Racism and discrimination in British society could be contributing to a higher risk of death from the coronavirus among the UK’s black, Asian and minority ethnic (Bame) population, according to a leaked official report.
The draft document drawn up by Public Health England says that historical discrimination and racism may mean that people from a Bame background are less likely to seek care or ask for better protective equipment.
The report, seen by the BBC, points to “historical racism and poorer experiences of healthcare or at work” as a root cause of the uneven risks. It also says that the higher prevalence of diseases such as diabetes or asthma could play a role.
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“The unequal impact of Covid-19 on Bame communities may be explained by a number of factors ranging from social and economic inequalities, racism, discrimination and stigma, occupational risk, inequalities in the prevalence of conditions that increase the severity of disease including obesity, diabetes, hypertension and asthma,” the document says.
The report says groups that were consulted in drawing it up expressed “deep dismay, anger, loss and fear in their communities” as evidence mounted that the virus was “exacerbating existing inequalities”.
Sky News previously reported that Public Health England recommendations on how to address inequalities over Covid-19 had been delayed because of “worries” around “current global events” – widely taken to be a reference to Black Lives Matter protests.
The leak comes after the British Medical Association (BMA) wrote to the health secretary, Matt Hancock, to ask why a section with recommendations for safeguarding Bame communities was “omitted” from an earlier report.
The letter said: “The BMA called for this review and contributed our views to it, and we were extremely disappointed that the points raised in our submission were not addressed in the report published on 2 June. It now appears that pages addressing these and the contributions from other stakeholders may have been removed from the final report.”
The leaked report recommends that health authorities bring in better data collection about ethnicity and religion, require health risk assessments for Bame workers, and increase diversity in the leadership of the health service.
It also says public health messaging should be culturally sensitive and that it should be designed to be properly understood by people who do not speak English as their first language.
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-17.jpg?width=1000&height=614&fit=bounds&format=pjpg&auto=webp&quality=70&crop=16:9,offset-y0.5)
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1/23
Nancy holds hands with Nichollette and Ryan as she experiences contractions in a birthing tub
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-6.jpg)
2/23
Nancy Pedroza, 27, who is pregnant, sits next to Ryan Morgan, 30, her partner and father to their unborn child, as they relax at Pedroza’s parent’s house in Forth Worth, Texas, where they currently live, during the coronavirus outbreak
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-9.jpg)
3/23
Nancy Pedroza attends an appointment with her licensed midwives Susan Taylor, 40, who checks her stomach, and Amanda Prouty, 39, in Taylor’s home office at her house
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-2.jpg)
4/23
Nancy takes a brisk walk to try and speed up her contractions with Ryan and her midwives near Taylor’s home where Pedroza plans to give birth
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus.jpg)
5/23
Nancy receives support from Nichollette Jones, her doula
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-1.jpg)
6/23
Nancy experiences contractions
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-0.jpg)
7/23
Nancy is supported by Ryan and Nichollette as she experiences contractions while labouring at the home of Pedroza’s licensed midwife, Susan Taylor
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-4.jpg)
8/23
Nancy lies on a bed in front of Ryan as he helps to pump her breastmilk to try and speed up her contractions
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-3.jpg)
9/23
Nancy experiences contractions as Susan lies on a bed
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-14.jpg)
10/23
Nancy embraces Ryan
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-11.jpg)
11/23
Nancy is supported by Ryan as she experiences contractions in a birthing tub
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-15.jpg)
12/23
Nancy experiences contractions
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-18.jpg)
13/23
Nancy in a birthing tub
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-20.jpg)
14/23
Nancy is placed onto an ambulance stretcher to be taken to hospital by paramedics, after her unborn child’s heartbeat dropped from 130 beats per minute to 30
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-13.jpg)
15/23
Nancy is carried on an ambulance stretcher to be taken to hospital by paramedics
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-8.jpg)
16/23
Nancy is carried into an ambulance on a stretcher
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-21.jpg)
17/23
Nancy holds her one-day old newborn son, Kai Rohan Morgan
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-16.jpg)
18/23
Nancy breastfeeds her newborn son at the house of her parents, where they are currently living
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-5.jpg)
19/23
Susan Taylor positions Kai for a photograph at his newborn screening
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-10.jpg)
20/23
Amanda Prouty and Susan Taylor conduct a newborn screening for Kai at Kai’s maternal grandparents’ house
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-7.jpg)
21/23
Susan takes two-day old Kai’s temperature while checking if he has tongue tie, an oral condition that can potentially cause issues with feeding
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-22.jpg)
22/23
Nancy and Ryan clip the fingernails of their two-day old son
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-19.jpg)
23/23
Kai, who is two days old and is experiencing jaundice, is positioned in the sunlight by his mother Nancy
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-17.jpg)
1/23
Nancy holds hands with Nichollette and Ryan as she experiences contractions in a birthing tub
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-6.jpg)
2/23
Nancy Pedroza, 27, who is pregnant, sits next to Ryan Morgan, 30, her partner and father to their unborn child, as they relax at Pedroza’s parent’s house in Forth Worth, Texas, where they currently live, during the coronavirus outbreak
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-9.jpg)
3/23
Nancy Pedroza attends an appointment with her licensed midwives Susan Taylor, 40, who checks her stomach, and Amanda Prouty, 39, in Taylor’s home office at her house
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-2.jpg)
4/23
Nancy takes a brisk walk to try and speed up her contractions with Ryan and her midwives near Taylor’s home where Pedroza plans to give birth
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus.jpg)
5/23
Nancy receives support from Nichollette Jones, her doula
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-1.jpg)
6/23
Nancy experiences contractions
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-0.jpg)
7/23
Nancy is supported by Ryan and Nichollette as she experiences contractions while labouring at the home of Pedroza’s licensed midwife, Susan Taylor
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-4.jpg)
8/23
Nancy lies on a bed in front of Ryan as he helps to pump her breastmilk to try and speed up her contractions
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-3.jpg)
9/23
Nancy experiences contractions as Susan lies on a bed
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-14.jpg)
10/23
Nancy embraces Ryan
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-11.jpg)
11/23
Nancy is supported by Ryan as she experiences contractions in a birthing tub
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-15.jpg)
12/23
Nancy experiences contractions
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-18.jpg)
13/23
Nancy in a birthing tub
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-20.jpg)
14/23
Nancy is placed onto an ambulance stretcher to be taken to hospital by paramedics, after her unborn child’s heartbeat dropped from 130 beats per minute to 30
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-13.jpg)
15/23
Nancy is carried on an ambulance stretcher to be taken to hospital by paramedics
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-8.jpg)
16/23
Nancy is carried into an ambulance on a stretcher
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-21.jpg)
17/23
Nancy holds her one-day old newborn son, Kai Rohan Morgan
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-16.jpg)
18/23
Nancy breastfeeds her newborn son at the house of her parents, where they are currently living
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-5.jpg)
19/23
Susan Taylor positions Kai for a photograph at his newborn screening
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-10.jpg)
20/23
Amanda Prouty and Susan Taylor conduct a newborn screening for Kai at Kai’s maternal grandparents’ house
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-7.jpg)
21/23
Susan takes two-day old Kai’s temperature while checking if he has tongue tie, an oral condition that can potentially cause issues with feeding
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-22.jpg)
22/23
Nancy and Ryan clip the fingernails of their two-day old son
Reuters
![](https://static.independent.co.uk/s3fs-public/thumbnails/image/2020/05/14/14/birth-coronavirus-19.jpg)
23/23
Kai, who is two days old and is experiencing jaundice, is positioned in the sunlight by his mother Nancy
Reuters
Last week, Kemi Badenoch, minister for equalities, told MPs that Public Health England was unable to make any recommendations in its report on Bame people and the coronavirus because of a lack of data.
However, Raj Bhopal, emeritus professor of public health at the University of Edinburgh, who had been asked to peer-review the unpublished recommendations file, said it had all the hallmarks of a government document that was ready for publication.