Lionel Shriver Lionel Shriver

The crucial variable with Covid-19 isn’t ethnicity – it’s fat

issue 22 August 2020

In the UK’s capital city, where do the fewest obese people live? North London. The most? East London. The weight disparity between largely white and largely immigrant residents might seem to concern race, but I will argue — against the tide, as right now everything is about race — that, deep down, the fat differential isn’t ethnic.

The American and British media have chided for months about higher Covid fatality rates among minorities, and I’ve previously cast medical dubiety on the fashionable claim that these patients are dying of racism. Released last month, a statistically meticulous Columbia University study of some 7,000 cases validates my scepticism. As the New York Times reported: ‘The study did not find race or ethnicity to be an independent risk factor. The researchers did find extreme obesity to be a strong independent risk factor for worse outcomes.’ Indeed, when isolated from conditions like diabetes that corpulence can trigger, obesity alone raises the likelihood of a dire Covid response by fostering inflammation and breathing difficulties.

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