Early in the pandemic, a study revealed disparities in COVID-19 hospitalizations and death rates across the five New York City boroughs. Not surprisingly, the rates were highest in the Bronx—which has the highest proportion of racial/ethnic minorities, the most persons living in poverty, and the lowest levels of educational attainment. Hospitalizations and deaths were lowest in Manhattan—which is the most affluent borough with a predominately white population. This was one of the earliest studies that revealed the potential influence of socioeconomic determinants and race-based structural inequities on COVID-19 impact (see Variation in COVID-19 . . .

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