Mounting deaths in U.S. reveal an outsize toll on people of color

As many as 215,000 more people than usual died in the U.S. during the first seven months of 2020, suggesting that the number of lives lost to the coronavirus is significantly higher than the official toll. And half the dead were people of color — Blacks, Latinos, American Indians and, to a marked degree unrecognized until now, Asian-Americans.

The new figures from the Centers for Disease Control and Prevention highlight a stark disparity: Deaths among minorities during the crisis have risen far more than they have among whites.

As of the end of July, the official death toll in the U.S. from COVID-19 was about 150,000. It has since grown to

more than 170,000.

But public health authorities have long known that some coronavirus deaths, especially early on, were mistakenly attributed to other causes, and that the crisis may have led indirectly to the loss of many other lives by preventing or discouraging people with other serious ailments from seeking treatment.

A count of deaths from all causes during the seven-month period yields what experts believe is a fuller — and more alarming — picture of the disaster and its racial dimensions.

People of color make up slightly less than 40% of the U.S. population but accounted for 52% of all the “excess deaths” above normal through July, according to an analysis by The Associated Press and The Marshall Project, a nonprofit news organization covering the criminal justice system.

“The toll of the pandemic shows just how pervasive structural racism is,” said Olugbenga Ajilore, senior economist at the Center for American Progress, a public policy organization in Washington.

Earlier data on cases, hospitalizations and deaths revealed the especially heavy toll on African-Americans, Latinos and American Indians, a disparity attributed to unequal access to health care and economic opportunities. But the increases in total deaths by race were not reported until now; nor was the disproportionate burden on AsianAmericans.

With this new data, Asian-Americans join

Blacks and Latinos among the hardest-hit communities, with deaths in each group up at least 30% this year compared with the average over the past five years, the analysis found. Deaths among American Indians rose more than 20%, although that is probably a severe undercount because of a lack of data. Deaths among whites were up 9%.

The toll on Asian-Americans has received far less attention, perhaps in part because the numbers who have died — about 14,000 more than normal this year — have been far lower than among several other groups. Still, the 35% increase in Asian-American deaths is the second-highest, behind Latinos in the U.S.

In an average year, somewhere around 1.7 million people die in the United States between January and the end of July. This year the figure was about 1.9 million, according to the CDC.

Of the possible 215,000 additional deaths above normal through July — a total that has since risen to as many as 235,000 — most officially were attributed to coronavirus infections. The rest were blamed on other causes, including heart disease, high blood pressure and other types of respiratory diseases.

The CDC has not yet provided a breakdown by race and ethnicity of the deaths from other causes. The newly released data is considered provisional and subject to change as more information comes in.

The outbreak’s disproportionate effect on communities of color is not limited to a specific region of the country.

The virus first hit urban areas on the East and West coasts. But according to

University of Minnesota researcher Carrie Henning-Smith, disparities have also been seen as the disease spread across the country to Southern and Western states with large rural populations.

For example, Arizona reported almost 60% more American Indian deaths this year compared with previous years, and New Mexico recorded more than 40% more. Between the two states, more than 1,100 American Indians have died than normal.

Another surprise: Only about half of the AsianAmerican deaths have been linked officially to COVID-19, lower than for all other groups. Jarvis Chen, a lecturer at Harvard University’s public health school, said AsianAmericans may not be getting tested at the same rate as other groups, for reasons that are unclear.

Dr. Namratha Kandula of Northwestern University echoed that theory. She also cautioned against generalizing about the underlying health of AsianAmericans as a whole, noting that they are a diverse group from many different nations and cultures.

“It’s not enough to clump them all together because it does not tell the whole story,” she said.

Dr. Sobiya Ansari, who works predominantly with Black immigrant cancer patients in New York City, worries when they miss or postpone radiation or screenings. Already, the city has seen double the number of deaths of Black people this year compared with previous years.

“If a storm hits and you’re safe inside your house, you’re safe,” she said. “Then there is a population of people that don’t even have umbrellas. The storm hits, and they’re just really swept away.”