Objective: To examine county-level factors associated with coronavirus disease 2019 (COVID-19) incidence and mortality in Georgia, focusing on changes after relaxation of “shelter-in-place” orders on April 24, 2020 Methods: County-level data on confirmed COVID-19 cases and deaths were obtained from the Johns Hopkins 2019 Novel Coronavirus Data Repository and linked with county-level data from the 2020 County Health Rankings We examined associations of county-level factors with mortality and incidence rates (quantiles) using a logistic regression model This research was conducted in June–July 2020 in Augusta, GA Results: Counties in the highest quartile for mortality had higher proportions of non-Hispanic (NH)-Black residents (median: 37 4%;interquartile range [IQR]: 29 5–45 0;p&lt;0 01) and residents with incomes less than $20,000 (median: 32 9%;IQR: 26 6–35 0;p&lt;0 01) Counties in the highest quartile for NH-Black residents (38 7–78 0% NH-Black population) showed a 13-fold increase in odds (odds ratio=13 15, 95% confidence interval=1 40–123 80, p=0 05) for increased COVID-19 mortality controlling for income Conclusions: Although highlighted by the pandemic, racial disparities predated COVID-19, exposing the urgency for diversion of resources to address the systematic residential segregation, educational gaps, and poverty levels experienced disproportionately by Black communities
Racial Disparities in the Epidemiology of COVID-19 in Georgia: Trends Since State-Wide Reopening