For Urban Poor, the Coronavirus Complicates Existing Health Risks

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For Urban Poor, the Coronavirus Complicates Existing Health Risks
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OAKLAND, Calif. -- Several days had passed since the congestion in her chest left her feeling suffocated and racing to the emergency room. Now, Lisa McClendon, 64, was trying to level with her respiratory therapist about why her asthma had flared up again.In recent months, she explained from her cramped

OAKLAND, Calif. — Several days had passed since the congestion in her chest left her feeling suffocated and racing to the emergency room. Now, Lisa McClendon, 64, was trying to level with her respiratory therapist about why her asthma had flared up again.

Not only would the disproportionately high rates of disease and illness among those populations make them particularly vulnerable if infected by the virus, but living in dense apartment buildings and using public transportation can also increase the risk of transmission. There is also the issue of distrust, especially among African Americans, of a medical system with a history of mistreating and exploiting them.

Messages can go unreturned for months. Some people do not have steady cellphone plans. Others are always on the move without a place to live. And still others lack transportation.As she headed to see McClendon on Wednesday, an issue came up with another patient. Sandra Blackshear, 52 and homeless, called to say she needed a ride to a pharmacy on the other end of town to pick up her medication.

In California, black adults ages 18 to 39 are hospitalized for preventable asthma problems more than four times as often as white asthma sufferers. Blackshear, whom Allen met later on a sidewalk to administer a nebulizer to help with her coughing and wheezing, had only just started hearing about the coronavirus. While living on the streets, she said, she had little access to news media.

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