Ending the HIV Epidemic Database

Introduction

Since early in the epidemic, there has been evidence that Black and Latinx Americans were disproportionately at risk for COVID-19 infection and death. 7 months into the epidemic in the United States, however, data from the U.S. Centers for Disease Control and Prevention (CDC) on race/ethnicity are mostly unknown. For cases, race/ethnicity is known for only 37% of cases (1,426,351 out of 3,882,167 total reported cases) (July 22, 2020). For deaths, data are available for 66% of reported deaths (93,560 of 141,677). Structural factors including health care access, density of households, unemployment and types of employment, pervasive discrimination and others drive these disparities, not intrinsic characteristics of black or Latinx communities or individual-level factors. Because alternative methods are needed to estimate the impact of COVID-19 in black and Latinx communities, comparisons of COVID-19 cases and deaths in above average black (> 13% of the population) and Latinx (> 17.8% of the population) counties versus all other US counties. This webpage provides additional information on these counties at greater risk for COVID-19 through graphs and maps, and data are updated daily.

Latest Analysis: Access amfAR's latest analysis White Counties Stand Apart: The Primacy of Residential Segregation in COVID-19 and HIV Diagnoses being published in AIDS Patient Care and STDs.

Additionally, two peer-reviewed papers have been published in the Annals of Epidemiology by teams of researchers on the disproportionate impact of COVID-19 on these communities:

Assessing Differential Impacts of COVID-19 on Black Communities.
This study was made possible through a collaborative effort that included:

Public Policy Office, amfAR, Foundation for AIDS Research, District of Columbia
Rollins School of Public Health, Emory University, Atlanta, Georgia
Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
Center for Vaccine Innovation and Access, PATH, Seattle, Washington
John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson, Mississippi
O'Neill Institute for National and Global Health Law, Georgetown University, District of Columbia

Risk for COVID-19 infection and death among Latinos in the United States: Examining heterogeneity in transmission dynamics.
This study was made possible through a collaborative effort that included:

Public Policy Office, amfAR, Foundation for AIDS Research, District of Columbia
Milken Institute School of Public Health, George Washington University, Washington, DC
The Center for Latino Adolescent and Family Health, NYU, New York, New York
John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson, Mississippi
Rollins School of Public Health, Emory University, Atlanta, Georgia
O'Neill Institute for National and Global Health Law, Georgetown University, District of Columbia
Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
School of Nursing & Health Studies, University of Miami, Miami, Florida
Public Health Program, Ponce Health Sciences University, Ponce, Puerto Rico

COVID-19 Disparities in U.S. Counties

Disparities in the impact of COVID-19 in U.S. counties can be assessed by looking at the demographic characteristics of the counties that are being disproportionately affected. The chart below presents all U.S. counties quintiled into equal size groups by county count (~629 counties in each bin) based on the proportion of the Non-Hispanic White population. In both cases and deaths, counties that have more diverse populations experience more of the burden of COVID-19.

COVID-19 Case and Death Disparities in Disproportionately Black Counties Since First U.S. Case Detected

Demographic Selection

This page can be sorted to assess data by the demographic profiles below. In each assessment, counties are divided as having and above or below average proportion by race or ethnicity based on the national average.

Demographic Selection

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COVID-19 Racial Disparities in U.S. Counties

7 day moving averages better visualize whether new cases and deaths are declining, rising, or flat while avoiding individual day variations. click the button above to change to these averages. Charts will update for a state of county when clicked on the map.

COVID-19 Cases

COVID-19 Deaths

Structural Factors

Counties with Above Average Black Populations

Percent of U.S. Counties

Percent of U.S. Population

COVID-19 7-Day Moving Average of Cases per 100,000 Population by U.S. Census Region

Midwest

Northeast

South

West

About the Indicator

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Data from the database can be downloaded here in multiple formats. Please refer to the data dictionary for any questions.

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Zipped CSVs