Feinberg School of Medicine, Northwestern University, Department of Pediatrics, Division of Infectious Diseases, Chicago, Illinois, USA.
Expert Stewardship, Newport Beach, California, USA.
J Infect Dis. 2020 Nov 13;222(12):1951-1954. doi: 10.1093/infdis/jiaa583.
The coronavirus disease 2019 (COVID-19) pandemic in the United States has revealed major disparities in the access to testing and messaging about the pandemic based on the geographic location of individuals, particularly in communities of color, rural areas, and areas of low income. This geographic disparity, in addition to deeply rooted structural inequities, have posed additional challenges to adequately diagnose and provide care for individuals of all ages living in these settings. We describe the impact that COVID-19 has had on geographically disparate populations in the United States and share our recommendations on what might be done to ameliorate the current situation.
2019 年冠状病毒病（COVID-19）大流行在美国，根据个人地理位置，特别是在有色人种社区、农村地区和低收入地区，在检测和大流行病信息传播方面存在明显差异。这种地理差异，加上根深蒂固的结构性不平等，给生活在这些环境中的所有年龄段的个人进行充分诊断和提供护理带来了额外的挑战。我们描述了 COVID-19 对美国地理上不同人群的影响，并就如何改善当前状况提出了建议。
