id author title date pages extension mime words sentences flesch summary cache txt cord-266132-i57avso9 Kirksey, Lee Pandemic Superimposed on Epidemic: Covid-19 Disparities in Black Americans 2020-08-01 .txt text/plain 1991 117 44 Viewed holistically, multiple factors are contributing to the perfect storm: 1) Limited availability of public testing, 2) A dramatic increase in low wage worker unemployment/health insurance loss especially in the service sector of the economy, 3) High rates of preexisting chronic disease states/reduced access to early healthcare and 4) Individual provider and structural healthcare system bias. 14 Unfortunately, the fact that not all local, state and federal public health agencies are collecting race and ethnic data points will contribute to delays in reaching a complete understanding of the magnitude of this pandemic's impact on Black communities ( Figure 1 ). 21 Viewed holistically multiple factors are contributing to the perfect storm: 1) Limited availability of public testing, 2) A dramatic increase in low wage worker unemployment/health insurance loss especially in the service sector of the economy, 3) High rates of pre-existing chronic disease states/reduced access to early healthcare and 4) Individual and structural healthcare system bias. ./cache/cord-266132-i57avso9.txt ./txt/cord-266132-i57avso9.txt