The failure to consider air pollution as a factor in the higher rates of coronavirus deaths among minority ethnic groups is astonishing and wholly irresponsible, according to critics of a Public Health England review.
The PHE report released on Tuesday confirmed the disproportionate impact of Covid-19 on people from ethnic minorities but did not mention air pollution. Minorities in the UK,US and elsewhere are known to generally experience higher levels of air pollution, and there is growing evidence around the world linking exposure to dirty air exposure to increased coronavirus infections and deaths.
Scientists said air pollution should absolutely be considered and that it could have a double effect, with long-term exposure weakening lungs and hearts and short-term exposure potentially making viral infection more likely. Before the pandemic, air pollution was estimated to cause 40,000 early deaths a year in the UK, about the same number as the official UK coronavirus death toll to date.
I find it astonishing that they didnt look at air pollution, said Rosamund Kissi-Debrah, a World Health Organization advocate for health and air quality. Her daughter Ella died in 2013 from a severe asthma attack that medical experts have now linked to spikes in air pollution.
Air pollution is linked to diabetes, strokes, heart attacks, asthma attacks, and those with underlying health conditions are dying more from Covid-19, she said. So I expected the black and minority ethnic community to come out worse, because health inequalities are worst in the BAME community, let alone adding a lethal respiratory virus.
Some people will say air pollution in itself is racism because, yet again, it disproportionately affects black people Covid-19 has just made it more obvious.
Geraint Davies, the chair of the all-party parliamentary group on air pollution, said: It is wholly irresponsible for PHE not to correct for air pollution and occupation. The review therefore wrongly projects the idea that [minority ethnic] communities may be more susceptible to coronavirus, when it should instead say they are put into harms way by living in more polluted areas and by being overrepresented amongst frontline workers.
Prof Jonathan Grigg, of Queen Mary University of London, a member of the Committee on the Medical Effects of Air Pollutants, which advises the government, said: Air pollution absolutely should be part of the consideration. Its entirely plausible [and] we should at least ask the question.
You might get a double hit from long- and short-term exposure to dirty air, he said. [Exposed groups] will have a vulnerability due to air pollution coming into Covid, so it will contribute to some extent, but it is difficult to say to what extent.
Prof Francesca Dominici, of Harvard University in the US, also said pollution was an important factor. We have a large body of evidence that health risks associated with air pollution exposure are higher among ethnic minorities. Her research has shown that even a small increase in previous pollution exposure is linked to an 8% rise in Covid-19 deaths.
The PHE report was heavily criticised for a lack of recommendations on how to reduce the disproportionate impact among people from ethnic minorities and for removing a section detailing responses from third parties, many of whom highlighted structural racism. On Thursday the equalities minister, Kemi Badenoch, rejected claims that systemic injustice was the reason for the disparities. Scientists say it is unlikely that any genetic factors play a major role.
Badenoch said it was clear that much more needs to be done to understand the key drivers of the disparities, and said PHE did not make recommendations because the data needed was not available. On Friday the Equality and Human Rights Commission said it would carry out an in-depth analysis and develop urgent recommendations to address the loss of lives of people from ethnic minorities.
A PHE spokeswoman said: The review looked at factors including age, sex, geography, ethnicity, occupation and deprivation. These were set out in the terms of reference for the work. To further understand the disparities, PHEs work will be complemented by studies to be undertaken in response to a research call.
Winston Morgan, a toxicologist and clinical biochemist at the University of East London, said: The fact that we can map death rates from Covid-19 on to almost all other negative societal outcomes is all the evidence we need to know the main problem is with structural racism.
A simple genetic cause linked to race does not make scientific sense. The data shows the affected groups transcend the classical definitions of both race and ethnicity. That is not to say when we examine all the data in the future we will not find a very tiny sub-population with a mutation which makes them more susceptible. But many find it easier to use race rather than racism as an explanation, partly because you can link it to something inherent in the victims.
Dominici said: I really doubt that genetic factors play a bigger role than environmental and societal factors and racism.
Issy Bray, a health statistics expert at the University of the West of England, said: We cannot rule it out, as other diseases do affect certain ethnic groups for genetic reasons, eg sickle cell anaemia. However, it is already clear that the relationship between ethnicity and risk of coronavirus is at least partially explained by a range of societal factors, and it is these inequalities that we should be tackling.
The scientists said the influence of air pollution could be singled out if carefully analysed alongside other important factors such as population density, deprivation, occupation and obesity, ideally using data on individuals. Bray said smartphone apps that monitor symptoms could be useful by providing large amounts of personal and location data.
Read the original:
Omission of air pollution from report on Covid-19 and race astonishing - The Guardian
- Coronavirus Scam Alert: Watch Out For These Risky COVID-19 Websites And Emails - Forbes [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- COVID19: Broome County Executive expected to sign executive orders on virus - WBNG-TV [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Houston-based company ready to test COVID-19 'vaccine candidate,' but doesn't have the funds - KHOU.com [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- COVID19 Mesa County Public Health [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Coronavirus Disease 2019 (COVID-19) | SCDHEC [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Coronavirus disease 2019 - Wikipedia [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Hackers are jumping on the COVID-19 pandemic to spread malware - TechCrunch [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- COVID-19 can last a few days on surfaces, according to new experiment findings - ABC News [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- The Guardian view on the UKs Covid-19 response: confused and hesitant - The Guardian [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- The COVID-19 Coronavirus Pandemic Highlights The Importance Of Scientific Expertise - Forbes [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- WHO Expert: Aggressive Action Against Coronavirus Cuts Down On Spread : Goats and Soda - NPR [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- 2 new cases of COVID-19 at Chicago schools - WGN TV Chicago [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Will Gargling with Salt Water or Vinegar 'Eliminate' the COVID-19 Coronavirus? - Snopes.com [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Worried about dying from COVID-19? You might be a millennial | TheHill - The Hill [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Startups developing tech to combat COVID-19 urged to apply for fast-track EU funding - TechCrunch [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Why do dozens of diseases wax and wane with the seasonsand will COVID-19? - Science Magazine [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- WHO, UN Foundation and partners launch first-of-its-kind COVID-19 Solidarity Response Fund - World Health Organization [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Covid-19: PM to address nation tonight - New Straits Times [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- COVID-19: Where every sport lies after mass disruption - RTE.ie [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- COVID-19: Facts, myths and hypotheses | TheHill - The Hill [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Hong Kong Has Largely Survived COVID-19. Can New York and The US Do It Too? - BuzzFeed News [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- UPDATE: Case of COVID-19 confirmed in Wilson County - WITN [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Is This Train Car Carrying 'COVID-19'? - Snopes.com [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Coronavirus pandemic: facts, updates and what to do about COVID-19 - The Verge [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- DHS: 34 people test positive for COVID-19 in Wisconsin - WBAY [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- COVID-19 by the numbers; plus key resources to help you stay informed - Berkeleyside [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- The Covid-19 puzzles that scientists are still trying to answer - The Guardian [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- What's the COVID-19 end game? - The San Diego Union-Tribune [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- The Covid-19 coronavirus is not the flu. Its worse. - Vox.com [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Phones Could Track the Spread of Covid-19. Is It a Good Idea? - WIRED [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- NIH Reports First Known Employee with COVID-19 Infection - National Institutes of Health [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Newborn tests positive for COVID-19 in London - Livescience.com [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Covid-19: Malaysia's pandemic action plan activated for the coronavirus - The Star Online [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- How Bad Will The COVID-19 Coronavirus Epidemic Get In The U.S.? Health Experts Weigh In - Forbes [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- Can People Who Recover from COVID-19 Become Reinfected? - Snopes.com [Last Updated On: March 16th, 2020] [Originally Added On: March 16th, 2020]
- THE LATEST: 41 test positive for COVID-19 in the state - WFSB [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Twelve new cases of COVID-19 announced in Illinois; bringing total to 105 - KWQC-TV6 [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Eagle County outlines shift for COVID-19 testing, Vail Health shifts operations - Vail Daily News [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- 7th positive COVID-19 case announced in Hawaii, all cases related to travel - KHON2 [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Canada tightens borders over coronavirus will it curb COVID-19s spread? - Global News [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- As health care workers prepare for COVID-19, medical students pitch in on the homefront - Minnesota Public Radio News [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Coronavirus First positive case of COVID-19 confirmed in Geauga County Kaylyn Hlavaty 7:58 AM - News 5 Cleveland [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- 2nd presumptive case of COVID 19 reported in Bell County - KWTX [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- New confirmed cases of COVID-19 in Wisconsin - WKOW [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Hawaii National Guard ready to step in against spread of COVID-19 - KHON2 [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Alberta orders all classes cancelled, daycares closed as COVID-19 cases rise to 56 in the province - Global News [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Has Italy Stopped Treating the Elderly in the COVID-19 Pandemic? - Snopes.com [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Coronavirus testing: Information on COVID-19 tests according to state health departments - NBCNews.com [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Working from home because of COVID-19? Here are 10 ways to spend your time - Science Magazine [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Two positive COVID-19 cases announced in Fairbanks, bringing Alaska's confirmed total to 3 - Anchorage Daily News [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- 8 more positive cases of COVID-19 brings Michigan total to 33 - FOX 2 Detroit [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- COVID-19: Who Is Infectious? - Forbes [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- The Guardian view on the latest Covid-19 steps: a recipe for isolation - The Guardian [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Government publishes updated COVID-19 industry guidance - GOV.UK [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- NIH clinical trial of investigational vaccine for COVID-19 begins - National Institutes of Health [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Expanding Colorado's COVID-19 Testing Capacity Proves Frustrating to Polis, Doctors And The Public - Colorado Public Radio [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Microsoft Bing launches interactive COVID-19 map to provide pandemic news - The Verge [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Coronavirus tips: How to slow the spread of COVID-19 with hand-washing, social distance - USA TODAY [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- See Which Countries are Flattening their COVID-19 Curve - Visual Capitalist [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- With launch of COVID-19 data hub, the White House issues a call to action for AI researchers - TechCrunch [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- COVID-19 - Cabinet for Health and Family Services [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Coronavirus Disease 2019 (COVID-19) | AustinTexas.gov [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- First COVID-19 case in Waterbury is confirmed - Waterbury Republican American [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Covid-19 reveals the alarming truth that many children cant wash their hands at school - The Guardian [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Statement on COVID-19 Panel Discussion Notes That Were Attributed to UCSF - UCSF News Services [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Covid-19 coronavirus testing in the US has been absurdly sluggish. That puts us at risk. - Vox.com [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Regal is closing all theaters until further notice over COVID-19 fears - TechCrunch [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Amazon limiting shipments to certain types of products due to COVID-19 pandemic - TechCrunch [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Coralville company to produce millions of kits to test for COVID-19 - KCRG [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Number of COVID-19 cases in Erie County rises to 11, new case confirmed in Wyoming County - WIVB.com - News 4 [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Coronavirus tips and symptoms: What everyone should know about getting the new coronavirus - Vox.com [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Tech giants are getting creative to manage the COVID-19 crisis - The Verge [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- COVID-19: Mental health in the age of coronavirus - UN News [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- White House provides an update on COVID-19 testing in the U.S., says theres been a dramatic ramp - TechCrunch [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Covid-19: How long does the coronavirus last on surfaces? - BBC News [Last Updated On: March 17th, 2020] [Originally Added On: March 17th, 2020]
- Hospital in Boston will be converted into Covid-19 treatment center - STAT [Last Updated On: March 18th, 2020] [Originally Added On: March 18th, 2020]
- 78 cases of COVID-19 confirmed in Tennessee - NewsChannel5.com [Last Updated On: March 18th, 2020] [Originally Added On: March 18th, 2020]
- COVID 19: Tennessee confirmed cases reaches 52, Dept of Health releases age ranges of those infected - Clarksville Now [Last Updated On: March 18th, 2020] [Originally Added On: March 18th, 2020]
- Housing associations under pressure to offer Covid-19 rent holidays - The Guardian [Last Updated On: March 18th, 2020] [Originally Added On: March 18th, 2020]
- Sacramento woman dead from COVID-19 attended church with others who have virus - KCRA Sacramento [Last Updated On: March 18th, 2020] [Originally Added On: March 18th, 2020]