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A Historical Perspective of Healthcare Disparity and Infectious Disease in the Native American Population

The incidence and severity of COVID-19 infections have been disproportionately high in Native American populations. Native Americans are a high-risk group for COVID-19 because of a variety of healthcare disparities. Historically, these populations suffered excessively during previous epidemics in th...

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Autores principales: Ehrenpreis, Jamie E., Ehrenpreis, Eli D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Southern Society for Clinical Investigation. Published by Elsevier Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8785365/
https://www.ncbi.nlm.nih.gov/pubmed/35085528
http://dx.doi.org/10.1016/j.amjms.2022.01.005
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author Ehrenpreis, Jamie E.
Ehrenpreis, Eli D.
author_facet Ehrenpreis, Jamie E.
Ehrenpreis, Eli D.
author_sort Ehrenpreis, Jamie E.
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description The incidence and severity of COVID-19 infections have been disproportionately high in Native American populations. Native Americans are a high-risk group for COVID-19 because of a variety of healthcare disparities. Historically, these populations suffered excessively during previous epidemics in the United States (US). Several epidemics occurred when disease-naïve indigenous peoples were exposed to European settlers with herd immunity. Native American populations had four times higher mortality in the 1918 Spanish flu epidemic. Deaths from H1N1 infections were higher in Native Americans and most cases and deaths from the Hantavirus pulmonary syndrome (HPS) occurred in Native Americans. Other infectious diseases, including HIV, hepatitis A and hepatitis C are more also common. Diabetes, alcoholism and cardiovascular diseases, all risk factors for severity and mortality in COVID-19 infection, are also more common in this group. Addressing the root causes of enhanced risk in Native American populations will improve outcomes from COVID-19 and future pandemics.
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spelling pubmed-87853652022-01-25 A Historical Perspective of Healthcare Disparity and Infectious Disease in the Native American Population Ehrenpreis, Jamie E. Ehrenpreis, Eli D. Am J Med Sci Special Feature: History of Medicine The incidence and severity of COVID-19 infections have been disproportionately high in Native American populations. Native Americans are a high-risk group for COVID-19 because of a variety of healthcare disparities. Historically, these populations suffered excessively during previous epidemics in the United States (US). Several epidemics occurred when disease-naïve indigenous peoples were exposed to European settlers with herd immunity. Native American populations had four times higher mortality in the 1918 Spanish flu epidemic. Deaths from H1N1 infections were higher in Native Americans and most cases and deaths from the Hantavirus pulmonary syndrome (HPS) occurred in Native Americans. Other infectious diseases, including HIV, hepatitis A and hepatitis C are more also common. Diabetes, alcoholism and cardiovascular diseases, all risk factors for severity and mortality in COVID-19 infection, are also more common in this group. Addressing the root causes of enhanced risk in Native American populations will improve outcomes from COVID-19 and future pandemics. Southern Society for Clinical Investigation. Published by Elsevier Inc. 2022-04 2022-01-24 /pmc/articles/PMC8785365/ /pubmed/35085528 http://dx.doi.org/10.1016/j.amjms.2022.01.005 Text en © 2022 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Special Feature: History of Medicine
Ehrenpreis, Jamie E.
Ehrenpreis, Eli D.
A Historical Perspective of Healthcare Disparity and Infectious Disease in the Native American Population
title A Historical Perspective of Healthcare Disparity and Infectious Disease in the Native American Population
title_full A Historical Perspective of Healthcare Disparity and Infectious Disease in the Native American Population
title_fullStr A Historical Perspective of Healthcare Disparity and Infectious Disease in the Native American Population
title_full_unstemmed A Historical Perspective of Healthcare Disparity and Infectious Disease in the Native American Population
title_short A Historical Perspective of Healthcare Disparity and Infectious Disease in the Native American Population
title_sort historical perspective of healthcare disparity and infectious disease in the native american population
topic Special Feature: History of Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8785365/
https://www.ncbi.nlm.nih.gov/pubmed/35085528
http://dx.doi.org/10.1016/j.amjms.2022.01.005
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