Detroit is a COVID-19 hotspot. What the data do, and don't, tell us
Metro Detroit has become one of the nation’s COVID-19 hotspots. And experts predict the situation will get even more dire in the next several weeks. The city of Detroit is a hotspot within the hotspot. As of Thursday, the city reported 888 COVID-19 cases, with 19 deaths so far. Why is that? Jonathan Stillo, a medical anthropologist and assistant professor at Wayne State University, said some of the explanation for Detroit’s numbers in particular comes down to simple geography—densely-populated urban centers foster the spread of communicable diseases, and Detroit may just be a bit ahead of the curve compared to some other places. “But we’re still nowhere near where we need to be in terms of seeing the whole picture,” Stillo said. “Right now, we’re only seeing little snapshots, and those are totally dependent on how much testing is happening. “It makes the job of researchers, and folks who are trying to figure out what’s going on and make policy to address it, really hard. We’re flying blind, I think, in a lot of ways.” Stillo said data on racial demographics would be helpful. So would data about whether groups of people who are disproportionately sick and dying have certain underlying conditions. Although it’s difficult to tell whether specific racial groups such as African Americans might be at higher risk from COVID-19, Stillo said some basic public health and social science data tell us that’s probably the case. “African American folks in Detroit have higher rates of asthma, they have higher rates of diabetes, they have higher rates of some of these conditions that we think may make outcomes worse,” Stillo said. “You’re sort of layering biological problems on top of already-existing social problems.