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. 2021 Sep 17;70(37):1267–1273. doi: 10.15585/mmwr.mm7037a1

TABLE. Distribution of COVID-19 cases, incidence, deaths, and mortality rates, by race (alone or in combination with one or more other races)*, — Hawaii, March 1, 2020–February 28, 2021.

Race§ Population (%) No. of cases (%) Cases per 100,000 population
(95% CI) No. of deaths (%) Deaths per 100,000 population (95% CI)
All races
1,422,094
21,005
1,477
(1,457–1,497)
449
32 (29–35)
Native Hawaiian and Pacific Islander
369,956 (26)
9,253 (44)
2,501
(2,451–2,551)
145 (32)
39 (33–46)
Native Hawaiian**
304,167 (21)
3,591 (17)
1,181
(1,142–1,219)
45 (10)
15 (11–19)
Pacific Islander††,§§
65,789 (5)
4,651 (22)
7,070
(6,874–7,265)
99 (22)
150 (121–180)
Samoan
34,674 (2)
1,569 (7)
4,525
(4,306–4,744)
21 (5)
61 (35–87)
Tongan
7,855 (1)
190 (1)
2,419
(2,079–2,759)
<10¶¶ (<1)
—***
Other Polynesian
5,372 (<1)
54 (<1)
1,005
(739–1,272)
<10 (<1)

Guamanian or Chamorro
6,185 (<1)
59 (<1)
954
(712–1,196)
<10 (<1)

Marshallese
8,960 (1)
948 (5)
10,580 (9,944–11,217)
19 (4)

Other Micronesian
20,198 (1)
1,816 (9)
8,991
(8,597–9,386)
49 (11)
243 (175–310)
Fijian
816 (<1)
17 (<1)
–***
0 (—)
0 (—)
Other Melanesian
64 (<1)
<10 (<1)

0 (—)
0 (—)
Other Pacific Islander, not specified
3,725 (<1)
148 (1)
3,973
(3,346–4,600)
<10 (<1)

Asian †††
802,551 (56)
8,807 (42)
1,097
(1,075–1,120)
272 (61)
34 (30–38)
Japanese
310,397 (22)
1,762 (8)
568
(541–594)
101 (22)
33 (26–39)
Filipino
367,291 (26)
4,579 (22)
1,247
(1,211–1,283)
108 (24)
29 (24–35)
Chinese
205,126 (14)
1,448 (7)
706
(670–742)
42 (9)
20 (14–27)
Korean
52,410 (4)
339 (2)
647
(578–716)
14 (3)

Vietnamese
14,998 (1)
180 (1)
1,200
(1,026–1,374)
<10 (<1)

White
611,108 (43)
5,790 (28)
947
(923–972)
52 (12)
9 (6–11)
Black
50,593 (4)
702 (3)
1,388
(1,286–1,490)
<10 (<1)

American Indian or Alaska Native
34,512 (2)
203 (1)
588
(508–669)
<10 (<1)

Other race §§§ 36,646 (3) 1,347 (6) 3,676
(3,483–3,868) 10 (2)

Abbreviations: CI = confidence interval; HDOH = Hawaii State Department of Health.

* Data analyzed included 21,005 (82%) of 25,480 cases and 449 (>99%) of 450 deaths, for whom information on race was available, reported to the HDOH during March 1, 2020–February 28, 2021. Incidence was calculated using the following equation: (cases/population) x 100,000 persons. Crude death rates were calculated using the following equation: (deaths/population) x 100,000 persons. 95% CIs were computed using normal approximation for standard errors for proportions. Population estimates were from the U.S. Census Bureau’s American Community Survey population estimates.

Data from race groups were examined without regard to ethnicity. Race information for cases was mostly self-reported; race information for deaths were reported by patients premortem, by an observer (e.g., physician), or by a proxy family member. Analyses were conducted with groups that were not mutually exclusive including persons of a race alone or in combination with one or more races. Using this approach, persons with more than one race indicated were included in the total of each race reported. Thus, all race categories (e.g., Asian) and subcategories (e.g., Filipino) consist of persons with any mention of those race categories or subcategories.

§ Alone or in combination with one or more races

Category values do not sum to the total count or percentage because categories represent persons of a race alone or in combination with one or more other races. Subcategory values do not sum to category values for the same reason.

** This category includes persons identified as Native Hawaiian alone or in combination with another race.

†† This category includes persons identified as Pacific Islander alone or in combination with another race (e.g., this can include persons identified with both the Native Hawaiian race and a non-Native Hawaiian and Pacific Islander race). This category was calculated by identifying the proportion of population, cases, and deaths that remained from the total Native Hawaiian and Pacific Islander population after considering Native Hawaiian single race data.

§§ Pacific Islander subcategories represent the populations among this group with the largest representation in Hawaii. Persons of more than one specific Pacific Islander race could be in more than one specific Pacific Islander race category. Pacific Islander persons with the Pacific Islander race category selected but who did not have a specific Pacific Islander race listed are included in the “Other Pacific Islander, not specified” category.

¶¶ <10 cases or deaths were reported; excludes zero. To maintain patient privacy, counts of cases or deaths among race groups were not reported when number of cases or deaths were <10.

*** Dashes indicate that rates were not calculated where <20 cases or deaths were reported.

††† Asian subcategories represent the populations among this group with the largest representation in Hawaii.

§§§ Other race category includes persons with the “other” race category selected with no further specifications or with specified races that were not listed as a category (e.g., if a person had “Hispanic or Latino” indicated as their “race” or had written in a specific country).