indicating that MIS-C popped up suddenly, trailing about a month behind the surge of COVID-19 cases. Those findings match reports starting in late April from around Europe and the U.S. In the French cohort, the MIS-C patients "had no relevant personal or family medical history, and none reported living in unhealthy environments or social housing," the researchers noted. In the U.S., no findings have detailed race or ethnic background of MIS-C cases, but there has been a clear disproportionate burden of COVID-19 among non-Hispanic black populations, which has been suggested to be due to socioeconomic and healthcare disparities, as well as higher prevalence of chronic diseases. The findings follow a series in The Lancet in May in which six of the eight cases of "hyperinflammatory shock" found over a 10-day period during the COVID-19 pandemic in southeast England were children of Afro-Caribbean descent. While French law prohibits a census by race, 14% to 17% of the metropolitan population is estimated to be black. "These clinical findings should prompt high vigilance among primary care and emergency doctors, and preparedness during the coronavirus disease 2019 pandemic in countries with a high proportion of children of African ancestry and high levels of community transmission," they wrote.
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