I am deeply troubled by the disproportionate impact #COVID19 has on marginalized and minority communities – particularly among African Americans. Sadly, this trend is emerging across the country. 1/16

In Chicago, Black residents are dying from the #COVID19 at a rate nearly six times greater than white residents. 2/16

In Louisiana, 70% of #COVID19 victims have been African American, even though the state is less than a third Black. 3/16

And in Milwaukee County, WI, where the population is just 26% Black, African Americans comprised almost half of the county's #COVID19 cases and 81% of deaths. 4/16

This is a crisis within a crisis. #COVID19 5/16

In addition to its disproportionate health impacts on minority communities, #COVID19 is likely to exacerbate social and economic inequities as well. 6/16

So, while the direct health impact of #COVID19 on children may be minimal, children in households of color and other marginalized groups will be disproportionately hurt by factors such as housing instability, food insecurity, and educational disparities. 7/16

As our response to #COVID19 continues, the needs of communities who are being disproportionately impacted should be prioritized; this includes those living in foster care, youth in juvenile detention, children in immigrant families & those with limited English proficiency. 8/16

If we are to effectively manage the #COVID19 pandemic, we must understand and acknowledge the unique vulnerabilities some communities face as we propose solutions, treatments, and financial supports. 9/16

Any plan to flatten the curve must take into account the spread and impact among communities of color and other marginalized groups. #COVID19 10/16

Black and Latino youths fear wearing a homemade mask could exacerbate racial profiling and place them in danger. As one Black male put it, "I want to stay alive, but I also want to stay alive." #COVID19 11/16

And @AmerAcadPeds' Committee on Native American Child Health warns us that due to lack of internet access, #COVID19 messaging is not reaching our Native American communities and telehealth and distance learning is not possible. 12/16

Failing to take into account a deep-rooted system of haves and have-nots, increases the burden of disease not only for those in tenuous situations, but for everyone. #COVID19 13/16

Because crises like #COVID19 create and deepen existing inequities in society, it's more important than ever that we prioritize equity and make sure we reach the children and families who need us most. 14/16

My fervent hope is that when we get to the other side, we emerge with a shared dedication to pursuing the greater good rather than the convenience of the individual and a universal commitment to ensuring optimal health for all people. #COVID19 15/16

To pediatricians, health care professionals, and health care staff: Thank you for the many sacrifices you are making to protect and care for children and families. You are the best of the best, and I am with you and for you. #COVID19 16/16