{"id":32409,"date":"2020-05-18T13:22:07","date_gmt":"2020-05-18T13:22:07","guid":{"rendered":"https:\/\/virusreports.net\/where-chronic-health-conditions-and-coronavirus-could-collide\/"},"modified":"2020-05-18T13:22:07","modified_gmt":"2020-05-18T13:22:07","slug":"where-chronic-health-conditions-and-coronavirus-could-collide","status":"publish","type":"post","link":"http:\/\/virusreports.net\/where-chronic-health-conditions-and-coronavirus-could-collide\/","title":{"rendered":"Where Chronic Health Conditions and Coronavirus Could Collide"},"content":{"rendered":"
\n

\n\tAs the new coronavirus continues to spread over the next months, and maybe even years<\/a>, it could exact a heavy new toll in areas of the United States that have not yet seen major outbreaks but have high rates of diabetes, obesity, high blood pressure and other chronic health conditions.\n<\/p>\n

\n\tLarge parts of the South and Appalachia are especially vulnerable, according to a health-risk index created for The New York Times by PolicyMap<\/a>, a company that analyzes local health data. The index for the first time identifies counties with high rates of the underlying conditions that increase residents\u2019 risk of becoming severely ill<\/a> if they are infected with the coronavirus.\n<\/p>\n

\n\tEven in lower-risk counties, a significant proportion of the population is living with these conditions.\n<\/p>\n

\n
\n
\n

\"\"<\/img><\/p>\n

WASH.<\/p>\n

Covid-19 health risk <\/p>\n

MONT.<\/p>\n

MAINE<\/p>\n

N.D.<\/p>\n

Lower<\/p>\n

Higher<\/p>\n

MINN.<\/p>\n

ORE.<\/p>\n

VT.<\/p>\n

N.H.<\/p>\n

WIS.<\/p>\n

IDAHO<\/p>\n

S.D.<\/p>\n

N.Y.<\/p>\n

MASS.<\/p>\n

WYO.<\/p>\n

MICH.<\/p>\n

R.I.<\/p>\n

CONN.<\/p>\n

IOWA<\/p>\n

PA.<\/p>\n

NEB.<\/p>\n

NEV.<\/p>\n

N.J.<\/p>\n

OHIO<\/p>\n

ILL.<\/p>\n

MD.<\/p>\n

IND.<\/p>\n

UTAH<\/p>\n

DEL.<\/p>\n

D.C.<\/p>\n

COLO.<\/p>\n

W.VA.<\/p>\n

CALIF.<\/p>\n

VA.<\/p>\n

KAN.<\/p>\n

\n

West Virginia has not<\/p>\n

yet seen a significant<\/p>\n

outbreak, but it has<\/p>\n

one of the most<\/p>\n

medically vulnerable <\/p>\n

populations.<\/p>\n<\/p><\/div>\n

MO.<\/p>\n

KY.<\/p>\n

N.C.<\/p>\n

TENN.<\/p>\n

OKLA.<\/p>\n

ARIZ.<\/p>\n

ARK.<\/p>\n

N.M.<\/p>\n

S.C.<\/p>\n

\n

Much of Colorado has a lower relative risk for severe Covid-19 illness, but more than 20 percent of the adult population is estimated to be obese.<\/p>\n<\/p><\/div>\n

ALA.<\/p>\n

GA.<\/p>\n

MISS.<\/p>\n

LA.<\/p>\n

TEXAS<\/p>\n

FLA.<\/p>\n

ALASKA<\/p>\n

\n

Alabama has a high <\/p>\n

burden of chronic health <\/p>\n

conditions. In many <\/p>\n

counties, more than 40 <\/p>\n

percent of adults are <\/p>\n

estimated to be obese.<\/p>\n<\/p><\/div>\n

HAWAII<\/p>\n<\/p><\/div>\n

\n

\"\"<\/img><\/p>\n

Covid-19 health risk<\/p>\n

Lower<\/p>\n

Higher<\/p>\n

3<\/p>\n

1<\/p>\n

2<\/p>\n

\n

West Virginia has not yet seen a significant outbreak, but <\/p>\n

it has one of the most medically vulnerable populations.<\/p>\n<\/p><\/div>\n

1<\/p>\n

Alabama has a high burden of chronic health conditions. In many counties, more than 40 percent of adults are estimated to be obese.<\/p>\n

2<\/p>\n

Much of Colorado has a lower relative risk for severe Covid-19 illness, but more than 20 percent of the adult population is estimated to be obese.<\/p>\n

3<\/p>\n<\/p><\/div>\n

\n

\"\"<\/img><\/p>\n

WASH.<\/p>\n

Covid-19 health risk <\/p>\n

MONT.<\/p>\n

MAINE<\/p>\n

N.D.<\/p>\n

Lower<\/p>\n

Higher<\/p>\n

MINN.<\/p>\n

ORE.<\/p>\n

VT.<\/p>\n

N.H.<\/p>\n

WIS.<\/p>\n

IDAHO<\/p>\n

S.D.<\/p>\n

N.Y.<\/p>\n

MASS.<\/p>\n

WYO.<\/p>\n

MICH.<\/p>\n

R.I.<\/p>\n

CONN.<\/p>\n

IOWA<\/p>\n

PA.<\/p>\n

NEB.<\/p>\n

NEV.<\/p>\n

N.J.<\/p>\n

OHIO<\/p>\n

ILL.<\/p>\n

MD.<\/p>\n

IND.<\/p>\n

UTAH<\/p>\n

DEL.<\/p>\n

D.C.<\/p>\n

COLO.<\/p>\n

W.VA.<\/p>\n

CALIF.<\/p>\n

\n

West Virginia <\/p>\n

has not yet <\/p>\n

seen a <\/p>\n

significant <\/p>\n

outbreak, but it <\/p>\n

has one of the <\/p>\n

most medically <\/p>\n

vulnerable <\/p>\n

populations.<\/p>\n<\/p><\/div>\n

VA.<\/p>\n

KAN.<\/p>\n

MO.<\/p>\n

KY.<\/p>\n

N.C.<\/p>\n

TENN.<\/p>\n

ARIZ.<\/p>\n

OKLA.<\/p>\n

ARK.<\/p>\n

N.M.<\/p>\n

S.C.<\/p>\n

\n

Much of Colorado has a lower <\/p>\n

relative risk for severe Covid-19 <\/p>\n

illness, but more than 20 <\/p>\n

percent of the adult population <\/p>\n

is estimated to be obese.<\/p>\n<\/p><\/div>\n

ALA.<\/p>\n

GA.<\/p>\n

MISS.<\/p>\n

LA.<\/p>\n

TEXAS<\/p>\n

FLA.<\/p>\n

ALASKA<\/p>\n

\n

Alabama has a high burden <\/p>\n

of chronic health conditions. <\/p>\n

In many counties, more than <\/p>\n

40 percent of adults are <\/p>\n

estimated to be obese.<\/p>\n<\/p><\/div>\n

HAWAII<\/p>\n<\/p><\/div>\n<\/div>\n

Note: The health risk shown for a given county is compared with the national average.<\/span>\n<\/p>\n<\/div>\n

\n\tPublic health experts warn that these areas may not be adequately prepared for new waves of infection, even as some have lifted restrictions meant to curb the spread of the virus.\n<\/p>\n

\n\t\u201cPlaces that have not seen a lot of infection yet should be thinking about what infection is going to mean once they have an outbreak there,\u201d said Micaela E. Martinez, a professor at Columbia University\u2019s Mailman School of Public Health.\n<\/p>\n

\n\t\u201cThis infection is highly contagious and we have no vaccine, so it will inevitably sweep through our populations unless we have very tight measures in place to prevent that from happening,\u201d Dr. Martinez said. Once it does, the overall health of a community will matter, she added.\n<\/p>\n

\n\tThe map above shows where U.S residents are at increased risk for severe Covid-19 illness, compared with the national average. It is based on the estimated proportion of adults in each county who have one or more of these conditions: diabetes, high blood pressure, obesity, heart disease and chronic lung disease, using survey data from the Centers for Disease Control and Prevention.\n<\/p>\n

\n\tA majority of patients<\/a> hospitalized with Covid-19 in the New York City area, an early epicenter of the nation\u2019s outbreak, had one or more underlying health conditions. Studies from the C.D.C. and others suggest that, once infected with the coronavirus, people with such conditions are at particular risk for severe illness, including hospitalization and death. The conditions do not on their own increase a person\u2019s chance of catching the disease.\n<\/p>\n

\n

High-Risk Counties Where Coronavirus Cases Are Growing<\/h3>\n

Notes: The health risk shown for a given county is compared with the national average. The average daily growth rate of total coronavirus cases is for the seven-day period ending May 14, 2020. Counties with at least 20 total reported cases and positive growth rates are shown. A person may have more than one health condition. <\/span><\/span>\n<\/p>\n<\/div>\n

\n\tThe index does not include age as a separate risk factor, though several of these conditions are more common in older people. The new coronavirus has been particularly brutal for seniors, who are hospitalized and die at higher rates than younger people. But underlying health conditions appear to increase the risk of serious illness across age groups.\n<\/p>\n

\n\tIn all, m<\/a>ore than half o<\/a>f Americans<\/a> have at least one condition that increases their risk of becoming seriously ill if infected.\n<\/p>\n

\n\t\u201cIt\u2019s important to recognize that it\u2019s not some \u2018other people\u2019 that are vulnerable,\u201d said Caitlin M. Rivers, an assistant professor at Johns Hopkins Center for Health Security. \u201cThe kinds of conditions that put people at higher risk are extremely common.\u201d\n<\/p>\n

\n\tBut while many people have these conditions, there are important disparities by age, race and income.\n<\/p>\n

\n\tHeart disease and hypertension are more common among older people. Obesity rates are similar across age groups<\/a> in America, but higher among black and <\/a>Hispanic people<\/a> than among white people.\n<\/p>\n

\n\tLower-income groups and communities of color face significant health disparities, including higher rates of chronic health conditions, as well as lower health insurance rates and more limited access to health care.\n<\/p>\n

\n\tSuch disparities reflect historical and current inequalities, said Nancy Krieger, a professor of social epidemiology at the Harvard T.H. Chan School of Public Health, including a long-term lack of resources and opportunity.\n<\/p>\n

\n\tAnd these same groups may also be at higher risk for catching the virus. Black and Hispanic workers more frequently<\/a> have jobs classified as critical or otherwise lack the ability to stay home, and they more often live in multigenerational and crowded homes where it is harder to isolate if infected with the coronavirus. \u201cIt\u2019s a compounding of risk,\u201d Dr. Krieger said.\n<\/p>\n

\n\tIn New York City, the impact of coronavirus \u2014 both in cases and deaths<\/a> \u2014 has been disproportionately concentrated in lower-income neighborhoods<\/a> and communities of color<\/a>. Similar racial and socioeconomic inequalities have been seen in outbreaks across the country.\n<\/p>\n

\n\tIdentifying high-risk communities could help policymakers better anticipate future outbreaks.\n<\/p>\n

\n\t\u201cIf you\u2019re an official or city planner or hospital administrator, you want to know what to expect when the disease hits,\u201d said Dr. Leora Horwitz, a co-author of a study that evaluated underlying conditions among coronavirus patients hospitalized in the NYU Langone Health System. Or, she added, if it hits again.\n<\/p>\n

\n\tDr. Krieger of Harvard said data on health risk should inform targeted interventions and public health messaging. \u201cCan we pinpoint where more testing needs to be done or made accessible and affordable?\u201d she said. \u201cWhere is the greatest need for community outreach, for contact tracing?\u201d\n<\/p>\n

\n\tIn the end, keeping new coronavirus infection and death rates low for people at high health risk requires keeping them low over all, Dr. Horwitz said. \u201cThe more disease is in the community, the more disease among people at high risk, period.\u201d\n<\/p>\n<\/div>\n

Read More<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

As the new coronavirus continues to spread over the next months, and maybe even years, it could exact a heavy new toll in areas of the United States that have not yet seen major outbreaks but have high rates of diabetes, obesity, high blood pressure and other chronic health conditions. Large parts of the South…<\/p>\n","protected":false},"author":1,"featured_media":32410,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[24],"tags":[4141,532],"class_list":{"0":"post-32409","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health","8":"tag-chronic","9":"tag-where"},"yoast_head":"\nWhere Chronic Health Conditions and Coronavirus Could Collide - Virus Reports<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/virusreports.net\/where-chronic-health-conditions-and-coronavirus-could-collide\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Where Chronic Health Conditions and Coronavirus Could Collide - Virus Reports\" \/>\n<meta property=\"og:description\" content=\"As the new coronavirus continues to spread over the next months, and maybe even years, it could exact a heavy new toll in areas of the United States that have not yet seen major outbreaks but have high rates of diabetes, obesity, high blood pressure and other chronic health conditions. 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