The toll of COVID-19 is not equal. Evidence globally shows a greater COVID-19 burden with older age, male sex, obesity, comorbidities, and poverty.1, 2, 3, 4 Early data suggest that people from Black, Asian, and minority ethnic (BAME) groups in the UK and Black, Hispanic, and Native American groups in the USA are disproportionately at risk of severe COVID-19 complications and deaths.3, 5 A recent systematic review of published, preprint, and grey literature concluded that BAME communities are at increased risk of infection from severe acute respiratory syndrome coronavirus 2 and have more adverse outcomes, including death.
Bibliographical noteKK is the national lead for ethnicity and diversity for the National Institute for
Health Research (NIHR) Applied Research Collaborations in the UK and Director
of the University of Leicester Centre for Black and Minority Ethnic Health.
KK receives support from the NIHR Applied Research Collaborations East
Midland (NIHR ARC-EM) and the NIHR Leicester Biomedical Research Centre.
NGF has received grant funding from the MRC Epidemiology Unit
(MC_UU_12015/5) and NIHR Biomedical Research Centre Cambridge: Nutrition, Diet, and Lifestyle Research Theme (IS-BRC-1215-20014). ST leads work to develop the NIHR INCLUDE approach to BAME group involvement in trials. KMVN declares research reported in this publication was supported by the
National Institute Of Diabetes And Digestive And Kidney Diseases of the National Institutes of Health under Award Number P30DK111024. The content
is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. We declare no other competing interests.