All Californians—regardless of where they live, their working environment, their social supports, or how they identify⁠—deserve a healthy life.

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How California is addressing health inequity

COVID-19 has highlighted existing inequities in health. Many of these inequities are the result of structural racism. One form this takes is the unequal distribution of and access to health care resources.

Committed to a California for All, the state is identifying communities most impacted and directing resources to address COVID-19 health inequities. Reducing COVID-19 risk in all communities is good for everyone, and California is committed to making it part of our reopening plan.

State public health leaders cannot address COVID-19 health inequities alone. A healthy California for everyone requires partnership with the private sector, local government, and community partners at all levels.

The disparities in our diverse communities are severe

COVID-19 disproportionately affects California’s low income, Latino, Black, and Pacific Islander communities, as well as essential workers such as those in health care, grocery, and cleaning services.

Death rate for Latino people is {{value}}% higher than statewide
Death rate for Latino people is {{value|abs}}% lower than statewide
Death rate for Latino people is the same as statewide average

Deaths per 100K people:

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{{data.death_rate_per_100K_statewide|formatNumber(tags,0)}} all ethnicities

Case rate for Pacific Islanders is {{value}}% higher than statewide
Case rate for Pacific Islanders is {{value|abs}}% lower than statewide
Case rate for Pacific Islanders is the same as statewide average

Cases per 100K people:

{{data.cases_per_100K_pacific_islanders|formatNumber(tags,0)}} NHPI
{{data.cases_per_100K_statewide|formatNumber(tags,0)}} all ethnicities

Death rate for Black people is {{value}}% higher than statewide
Death rate for Black people is {{value|abs}}% lower than statewide
Death rate for Black people is the same as statewide average

Deaths per 100K people:

{{data.death_rate_per_100K_black|formatNumber(tags,0)}} Black
{{data.death_rate_per_100K_statewide|formatNumber(tags,0)}} all ethnicities

Case rate for communities with median income <$40K is {{value}}% higher than statewide
Case rate for communities with median income <$40K is {{value|abs}}% lower than statewide
Case rate for communities with median income <$40K is the same as statewide average

Cases per 100K people:

{{data.case_rate_per_100K_low_income|formatNumber(tags,0)}} income <$40K
{{data.cases_per_100K_statewide|formatNumber(tags,0)}} all income brackets

Note: This data is cumulative since the first COVID-19 case was reported in January 2020. Case rate is defined as cumulative COVID-19 cases per 100K population. Death rate is defined as cumulative COVID-19 deaths per 100K.

Reopening equitably

California took action to ensure equitable distribution of the vaccine. For example, we partnered with mobile clinics in local school districts and places of worship. We also provided free transportation to vaccine sites. We’re still working to provide access to vaccines in our hardest-hit communities.

See how communities are impacted in your county

COVID-19 impact by race and ethnicity

Latino, Black, and Pacific Islander communities have been disproportionately affected by COVID-19. We have made some strides in addressing disparities within these communities, but we must do better.

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  • Compare each race and ethnicity’s share of cases in placeholderForDynamicLocation to their percentage of placeholderForDynamicLocation’s population.
  • Compare each race and ethnicity’s share of COVID-19 deaths in placeholderForDynamicLocation to their percentage of placeholderForDynamicLocation’s population.
  • Compare each race and ethnicity’s share of tests in placeholderForDynamicLocation to their percentage of placeholderForDynamicLocation’s population.
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  • Deaths rate per 100K by race and ethnicity group in placeholderForDynamicLocation
  • Testing rate per 100K by race and ethnicity group in placeholderForDynamicLocation
  • Compare cases adjusted by population size across each race and ethnicity.
  • Compare COVID-19 deaths adjusted by population size across each race and ethnicity.
  • Compare tests adjusted by population size across each race and ethnicity.
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  • To protect people’s privacy, we’re not showing any data. This is because there are either too few cases or tests in this group.
  • To protect people’s privacy, we’re not showing any data. This is because there are less than 20,000 people in this group.

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  • Data is not shown because there are fewer than 20,000 people in this group.

Cases relative to percentage of population and case rate per 100K by race and ethnicity group source data

COVID-19 health equity metric

The health equity metric measures the positivity rate in the most disproportionately-impacted communities. These communities are identified in the Healthy Places Index, developed by the Public Health Alliance of Southern California, as census tracts that have less healthy community conditions such as low median income, education completeness, and health care access.

  • Test positivity
  • Statewide positivity
  • placeholderForDynamicLocation test positivity
  • Health equity quartile positivity
  • The health equity metric is not applied to counties with a population less than 106,000.
  • Due to reporting anomalies, we cannot display this data accurately.

Data completeness is critical to addressing inequity

We know a lot about the impact of COVID-19 on certain communities, but we can better invest our resources by increasing the collection of race, ethnicity, and sexual orientation and gender identity data. This data collection requires close cooperation with private sector partners, laboratories, and state and county officials. View resources on how to improve reporting on race and ethnicity and sexual orientation and gender identity.

    • Reporting by race and ethnicity in California
    • Note: Data shown is a cumulative 30-day total, updated on . Sexual orientation and gender identity are not collected for tests. Numbers between 1 and 10 are not shown to protect patient privacy.
    • Reporting by in
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    • Data is not shown because there are fewer than 11 deaths.
    • change in completeness since previous month
    • In California, race and ethnicity data for tests is complete.
    • In California, race and ethnicity data for tests is missing.
    • Tests
    • Cases
    • Deaths
  • Factors that increase risk of infection and severe illness
  • Californians in crowded housing or transportation, and with less access to paid leave and other worker protections, have a higher risk of infection of COVID-19. Social determinants of health, such as food insecurity, lack of health insurance, and housing instability can increase the risk of poor outcomes. These social determinants of health are often the result of structural racism.
  • Community case rate by median annual household income bracket
  • Community case rate by amount of crowded housing
  • Community case rate by health care access
  • Median annual household income bracket
  • Percentage of community living in crowded housing
  • Percentage of community without health insurance
  • Income
  • Crowded housing
  • Access to health insurance
  • Note: Data comes from the American Community Survey and is statewide. It does not reflect individual counties. Data shown is a cumulative 7-day total with a 7-day lag, updated on .
  • Cases per 100K people
  • Statewide case rate:
  • placeholderCaseRate cases per 100K people. placeholderRateDiff30 change from 30 days ago
  • placeholderCaseRate cases per 100K people. placeholderRateDiff30 change from 30 days ago

Underlying health conditions

Existing health problems can increase the severity of COVID-19. Examples include heart conditions, obesity, kidney disease, and diabetes, all of which are more common in communities of color.

A history of Adverse Childhood Experiences (ACEs) increases risk for chronic health conditions including heart disease, obesity, kidney disease, and diabetes and may increase the risk for severe COVID-19 illness.

  • ACEs are experiences of abuse, neglect, and household challenges occurring by age 18 and are associated with long-term risk for poorer physical, mental, and behavioral health.
  • Exposure to prolonged ACEs, when experienced without protective buffering factors, can lead to changes to the biological stress response which can affect immune functioning (the toxic stress response).
  • Individuals with a history of ACEs may also be more sensitive to the effects of new stressors, such as those presented by the COVID-19 pandemic. See how to manage stress for health.

Explore more data

State data

Statewide and county cases, deaths, hospitalizations, and tests, including by vaccination status, gender, and age

Vaccination data

State and county data about vaccination, including by race and ethnicity and age

Data and tools

In-depth models, dashboards, databases, and information about California’s COVID-19 data reporting