Thread by @hmkyale

Illuminating the disparities… "During COVID-19, Black & AI/AN persons had highest excess all-cause mortality IRs among <25yrs & 25–64 years; among ≥65 yrs, largest excess mortality occurred among Black & Hispanic persons.” @CDCgov @jeremyfaust @YaleMed cdc.gov/mmwr/volumes/7…

@CDCgov @jeremyfaust @YaleMed We learned a lot in researching this study…using the metric we pioneered (I credit @YNHH CORE team and @jeremyfaust) we show: 'Black persons had highest excess mortality IR among <25 yrs with 14.1 excess deaths per 100,000 person-years in 2020, followed by AI/AN persons (6.5)."

@CDCgov @jeremyfaust @YaleMed @YNHH Also, "Among adults aged 25–64 years, the highest total excess mortality IR was among AI/AN persons (221.1), followed by Black (133.4), NH/PI (124.9), Hispanic (98.5), White (51.2) and Asian persons (30.2).” These differences are huge and demand our attention.

@CDCgov @jeremyfaust @YaleMed @YNHH Then, we found, "Among adults aged ≥65 yrs, the largest excess mortality IRs among Black & Hispanic persons (1,033.5 & 1,007.0, respectively), followed by AI/AN (650.0), White (500.1), Asian (483.7), & NH/PI persons (426.4).” Again, tragically huge difference by race/ethnicity.

@CDCgov @jeremyfaust @YaleMed @YNHH What the heck… non-biological factors race and ethnicity, associated with huge differences in risk. Yes, we should not be surprised… but we cannot become numb to it. How do we have Operation Warp Speeds for structural racism and protect people. These are preventable deaths.

@CDCgov @jeremyfaust @YaleMed @YNHH And to be clear… why did we do this study if we already know there are disparities…because there was more to know. And 'This study adds to literature by describing the excess mortality IRs, which account for population size and age structure.’ We needed to quantify the harm.

@CDCgov @jeremyfaust @YaleMed @YNHH Particular kudos to Lauren M. Rossen @CDCgov for her leadership on this piece; truly elevated the science. And an overall amazing team effort. Also @jeremyfaust who was the engine and is contributing so much by his science and insightful commentaries.