Swine flu sends more Blacks, HIspanics to hospital

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Sine Flu sends more Blacks, Hispanics to hospital

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Swine flu sends more blacks,
Hispanics to hospital</font size></center>




Associated Press
By MIKE STOBBE (AP)
August 28, 2009


ATLANTA — Swine flu was four times more likely to send blacks and Hispanics to the hospital than whites, according to a study in Chicago that offers one of the first looks at how the virus has affected different racial groups.

The report echoes some unpublished information from Boston that found three out of four Bostonians hospitalized from swine flu were black or Hispanic.

The cause for the difference is probably not genetic, health officials said. <SPAN style="BACKGROUND-COLOR: #ffff00">More likely, it's because blacks and Hispanics suffer disproportionately from asthma, diabetes and other health problems that make people more vulnerable to the flu</span>.

It's not clear if a racial or ethnic difference will hold up when more complete national data is available, one federal health official said. The findings are based on fairly small numbers of cases from the early days of the pandemic.

"We don't have anything definitive to say one group is more affected than another," said Dr. Daniel Jernigan of the U.S. Centers for Disease Control and Prevention.

The Chicago findings, released Thursday, are believed to be the first published study to detail a racial or ethnic breakdown of swine flu's impact.

Researchers looked at more than 1,500 lab-confirmed swine flu cases reported to the Chicago Department of Public Health from late April through late July.

Blacks with swine flu were hospitalized at a rate of 9 per 100,000, and Hispanics at a rate of 8 per 100,000. For whites, the rate was 2 per 100,000, the study found.

Earlier this month, Boston health officials released some unpublished information that found three out of four Bostonians hospitalized with swine flu were black or Hispanic.

"It's very disturbing," said Barbara Ferrer of the Boston Public Health Commission, speaking about the higher rates of minority swine flu hospitalizations.

"But intuitively it's understandable, because we have tremendous inequities in most areas of health," said Ferrer, the agency's executive director.

Also, experts noted that the Chicago and Boston data represent limited information from only two cities and only the first two or three months of the pandemic. The unpredictable manner of swine flu outbreaks means some parts of the city were hit before others — a sequence that may have little to do with race.

"I think it reflected more the neighborhoods the disease was first going through," said Jernigan, a CDC flu expert.

This fall, the government will be doing national surveys to better track swine flu trends. That should provide more reliable information about how the virus is affecting different groups of people, he said.



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Re: Sine Flu sends more Blacks, Hispanics to hospital

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More blacks, Hispanics
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Difference probably not genetic, say officials</font size></center>


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http://www.wane.com/dpp/health/heal...shispanicsinhospitalwflu_200908272110_2813992


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Latinos in Texas hard hit by H1N1</font size>
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Southernmost counties a ‘hot spot’ for deaths tied to swine flu;
Latinos accounted for more than half of the 95 swine flu-related
deaths in Texas in the first six months of the H1N1 pandemic</font size></center>


HOUSTON CHRONICLE
By CINDY GEORGE
Nov. 13, 2009


Hispanics accounted for more than half of the 95 swine flu-related deaths in Texas in the first six months of the H1N1 pandemic, an analysis by the state health department found.

Hispanics predominate in the state's southernmost counties, where 28 percent of the H1N1 deaths happened through Oct. 17.

The area “clearly is the hot spot” for the state's H1N1 deaths, said Dr. Joseph McCormick, regional dean of The University of Texas School of Public Health in Brownsville.

Several physical conditions that are more common among Hispanics have been identified by the Centers for Disease Control and Prevention as risk factors for H1N1 becoming fatal. They include pregnancy, diabetes and possibly obesity, McCormick said.

Residents in Rio Grande Valley counties are more likely to lack medical insurance and have less access to health care than the average Texan.

“Viruses don't care whether you're black or white or whether you're Hispanic or not,” said Lovell A. Jones, a health disparities researcher who directs the Center for Research on Minority Health at Houston's M.D. Anderson Cancer Center.

Latinos, who represent 37 percent of the state's population, comprised 52 percent of H1N1 deaths — even with 17 percent of victims having an unknown race or ethnicity — so their actual share may be even higher. Hispanics also accounted for nearly two-thirds of intensive care unit admissions for swine flu.

A Mexican boy became the nation's first H1N1-related death on April 27 when he died at a Houston hospital. The child was initially hospitalized in Brownsville, in the Rio Grande Valley. Then in May, a 33-year-old pregnant Harlingen teacher with underlying health conditions became the first American to die of swine flu. She too was Hispanic.

While 25 percent of Texas' working-age adults are uninsured, the fraction who lack insurance is far larger in the state's border counties.

“We were pretty impressed, not in a happy way, by the striking difference along the border,” said Dr. Susan Penfield, who manages the infectious disease control unit for the Texas Department of State Health Services.

State epidemiology officials are working to identify other swine flu trends based on pregnancy, obesity and other conditions, Penfield said.

The overwhelming majority of swine flu deaths — 89 percent — have been among those with underlying health problems. For Hispanics, it's 92 percent.

Recent school-based immunization efforts near the border pleased McCormick, who said widespread vaccination for the most vulnerable populations is one way to overcome chronic disease, lack of insurance and other obstacles that leave Hispanics bearing the brunt of Texas' swine flu deaths.

cindy.george@chron.com


http://www.chron.com/disp/story.mpl/metropolitan/6718072.html
 
Re: Sine Flu sends more Blacks, Hispanics to hospital

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</center>
The cause for the difference is probably not genetic, health officials said. More likely, it's because blacks and Hispanics suffer disproportionately from asthma, diabetes and other health problems that make people more vulnerable to the flu.

This shouldn't be a surprise, minorities have the highest rate for pre-existing conditions that the H1N1 vaccine will give us negative results.

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