial disparities, including lower socioeconomic status and pre-existing cardiovascular conditions, can lead African-Americans to be at higher risk for contracting and dying from COVID-19.
 
Dr Clyde Yancy, Head of Cardiology in the Department of Medicine and Vice Dean for diversity and inclusion at Northwestern University Feinberg School of Medicine told Thailand Medicine, "This has really erupted into a very large commentary, almost a volatile discussion about yet another evident example of health care disparities that don't just happen by randomness. We know the population we're describing has a  high penetration of high blood pressure, obesity, diabetes, pre-existing cardiovascular disease, even heart failure."
 
The African-American population's increased risk underscores the importance of social distancing, said Dr. Robert Bonow, Professor of Cardiology at Feinberg. But social distancing might not be feasible in many cases.
 
Dr Bonow, also the vice chair development and innovation in the department of medicine at Feinberg said, "It may not be possible for many who are on the edge of poverty to stay at home and not work when they're already working two or three jobs just to maintain the family structure and put food on the table. There are important social determinants that may explain why we're seeing the inability to keep up with the public health recommendations, as urgent as they are."
 
Dr Yancy added, "In a number of major metro areas, with Chicago being No. 1, a disproportionate percent of people who are succumbing or dying to the COVID-19 infection are in fact black or African-American, and the disproportionality is in the context of their representation in the community. Thirty percent of the community in Chicago is African-American and 70% of the deaths due to COVID-19 are black. You have to first pause and say maybe race is just describing that group that has all these co-factors that put people at risk. But beyond those co-factors, what is the additional risk that is attributable to the certain social determinants of health that certain black and African-American people face in their home communities? Is that not putting them at an even higher risk?”
 
He further added, ”The ability to do social distancing may in fact be a privilege. In certain communities where the population is dense instead of a home built for two or four, there are six, eight, or 10 people living there just the feasibility of social distancing was beyond anything that was possible. So now you have a circumstance in which the one community that already is beset with social determinants of health and have other diseases that put them at risk are unable, because of their living circumstances, to do