While the other four boroughs take a welcome slight rightward turn, the #Bronx continues its trajectory of increased deaths in #NYC from #Covid19.

Now one person in 1,262 in the Bronx has lost their life to the pandemic

Data from https://www1.nyc.gov/site/doh/covid/covid-19-data.page">https://www1.nyc.gov/site/doh/...
Deaths are a lagging indicator, colleagues at @MontefioreNYC are seeing fewer new cases presenting, so hopefully the curve will decelerate in the #Bronx.

Now one in 1,154 in the borough has died from #COVID19.
Turning the corner, literally. A long road ahead, but #NYC is getting on top of the #COVID19 pandemic.

Now one in 1,095 in the #Bronx has died from #COVID19.

Data from https://www1.nyc.gov/site/doh/covid/covid-19-data.page">https://www1.nyc.gov/site/doh/...
Declared victory prematurely. Manhattan on a good slope, but the outer boroughs still climbing. A tale of two cities.

Now one in 1,023 in the #Bronx has died from #COVID19.

More work to do.
The #Bronx death rate *still* not flattening. Queens also distancing from other boroughs.

Grim milestone, we’ve passed 1/1,000:
the Bronx has now lost 1/947 people from #COVID19.

This
Pandemic
Is
Disproportionately
Killing
People
Of
Colour

(Data https://www1.nyc.gov/site/doh/covid/covid-19-data.page)">https://www1.nyc.gov/site/doh/...
Deaths by borough April 15. Despite the discharges>admissions now at @MontefioreNYC, deaths still climbing in the #Bronx (1/819 mortality) and #NYC as a whole.

#COVID19 doesn& #39;t let go its grip without a fight. Dropping our guard now would be immensely stupid.
Something odd is happening with these numbers from https://www1.nyc.gov/site/doh/covid/covid-19-data.page

My">https://www1.nyc.gov/site/doh/... guess is that they are now recategorising some cases that were not initially attributed to #COVID19. I don& #39;t trust the curves.

Now one in 725 in the #Bronx has died from this virus.
Data from April 19. The death rate in the #Bronx is almost double that in Manhattan.

1/703 people in the Bronx has died from #COVID19.

The daily percent increase in deaths now <4% in all #NYC boroughs for the first time.

Wave #1 coming under control. Let& #39;s not screw this up.
#COVID19 deaths, April 20 in #NYC.

1/668 #Bronx residents dead of #COVID19. 1/1,294 in Manhattan. 1/792 in Queens.
#COVID19 deaths as of April 21 in #NYC.

1/649 #Bronx residents dead of #COVID19.

Data https://www1.nyc.gov/site/doh/covid/covid-19-data.page">https://www1.nyc.gov/site/doh/...
Something different today, helps to illustrate why health disparities exist.

Bottom line: poor communities don& #39;t get studied like rich communities. A lesson from SARS-CoV-2 genotyping, and data from the excellent @GISAID resource.
1/
2/ Here is a breakdown of deaths per 10,000 residents in each borough of #NYC. The #Bronx and Queens especially hard hit. Fits with the realisation that #COVID19 is a disease disproportionately killing people of colour and disadvantaged people. Nothing new here.
4/ If you download the 639 viral genomes from New York on @GISAID today, 511 are from the five boroughs of #NYC.

Of these, 415 are from Manhattan and Brooklyn.
5/ Now if you calculate the amount of genotyping as a function of the death rate (number of deaths per 10,000 population in borough), you see the problem.

We test who we can. We aren& #39;t testing who is most at risk in this pandemic, in the the Bronx and Queens.
6/ Thanks to @chandranlab, @EinsteinPath and generous support from @gingko, we& #39;ll try to boost these numbers at @MontefioreNYC @EinsteinMed.

But the problem is structural.
7/ The health care systems serving poorer communities do not have the income to support research. Nor a donor base from the patients served, who are struggling to get by. And donors generally don& #39;t favour unglamourous projects asking why poor people are less healthy.
8/ The @NIH (even the @NIMHD) do not fund infrastructure to collect specimens.

Health disparities can& #39;t be researched if we can& #39;t even get samples, let alone do sexy NIH-worthy research on them.

This is just one of the vicious cycles into which poor people are locked.
9/ My colleagues at @MontefioreNYC and @EinsteinMed have been doing outstanding work for decades serving the #Bronx community in spite of these structural problems.

But there is so much more we could and should be doing.
10/ We are now seeing the broader effects when the poorer people in an insanely wealthy city have health disparities.

We can fix this. We need #NYC to be the city that shows how health care disparities can be studied and fixed, as a model for the world.

Clap for that at 7 pm.
The #COVID19 death data in #NYC for April 24.

One person in 598 in the #Bronx has now succumbed.
I& #39;m concerned that the @NIH doesn& #39;t recognise #ResearchDisparities.

This issue of @AMJPublicHealth describes the & #39;scientific visioning& #39; behind setting up the @NIMHD.

No mention of biorepositories, very little on infrastructure.

A swing and a miss. https://ajph.aphapublications.org/toc/ajph/109/S1 ">https://ajph.aphapublications.org/toc/ajph/...
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