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Sunday, April 12, 2020

波士頓市長成立COVID-19健康不平等小組 24成員有李素影、陳玉珍

MAYOR WALSH ANNOUNCES COVID-19 HEALTH INEQUITIES TASK FORCE

BOSTON - Thursday, April 9, 2020 - As confirmed cases of COVID-19 continue to rise in Boston, Mayor Martin J. Walsh today announced a new COVID-19 Health Inequities Task Force to provide guidance to the City of Boston on addressing current inequities in data analysis, testing sites and health care services for Blacks, Latinos, Asians and immigrants. 

"We know that there are significant inequities that put our communities of color and immigrant population at higher risk for contracting coronavirus, developing severe illness, and impeding them from accessing care," Mayor Walsh said. "Data is critical to knowing how deep these inequities run and to help the public better understand the virus and its risks. By forming the COVID-19 Health Inequities Task Force, we can focus specifically on increasing access to this important data and tackling the inequities that we know exist in our communities. I look forward to working with the members of the Task Force and the community while we collectively address this important issue and strive to achieve health equity among all our communities."

The Task Force will review existing racial and ethnic data among Boston residents, as well as review data collection processes, data analysis and best practices related to the COVID-19 response for the Black, Latino, Asian, and immigrant populations. This guidance will support a strategy for equity and accessibility to services for populations that are historically underserved or underrepresented, including recommendations for additional resources and considerations, that can be implemented by the City of Boston and community and healthcare stakeholders that are serving as partners in this response. 

Members that have been named on the COVID-19 Health Inequities Task Force include:

Dr. Thea James, Boston Medical Center

Vanessa Calderón-Rosado, IBA

Manny Lopes, East Boston Health Center

Guale Valdez, Mattapan Community Health Center

Carol Rose, ACLU

Alexandra Oliver-Dávila, Sociedad Latina

Frederica Williams, Whittier Street Health Center

Michael Curry, Mass League of Community Health Centers

Dr. Joseph Betancourt, MGH

Karen Chen, CPA

Tanisha Sullivan, NAACP

Michele Courton Brown, Quality Interactions

Rev. Ray Hammond, Bethel AME Church

Rev. Gloria White Hammond, Bethel AME Church

Paul Watanabe, UMass Boston

Dr. Lorna Rivera, UMass Boston

Suzanne Lee, former principal, Josiah Quincy School

Eva Millona, MIRA Coalition

Marie St. Fleur, St. Fleur Communications, former State Representative

Rev. Sam Acevedo, COPHANI

Petrina Cherry,  Boston Medical Center 

Linda Dorcena Forry, Suffolk Construction

Dr. Jean Alves, Bowdoin Street Health Center 

Dr. Myechia Minter-Jordan, DentaQuest Partnership for Oral Health Advancement

Although complete data on race and ethnicity among COVID-19 positive cases in Boston residents has not been reported to the City of Boston, the Boston Public Health Commission (BPHC) is actively working to collect available data for public release. The below table is current as of April 8, 2020 and is subject to change. Due to the collection and review process that is required to produce this data, updated data specific to race and ethnicity will be released from the City of Boston every three days. 

Race/Ethnicity

Known Cases

% of Known Cases

Asian or Pacific Islander

75

4.8%

Black or African-American

631

40.3%

Hispanic or Latino 

223

14.2%

Other

193

12.3%

White

445

28.4%

Total Race/Ethnicity Known Cases in Boston residents

1,567

100% of known race/ethnicity

Total Cases in Boston residents

2,513*

62.4% of total cases in Boston residents have race/ethnicity data. 37.6% (946) of total cases are classified as "missing" for race/ethnicity data.

*This case number reflects data from April 8, 2020 and has since changed.

NOTE: Information on race and ethnicity data is collected and reported by multiple entities and may or may not reflect self-reporting by the individual case. A classification of "missing" indicates that no reporter knew the race and ethnicity of the individual, the individual refused to provide the information, or that the originating reporting system does not capture the information. "Other" indicates multiple races or another race that is not listed above.

The City of Boston is also actively working with hospital partners to receive any data that may be available to expand research and analysis on inequities in the COVID-19 response. According to Boston Medical Center (BMC), New England's largest safety net hospital that serves patients are from under-served populations and patients do not speak English as a primary language, data shows that COVID-19 is disproportionately impacting communities of color. Of patients where race is reported, 80% of COVID-19 positive patients are either black or Hispanic/Latino, compared to 58% historically. Additionally, 61% of COVID-19 positive patients are from Dorchester, Roxbury, Hyde Park and Mattapan, compared to 44% historically. Many of BMC's COVID-19 positive patients have presented with higher rates of underlying conditions compared to historical data, including 34% with diabetes, 49% with hypertension and 52% with a Body Mass Index above 30. 

At Massachusetts General Hospital (MGH), 40% of COVID-19 positive patients speak Spanish as their native language, a number that is significantly higher than the usual patient census at MGH. The City of Boston, working through the Task Force, will continue to actively collect data from hospital and other partners. 

Race and ethnicity data for COVID-19 deaths is not complete for residents of Boston at this time. Currently, the data includes small numbers for several population groups, which could lead to identification of individuals in violation of state and federal privacy laws.

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