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首页> 美国卫生研究院文献>Morbidity and Mortality Weekly Report >COVID-19 Incidence and Mortality Among American Indian/Alaska Native and White Persons — Montana March 13–November 30 2020
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COVID-19 Incidence and Mortality Among American Indian/Alaska Native and White Persons — Montana March 13–November 30 2020

机译：Covid-19美洲印第安人/阿拉斯加本土和白人的发病率和死亡率 - 蒙大拿州3月30日至11月30日2020年3月30日

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Geographic differences in infectious disease mortality rates have been observed among American Indian or Alaska Native (AI/AN) persons in the United States (1), and aggregate analyses of data from selected U.S. states indicate that COVID-19 incidence and mortality are higher among AI/AN persons than they are among White persons (2,3). State-level data could be used to identify disparities and guide local efforts to reduce COVID-19–associated incidence and mortality; however, such data are limited. Reports of laboratory-confirmed COVID-19 cases and COVID-19–associated deaths reported to the Montana Department of Public Health and Human Services (MDPHHS) were analyzed to describe COVID-19 incidence, mortality, and case-fatality rates among AI/AN persons compared with those among White persons. During March–November 2020 in Montana, the estimated cumulative COVID-19 incidence among AI/AN persons (9,064 cases per 100,000) was 2.2 times that among White persons (4,033 cases per 100,000).* During the same period, the cumulative COVID-19 mortality rate among AI/AN persons (267 deaths per 100,000) was 3.8 times that among White persons (71 deaths per 100,000). The AI/AN COVID-19 case-fatality rate (29.4 deaths per 1,000 COVID-19 cases) was 1.7 times the rate in White persons (17.0 deaths per 1,000). State-level surveillance findings can help in developing state and tribal COVID-19 vaccine allocation strategies and assist in local implementation of culturally appropriate public health measures that might help reduce COVID-19 incidence and mortality in AI/AN communities.
机译：在美国印度或阿拉斯加本地（AI / AN）中观察到传染病死亡率的地理差异（1），并从选定的美国国家的数据分析表明Covid-19发病率和死亡率较高ai /一个人比白人（2,3）属于白人。国家级数据可用于识别差距和指导本地努力，以降低Covid-19相关的发病率和死亡率;但是，这些数据有限。对蒙大拿州公共卫生和人类服务部报告的实验室确认的Covid-19案件和Covid-19相关死亡的报告进行了分析，以描述AI / AN的Covid-19发病率，死亡率和病例率与白人之间的人相比。在3月至11月20日在蒙大拿州，估计的累积Covid-19在AI /人中（每10万人9,064例）的入发是白人的2.2倍（每103,01,000例）。*在同一时期，累积的Covid- 19人/一个人（每10万人死亡的267人死亡）的死亡率为3.8倍，白人（每10万人为71人死亡）。 AI / A的Covid-19病例（每1,000个Covid-19案件的29.4人死亡）为白人率的1.7倍（每1000人死亡17.0人死亡）。国家级监测结果可在国家发展和部落COVID-19疫苗分配策略帮助和协助在当地实施的文化相适应的公共卫生措施，这可能有助于减少AI / AN社区COVID-19的发病率和死亡率。

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