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In San Francisco, a steady trend in coronavirus (COVID-19) deaths has gone largely unnoticed until recently: Asian Americans consistently account for nearly half of COVID-19 deaths.

Across the country, a high Asian American case fatality has emerged as another health disparity from COVID-19 impacting a minority population.

Hypotheses For Higher Case FatalityA higher observed case fatality indicates that either Asian Americans lack sufficient diagnostic testing, face a higher risk of death from COVID-19 on average, or both.

Importantly, the case fatality does not reflect the population infection rate, which tends to be lower in Asian Americans.

Importantly, there is no evidence that Asian Americans face a higher case fatality due to ethnicity itself.

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