John A. Burns School of Medicine, University of Hawaii, Honolulu, HI 96813, United States.
University of Hawaii Economic Research Organization, Honolulu, HI 96822, United States.
Int J Infect Dis. 2021 Feb;103:298-299. doi: 10.1016/j.ijid.2020.11.201. Epub 2020 Dec 1.
This is a brief report on an unusual observation regarding COVID-19 cases. The State of Hawaii is one of the most remote of the Pacific islands and the population is approximately 1.4 million. The racial and ethnic diversity is very high. For example, white Caucasians comprise ∼25%, Asians including Japanese, Chinese, and other Asians account for ∼30%, Hawaiians for 20%, and Pacific Islanders mostly from Micronesia and Samoa comprise ∼4%. We discovered that the COVID-19 rate in the latter group was up to 10 times that in all of the other groups combined and they accounted for almost 30% of cases. Moreover, we are unaware of COVID-19 transmission from Pacific Islanders to islanders with other ethnicities. Thus, there is an epidemic within the epidemic in Hawai'i.
这是一份关于 COVID-19 病例的罕见观察的简要报告。夏威夷州是太平洋岛屿中最偏远的州之一,人口约为 140 万。其种族和民族多样性非常高。例如,白人约占 25%,包括日本人、中国人和其他亚洲人的亚洲人约占 30%,夏威夷人占 20%,而主要来自密克罗尼西亚和萨摩亚的太平洋岛民占 4%。我们发现,在后一组中,COVID-19 的发病率高达其他所有组的总和的 10 倍,而且他们几乎占病例的 30%。此外,我们不知道 COVID-19 会从太平洋岛民传播给具有其他种族的岛民。因此,在夏威夷存在着一种传染病内的传染病。